Opioids and Chronic Pain Management
Opioids are a powerful class of drugs that can control severe pain, but they often aren’t recommended for many types of chronic pain because long-term use can lead the body to depend on them. At LA Pain Doctor, we help patients in Metairie, LaPlace, Harvey, Hammond, and Lutcher, LA understand when opioids may help, their risks, and the alternatives available.
Request an AppointmentHow Opioids Work
Opioids attach to receptors in the brain, spinal cord, and other parts of the body to block pain signals. Common examples include hydrocodone, oxycodone, morphine, and tramadol. They can be very effective for short-term pain after surgery or a serious injury, and for some cancer-related pain.
Why Opioids Are Used Cautiously for Chronic Pain
For long-lasting pain such as back pain, arthritis, or headaches, the risks of opioids often outweigh the benefits. Over time, the body can develop:
- Tolerance: the same dose becomes less effective
- Physical dependence: withdrawal symptoms occur if the medication is stopped suddenly
- Side effects: such as constipation, drowsiness, and mood changes
- Risk of misuse: including addiction and overdose
Learn more about side effects of long-term opioid use, opioid-induced constipation, and opioids and depression.
When Opioids May Be Part of a Plan
For some patients with severe pain that has not responded to other treatments, opioids may be prescribed carefully as part of a broader plan. This usually involves the lowest effective dose, clear goals for pain and function, regular follow-up visits, and a written agreement about safe use. Read our guide on using opioids safely and tapering opioid use safely if your plan changes.
Alternatives to Long-Term Opioid Use
LA Pain Doctor focuses on treating pain at its source. Options such as lumbar epidural steroid injections, facet joint injections, medial branch blocks, cervical facet radiofrequency neurotomy, and genicular nerve ablation can reduce pain without daily opioids. For severe chronic pain, spinal cord stimulator implants and intrathecal pump implants may provide relief with less medication. Exercise, therapy, and lifestyle changes also play a key role. Visit our pain medication management page to learn more.
Opioids and Chronic Pain FAQs
Are opioids good for chronic pain?
Opioids can help some patients, but for many types of chronic pain the long-term risks often outweigh the benefits.
What is opioid tolerance?
Tolerance means your body adjusts to the medication, so the same dose provides less relief over time.
Is dependence the same as addiction?
No. Physical dependence means your body has adapted to the drug and causes withdrawal if stopped. Addiction involves compulsive use despite harm.
What are alternatives to opioids?
Alternatives include injections, nerve blocks, radiofrequency ablation, spinal cord stimulation, non-opioid medications, and physical therapy.
Can I stop taking opioids on my own?
No. Stopping suddenly can cause withdrawal. Talk to your provider about a safe tapering plan.
Will LA Pain Doctor prescribe opioids?
When appropriate, opioids may be part of a carefully monitored plan, but our focus is on treating the source of pain.
How do I discuss my medications with a provider?
Call (504) 229-4866 - Metairie Office , (504) 229-4866 - Laplace Office , (504) 229-4866 - Harvey Office , (504) 229-4866 - Hammond Office or (504) 229-4866 - Lutcher Office to schedule a visit and bring a list of all medications you take.
Explore Safer Pain Relief Options
Talk with our team about treatments that target the source of your pain. Call (504) 229-4866 - Metairie Office , (504) 229-4866 - Laplace Office , (504) 229-4866 - Harvey Office , (504) 229-4866 - Hammond Office or (504) 229-4866 - Lutcher Office or request an appointment online today.