Study: Drug Use Increases with Lower Back Pain
In one of the first studies of its kind, researchers in the Division of Rheumatic and Autoimmune Diseases at the University of Minnesota have found that patients with lower back pain are more likely to have a prescription for painkillers as well as use drugs like marijuana, cocaine, heroin and methamphetamine. While additional studies have to be conducted to find out more about the connection, this information may be a first step in developing more effective prevention tools for future prescription painkiller abuse.
The researchers compared questionnaires filled out by patients with chronic lower back pain and people without back problems. Volunteers were asked to answer questions regarding the frequency in which they used marijuana, heroin, prescription painkillers, cocaine and methamphetamine. It was found that 22.5% of adults with chronic lower back pain used prescription painkiller regularly compared to 15% of adults without the pain. This in itself isn’t that surprising, though there may be other forms of treatment that would be much better suited, depending on the severity of the pain.
“Americans with chronic low back pain are more likely to use illicit drugs than the general population, particularly the ‘hard’ drugs like cocaine, heroin and methamphetamine. There are several ways to interpret this relationship. It is possible that illicit drug use makes chronic pain more likely or leads individuals to seek a chronic pain diagnosis to obtain prescription narcotics,” explained Anna Shmagel, MD, MS, and lead author of the study. Shmagel also cautions that there could be a common underlying reason for prescription painkiller addicts and patients with lower back pain, like depression.
Opening up the research to include a more in depth look at if depression plays a role in prescription painkiller addiction is a relatively new avenue for researchers. In the past, the focus has mainly been on patients who have accidentally become addicted to painkillers. However, chronic pain has been shown to cause depression and illicit drugs have long been sought out by people looking to escape or fix their emotional problems.
As more and more research is conducted regarding prescription painkiller use and misuse it is becoming clear that preventing the reasons for taking the drugs in the first place is vital. This means that the medical profession is likely to come up with ways to improve chronic lower back pain treatment in addition to finding new methods to intervene before the back pain requires narcotic painkillers.