Pain Relief in Persons with Substance Use and Addictive Disorders

  • Boleslav KosharskyyEmail author


The challenge of managing pain in patients with substance use and addictive disorders is receiving considerable attention. The increased prevalence of patients with addiction merits a deeper understanding of how clinicians can effectively manage pain in this population. In this chapter we explore the underlying mechanisms of addiction and how these interact with various pain syndromes. Ultimately, the analgesic response to medications and appropriateness for opioids, in particular, is varied but predictors can help determine treatment. The chapter also focuses on some of the issues that limit effective access of appropriate care for patients with pain and addiction.


Addiction Opioids Substance use Acute pain Chronic pain Opioid induced hyperalgesia (OIH) 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of AnesthesiologyMontefiore Medical Center and Albert Einstein College of MedicineBronxUSA

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