IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i9p3324-d356331.html
   My bibliography  Save this article

Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report

Author

Listed:
  • Vikas Agarwal

    (Department of Internal Medicine, Mosaic Life Care, St. Joseph, MO 64506, USA)

  • Adriaan Louw

    (Pain Science Division, Evidence in Motion, San Antonio, TX 78247, USA)

  • Emilio J. Puentedura

    (Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76798, USA)

Abstract

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.

Suggested Citation

  • Vikas Agarwal & Adriaan Louw & Emilio J. Puentedura, 2020. "Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report," IJERPH, MDPI, vol. 17(9), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3324-:d:356331
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/9/3324/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/9/3324/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3324-:d:356331. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.