At Pain Care Specialists of Oregon, we are dedicated to finding the source of your pain. Under our treatment, we want to help you overcome pain and return to your normal lifestyle. To do this, we want you to consider all options available to you including minimally invasive procedures in our state-of-the-art, on-site procedure center. These treatments are on the cutting-edge of pain management, and have all shown to be extremely successful in curing pain. All procedures are out-patient procedures; you’ll be able to go home that day. Many of the treatments we perform show instant results, and are able to help our patients reclaim their lives.

Please click on the links below and take a moment to read about some of the treatments we offer at Pain Care Specialists of Oregon.

Pain Care Medications
Pain Care Procedures
Pain Care Treatments
Pain Care Videos    
Free Guided Medications

Opioid Medication Policy
Opioid pain medications (also known as opiate or narcotic pain medications) are a potentially valuable source of relief for those suffering from chronic pain. They are also dangerous substances that carry the risk of bowel obstruction, liver failure, kidney failure, cardiac arrhythmia, respiratory depression and death. These medications are some of the most potentially addictive substances. Use of these medications carries risk of dependence, tolerance, withdrawals, increased pain with chronic use, depression and anxiety. The use of these substances should not be taken lightly.

Pain Care Specialists of Oregon providers will use a combination of factors to determine if a patient is a good candidate for opioid therapy. These factors include the patient’s medical, surgical and family history. The patient will be given assessments such as the Opioid Risk Tool and the Oswestry Disability Index to make sure that the opioid therapy is appropriately treating the patient’s pain.

Mixing opioid pain medications with other controlled substances can be extremely dangerous. Substances such as benzodiazepines, medical marijuana, alcohol and Soma/carisoprodol can increase the risk of complications or death in an opioid patient by up to 100%. Pain Care Specialists of Oregon may limit or discontinue opioid therapy in patient’s taking benzodiazepines or Soma/carisoprodol.

Marijuana is especially dangerous when mixed with opioid pain medications. Pain Care Specialists of Oregon providers will NOT prescribe opioid pain medications to patients that are using marijuana in any form whether recreationally or medically.

Patients who are treated with opioid pain medications at Pain Care Specialists will sign an agreement with Pain Care Specialists of Oregon. The patient will be subject to random Urine Drug Screening, cognitive testing, pharmacy reports and pill counts. These will help ensure that medications are being used in an appropriate and safe manner.

Patients who are on doses of opioids that exceed the following doses will be considered high risk and will be monitored with more care and caution.

Medication -> Dose -> Within:
Morphine -> 120mg -> 24 hrs
Hydrocodone -> 120mg -> 24 hrs
Oxycodone -> 80mg -> 24 hrs
Hydromophone -> 30mg -> 24 hrs
Fentanyl patch -> 75mcg -> 1 hr
Oxymorphone -> 40mg -> 24 hrs
Nycynta -> 300mg -> 24 hrs
Methadone -> 30mg -> 24 hrs

Opioid medications will be discontinued if the patient is found to be diverting opioids, using the medication inappropriately or if the patient is not showing functional improvement in their condition. Opioid therapy can be discontinued at the discretion of Pain Care Specialists of Oregon providers at any time.

Psychiatric Comorbidity and Response to Opiates 2015



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