Abstract

This patient has legitimate pain and still deserves treatment despite being at high risk for substance abuse. Untreated pain will only create more drug hunger ⇓. Multimodal management would be best, including antidepressant and anticonvulsant medications, and physical modalities such as a transcutaneous electrical nerve stimulation unit ⇓. However, medicinal cannabis can be considered a legitimate next treatment step, much preferred to a prescription for opioids. Opioids and cannabinoids are both among the world's oldest drugs, with usage dating back thousands of years ⇓. Both medications work via specific receptors and are created …

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