Current Pedorthics | July-August 2019 | Vol.51, Issue 4 | Page 22

Empowering the Pedorthist by Enhancing their Role in the Opioid Crisis IMPROVE DOCTOR AND PATIENT COMMUNICATION The Centers for Disease Control and Prevention’s (CDC) Guideline for Prescribing Opioids for Chronic Pain pro- vides recommendations to primary care doctors about the appropriate prescrib- ing of opioid pain medications to improve pain management and patient safety: • It helps primary care doctors determine when to start or continue opioids for chronic pain • It gives guidance about medication dose and duration, and on following up with patients and discontinuing medica- tion if needed • It helps doctors assess the risks and benefits of using opioids Doctors and patients should talk about: • How opioids can reduce pain during short-term use, yet there is not enough evidence that opioids control chronic pain effectively long term • Nonopioid treatments (such as exer- cise, nonopioid medications, and cog- nitive behavioral therapy) that can be effective with less harm • Precautions that can be taken to decrease risks including checking drug monitoring databases, conducting urine drug testing, and prescribing naloxone if needed to prevent fatal overdose • Protecting your family and friends by storing opioids in a secure, locked loca- tion and safely disposing unused opioids. 20 Pedorthic Footcare Association | www.pedorthics.org • Importance of regular follow-up