Prescription opioid use can present challenges for patients with chronic pain as well as for health systems. These patients typically have multiple chronic conditions and many points of contact with the health system. They can feel disempowered and report concerns about undertreatment of pain, difficulties in obtaining medication, and stigma. Use of prescription opioids is now a controversial approach to managing pain long term, with the prescribing environment becoming more restrictive. At the same time, patients may lack the skills and knowledge to talk to their physicians about their pain and opioid use, and to navigate the health care system. As patients reduce their opioid use, whether voluntarily or involuntarily, physicians must find innovative and effective ways to support these patients and improve their quality of life and function.
