Thursday, December 4, 2025

Chronic Pain Thoughts: Vol 45: Debunking Lies #1

 Dear Reader,


I am going to start sharing from The Doctor Patient Forum Website. I've shared their information before, please support them. We can't make a change as one person, but we can as a group


Have you or do you suffer from back pain and have been told “Pain Medication doesn't work for back pain”?


First, this is a very gas lighy statement, second, it's false. I personally had back surgery, and what was I given for pain control? An opioid medication that allowed me to heal properly. So, if they didn't work for back pain, why was I given it after back surgery and it worked?


I understand trying other things first, I understand running blood tests, MRI's and X-Ray's first. I don't understand the lying, the continuous injections that don't work or the prescribing on everything BUT an opioid medication after everything else has failed. For me, that everything was over 6 years.


FACT: A June 2023 Australian study known as the OPAL Trial claimed opioids don’t work for acute low back or neck pain and should never be prescribed, even as a last resort. The full pdf of the study is here.

The problem? The study was small, short-term, and poorly designed, and its conclusions were immediately misrepresented by the media and policymakers to justify broader restrictions on pain care.

Our review found serious red flags:

  • The trial used a medication not typically prescribed for acute pain in Australia.

  • Several authors had ties to anti-opioid groups and organizations funded by Indivior, maker of Suboxone.

  • The Lancet, which published the study, requested commentary from PROP’s Jane Ballantyne and Mark Sullivan, figures long associated with the anti-opioid narrative.

  • The lead author of the OPAL trial also co-authored Australia’s opioid deprescribing guidelines, further blurring science and advocacy.

This study is already being used as a weapon against pain patients, despite its limitations and conflicts of interest.  Understanding how and why this happened is critical for anyone defending access to ethical pain care.

For a detailed breakdown, including the study design, author disclosures, and Dr. Chad Kollas’ full analysis, visit our Patreon page.



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