Opioid analgesics (opioids), powerful pain relievers whose use has been hotly debated in the medical community, should be prescribed for some patients with chronic lower back pain, according to a Mayo Clinic article published in the September 2002 issue of Pain Medicine, http://www.blackwellscience.com/journals/pain.
After reviewing all available studies of opioid use for this condition, the author recommends that physicians and their patients at least consider opioids for the treatment of chronic, nonmalignant pain, including musculoskeletal pain and chronic lower back pain, before a patient undergoes surgery. “Although this is somewhat controversial in that the majority of physicians still have prejudices against the use of opioid analgesics for chronic pain, there is a place for their carefully considered and closely monitored use in patients with low back pain,” says J. D. Bartleson, M.D., Mayo Clinic neurologist and lead author of the paper.
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