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Writer's pictureDr John Gibson DC

Painkiller Use, Risks, Alternatives

The Pitfalls of Long-Term Painkiller Use: Embracing a Bio-mechanical Approach for Lasting Relief

Painkillers, particularly non-opioid analgesics, are commonly used to manage various types of pain, from headaches to musculoskeletal discomfort. While they offer temporary relief, relying on them for extended periods can pose several risks. Instead, a bio-mechanical approach, as championed by experienced practitioners like those at the Headache & Tendon Clinic, focuses on identifying and treating the root causes of pain, offering a sustainable alternative to painkiller dependency.

Paracetamol is one of the most commonly used over-the-counter analgesics in Australia. Although health professionals may assume that patients know how to use paracetamol, overdose rates continue to rise. Public misunderstanding about the safety of paracetamol is contributing to misuse and accidental overdose. Easy access to large quantities of paracetamol may also be contributing to intentional overdose.



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What are the three effects of non-opioid analgesics?

Non-opioid analgesics, such as acetaminophen (paracetamol), ibuprofen, and aspirin, exert their effects primarily by:

  1. Pain Relief: These medications reduce pain signals by blocking certain enzymes involved in inflammation and pain transmission.

  2. Fever Reduction: Non-opioid analgesics also possess antipyretic properties, helping to lower elevated body temperatures associated with infections or inflammation.

  3. Anti-inflammatory Action: Many non-opioid analgesics, particularly NSAIDs like ibuprofen and aspirin, inhibit the production of prostaglandins, which are inflammatory mediators involved in pain and swelling.


While effective for short-term pain management, prolonged use of these medications can lead to tolerance, where higher doses are needed for the same effect, and potentially serious side effects. there are alternatives to Painkiller use that resolve bio-mechanically the condition.


What are non-opioid painkillers?

Non-opioid painkillers refer to medications that relieve pain without containing opioids. They include over-the-counter drugs like acetaminophen (paracetamol), NSAIDs (e.g., ibuprofen, aspirin), and prescription-strength NSAIDs.


Are there any painkillers without side effects?

While no medication is entirely devoid of side effects, some painkillers are associated with fewer adverse effects compared to others. For instance, acetaminophen is generally well-tolerated when taken as directed but can cause liver damage if overused. NSAIDs may lead to gastrointestinal issues such as ulcers and bleeding, especially with prolonged use or in individuals with certain medical conditions.


What are some side effects of painkillers?

Common side effects of painkillers, especially with prolonged or excessive use, may include:

  • Gastrointestinal Issues: NSAIDs can irritate the stomach lining, leading to ulcers, bleeding, or gastritis.

  • Kidney Damage: NSAIDs can impair kidney function, particularly in individuals with pre-existing kidney disease or dehydration.

  • Liver Damage: High doses or prolonged use of acetaminophen may cause liver toxicity.

  • Cardiovascular Risks: NSAIDs may increase the risk of heart attack or stroke, especially in individuals with cardiovascular risk factors.

  • Allergic Reactions: Some people may experience allergic reactions to painkillers, ranging from mild rash to severe anaphylaxis.

  • Death - there are


Embracing a Biomechanical Approach with Headache & Tendon Clinic

Rather than relying solely on painkillers with the risks and likelihood of not resolving symptoms, there are better alternatives, which address symptoms but not underlying causes, a biomechanical approach offered by clinics like the Headache & Tendon Clinic in Canterbury focuses on identifying and correcting the biomechanical dysfunctions contributing to pain.


Experienced practitioners conduct thorough assessments to pinpoint issues such as spinal misalignments, muscle imbalances, or postural problems that may be triggering pain.

By addressing these root causes through musculoskeletal adjustments, soft tissue therapies, and rehabilitative exercises, the clinic aims for long-term pain relief and improved function without the need for prolonged medication use. This approach not only treats current symptoms but also prevents future episodes of pain, offering a sustainable solution that enhances overall well-being.

In conclusion, while non-opioid analgesics provide short-term relief from pain, their prolonged use can lead to significant side effects and dependency. Choosing a biomechanical approach advocated by experienced practitioners at clinics like the Headache & Tendon Clinic in Canterbury offers a holistic alternative.


By addressing the underlying causes of pain through personalised treatment plans, these clinics empower patients to achieve lasting relief, reducing reliance on painkillers and promoting overall health and vitality.

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