June 2016: In response to a national
public health epidemic of opioid misuse and abuse, the American Physical
Therapy Association (APTA) is launching a public education campaign, #ChoosePT,
to raise awareness among patients and prescribers about physical therapy as a
safe alternative for pain management.
With a new #ChoosePT opioid awareness campaign, the American
Physical Therapy Association (APTA) has joined a chorus of associations and government
groups that are speaking out about the opioid epidemic in America.
Physical therapy is one of the nonopioid alternatives
recommended by the Centers for Disease Control and Prevention (CDC) in recently
released guidelines that urge prescribers to reduce the use of opioids for most
long-term pain management. The guidelines indicate that while prescription
opioids are appropriate in certain cases (such as cancer treatment, palliative
care, and end-of-life care), nonopioid approaches are preferred given the
damaging potential side effects of opioids, which include depression, overdose,
and addiction, plus withdrawal symptoms when stopping use.
Physical therapy can help patients avoid surgery or improve
their mobility or balance. PT can also help people recover from sports injuries
or manage conditions like heart disease or diabetes. The American Physical
Therapy Association, which last week launched a new #ChoosePT opioid
awareness campaign, is urging more Americans to consider PT as an alternative
to opioids for the reduction or elimination of pain.
“We know people are generally aware of the benefits of
physical therapy,” said Erin Wendel, senior media relations specialist for
APTA. “But the high [rate of] opioid prescribing makes it clear people aren’t
getting physical therapy often enough or soon enough for pain management.”
Wendel’s insight is especially poignant after the Anoka
County, Minnesota, medical examiner revealed that an accidental overdose
of the opioid fentanyl caused the death of the musician Prince in April.
Although much about his death remains shrouded in mystery, many sources have
theorized that Prince was taking opioids to manage chronic pain.
But the famous musician isn’t alone. According to the
Centers for Disease Control and Prevention (CDC), which also recommends
physical therapy as an alternative to opioids, sales of prescription opioids
have quadrupled since 1999. In 2012, prescribers wrote 259 million prescriptions
for pain medication, which would be enough for every American adult to have a
bottle of pills. And more than 165,000 people in the United States have died
from opioid overdoses since 1999.
“Our goal is to remind patients that they have a right to
choose safe alternatives and manage their pain without the risks of opioids,”
Wendel said. “Our goal is also to encourage patients and providers to discuss
and choose safe, non-drug alternatives for pain.”
APTA is splashing the #ChoosePT message across billboards,
airwaves, and screens around the U.S. It’s also relying on its state chapters
to spread the word, especially in states the CDC has identified as having high
rates of opioid overdose deaths or high rates of prescriptions, including
Alabama, Kentucky, Mississippi, Oklahoma, Tennessee, and West Virginia.
In March, the CDC issued new guidelines stating
that opioid drugs should be a last-resort treatment for chronic pain. Some medical
organizations, including the American Medical Association, while acknowledging
the seriousness of the epidemic, warned that tight restrictions could
limit physicians’ discretion in caring for patients.
By joining the national conversation, APTA intends to remind
patients and prescribers that they have choices in managing chronic pain.
Patients and prescribers “don’t have to lead with the most dangerous option,”
Wendel said.
Instead, APTA hopes they will #ChoosePT.
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