The History Behind the Opioid Epidemic and the APTA’s Mission to Stop It:
America is currently living through the deadliest drug epidemic in history. Data based on a government survey in 2018 found that 2.6 million people in the United States suffer from an opioid use disorder. The roots of today’s opioid epidemic stem back to 1980 when a doctor by the name of Hershel Jick and his assistant, Jane Porter, published a letter to The New England Journal of Medicine, stating that the risk of becoming addicted to opioids was less than 1%. Jick and Porter reviewed medical records of nearly 12,000 hospital patients treated with painkillers and discovered that only 4 of them had become dependent on the drug. Decades following the release of that letter, doctors, academics, and pharmaceutical companies fiercely advocated for these same painkillers, citing Jick and Porter’s letter incorrectly and uncritically. These companies claimed that few users would develop addictions, however, what these doctors, academics, and major companies failed to mention was that those 12,000 patients who were analyzed throughout the study were overseen by medical professionals in hospitals and not simply prescribed take-home painkillers for diagnoses such as arthritis and minor injuries. They received medical oversight and care while they were using opioids that a majority of Americans do not have the privilege of accessing when they are simply given a pill bottle to manage pain on their own. The information supplied by Jick and Porter was misinterpreted and manipulated to fuel the current epidemic.
In 2016, The American Physical Therapy Association released a public relations effort, #ChoosePT, to inform consumers about the opioid epidemic and urge them to consider physical therapy as their primary alternative for pain management. It is no secret that people want an immediate solution to their pain and discomfort. While this can oftentimes include a quick massage or an adjustment from a chiropractor, far too often people resort to the use of addictive pain medication for their “quick-fix”. #ChoosePT is a campaign advocating for movement and exercise to help create a long-term tool for pain and self-management strategies. #ChoosePT reminds patients of their options, one of which includes physical activity, hands-on care, and education to reduce and control pain without putting their lives at risk.
Instead of opening up a bottle with a warning label on the side which includes hundreds of side-effects, imagine having a physical therapist that knows your name, your goals, listens to your story and creates a specific plan just for you. #ChoosePT can play an essential role in ending the opioid epidemic. Physical therapists are the main resource for patients and clients dealing with chronic pain and movement disorders and can help those who are suffering understand that masking the pain with opioids is not the only option in addition to the existence of safer, more effective alternatives like physical therapy!
Board TE. An Opioid Crisis Foretold. The New York Times. https://www.nytimes.com/2018/04/21/opinion/an-opioid-crisis-foretold.html?searchResultPosition=1. Published April 21, 2018. Accessed November 17, 2020.
Hawkins D. How a short letter in a prestigious journal contributed to the opioid crisis. The Washington Post. https://www.washingtonpost.com/news/morning-mix/wp/2017/06/02/how-the-opioid-crisis-traces-back-to-a-five-sentence-scholarly-letter-from-1980/. Published June 2, 2017. Accessed November 17, 2020.
News Now Staff. PT in Motion News. APTA Launches #ChoosePT Campaign to Battle Opioid Epidemic. https://www.apta.org/PTinMotion/News/2016/6/7/ChoosePTCampaignLaunch/. Published June 7, 2016. Accessed November, 17 2020.
Written By: Michelle Grinberg, SPT
Michelle is one of our doctoral interns from Temple University slated to graduate with her Doctor of Physical Therapy degree in May, 2021. She has been practicing physical therapy with some of our therapists at the Willow Grove and Hatboro offices and will remain with us for a total of 6 months. We’re so happy to help her along her journey towards becoming a PT, appreciate all of the work that she has done for our patients, and know she will make an excellent clinician sometime soon!