Before prescribing opioids for acute pain, carefully consider whether initiating opioid therapy is necessary.
A. Avoid prescribing for conditions where opioids are rarely indicated.
Here is a brief list of conditions that would rarely indicate opioids:
• Self-limited Illness (i.e. sore throat)
• Uncomplicated Neck and Back Pain
• Uncomplicated Musculoskeletal Pain
B. Use alternative treatment modalities and non-opioid and non-pharmacological treatments for acute pain.
See below for complete lists of alternative treatments.
• Activity modification
• Sitting/driving precautions (ergonomics)
• Avoid painful lifting and carrying
• Supportive shoes for standing and walking
• Lumbar sacral corset
• Regular Walking
• Physical Therapy
• Core Isometric Exercises
• Reflex Zone Therapy
• Lidocaine Patch/Gels
• Topical Diclofenac
• Salicylic Acid
• Neuropathic Pain Agents
Risk of Abuse, Use with Caution:
• Muscle Relaxants
• Sleeping Pills