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Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report
We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246593/ https://www.ncbi.nlm.nih.gov/pubmed/32403225 http://dx.doi.org/10.3390/ijerph17093324 |
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author | Agarwal, Vikas Louw, Adriaan Puentedura, Emilio J. |
author_facet | Agarwal, Vikas Louw, Adriaan Puentedura, Emilio J. |
author_sort | Agarwal, Vikas |
collection | PubMed |
description | We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due to her high levels of CLBP and high dose opioids. At the time of intervention, her opioid dosage was between 50–90 MME (Morphine milligram equivalent) (Norco 8 × 7.5 mg/day + Fentanyl 12 mcg patch). She was subsequently seen by the physician for seven outpatient internal medicine appointments over nine months and received Pain Neuroscience Education (PNE) in conjunction with monitored tapering of opioids and other medication associated with her CLBP. This case report demonstrates how a physician might deliver PNE as a viable nonpharmacological treatment option for the tapering of long-term opioids for chronic pain. |
format | Online Article Text |
id | pubmed-7246593 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-72465932020-06-10 Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report Agarwal, Vikas Louw, Adriaan Puentedura, Emilio J. Int J Environ Res Public Health Case Report We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due to her high levels of CLBP and high dose opioids. At the time of intervention, her opioid dosage was between 50–90 MME (Morphine milligram equivalent) (Norco 8 × 7.5 mg/day + Fentanyl 12 mcg patch). She was subsequently seen by the physician for seven outpatient internal medicine appointments over nine months and received Pain Neuroscience Education (PNE) in conjunction with monitored tapering of opioids and other medication associated with her CLBP. This case report demonstrates how a physician might deliver PNE as a viable nonpharmacological treatment option for the tapering of long-term opioids for chronic pain. MDPI 2020-05-11 2020-05 /pmc/articles/PMC7246593/ /pubmed/32403225 http://dx.doi.org/10.3390/ijerph17093324 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Agarwal, Vikas Louw, Adriaan Puentedura, Emilio J. Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report |
title | Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report |
title_full | Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report |
title_fullStr | Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report |
title_full_unstemmed | Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report |
title_short | Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report |
title_sort | physician-delivered pain neuroscience education for opioid tapering: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246593/ https://www.ncbi.nlm.nih.gov/pubmed/32403225 http://dx.doi.org/10.3390/ijerph17093324 |
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