• Aila Malik, Peter D Vu, A Sarah Cohen, Vishal Bansal, Morgan R Cowan, Gregory M Blazek, and Tiffany Champagne-Langabeer.
• Department of Physical Medicine and Rehabilitation, McGovern Medical School, UTHealth Houston, Fannin, Houston, Texas, USA.
• J Pain Palliat Care Pharmacother. 2023 Dec 1; 37 (4): 308313308-313.

AbstractThe nation's opioid epidemic requires a paradigm shift in the way patients with co-occurring opioid use disorder are treated during episodes of acute pain. Patients are often introduced to prescription opioids after an extremity fracture or sprain or resulting from musculoskeletal back, abdominal, or dental pain. Opioid naive patients who receive their first opioid prescription on discharge from the emergency department may be more likely to develop chronic opioid use compared to patients receiving non-opioid pain medications. This case report will highlight one patient's journey including initial prescription opioid use, escalation into illicit opioids, entry to a recovery and treatment program, discussions with her physician about alternative therapies, and barriers to satisfactory pain relief. A shared decision-making model will be explored.

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