Chronic pain wears you down. It makes daily life harder and can chip away at your mental health. For older adults, this often leads to another problem—addiction. The link between chronic pain and addiction in older adults is real but often missed. Doctors might not ask the right questions. Family members may not spot the signs. Many just assume it’s aging. That delay in noticing can make things worse. If you or someone you care about is hurting, you’re not alone. There is help out there, and recovery is possible. Drug and alcohol treatment centers in West Virginia now offer care that understands the needs of older adults. This article will help you see the signs, understand the risks, and learn what to do next. It’s not too late to get support.
Chronic pain is one of the most difficult challenges many people face, especially those in recovery from substance use disorder (SUD). For years, opioids and other prescription painkillers were the standard treatment for managing pain. However, the widespread use of these medications has contributed to addiction and dependency for millions of people. For individuals in recovery, finding effective, non-addictive ways to manage pain is essential for maintaining long-term sobriety.
At Harmony Ridge Recovery, we understand that chronic pain can be both physically and emotionally exhausting. But with the right strategies, it is possible to manage pain effectively without returning to substances. This article explores the connection between addiction and chronic pain, alternative pain management approaches, and practical steps to improve quality of life without relying on medication.
The Connection Between Chronic Pain and Addiction
Chronic pain is defined as persistent pain lasting longer than three months. It can stem from a variety of conditions, including:
People suffering from chronic pain often seek relief through prescription opioids such as oxycodone, hydrocodone, and fentanyl. While these drugs are effective in the short term, long-term use carries significant risks, including addiction, tolerance, and dependence.
Studies show that individuals with chronic pain are at a higher risk of developing substance use disorders. Many begin using painkillers for legitimate medical reasons but gradually develop a reliance on them, leading to misuse, increased dosages, and eventually addiction. For those in recovery, managing pain without substances is critical to avoiding relapse.
Challenges of Managing Pain in Recovery
For individuals in sobriety, pain management presents several unique challenges:
Fear of Relapse: Many in recovery worry that taking any medication—even when prescribed—could trigger addictive behaviors.
Limited Treatment Options: Traditional pain management approaches often involve medications, leaving people in recovery searching for alternative methods.
Emotional Impact: Chronic pain can contribute to depression, anxiety, and frustration, which can increase the risk of relapse.
Skepticism from Healthcare Providers: Some medical professionals may be hesitant to treat pain aggressively in individuals with a history of addiction, leading to inadequate care.
Despite these challenges, there are numerous ways to manage pain effectively while maintaining sobriety.
Non-Substance-Based Pain Management Strategies for Chronic Pain
1. Physical Therapy & Movement-Based Therapies
Physical therapy (PT) is one of the most effective ways to manage chronic pain without medication. A structured PT program strengthens muscles, improves flexibility, and reduces pain over time.
Massage Therapy: Helps reduce muscle tension and improve circulation.
Chiropractic Care: Can relieve spinal misalignment and joint-related pain.
Stretching & Yoga: Enhances flexibility and relieves tension, particularly in the back, neck, and joints.
Tai Chi & Pilates: Low-impact exercises that strengthen muscles while reducing pain.
Studies have shown that movement-based therapies not only relieve pain but also improve mood and mental well-being—both of which are essential for long-term recovery.
2. Mindfulness and Meditation
Chronic pain is not just physical—it has a strong psychological component as well. Meditation and mindfulness techniques can help individuals change their perception of pain and reduce stress-related discomfort.
Mindfulness Meditation: Encourages awareness and acceptance of pain without reacting to it emotionally.
Deep Breathing Techniques: Slows the nervous system, reducing tension and pain sensitivity.
Progressive Muscle Relaxation (PMR): A guided exercise where muscles are tensed and then relaxed to relieve chronic tension.
Research shows that mindfulness-based interventions can significantly reduce pain intensity and improve overall quality of life.
3. Acupuncture and Alternative Therapies
Acupuncture, an ancient practice in Chinese medicine, has gained recognition for its ability to relieve chronic pain naturally.
Stimulates the nervous system to release endorphins (natural painkillers).
Reduces inflammation and improves circulation.
Effective for conditions such as migraines, arthritis, and fibromyalgia.
Other alternative therapies that can support pain management include:
Cupping therapy (reduces muscle soreness)
Reiki and energy healing (promotes relaxation and emotional balance)
Essential oils and aromatherapy (help with pain perception and stress relief)
4. Nutrition & Anti-Inflammatory Diet
What we eat plays a significant role in pain management. Certain foods can reduce inflammation, while others may worsen it.
Foods That Reduce Inflammation & Pain:
Fatty fish (salmon, mackerel, tuna) – rich in omega-3s
Turmeric – contains curcumin, a powerful anti-inflammatory
Ginger – natural pain reliever
Leafy greens (spinach, kale) – high in antioxidants
Berries – reduce oxidative stress and inflammation
Nuts & seeds (almonds, flaxseeds, chia seeds) – support joint health
Foods to Avoid:
Processed foods (chips, fast food, sugary snacks)
Refined sugar & high-fructose corn syrup
Fried foods & trans fats
Excess red meat (linked to higher inflammation levels)
A well-balanced diet not only reduces pain but also supports overall recovery and mental health.
CBT is a highly effective therapy for managing chronic pain. It helps individuals reframe negative thoughts about their pain and develop healthier coping strategies.
CBT-based approaches to pain management include:
Pain Reprocessing Therapy (PRT): Teaches individuals how to change their perception of pain.
Biofeedback Therapy: Uses sensors to help individuals control bodily functions like heart rate and muscle tension.
Emotional Processing Therapy: Addresses the emotional toll of chronic pain and helps reduce stress-related flare-ups.
6. Medication-Free Medical Treatments for Chronic Pain
For those needing more advanced interventions, several medical treatments can relieve pain without addictive medications:
Nerve Blocks: Injections that temporarily block pain signals from specific nerves.
Every person’s pain experience is unique, so an individualized approach is essential. At Harmony Ridge Recovery, we help individuals develop comprehensive pain management plans that align with their recovery goals.
Key steps include:
Working with Healthcare Professionals: Consulting a pain specialist who understands addiction recovery.
Combining Multiple Strategies: A mix of physical therapy, mindfulness, and dietary changes can be more effective than any single method.
Tracking Pain & Triggers: Keeping a journal to identify pain patterns and triggers.
Staying Engaged in Recovery Support: Pain can be isolating, but staying connected with support groups, therapists, and peers helps maintain sobriety.
Being Open to Adjustments: Some treatments may work better than others; flexibility is key in finding the best plan.
A Life Beyond Chronic Pain and Addiction
Living with chronic pain in recovery can be challenging, but it doesn’t have to lead back to substance use. By exploring holistic, medical, and psychological approaches, individuals can regain control of their lives and manage pain without the risk of addiction.
At Harmony Ridge Recovery, we believe in empowering individuals with the knowledge and tools needed to heal—both physically and mentally. If you or a loved one is struggling with chronic pain and seeking a recovery-friendly approach, we are here to help. True recovery means not only overcoming addiction but also finding lasting, healthy ways to live free from pain.
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Recovering from addiction while experiencing chronic pain is one of the toughest, most aggravating challenges a human being can face. Opioids are commonly prescribed to treat chronic pain, which can make pain management difficult while working through the journey of recovery. How we manage chronic pain in the United States has been both a culprit and a source of tension for treatment providers who understand the complexities of this issue for those in recovery. On day-to-day basis sobriety with chronic pain is an uphill battle. The slide back into addiction is a slippery slope, so many people in recovery choose to avoid prescription medications like opioids. However, dealing with chronic pain daily can make sobriety difficult and relapse more likely.
What is Chronic Pain?
We all feel pain as it’s a part of human nature, but what defines chronic pain? Pain occurs when something hurts, causing an uncomfortable or unpleasant feeling. The presence of pain often means that something is wrong. Each individual is the best judge of his or her own pain.
Acute pain lets you know that your body is injured. It usually doesn’t last long. It should go away as your body heals. Chronic pain lasts much longer. Chronic pain may last months or even years. Chronic pain may interfere with your daily activities.
The term “chronic pain” is a kind of catchall term for as many as seven categories of persistent pain:
Chronic primary pain: Pain lasting three months or longer that cannot be attributed to any other condition
Chronic posttraumatic pain: Pain lasting three months or longer following trauma or surgery
Chronic neuropathic pain: Pain resulting from damage to the somatosensory nervous system
Chronic headache and orofacial pain: Pain experienced in the head or face which occurs on fifty percent of days over a three month or longer period
Chronic visceral pain: Pain experienced in an internal organ
Chronic musculoskeletal pain: Pain experienced in muscles, bones, joints, or connective tissue
Chronic cancer pain: Pain-related directly to cancer or to the treatment of cancer
What is the difference between addiction and substance abuse?
Several levels of addiction can occur, depending on the substance someone has been exposed to. Individuals can experience occasional substance abuse and not technically become addicted until they’ve continued to use the substance for a specific amount of time. When someone initially starts to take drugs or alcohol in excess, it is typically considered substance abuse. With continued use, they then develop a substance use disorder, otherwise known as addiction.
Is it possible to maintain sobriety with chronic pain?
If you are recovering from opioid addiction, pain management in recovery can be a complex challenge. This is especially true if you are enrolled in a sober living program, as most sober living homes do not allow residents to use any narcotics or medications that could potentially be abused. Often when we go to the doctor, the first option for pain relief is medication. However, this may not be the best option for people who are recovering from severe addiction and the benefits of using opioids for pain relief may not outweigh the risks.
If you and your physician choose to use other methods of chronic pain management, it is ultimately up to you to hold yourself accountable. Being honest about the effectiveness of your medication and any changes you have made to your own dosage and usage habits can highlight a developing opioid addiction, offering you and your doctor the opportunity to change your treatment plan.
Here are are few ways to help maintain your sobriety with chronic pain:
Yoga: According to Harvard Health, yoga practice can improve both physical and mental well-being. There are countless variations of yoga that can be used in addiction recovery to manage chronic pain conditions such as migraines, fibromyalgia, and low back pain, among many others.
Meditation: What can mindfulness meditation do for pain relief? A study found people who practiced meditation experienced more pain relief, lower levels of anxiety and depression, and improved mental health than those who didn’t. Also, meditation is something that is commonly practiced in drug and alcohol rehab programs. So continuing the practice while entering recovery and sober living may also be an easy way to relieve pain while maintaining a consistent and healthy routine in recovery.
Get serious about sleep: Improving your sleep hygiene—which means sticking with a sleep schedule, making sure you have a comfortable place for rest, and avoiding caffeine, stimulating activities, and screen time before bed—can ensure you get the rest you need.
Alternative Treatments
Non-opioid medication: Some of the medications mentioned above do not fall under the category of opioids, which bring the greatest risk of addiction. NSAIDs, antidepressants, acetaminophen can all be used as general replacements. Muscle relaxants (like diazepam) and low doses of naltrexone can be helpful in cases of acute musculoskeletal pain (like back pain or neck pain) and issues like Fibromyalgia and complex regional pain syndrome, respectively.
Topical pain relief: Applied directly to the location where the pain is most present, creams and gel forms of capsaicin, lidocaine, trolamine salicylate, and counterirritants (with ingredients like menthol and eucalyptus) may provide some relief.
Acupuncture & Massage: Acupuncture and massage therapy have been helpful to people with physical ailments and pains for thousands of years. There are pressure points throughout the body that can be worked with to release sensations of pain. Acupuncture has been scientifically proven to “release” excruciating pain through the needle-pinning of such pressure points by a licensed acupuncturist.
Compassionate Care: If you are seeking help in recovery and seeking help for chronic pain, try first talking with your sponsor or other treatment professional about the best options for physicians who understand how to manage pain for a person in recovery. A good doctor should show compassion and offer a non-judgmental approach to helping you get free from pain. In some cases, opioid medications may be the only viable option for pain relief.
Fall in Love with the Right Kind of Food: A change to a diet like the Mediterranean diet—which includes leafy vegetables, fresh fruits, whole grains, fish, and olive oil—may reduce pain by improving overall health and reducing inflammation.
Keep a pain journal: For those experiencing chronic pain, keeping some form of a pain journal can be very therapeutic and can help the addict give a voice to what they are feeling. The purpose of this journal is to provide the addict with an avenue to vent their frustrations, as well as providing some sort of measurement or index of their discomfort.
Get up, Get Moving, and Exercise: If you suffer from chronic pain, exercise is probably the last thing on your mind, but research has shown that individuals with chronic pain who exercise regularly report less pain and increased activity. This is because exercise keeps you in shape and keeps your muscles strong. Speak with your doctor, and if approved, try slowly incorporating exercises such as walking, stretching, light strength training, and yoga into your daily life.
Signs of a substance abuse problem with chronic pain?
Because sobriety with chronic pain is such a risk factor for misuse of drugs or alcohol, it is essential to recognize the signs that may indicate a person has a problem. Whatever the reason a person starts taking drugs, whether recreationally or as prescribed, tolerance, patterns of increased use, physical dependence, and, ultimately, addiction may develop—sometimes before the user even realizes it.
Typically, abused substances act as brain depressants that suppress the production of neurotransmitters. When the patient ceases using the substance of choice, the brain rebounds by producing a surge of adrenaline that may lead to withdrawal symptoms. As a result, the patient may continue to crave the substance and develop an addiction.
The use of most substances will produce noticeable signs and symptoms. These may include physical or behavioral symptoms—most likely both.
Cravings
Tolerance
Withdrawal Symptoms
Physical Dependence
Drug-seeking behaviors
Financial trouble related to substance use
Increased risky behavior and neglecting responsibilities
If someone you care about is using drugs or alcohol in a way that’s threatening their health, relationships, finances, career, and perhaps even their life, you no doubt feel overwhelmed and desperate to help them come to their senses. We know there’s nothing more painful than seeing someone you love hurt themselves and those around them.
Whether it is you, or someone you love who has found themself battling sobriety with chronic pain, speak with an addiction professional. Their guidance can reduce your pain and strengthen your resolve. Don’t give up hope. A recent Surgeon General’s report on alcohol, drugs, and health noted that there are approximately 25 million people in active remission from addiction in the U.S. Addiction can be terrifying, but it can also be overcome.
Addiction Treatment at Harmony Ridge Recovery
When we formed Harmony Ridge Recovery Center in 2015, we envisioned a haven that would be a calming escape from the disease of addiction. That is exactly what it has become. Since our founding, we have recognized the need for evidence-based treatment programs that are created specifically for each client.
Our mission is to make these evidence-based programs available to anyone and everyone in West Virginia and the Mid-Ohio Valley, where the opioid crisis is especially prevalent. When we provide substance abuse treatment, we like to see successful outcomes and results. We feel that people suffering from addiction in the wonderful communities of the Mid-Ohio Valley and West Virginia deserve to have the best treatment possible.
