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Chronic Pain and Addiction: Management and Treatment in Orange County, CA

Living with chronic pain can be incredibly challenging, and it can often lead to opioid addiction and dependency on pain medications. What starts as a legitimate use of prescription medications can escalate to a substance abuse disorder. Some people also use illicit drugs or alcohol to numb chronic pain.

If you or someone you love is struggling with chronic pain and addiction to painkillers or other substances, Adelante Recovery Centers can help. We also specialize in treating opioid use disorder. We offer comprehensive treatment options for people seeking addiction treatment plus chronic pain management in California. Adelante’s evidence-based addiction treatment programs are complemented by a range of holistic therapy options, administered by skilled wellness providers.

What Is Chronic Pain?

Chronic pain is persistent pain that lasts for weeks, months, or even years beyond the expected period of healing. Unlike acute pain, which signals immediate harm or injury, chronic pain continues long after the initial cause has been treated or resolved. It can stem from various conditions, such as arthritis or nerve damage, and often impacts a person’s daily activities and overall quality of life.

Living with chronic pain affects not only physical well-being but also a person’s emotional and mental health. It can lead to feelings of frustration, anxiety, and depression, as the constant discomfort can be overwhelming and exhausting.

Managing chronic pain requires a comprehensive approach that combines medical treatments with physical therapy, lifestyle changes, and psychological support. People struggling with dependency to pain medications may need opioid addiction recovery services.

Addiction and Pain Management

The Link Between Chronic Pain and Addiction

Individuals managing chronic pain with prescription opioid medications are at a higher risk of developing addiction and physical dependence on these drugs.

Some people are especially susceptible to addictive substances, due to a combination of genetics and other factors. But people with chronic pain are far more likely to develop an addiction to opioids and other addictive substances, perhaps as part of an effort to control pain on a daily basis. As addiction worsens, some people switch to street illicit drugs like heroin out of desperation when they can no longer get their prescription drugs or can’t get enough to avoid severe withdrawal symptoms.

Chronic Pain and Addiction
Signs of Addiction in Chronic Pain

Signs of Addiction in Someone with Chronic Pain

A person with chronic pain who has a substance use disorder and is addicted to painkillers or other substances may show the following signs:

  • Increased tolerance: Needing higher doses of medication to achieve the same level of pain relief.
  • Preoccupation with medication: Obsessively thinking about the next dose and feeling anxious or distressed when the medication is not available.
  • Withdrawal symptoms: Experiencing symptoms such as nausea, sweating, and irritability when the medication is not taken when desired or on schedule.
  • Doctor shopping: Visiting multiple doctors to obtain more prescriptions or stronger medications.
  • Loss of control: Taking medication more frequently or in larger amounts than prescribed (or originally intended).
  • Neglecting responsibilities: Ignoring work, social, or family obligations due to drug use or working to obtain drugs.
  • Continued use despite harm: Persisting in taking medications or illicit substances even when it causes physical, emotional, or social problems.

Why People with Chronic Pain Don't Seek Help For Addiction

Chronic pain management can be a multi-year effort, and discovering the cause of the pain may require multiple surgeries or treatments. Dealing with an addiction may be the last thing a chronic pain patient expects or wants to deal with.

But it’s a worthy use of time to address the addiction before it grows too severe, so that the individual’s overall healing and day-to-day wellness can remain the goal. Addiction can happen to anyone, and it’s nothing to be ashamed of. It is a display of strength to reach out for help with an addiction.

If someone is dealing with chronic pain, they may be ingesting different medications every day to manage symptoms. Various body functions (such as breathing or mobility) can be affected by chronic pain on a daily basis. Healthcare and wellness regimens can take up a lot of time and maintenance, and regular consumption of pain medication may develop without the patient realizing it’s happening.

For many people, the only thing worse than experiencing chronic pain with addiction is experiencing even worse pain. They may be reluctant to give up an addictive substance because of the temporary pain relief it offers. But sustainable pain management requires sustainable solutions for both chronic and acute pain, something that addictive substances will not provide. Chronic pain patients may also develop a physical tolerance for addictive substances, ensuring that they will need more of the substance to feel relief.

Even when people are careful with medication and pain management routines, tolerance and addiction can still develop. Chronic pain patients may see it as a moral failing to develop an addiction, or a sign of irresponsibility within treatment. Admitting to craving more pain medication or experiencing withdrawal may feel like admitting defeat for some patients. It could also be a massive blow to their self confidence, where they feel that they weren’t “tough enough” to deal with their pain without becoming physically dependent on substances.

Treating chronic pain

Treating Addiction in Chronic Pain Patients

Treating pain and addiction is a complex process. But with the right treatment plan, it is possible to overcome addiction and manage chronic pain. Opioid dependence is a significant concern that requires specialized treatment approaches not always necessary when treating addiction to other substances.

For patients struggling with opioid addiction, our team may recommend medication-assisted treatment with FDA-approved medications to help manage withdrawal symptoms and block the euphoric effects of opioids, such as methadone treatment, buprenorphine (Subutex), or naltrexone.

It’s important to know that these medications are designed to not substitute one addiction for another. The dosages prescribed do not produce a high, but rather help reduce opioid cravings. If an individual is not in pain due to withdrawal symptoms, it’s possible for them to think more critically about treatment and how their pain is affected without being distracted or influenced.

Alternatives for Treating Chronic Pain

Depending on needs and preferences, it’s possible to use pain relief medications in combination with other therapies to address chronic pain while healing from addiction. These may include:

  • Anticonvulsants: Medications such as pregabalin (Lyrica) and gabapentin (Gralise) can treat certain types of pain (such as nerve pain) without a high risk of addiction.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): Ibuprofen and other NSAIDs are effective at treating pain caused by a wide range of conditions. Acetaminophen is an alternative for those who can’t tolerate NSAIDs, although it is a controlled substance within the United States.
  • Behavioral therapies: Our treatment team uses evidence-based therapies, such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and others to address root causes of substance abuse and help in developing healthy coping mechanisms.
  • Massage therapy: Massage can help reduce pain and relieve problems associated with muscle tension, such as tension headaches. By improving circulation and squeezing out inflammation-causing cells from muscle tissue, massage can help support healing from injuries.
  • Yoga, meditation, and breathwork: These therapies are effective pain management strategies with a wide range of physical and psychological benefits. Practicing yoga enhances physical flexibility, strength, and balance, and can help to reduce joint pain. Meditation can help achieve mental clarity and emotional calm, reducing stress and anxiety. Breathwork helps to regulate the nervous system, promoting relaxation and helping to manage tension.
  • Sound healing: This alternative healing practice can help reduce stress by using soothing sounds to calm the mind, enhance mental clarity, and facilitate emotional balance.
  • Chiropractic care: By realigning the spine and reducing pressure, chiropractic care may help alleviate chronic pain and improve body function (especially when combined with massage).
  • Acupuncture: Acupuncture stimulates specific pain points on the body and may help address pain by releasing natural pain-relieving chemicals and improving blood flow.
  • Physical therapy: Through movement retraining, physical therapy may help reduce chronic pain and improve mobility. Coupled with behavioral treatments like cognitive behavioral therapy, physical therapy can lead to better pain management.
addiction-Recovery from substance use

The Importance of Personalized Treatment for Pain and Addiction

No two people respond to individual treatments in exactly the same way. For example, one person may do very well with a combination of ibuprofen for pain, yoga and meditation for anxiety, and cognitive behavioral therapy (CBT) to reframe negative thoughts. But others may not find alternative treatments helpful, or may not desire to take medication at all.

The key is to find the right combination of treatments and therapies that work for you, and that will work for you over time. At Adelante, we work closely with individuals to learn about their needs and goals, taking into account health history and other life factors.

Get Help For Chronic Pain and Addiction Today

It may seem impossible to combat chronic pain without the use of addictive substances. but with a dedicated team, sustainable solutions can be found. Our team will help you manage your pain through comprehensive pain management programs without the use of addictive substances. If there’s a specific treatment you need that we don’t provide at our recovery center in Southern California, we will refer you to a reputable local treatment provider near Corona del Mar.

Addiction recovery from substance use is possible with the right help. Adelante’s addiction treatment programs and substance abuse programs offer comprehensive care you or your loved one needs to live well without addiction. Chronic pain shouldn’t stop you from living your best life. Contact us to learn more.

Treatment for Pain and Addiction

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If you or a loved one are in need of help with addiction, contact us today. Our professional and friendly addiction specialists are able to answer your questions and get things moving in the right direction.

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