News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search


Chiropractic Could Help Reduce Opioid Dependency Epidemic

9th October 2018

Chiropractic is associated with a significant reduction in opioid prescriptions compared with non-chiropractic care, new research suggests.

According to New Zealand Chiropractors’ Association spokesperson, Dr Hayden Thomas, chiropractor :`This is vitally important for New Zealanders as we encounter a worldwide epidemic of opioid addiction.’

There has been a tenfold increase in the number of people over 60 getting help for an addiction to opiate drugs. Figures released by the Ministry of Health this week show 530 people aged 60 or over are now getting what is called opioid substitution treatment.

In a new meta-analysis and systematic review, presented at the American Academy of Pain Medicine (AAPM) 2019 Annual Meeting on 8th March, patients who visited a chiropractor to help manage a musculoskeletal pain condition were 49% less likely to receive an opioid prescription than their counterparts who went to other healthcare providers.

Ten years ago, almost no one over 60 had opioid substitution treatment, with just 42 people using it in 2008, but it has increased every year since. The Ministry of Health said the 530 people over 60 who got treatment in 2017 represents a 1200 per cent increase.

Dr Thomas comments :`We know there are many more New Zealanders who have a dependence on opioids but have not put their hand up for help. Drugs such as morphine, codeine, Tramadol and Fentanyl are too often given as pain relievers when there are other drug free ways to help manage pain, such as chiropractic.

‘Some people develop an addiction to these drugs, even when used under doctor's guidelines. Across the world preventing opioid addiction and overdose is a significant public health priority; and as part of a strategy to reduce opioid use, clinical guidelines in many countries now recommend many drug-free options to be considered as front-line treatment ahead of any medication.[1]

The study by the Yale Center for Medical Informatics, Yale School of Medicine, reviewed all the available literature on chiropractic use and opioid prescribing, the researchers selected six studies with a total of 62,000 patients to include in the current analysis.

The data showed that the use of chiropractic care ranged from 11.3% to 51.3%.

The proportion of patients receiving an opioid prescription was lower for those under chiropractic care (range, 12.3% - 57.6%) compared with those not using chiropractic (range, 31.2% - 65.9%).

Chiropractic users were also less likely to receive an opioid prescription, with a risk ratio of 0.51 (95% confidence interval, 0.44 - 0.59; P < .001).

Dr Thomas notes: `Chiropractors provide many of the care recommendations included in the clinical guidelines for the initial management of low back pain, neck pain, and pain due to osteoarthritis of the hip, knee, and hand.

`The researchers said that they knew of "a small but growing amount of scientific literature" suggesting that chiropractic care may be correlated with a reduction in opioid use. But this is the first time a study has systematically reviewed all of the available literature to determine if indeed there was an overall association between the use of chiropractic care and receipt of opioids.’

Chiropractors are uniquely placed to provide care that specifically focuses on the health of the spine and the relationship between the spine and the nervous system.

New Zealand’s chiropractors are taking the lead to inform, and inspire people to prevent pain and disability by educating the public to have a greater understanding of the relationship between their spine and nervous system, improving their posture, addressing and preventing spinal problems, and engaging in physical activity.

The research was supported by the Department of Veterans Affairs, Health Services Research and Development, and the NCMIC Foundation.

American Academy of Pain Medicine (AAPM) 2019 Annual Meeting: Abstract 107. Presented March 08, 2019.


© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Howard Davis: Dryzabone - Robert Conolly's The Dry

After the terrible devastation caused by last year’s bushfires, which prompted hundreds of Australians to shelter in the ocean to escape incineration and destroyed uncountable amounts of wildlife, The Dry has been released during a totally different kind of dry spell. More>>

Howard Davis: Benjamin Ree's The Painter and The Thief

The Norwegian filmmaker had long been fascinated by art thieves who commit high-stakes crimes with a delicate touch when a chance Google search in 2015 uncovered a botched heist in Oslo. More>>

Howard Davis: Anna Coddington Beams

Anna Coddington's thin, wispy vocals fit her songs beautifully, providing a wonderful lilting quality that pervades her latest album, producing instant ear worms. More>>

Howard Davis: Hit the Road, Jack - Chloé Zhao's Nomadland

Nomadland is perhaps the ultimately 'road' movie as it follows a group of dispossessed and disenfranchised vagabonds who find a form of communal refuge in camp sites and trailer parks after the economic contraction of 2008. More>>

Howard Davis: Byrneing Down the House - Spike Lee's American Utopia

Lee does an admirable job capturing Byrne's stunning live performance of his latest album, but the real star of the show is the staging. More>>

Howard Davis: The Phoenix Foundation Friend Ship Tour Docks in Wellington

A sense of local pride was certainly running high at the Opera House on Saturday night, as the lads ran through a tasty little set drawn mostly from their latest album Friend Ship (splash out for Xmas on the shocking pink extra-thick vinyl edition). More>>

Howard Davis: Avantdale Bowling Club

Auckland rapper and MC Tom Scott brought his stunning jazz-infused Taite Music Prize-winning project Avantdale Bowling Club to the Opera House headlining Wellington's 2020 Jazz Festival. More>>

Howard Davis: Troy Kingi Rules The San Fran

The award-winning Northland musician performed songs from his new record The Ghost of Freddie Cesar, the fourth installment in his 10/10/10 series - ten albums in ten years in ten genres. More>>



  • Wellington
  • Christchurch
  • Auckland