As part of its annual Day of Service Aspen Dental will open nearly 500 of its dental offices to provide FREE care to as many as 5,000 veterans on Saturday, June 8.
Like millions of other Americans, veterans can struggle to find oral health care when they need it. The majority of U.S. veterans are not eligible for dental benefits through the Veterans Administration unless they are 100% disabled, have a service-related mouth injury or were a prisoner of war.
This year, Aspen Dental looks to build on the success of 2018’s Day of Service campaign, in which more than 4,300 veterans across the country received free dental care at 426 participating Aspen Dental locations.
Veterans are encouraged to call 1-844-277-3646 (1-844-ASPENHMM) to find a participating office near them and schedule an appointment.
Since launching the Healthy Mouth Movement in 2014, Aspen Dental offices across the country have donated more than $15 million in dentistry to over 22,000 veterans.
Since the beginning of Secretary of Defense Lloyd J. Austin III’s tenure, he has been adamant about the importance of mental health in the military and prevention of veteran suicide. Secretary Austin has announced the establishment of a new program aimed at tackling one of the greatest issues surrounding mental health and military personnel: suicide prevention.
Secretary Austin’s newly established program, the Suicide Prevention and Response Independent Review Committee (SPRIRC), will address and prevent suicide in the military pursuant to the National Defense Authorization Act for Fiscal Year 2022.
“We have the strongest military in the world because we have the strongest team in the world,” Secretary Austin stated upon establishing the program, “It is imperative that we take care of all our teammates and continue to reinforce that mental health and suicide prevention remain a key priority. One death by suicide is one too many. And suicide rates among our service members are still too high. So, clearly, we have more work to do.”
The SPRIRC will be responsible for addressing and preventing suicide in the military, beginning with a comprehensive review of the Department’s efforts to address and prevent suicide. The SPRIRC will review relevant suicide prevention and response activities, immediate actions on addressing sexual assault and recommendations of the Independent Review Commission on Sexual Assault in the Military to ensure SPRIRC recommendations are synchronized with current prevention activities and capabilities. The review will be conducted through visits to numerous military installations, focus groups, individuals and confidential surveys with servicemembers contemplating veteran suicide.
The SPRIRC recently started installation visits to prevent veteran suicide. The installations that will be utilized in this study will be:
Fort Campbell, Ky.
Camp Lejeune, N.C.
North Carolina National Guard
Naval Air Station North Island, Calif.
Nellis Air Force Base, Nev.
Joint Base Elmendorf-Richardson, Alaska
Fort Wainwright, Alaska
Eielson Air Force Base, Alaska
Camp Humphreys, South Korea
By December 20, 2022, the SPRIRC will send an initial report for review in advance of sending a report of findings and recommendations to Congress by February 18, 2023.
“As I have said many times, mental health is health — period,” Secretary Austin additionally stated, “I know that senior leaders throughout the Department share my sense of commitment to this notion and to making sure we do everything possible to heal all wounds, those you can see and those you can’t. We owe it to our people, their families and to honor the memory of those we have lost.”
To view Secretary Austin’s full memorandum on veteran suicide prevention and updates on the SPRIRC, visit the Department of Defense’s website at defense.gov.
If ever there was a true profile in courage that is Noah Galloway’s story to tell.
While the U.S. Army veteran lost both his left arm above the elbow and left leg above the knee to an IED attack during Operation Iraqi Freedom, that hasn’t stopped him from pushing his own limits becoming a nationwide inspiration as a result.
Although his injuries certainly posed many unforeseen challenges and his life was forever changed, the Purple Heart recipient believes now he is mentally and physically stronger than ever.
“My mother always told me to join the military, but I never joined until I wanted to,” he said in a recent phone interview. “I told her if something happens, I chose this. I’ll never forget that conversation. When I got injured and I went through my depression that was the worst shape I had ever been in in my life. I wasn’t taking care of myself and that was a reflection of my whole life — I wasn’t being a good father; I wasn’t being a good husband or anything. It was my children who were the motivation for me to get back and start taking care of myself.
The first thing I did was change the way I was eating then I joined a 24-hour gym because I was embarrassed, and I think a lot of people can relate to that if they have never been into fitness. It’s hard to walk into a gym for the first time. I would go in at 2:00 in the morning because there were no books, magazines or anything on the internet that told you how to work out missing an arm and a leg. Actually, I would say that was a benefit because it motivated me, and I had to figure it out. I kind of fed off of that and I have met amputees from all over the world who told me they have seen my videos and pictures and that’s how they got into fitness. For me, that’s pure motivation to know that something I did inspired them, and it drives me to just keep wanting to do more and more. Getting back into shape was so critical with my recovery in accepting myself.”
In 2014, the Alabama native became the first amputee veteran to appear on the cover of Men’s Health. “When I was in the military, I used to say I wanted to be on the cover of Men’s Health because fitness has been a part of my life since I was 12 years old,” he said. After earning the magazine’s “Ultimate Guy” title, he appeared on The Ellen DeGeneres Show and later became a finalist on Dancing With The Stars.
“Once I went on Ellen, things just took off,” he told us. “As soon as that episode aired, I got phone calls from Survivor, which I was excited about, but I couldn’t do that because I have three kids who were young at the time, so I turned it down. When Dancing With The Stars called, I told them I had no dancing experience and had to stay in Alabama. They didn’t even hesitate. They said they would send a dancer to Birmingham where we would rehearse then they would fly me back and forth to LA for the live show. Then, I didn’t think I’d last long, but halfway through the season, I was still there. The fifth week, I did a dance to Toby Keith’s “American Soldier” and I did a one-arm lift and I got a standing ovation from all of the judges and the studio audience; it was incredible. I had veterans start reaching out to me, and that changed everything. But I didn’t become a better dancer.”
On September 16, Galloway’s No Excuses Charitable Fund is hosting their second annual charity golf tournament at Timberline Golf Club in Calera, Ala. with proceeds this year benefitting Homes for Our Troops.
“I know there are people who are more inspirational, but people reach out to me and say they got into fitness because of me,” Galloway said. “To know that you have done something, even if it’s for one person to improve their life, is just so motivating.”
To check out his book, Living With No Excuses: The Remarkable Rebirth of An American Soldier, visit noahgalloway.com.
The PACT Act is a new law that expands VA health care and benefits for Veterans exposed to burn pits and other toxic substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve.
This page will help answer your questions about what the PACT Act means for you or your loved ones. You can also call us at 800-698-2411(TTY: 711).
And you can file a claim for PACT Act-related disability compensation or apply for VA health care now.
What’s the PACT Act and how will it affect my VA benefits and care?
The PACT Act is perhaps the largest health care and benefit expansion in VA history.
The full name of the law is The Sergeant First Class (SFC) Heath Robinson Honoring our Promise to Address Comprehensive Toxics (PACT) Act.
The PACT Act will bring these changes:
Expands and extends eligibility for VA health care for Veterans with toxic exposures and Veterans of the Vietnam, Gulf War, and post-9/11 eras
Adds more than 20 new presumptive conditions for burn pits and other toxic exposures
Adds more presumptive-exposure locations for Agent Orange and radiation
Requires VA to provide a toxic exposure screening to every Veteran enrolled in VA health care
Helps us improve research, staff education, and treatment related to toxic exposures
If you’re a Veteran or survivor, you can file claims now to apply for PACT Act-related benefits.
What does it mean to have a presumptive condition for toxic exposure?
To get a VA disability rating, your disability must connect to your military service. For many health conditions, you need to prove that your service caused your condition.
But for some conditions, we automatically assume (or “presume”) that your service caused your condition. We call these “presumptive conditions.”
We consider a condition presumptive when it’s established by law or regulation.
If you have a presumptive condition, you don’t need to prove that your service caused the condition. You only need to meet the service requirements for the presumption.
Read more about the PACT Act on the VA’s website here.
Google Cloud announced that the U.S. Department of Veterans Affairs (VA) is partnering with Google Cloud to help developers implement new tools and applications that will improve veteran access to VA services and data.
Serving more than 19 million veterans and their families, the VA is the largest healthcare provider in the United States and manages a network of 170 medical centers and 1,000 outpatient sites. In addition to healthcare, the VA administers key veteran services ranging from education opportunities and unemployment assistance to housing aid, pension benefits and more. Ensuring veterans can access these services easily is a top priority for the VA.
Through a $13 million, multi-year contract, the VA will deploy Apigee, Google Cloud’s application programming interface (API) management platform. The implementation is part of the continued evolution of the VA’s Lighthouse API program, providing developers with seamless and secure access to VA APIs in the development of new tools and services. For example, with Apigee, developers can use the VA’s Benefits API to create applications that help veterans submit and track electronic benefits claims and add supplemental documentation. Developers can also easily access the VA’s Health APIs to build new online tools that help veterans manage their health and access their medical records.
“Google Cloud’s Apigee will help the VA to continue scaling the VA Lighthouse API program for third-party developers in a cost-efficient manner, offering veterans more choice in the applications and tools they use to obtain access to their data and services,” said Dave Mazik, director, VA Lighthouse. “This partnership is a logical next step to better connect veterans with VA services, innovate with trusted third parties and continue to offer a high-quality, digital-first customer experience to which they’re accustomed to in other areas of their lives.”
APIs are how software talks to software and how developers leverage data and functionality at scale in a secure fashion. They are products that need to be actively managed so that organizations and developers can execute business strategies and achieve innovation at scale.
“We’re honored to support the VA and our nation’s veterans,” said Mike Daniels, vice president of Global Public Sector, Google Cloud. “By making it easier for developers and partners to build new applications through Apigee, the VA is spurring innovations that will ultimately enable veterans and their families to more easily access important benefits and services.”
The VA’s Apigee deployment — built on Apigee’s FedRAMP-authorized platform — will support the department’s existing efforts to safeguard veteran data, in compliance with standards such as HIPAA regulations and the Fast Healthcare Interoperability Resources (FHIR) standard for exchanging healthcare information electronically.
About Google Cloud Google Cloud accelerates organizations’ ability to digitally transform their business with the best infrastructure, platform, industry solutions and expertise. We deliver enterprise-grade solutions that leverage Google’s cutting-edge technology — all on the cleanest cloud in the industry. Customers in more than 200 countries and territories turn to Google Cloud as their trusted partner to enable growth and solve their most critical business problems.
They say that dog is a man’s best friend, which could not be more accurate for veterans. Dogs provide the sense of responsibility and companionship that comes with pet ownership, but they can also act as a source of support both therapeutically and physically.
If you’re a veteran looking for a service dog to aid you in your day-today life, here’s what you need to know:
What Are the Benefits of Service Dogs?
There are approximately 500,000 service dogs on duty in the United States, with 19 percent explicitly trained to help owners with PTSD. Service dogs can be trained to perform numerous activities that are helpful to your specific needs, whether it be to provide mobility assistance, interrupt harmful behaviors, calm panic attacks, retrieve medication and more. Service dogs have also been proven to help veterans recognize and cope with their symptoms, gain sleep, reduce anxiety, strengthen relationships, balance emotions and assist in healthy transitions.
Does the VA Provide Service Dogs?
Until recently, the Department of Veterans Affairs did not provide service dogs. However, in August of 2021, a new piece of legislation known as the Puppies Assisting Wounded Servicemembers (PAWS) for Veterans Therapy Act authorized the Secretary of Veterans Affairs to create a pilot program on dog training therapy based on the promising “train the trainer model.” The program will provide dogtraining mskills and service dogs to veterans with mental illnesses, regardless of whether or not they have mobility issues. However, regardless of how you receive your service dog, you will need to apply for VA Veterinary Health Benefits to get approved for ownership.
How Can a Veteran Apply for VA Veterinary Health Benefits?
■ Hearing, Guide, Mobility: The veteran should meet with their VA clinical care provider to begin the application process for this benefit. The specialist will complete an evaluation and make a clinical determination on the need for assistive devices, including a service dog. Once the assessment is completed and a service dog is determined to be the optimal tool for the veteran’s rehabilitation and treatment plan, the provider will work with the veteran to obtain the necessary information and documents to request the benefit. This includes coordination with the local VA Medical Center Prosthetic and Sensory Aids Service.
■ Mental Health Mobility: The veteran should meet with a VA mental health provider to begin the application process for this benefit. The mental health provider and care team will evaluate and determine whether the mental health condition is the primary cause of the veteran’s substantial mobility limitations. The team will also assess whether a mobility service dog would be the veteran’s optimal intervention or treatment approach. If the team considers a service dog to be the optimal intervention, they will request the benefit on behalf of the veteran through coordination with the local VA Medical Center Prosthetic and Sensory Aids Service.
Each veteran’s case is reviewed and evaluated by a prescribing clinician for the following:
■ Ability and means, including family or caregiver, to care for the dog currently and in the future
■ Goals that are to be accomplished through the use of the dog
■ Goals that are to be achieved through other assistive technology or therapy The veteran will be informed of an approval or disapproval of their service dog request by the VA Prosthetics and Sensory Aid Service. Veterans approved for service dogs are referred to Assistance Dogs International, or International Guide Dog Federation accredited agencies.
Where Can I Find My Service Dog?
For more information on where to find a service dog and connect with a community of other veterans with their own service dogs, the VA will usually coordinate with an organization such as the International Guide Dog Federation or Assistance Dogs International.
To access more information on the service dog process, please visit the International Guide Dog Federation at igdf.org.uk and Assistance Dogs International at assistancedogsinternational.org.
Though Andrew Biggio served in the Marine Corps as an infantry rifleman during Operation Iraqi Freedom and Operation Enduring Freedom (Afghanistan), he never could have imagined the future impact he would have on veterans.
The founder of Boston’s Wounded Vet Run, New England’s largest motorcycle ride now in its 11th year, helps America’s most severely wounded combat veterans by raising money to provide housing modifications, new transportation, financial support and basic living needs through his nonprofit.
While delving into his own family’s military legacy and reading letters sent home from his great uncle killed during World War II, Biggio felt compelled to honor the Greatest Generation. His great uncle, also named Andrew Biggio, spoke of the M1 Garand rifle in his letters, which inspired the younger Biggio to purchase one.
What happened after turned into a five-year journey for Biggio, traveling the country to hear the inspirational stories of these warriors and have them sign their name on his rifle. He has 240 signatures to date! The result of his travels and collection of combat stories turned into his recently published book The Rifle: Combat Stories from America’s Last WWII Veterans, Told Through an M1 Garand.
U.S. Veteran’s Magazine caught up with Biggio to discuss this year’s Boston’s Wounded Vet Run, how he decided to feature the veterans in his book and what’s up next for him.
U.S. Veteran’s Magazine: You’re celebrating the 11th year of Boston’s Wounded Vet Run. Did you ever think it would be as popular as it has become?
Andrew Biggio: I never thought I would be doing this for over a decade. Like every other organization, we haven’t gotten to see our peak numbers because of COVID. People are still coming out and riding 10 years later, and some people take pride in saying they have been at every wounded vet run, so I love doing it.
USVM: How do you choose the veterans to honor each year and how much money do you raise each year?
Biggio: Really, it’s just people I come across, people I meet, referrals from previous wounded veterans. I had served in Iraq and Afghanistan with veterans who got wounded, and they spent time in these hospitals with veterans who they think should be honorees.
USVM: Why did you decide to write The Rifle?
Biggio: I started having World War II veterans show up to my wounded vet ride, and I started to realize how it’s not every day you see a World War II vet come to a motorcycle rally to pay respects to the younger generation of veterans. It got me into really focusing on America’s last World War II veterans. I started to read my uncle’s last letter home, who I was named after, and how much he enjoyed the M1 rifle. The M1 rifle just represented that whole Greatest Generation because that was the standard rifle of the times, so I went out and bought one. I wanted to collect signatures of all of the different World War II veterans while I still had them around. After hearing some of their stories and visiting them, I just realized some people hadn’t heard the particular stories of these men I was meeting.
USVM: How did you choose the veterans to feature in the book?
Biggio: I really wanted to write about the units that weren’t often covered in history; they were often overlooked, so I picked not well-known divisions and things like that because my grandfather had served with the 10th Armored Division. That was a division you don’t often hear about.
USVM: What’s up next for you?
Biggio: I think I am going to do volume two of my Rifle book. The book [took me in so many unexpected directions, including leading] me to bring a World War II veteran from the 17th Airborne Division back over to Germany. [In March of this year,] we unveiled a monument for the 17th Airborne Division in Germany because there was no memorial there.
For more information about Andrew Biggio, his book and the veterans whose stories were featured visit thewwiirifle.com.
Warrior Ranch Foundation rescues and trains horses — then matches them with veterans and first responders who can benefit from healing therapy.
Eileen Shanahan is the founder and president of the Warrior Ranch Foundation, headquartered in Calverton, N.Y.
She was joined by U.S. Army Ranger veteran Paul Martinez, U.S. Coast Guard veteran Maddie Feaster and Warrior Ranch trainer Gina Lamb — and together they explained how this equine therapy organization helps veterans and first responders heal from PTSD.
“We do horse interaction therapy,” explained Shanahan, who is also an editor with Fox News.
“What we do is we teach our participants about the nature of horses and the way horses communicate with each other — and that’s through body language.”
Warrior Ranch Foundation rescues and trains horses, then pairs them up with veterans and first responders who need their healing energy.
Shanahan explained that they teach simple exercises to learn to communicate with the horses, with a focus on safety.
“Now, think about it: We’re stepping into their herd — so it’s about respect and trust,” she said.
“You have to get the trust of that horse,” Shanahan continued. “When horses are out in the field seeing who the leader is, they’re poking each other, biting each other, kicking each other.”
She explained that they’re not hurting each other, noting that they each weigh about 1,000 pounds, “but when we enter their herd, that’s the only way they know how to communicate” — hence the foundation’s focus on safety.
Managing the care and services for a family member with special needs is more manageable with the right support. The goal of the Exceptional Family Member Program is to help your military family with special needs thrive in military life. EFMP is more than just one program or connection point. It’s the work of three components: identification and enrollment, assignment coordination and family support. The resources, tools and services that are available to support your journey are organized as part of the EFMP Resources, Options and Consultations or EFMP ROC.
If your spouse, child or other dependent family member is in need of ongoing medical or educational services, your first step is to enroll them in the Exceptional Family Member Program. Enrollment is mandatory but once enrolled, you will have access to the services, support and information you need to become your family’s best advocate.
Each branch of service has its own mission and history with EFMP. However, there has been a focus over the past several years on creating more standardization across services to make it easier for families to find what they need, when they need it. We can minimize misperceptions and increase satisfaction by helping families understand how the system works and what to expect.
What is EFMP?
The EFMP is a Department of Defense program implemented by all service branches. The EFMP has three components all working together.
Identification and Enrollment is the point of entry into the EFMP. Enrollment in the EFMP is mandatory for active-duty military members who meet enrollment criteria. When a family member is identified with special medical or educational needs, those needs are documented through enrollment. Members of the National Guard or reserve may enroll according to service-specific guidance.
Assignment Coordination ensures the family’s special needs are considered during the assignment process. The EFMP makes every effort to help keep families together and support the service member’s career. The final decision for duty station selection will always be determined based on mission need.
Family Support enables the family to become its own best advocate by helping them identify and connect with resources, expert consultations, education and community support. EFMP Family Support provides in person support as well as virtual self-service support through online information and resources available on Military OneSource and through Military OneSource EFMP ROC specialty consultations.
Ways EFMP can help your service member’s family
Each installation has an EFMP Family Support office staffed with providers who can help your service member and their family in the following ways:
Find and tap into community resources, services and programs that will meet their needs.
Provide information and referrals and help your service member’s family develop a family services plan.
Offer training and other support to help your service member’s family be their own best advocate.
Provide a warm hand-off to EFMP Family Support at the next installation when your service member PCSs.
Tools and resources for families with special needs
EFMP and offers a number of tools and resources to support military families with special needs. Your service member and their family can tap into these to stay in the know and connect with the services they need.
EFMP resources, options and consultations provides enhanced support by phone or video. Special needs consultants can connect your service member and their family with experts in education, the military health care system and TRICARE, special needs financial planning, and more.
EFMP & Me is an online tool that allows your service member and their family to navigate services for military families with special needs, create customized checklists and stay organized.
The Exceptional Advocate is a quarterly e-newsletter that focuses on updates and information from the Exceptional Family Member Program.
The EFMP & Me podcast series covers all things EFMP and other topics of interest to military families with special needs, like caregiving, legal and long-term financial planning, PCSing with a family member with special needs and more.
Everything is easier when you have a network of support. EFMP can help your service member pull together the information, services and resources that will allow their family to thrive.
Life as an active-duty military service member can be extraordinarily intense, and many veterans will, at some point, experience some type of residual physical or mental difficulty after years of serving their country.
These service-connected conditions may develop into lifelong disabilities that can have considerable impact on a veteran’s daily activities. A response to this need is the U.S. Department of Veterans Affairs (VA) disability compensation program, which provides monthly tax-free payments to eligible applicants.
There are, however, several potential obstacles that veterans can encounter when looking to file a disability claim. These obstacles can cause delays in claim approval, or even cause claims to be rejected outright. In fact, only about 32 percent of claims were approved by the VA’s Board of Veterans’ Appeals in 2021.
One unavoidable obstacle that veterans can expect to face is a wait time of at least several months while their benefits application is processed. On average, it takes the VA approximately 161 days to complete disability-related claims. The exact length of time could vary substantially based on several factors, including the type of claim filed, the number and complexity of your claimed medical conditions, and how long it takes for the VA to collect the required evidence for your claim(s).
The VA has historically experienced times of disability claims backlogs, and it varies as regulatory and policy changes are made to the VA disability program each year. Because it is hard to say with certainty how long the approval process will take, it is recommended that veterans that are experiencing service-connected disabilities submit a completed application and supporting documentation to the VA as soon as possible.
Once an initial claim is submitted, a large portion of the process will involve evidence gathering and review. The VA may ask for additional information from you, your healthcare providers or other governmental agencies. It is important to keep detailed records of your condition and the progression of your symptoms so that they can be demonstrably linked to your service. If you submit an application with outdated information regarding your doctors, the VA may not be able to verify your medical history and could end up delaying or declining your claim.
The VA disability claims process is lengthy and complex, and can prove to be both mentally and physically exhausting. There is very little margin for error if you hope to get an application approved. It may be wise to find an advocate, to help make sure you understand and meet all the requirements for VA benefits. Professionals who work in the area of VA disability benefits advocacy can assist with document gathering, provide expertise with assembling evidence and submit a claim or appeal on your behalf.
The Department of Veteran Affairs has a comprehensive checklist that can help applicants compile a fully developed claim:
Log on to the website
Go to eBenefits.va.gov and click “Apply for Benefits” to begin an application by answering some preliminary questions about your claim.
Provide information about federal/state records
Disclose any Social Security benefits you may be claiming, and identify/provide military and/or federal medical records.
Gather all applicable non-federal records
Request and provide copies of relevant private medical records from your medical practitioner, along with any applicable supporting statements or other documentation.
Choose the correct type of claim
Select the proper claim: Original Disability Claim, New Disability Claim, Reopened Disability Claim or Secondary Disability Claim. Submit all supporting documentation, including medical evidence of your injury or physical/mental disability and evidence connecting it to your military service.
Upload all documents
Ensure legibility of all documents, and properly upload them to the VA website. If you have an claims advocate, have them verify all documents to ensure compliance.
It is important to remember that even in the event that your benefits application is denied, that does not have to be the end of the road. If you meet the VA’s requirements, you have earned your benefits. Remaining patient and persistent is critical to the process of pursuing an appeal. Recognizing the resources and expert help available, like VA-accredited claims agents at Allsup, who can advocate for you and your benefits claim, can make a huge difference and help ensure that you ultimately get the benefits you deserve.
Brett Buchanan, a veteran of the U.S. Army, is a VA-accredited claims agent at Allsup and guides veterans through the U.S. Department of Veterans Affairs’ disability appeals process.
Chronic pain, one of the most common medical problems, is any pain that persists after your body has healed, usually after three to six months.
Some types of chronic pain include headaches, low back, neck, and other muscle, joint or nerve pains. These problems may be caused by an injury or an ongoing medical problem like arthritis or diabetes. In many other cases, the exact cause of chronic pain is unknown.
How you respond when you hurt is essential for managing any type of chronic pain. Many efforts to reduce pain in the short term create increased pain, suffering, and disability in the long term. This includes taking more medicine, resting or avoiding activities.
There are multiple treatment options available to treat your chronic pain. No single treatment is suitable for everyone. Talk with your healthcare provider to learn more about the possible treatment options and decide which ones are best for you.
Opioids and chronic pain
Opioids are natural or manufactured chemicals that can reduce pain. Healthcare providers prescribe them. Opioids work by changing the way your brain senses pain. Some common opioids are:
Healthcare providers used to think that opioids could safely reduce chronic pain when used for extended periods. New information has taught us that long-term opioid use may not be helpful or safe for treating chronic pain.
New knowledge leads to new practices
We have learned three key things through studying opioids and chronic pain. This new information has changed medical practice.
Opioids will only temporarily “take the edge” off pain no matter the dose. You will not be pain-free over the long term.
There are very significant risks that come with using these medicines. Higher doses carry greater risks with very little evidence of any additional benefit.
There is absolutely no safe dose of opioids. An overdose is possible even when you are using your opioids as prescribed.
Facts about opioids
Opioids have many effects in addition to reducing pain. They slow your mind and body and can cause shortness or loss of breath. Long-term opioid use can cause multiple other problems, including:
Accidental overdose or death
Opioid use disorder or addiction
Problems with sleep, mood, hormones and immune system
Treating pain without opioids
Many treatments can be helpful with chronic pain, including:
Non-opioid pain medicines
Physical therapy and exercise
Nerve blocks or surgery
Acupuncture, yoga, chiropractic
The best long-term treatment for chronic pain requires you to be involved in your own care. Self-management includes taking care of yourself in ways other than taking medicines, having surgery, or using other medical treatments. Cognitive behavior therapy can help you learn to respond differently to your chronic pain and reduce its effects on your daily life.
You should work with your healthcare provider to develop an individual treatment plan based on realistic expectations and goals. For most people, long-term improvements will depend more on what you can do to help yourself in lieu of what medical providers can do for you. Appropriate goals focus on improving your overall quality of life instead of providing urgent and complete pain relief.
Source: Veterans Health Library
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