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Article: Long-term therapy of chronic non-malignant pain with potent opioids in an active police officer

TitleLong-term therapy of chronic non-malignant pain with potent opioids in an active police officer
Authors
Issue Date2002
PublisherSpringer New York LLC. The Journal's web site is located at http://www.springer.com/medicine/anesthesiology/journal/12630
Citation
Canadian Journal of Anaesthesia, 2002, v. 49 n. 6, p. 575-578 How to Cite?
AbstractPURPOSE: To report the successful long-term use of methadone and tramadol in treating low back pain in a marine police officer. Principal findings: The patient sustained a work-related injury having fallen down stairs while on duty in 1990. After multiple operations for a prolapsed L5/S1 intervertebral disk, he was first seen at our pain clinic in 1994. Numerous systemic medications, invasive procedures, physiotherapy and psychotherapy were used to treat his pain, but without sustained effect. Methadone was started in late 1995 and tramadol in 2000. The current maintenance doses are methadone 20 mg and tramadol 200 mg, both twice daily. Apart from some initial disruption, the patient was soon able to return to full time work. Regular performance reports from his supervisors have always been excellent. CONCLUSION: The use of methadone in this police officer with chronic low back pain has been very successful despite the demanding nature of his job. The controversy surrounding, and further suggestions regarding long-term use of opioid therapy for non-malignant pain are discussed.
Persistent Identifierhttp://hdl.handle.net/10722/147195
ISSN
2015 Impact Factor: 2.139
2015 SCImago Journal Rankings: 0.884
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMak, PHKen_US
dc.contributor.authorTsui, SLen_US
dc.contributor.authorNg, KFJen_US
dc.date.accessioned2012-05-29T06:00:42Z-
dc.date.available2012-05-29T06:00:42Z-
dc.date.issued2002en_US
dc.identifier.citationCanadian Journal of Anaesthesia, 2002, v. 49 n. 6, p. 575-578en_US
dc.identifier.issn0832-610Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/147195-
dc.description.abstractPURPOSE: To report the successful long-term use of methadone and tramadol in treating low back pain in a marine police officer. Principal findings: The patient sustained a work-related injury having fallen down stairs while on duty in 1990. After multiple operations for a prolapsed L5/S1 intervertebral disk, he was first seen at our pain clinic in 1994. Numerous systemic medications, invasive procedures, physiotherapy and psychotherapy were used to treat his pain, but without sustained effect. Methadone was started in late 1995 and tramadol in 2000. The current maintenance doses are methadone 20 mg and tramadol 200 mg, both twice daily. Apart from some initial disruption, the patient was soon able to return to full time work. Regular performance reports from his supervisors have always been excellent. CONCLUSION: The use of methadone in this police officer with chronic low back pain has been very successful despite the demanding nature of his job. The controversy surrounding, and further suggestions regarding long-term use of opioid therapy for non-malignant pain are discussed.en_US
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://www.springer.com/medicine/anesthesiology/journal/12630en_US
dc.relation.ispartofCanadian Journal of Anaesthesiaen_US
dc.rightsThe original publication is available at www.springerlink.com-
dc.subject.meshAnalgesics, Opioid - therapeutic useen_US
dc.subject.meshIntervertebral Disc - surgeryen_US
dc.subject.meshLow Back Pain - drug therapy - etiologyen_US
dc.subject.meshMethadone - therapeutic useen_US
dc.subject.meshTramadol - therapeutic useen_US
dc.titleLong-term therapy of chronic non-malignant pain with potent opioids in an active police officeren_US
dc.typeArticleen_US
dc.identifier.emailMak, PHK: makphk@yahoo.comen_US
dc.identifier.emailTsui, SL: sltsui@hkucc.hku.hk-
dc.identifier.emailNg, KFJ: jkfng@hku.hk-
dc.identifier.authorityNg, KFJ=rp00544en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/BF03017384-
dc.identifier.pmid12067869-
dc.identifier.scopuseid_2-s2.0-0036600110en_US
dc.identifier.hkuros67175-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036600110&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume49en_US
dc.identifier.issue6en_US
dc.identifier.spage575en_US
dc.identifier.epage578en_US
dc.identifier.isiWOS:000176835400009-
dc.publisher.placeUnited Statesen_US

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