Managing pain responsibly

The opioid crisis has undergone a dramatic transformation over the past decade, shifting from an issue primarily related to prescription painkillers to a broad public health emergency, now driven by heroin and the highly potent fentanyl. According to recent data from the Centers for Disease Control and Prevention (CDC), synthetic opioids, primarily fentanyl, were involved in nearly 70 percent of all opioid overdose deaths in 2023, underscoring the severity of the current crisis. “The opioid epidemic began with excessive painkiller prescriptions, partly driven by aggressive pharmaceutical marketing,” said Kirk Klemme, addiction medicine physician. “As regulations tightened, heroin use surged and now, fentanyl, which is incredibly potent and deadly, dominates the crisis.” In response to this evolving crisis, Klemme advocates for a bio-psycho-social approach to pain management, which addresses the physical, psychological and social aspects of a patient’s condition. “Exercise, weight loss and addressing trauma, are important,” he said. “Opioids should be considered a last resort, due to the risks of tolerance, dependence and addiction. Often, over-the-counter medications, like acetaminophen or ibuprofen, can be more effective than opioids.” When an opioid prescription is deemed necessary by a healthcare provider, vigilant monitoring for early signs of misuse is essential. Behaviors such as seeking early refills, hoarding pills or obtaining drugs from non-prescribed sources can be red flags. “We closely monitor these indicators, through pill counts and unexpected follow-up appointments,” said Klemme. Addressing the stigma surrounding addiction, is key to fostering a supportive environment for those in need. “We all face struggles and addiction is no different,” said Klemme. “It’s important to support individuals seeking help and assist them in their recovery journey with compassion.” Opioid Awareness Day, which was Sept. 21, is an opportunity to reflect on the ongoing crisis and commit to safer pain management practices. If someone needs assistance, they’re encouraged to speak with a primary care provider. Dedicated medical professionals, like Klemme, are available to offer guidance and work with the patient, to find effective solutions.