Opioid Management

Opioids: narcotic drugs that are generally prescribed to manage pain. Narcotic is a legal, not a medical term or classification. The most commonly prescribed opioids are: buprenorphine, butorphanol, codeine, fentanyl, hydrocodone, hydromorphone, levorphanol, meperidine, methadone, morphine, nalbuphine, oxycodone, oxymorphone, pentazocine, and propoxyphene. These opioids are prescribed alone or in combination with aspirin or acetaminophen.

Expert pain management physicians are greatly needed for the administration and management of opioid pain medicine. Why? It is because most doctors are uncomfortable with, or refuse to write, prescriptions for these drugs (except for terminal cancer pain), for several reasons, some of which are listed below:

    • The perceived and real legal ramifications of prescribing controlled substances
    • Known adverse-effects of opioid therapy
    • The need for increasing doses related to tolerance to therapy
    • The potential for addiction and abuse of opioids
    • The inability to predict when an opioid will be effective
    • Incomplete relief when chronic opioids are used to treat non-cancer pain
    • Lack of belief in patient subjective reports of pain
    • Complexity of having to write monthly prescriptions for controlled substances
    • Difficulty dealing with co-morbidities in the chronic pain population

    Also Opioid management entails many considerations and complex assessment algorithms which include topics such as:
    • Assessment of Pain
    • Diagnosis
    • Alternatives to opioids
    • How opioids interact with other medications
    • Screen for Sensitivity or Allergy to Specific Opioids
    • Documentation and the DEA
    • Tapering someone off opioids
    • Hazards of long time opioid use
    • Medico-legal risk management
    • Routes of Administration of Opioids
    • Opioid Titration
    • Use of Long Acting Opioids
    • Addictions and doctor shopping
    • Types and uses of opioids
    • Dosing levels by types of pain
    • Rotation of opioids
    • Opioid Withdrawal
    • Opioid toxicology and drug testing

    Now it is easy to see why opioid management is often referred to the careful expertise of pain specialists such as Dr Julie Chen at Advanced Pain Management Center in Westerville, Ohio.

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Located in central Ohio, in Westerville just north of Columbus, Advanced Pain Management Center was established to treat individuals suffering from chronic disabling pain. Our medical practice offers a fully integrated and comprehensive pain management.
Our pain clinic offers a complete set advanced pain management techniques and procedures to deal with all types of acute pain or chronic pain.  Whether it is back pain, neck pain, knee pain, fibromyalgia, or even if you are not sure where the pain is originating, Dr Chen has the diagnostic tools and expert experience to determine the source and cause of your pain and effectively treat it.  Dr Chen has medical degrees in the US and China. Dr Chen has completed training in 2 world class hospitals in the US: an anesthesiology residency at UAMS and a pain fellowship at renowned MD Anderson in Houston Texas. (Here is Dr Chen’s brief bio in English or in Chinese).  Whether if it is powerful pain prescriptions, join injections, pain pumps or alternatives like acupuncture Ti chi, or nutritional consultation, Dr Chen has it all for discrete conservative effective comprehensive pain relief that will contribute to healing health and improved quality of life. What we are about and our philosophy is advanced individualized pain contol for each patient. You may use our contact form or call 614-882-1434

Procedures and services offered and described in the tabs above include: Variety of Nerve Block Radio Frequency Denervation Epidural Steroid Injection, Botox Injection, Ultrasound Guided Joint Injection, Spinal Cord Stimulator and Intrathecal Pump Management, Selective Nerve Scan, Hyalgan Injection, Facet Joint Injection, Disc Decompression, Nutritional Consultation for Headache, Arthritis, and Chronic Pain, Acupuncture, and Opiod Management.