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Volume 17
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Case Report

Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report

by
Vikas Agarwal
1,
Adriaan Louw
2 and
Emilio J. Puentedura
3,*
1
Department of Internal Medicine, Mosaic Life Care, St. Joseph, MO 64506, USA
2
Pain Science Division, Evidence in Motion, San Antonio, TX 78247, USA
3
Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76798, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(9), 3324; https://doi.org/10.3390/ijerph17093324
Submission received: 18 April 2020 / Revised: 8 May 2020 / Accepted: 8 May 2020 / Published: 11 May 2020
(This article belongs to the Special Issue Pain Neuroscience Education, Chronic Pain, and Health Care)
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Abstract

We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due to her high levels of CLBP and high dose opioids. At the time of intervention, her opioid dosage was between 50–90 MME (Morphine milligram equivalent) (Norco 8 × 7.5 mg/day + Fentanyl 12 mcg patch). She was subsequently seen by the physician for seven outpatient internal medicine appointments over nine months and received Pain Neuroscience Education (PNE) in conjunction with monitored tapering of opioids and other medication associated with her CLBP. This case report demonstrates how a physician might deliver PNE as a viable nonpharmacological treatment option for the tapering of long-term opioids for chronic pain.
Keywords: chronic pain; pain neuroscience education; opioid; opioid epidemic; opioid tapering chronic pain; pain neuroscience education; opioid; opioid epidemic; opioid tapering

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MDPI and ACS Style

Agarwal, V.; Louw, A.; Puentedura, E.J. Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report. Int. J. Environ. Res. Public Health 2020, 17, 3324. https://doi.org/10.3390/ijerph17093324

AMA Style

Agarwal V, Louw A, Puentedura EJ. Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report. International Journal of Environmental Research and Public Health. 2020; 17(9):3324. https://doi.org/10.3390/ijerph17093324

Chicago/Turabian Style

Agarwal, Vikas, Adriaan Louw, and Emilio J. Puentedura. 2020. "Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report" International Journal of Environmental Research and Public Health 17, no. 9: 3324. https://doi.org/10.3390/ijerph17093324

APA Style

Agarwal, V., Louw, A., & Puentedura, E. J. (2020). Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report. International Journal of Environmental Research and Public Health, 17(9), 3324. https://doi.org/10.3390/ijerph17093324

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