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Reasonable goals for traditional pain management are to reduce discomfort by 50 percent or more without impairing function, and, wherever possible, to improving function. Long-term opioid treatment for this purpose can be quite appropriate for certain people, in certain situations.

To see if opioids are working for you, consider the following questions:

• Is your pain totally or mostly relieved, or at least significantly better?
• Is your function maintained or improved?
• Are the side effects—constipation, fatigue, mental clouding, itching, nausea, vomiting, urinary problems, constricted pupils, dizziness, sweating, muscle and bone pain, confusion, muscle spasms, and sedation—absent or tolerable?

If you answered yes to these questions then you are undergoing successful opioid treatment and there is no need for intervention.

However, for many people with chronic pain, traditional pain management approaches that include prescribed use of prescription pain medication have not worked, and often cause new conditions such as Opioid-Induced Hyperalgesia, as their pain continues. Many individuals develop an addiction to and/or dependency on prescription-pain medications and are seeking additional options.

LVRC's pain recovery program provides an alternative solution to the suffering caused by chronic pain. Our program goals include, but are not limited to:

• Maximizing physical function and activity levels within physical limitation
• Reducing, not eradicating, the subjective pain intensity
• Reducing subjective chronic pain complaints
• Maximizing and maintaining physical activity
• Improving self-management of chronic pain and related problems
• Reducing/eliminating abuse of health-care services, medications, and invasive medical procedures relative to the primary pain complaint
• Improving emotional function and reducing depression, anxiety, chronic anger, and other harmful emotional states associated with chronic pain
• Returning of the injured person to employment, training, or educational pursuit