Maintaining Opioid Prescription for Chronic Back Pain: Pro Versus Con

A 28-year-old single man presents to your clinic for a new patient evaluation. He has had low back pain for 5 years after a motor vehicle collision. The diagnosis was diskogenic low back pain that was identified by a combination of magnetic resonance imaging and provocation diskography. A microdiskectomy procedure performed 1 year after the collision was not effective in reducing his pain. He eventually was referred to a pain management provider, who supported the ongoing use of hydrocodone/acetaminophen 10 mg/325 mg, 4 per day.

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