Abstract

This paper reviews a multimodal approach to the treatment of acute pain. Early recognition of systemic changes in pain indicators may be efficacious for the patient and practitioner to understand the subjective pain response. The application of osteopathic manipulative medicine may be beneficial during de-escalation therapy of opioid pain medication when the patient is experiencing symptoms consistent with opioid-induced hyperalgesia syndrome. Improved education and recognition of opioid-induced hyperalgesia can potentially improve medical management with the use of osteopathic manipulative treatment.