A novel treatment for chronic opioid use after surgery

White, Paul F.; Elvir-Lazo, Ofelia Loani; Hernández, Héctor Hernández y

doi:10.1016/j.jclinane.2017.03.046

Cited by 20 publications

(13 citation statements)

References 18 publications

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“…The trend towards lower consumption of analgesic and anti-inflammatory medication in the intervention group obtained in our study suggests a line of research in this direction and coincides with recent studies which highlight this premise. 23,24 This study has shown that an exercise therapy protocol, alone or in combination with high-intensity laser therapy, can bring about a clinically and statistically significant improvement on function and pain which is maintained for a period of at least three months posttreatment. Our findings coincide with previous evidence of the effect of exercise in subacromial impingement syndrome.…”

Section: Discussionmentioning

confidence: 94%

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

et al. 2019

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Objectives: To evaluate the effectiveness of high-intensity laser therapy on shoulder pain and function in subacromial impingement syndrome. Design: Clinical controlled trial with alternate allocation. Setting: Hospital Department of Rehabilitation. Subjects: A total of 46 participants with subacromial impingement syndrome. Intervention: Participants were sequence allocated to an intervention group (high-intensity laser therapy + exercise therapy) and control group (sham-laser + exercise therapy) and received 15 sessions (five days a week during three weeks). Main measures: Patiens were evaluated at baseline, after 15 sessions, and at one month and at three months after completing the intervention. The main outcome variables were pain and functionality as measured by visual analogue scale; pressure pain threshold; Shoulder Pain and Disability Index; Constant-Murley Score; and QuickDASH. Secondary outcomes were number of sessions at discharge and drug use. Results: A total of 21 patients in high-intensity laser therapy group (56.7 ± 8.9 years) and 22 patients in sham-laser group (61.3 ± 8.9 years) concluded the study. Visual analogue scale (cm) at baseline, one-month,

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Section: Discussionmentioning

confidence: 94%

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

et al. 2019

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“…Therefore, the laser beam produced by these devices can penetrate more deeply into the soft tissue because of their enhanced power and the reduced absorption of the laser beam by melanin and hemoglobin ( Figure 1 ) 3 . Profound and long-lasting analgesic effects have recently been reported with this HILT device in patients with chronic post-surgical pain requiring the use of opioid analgesics 141 , professional athletes with degenerative joint disease requiring non-opioid analgesics 142 , and a woman with long-standing drug-resistant fibromyalgia 137 . The fibromyalgia case report suggests that the use of HILT at 42–75 W of power can produce more profound and longer-lasting beneficial effects than standard treatment protocols utilizing LLLT 79 and less powerful HILT devices 140 .…”

Section: Laser Therapymentioning

confidence: 99%

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

White

Elvir-Lazo

Galeas³

et al. 2017

F1000Res

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The use of opioid analgesics for postoperative pain management has contributed to the global opioid epidemic. It was recently reported that prescription opioid analgesic use often continued after major joint replacement surgery even though patients were no longer experiencing joint pain. The use of epidural local analgesia for perioperative pain management was not found to be protective against persistent opioid use in a large cohort of opioid-naïve patients undergoing abdominal surgery. In a retrospective study involving over 390,000 outpatients more than 66 years of age who underwent minor ambulatory surgery procedures, patients receiving a prescription opioid analgesic within 7 days of discharge were 44% more likely to continue using opioids 1 year after surgery. In a review of 11 million patients undergoing elective surgery from 2002 to 2011, both opioid overdoses and opioid dependence were found to be increasing over time. Opioid-dependent surgical patients were more likely to experience postoperative pulmonary complications, require longer hospital stays, and increase costs to the health-care system. The Centers for Disease Control and Prevention emphasized the importance of finding alternatives to opioid medication for treating pain. In the new clinical practice guidelines for back pain, the authors endorsed the use of non-pharmacologic therapies. However, one of the more widely used non-pharmacologic treatments for chronic pain (namely radiofrequency ablation therapy) was recently reported to have no clinical benefit. Therefore, this clinical commentary will review evidence in the peer-reviewed literature supporting the use of electroanalgesia and laser therapies for treating acute pain, cervical (neck) pain, low back pain, persistent post-surgical pain after spine surgery (“failed back syndrome”), major joint replacements, and abdominal surgery as well as other common chronic pain syndromes (for example, myofascial pain, peripheral neuropathic pain, fibromyalgia, degenerative joint disease/osteoarthritis, and migraine headaches).

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“…Larger scale 'sham' controlled studies are needed to determine the effect of the more powerful Phoenix thera-lase treatments on pain scores and the need for both opioid and non-opioid analgesic medications. A preliminary study demonstrated that HILT may be capable of reducing postoperative opioid dependence in patients who had become dependent on opioid analgesic medication after surgery [17]. This novel therapy for opioid dependency could also be highly beneficial to all patients suffering from chronic pain, as well as society-at-large [12].…”

Section: Would Recommend the Treatment To Others (%)mentioning

confidence: 99%

Effect of High-Intensity Laser Treatments on Chronic Pain Related to Osteoarthritis in Former Professional Athletes: A Case Series

White¹,

Cao²,

Lazo³

et al. 2017

J Mol Biomark Diagn

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A novel treatment for chronic opioid use after surgery

Cited by 20 publications

References 18 publications

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

Effect of High-Intensity Laser Treatments on Chronic Pain Related to Osteoarthritis in Former Professional Athletes: A Case Series

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