It is recognized that many people may have chronic pain conditions BUT the DEA does not consider it appropriate for primary care doctors or orthopedic specialists even to prescribe narcotics CHRONICALLY....
If a person has say a broken leg and his doctor prescribed Percocet for 2 months >> no big deal
The long term use is where the DEA puts much pressure to avoid ...it is due to the potential abuse / addiction potential / accidental overdose / illegal sale
A pain specialist is advised to be the one to oversee the chronic use of pain meds when chronic narcotics are used. ( They have patients sign contracts and have testing protocols to ensure that they are being used properly)
Chronic pain may be treated with strong narcotics such as Fentanyl / morphine / Nucenta or many other options
Adjunts to help pain also include meds that reduce the central nervous system processing of pain such as Lyrica / Neurontin/ Cymbalta
Other techniques may be used such as nerve blocks to spinal nerves such as the case of a back condition ...
I hope that this information is helpful for you
Let me know if you have further questions or concerns
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Thank you and Best Regards,
Anthony Bray MD