New research examining 88,985 opioid-naive patients with shoulder, neck, knee, or low back pain has found that early physical therapy (PT) could steer patients away from opioids.
The study, “Association of Early Physical Therapy With Long-term Opioid Use Among Opioid-Naive Patients With Musculoskeletal Pain,” appears in the December 14, 2018 edition of Anesthesiology.
Co-author Eric Sun, M.D., Ph.D., with the the Stanford University School of Medicine in California told OTW, “This topic was of interest to us given the growing awareness of opioid use in the United States and recommendations that non-pharmacologic alternatives (e.g., physical therapy) be used instead of (or in addition to) opioids to manage pain conditions.”
The authors found that early PT was associated with approximately 10% reduction in subsequent opioid use.
“Our most important result,” Dr. Sun told OTW, “is that early physical therapy is associated with lower long-term opioid use among patients with severe musculoskeletal pain. Patients with severe musculoskeletal pain (and their healthcare providers) should seek physical therapy as soon as is possible.”
“Our research is one the few large-scale studies to suggest that physical therapy can provide a statistically significant benefit (in terms of long-term opioid use) for patients with severe musculoskeletal pain, and suggests that physical therapy can play an important role for these patients.”
I totally disagree. As a child I had hours, weeks, days of Pt for a rare, inaccurately diagnosed musculoskeletal birth defect. I was traumatized by it and refused Pt as an adult for many years. 5 years ago I was finally correctly diagnosed with Fibular Hemimelia— a complex limb musculoskeletal birth defect. Dr. Paley, in FL, said: if I correctly align the right side of your body I can decrease your pain. Dr. Nelson, Loma Linda, CA performed limb corrections which I needed opioids to deal with post op pain. Medicare limits PT visits.
Pt does not correct musculoskeletal deficiencies, only after limb corrections have occurred can Pt be of use and value to the patient. Doctors are looking for any reason they can to deny adequate pain meds to patients.