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Abstract
Persons experiencing pain, whether acute or chronic, seek and deserve relief from their discomfort and loss of function. However, opioid analgesics have the capacity to induce tolerance, physical dependence, and addiction. Furthermore, persons with a history of opioid use disorders or other substance misuse problems are at “high risk” when they acquire painful conditions requiring aggressive treatment. Prescription of opioids could trigger a relapse to the original drug of choice or could initiate a new bout of addiction with the prescribed drug. This article explores the relationship between addiction and pain, including signs of developing addiction and approaches to managing pain in those with addiction.
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Penelope P. Ziegler
Penelope P. Ziegler, M.D., FASAM, is Medical Director of Williamsburg Place and The William J. Farley Center in Williamsburg, VA. She is a board-certified addiction psychiatrist and is also certified by and a Fellow of The American Society of Addiction Medicine. She is an Associate Clinical Professor of Psychiatry at Virginia Commonwealth University in Richmond, VA. Dr. Ziegler has worked in the addiction field since 1985. She is on the Board of Directors of the American Society of Addiction Medicine and the American Academy of Addiction Psychiatry. Her special interests include addictive disease in healthcare professionals, needs of women with addiction, the relationship of addiction and sexual trauma, and the relationship of addiction and chronic pain.