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Pain that won’t go away is more than frustrating. It can be harmful to your health and well-being. It can keep you from getting a good night’s sleep, eating right and exercising. It can affect your mood and work and can keep you from spending time with your friends and family. If you’re one of 100 million Americans with long-term pain, also called chronic pain, you know how debilitating and frustrating it can be.

Every year, millions of prescriptions are written for pain medications — many of them powerful opioids that can cause addiction and other side effects. But there are many other treatments available for pain instead of opioids.

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Opioids are strong pain medications. They can help if you have severe short-term (acute) pain — like pain after surgery or for a broken bone. They can also help you manage pain if you have an illness like cancer. If you have cancer, you should speak to a doctor who specializes in pain medicine, such as a physician anesthesiologist, about which opioid or alternative treatment is best for you.

Opioids are powerful drugs, but they are usually not the best way to treat long-term (chronic) pain, such as arthritis, low back pain, or frequent headaches. If you take opioids for a long time to manage your chronic pain, you may be at risk of addiction. Before taking opioids for chronic pain, you should talk to your doctor about other options