Chiropractic, Pain Research / 08.04.2026
How Chiropractic Care Supports Long-Term Relief for Back and Neck Pain
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Photo by Kindel Media[/caption]
The discomforts felt in your neck and back not only act as irritations but can end up affecting you productively, psychologically, and overall. In most cases, people opt for medication to help ease the pain, which, unfortunately, offers only quick fixes since there are underlying issues within the body that require long-lasting treatment. While conventional medicine focuses on synthetic solutions, chiropractic care uses the body's natural healing process to maintain the optimal functionality of your bones and nerves.
When looking for a reputable austin chiropractor, it is crucial to find one who has comprehensive knowledge of spinal disorders. You should look for a chiropractor who will treat the condition holistically and offer more than just temporary relief. Chiropractors analyse how your bones and nerves work together and recommend treatments that help your body achieve optimal balance.
Photo by Kindel Media[/caption]
The discomforts felt in your neck and back not only act as irritations but can end up affecting you productively, psychologically, and overall. In most cases, people opt for medication to help ease the pain, which, unfortunately, offers only quick fixes since there are underlying issues within the body that require long-lasting treatment. While conventional medicine focuses on synthetic solutions, chiropractic care uses the body's natural healing process to maintain the optimal functionality of your bones and nerves.
When looking for a reputable austin chiropractor, it is crucial to find one who has comprehensive knowledge of spinal disorders. You should look for a chiropractor who will treat the condition holistically and offer more than just temporary relief. Chiropractors analyse how your bones and nerves work together and recommend treatments that help your body achieve optimal balance.
Dr. Piper[/caption]
Brian J. Piper, PhD
Department of Medical Education
Center for Pharmacy Innovation & Outcomes
Geisinger College of Health Sciences
Scranton, PA 18509
MedicalResearch.com: What is the background for this study?
Dr. Piper: Tapentadol has an unusual mechanism of action. This opioid is similar to morphine in that it activates mu, the main opiate receptor which is important for pain. This drug also acts similar to an antidepressant like duloxetine (Cymbalta) with equal ability to block both the norepinephrine and the serotonin transporters (Figure 1). The combination of opioid and monoaminergic activity may influence both therapeutic and side effect profiles.
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Figure 1. Biological mechanism of action of the atypical opioid tapentadol involves binding to the mu opiate receptor, blocking the norepinephrine transporter (NET), and blocking the serotonin transporter (SERT) [1].[/caption]Tapentadol is approved in the US for moderate to severe acute pain, moderate to severe chronic pain, and neuropathic pain associated with diabetic peripheral neuropathy. However, tapentadol is not generally considered first-line for any of these indications. Although this agent has a high potential for abuse and is classified as a Schedule II substance, a manufacturer of extended release tapentadol (Grunenthal) has conducted a misinformation campaign claiming tapentadol has a “minimum potential of abuse”, does not cause respiratory depression (a well-known opioid effect), does not cause any euphoric feelings, has no street value, and is not an opioid [2]. Prior pharmacoepidemiological studies have examined the use patterns of other prescription opioids that can be misused like oxycodone [3], fentanyl [4], meperidine [5] and methadone [6] but there is limited national information about the use of tapentadol.