Every patient is unique and our licensed addiction medicine professionals are highly trained and begin by evaluating your specific needs, obstacles, and goals. Based on this collaborative approach, we work with each individual to develop a personalized treatment plan that combines FDA-approved medications with behavioral health therapies. This dual approach ensures an integrative recovery, addressing both the physical and psychological aspects of opioid addiction and better assuring long term recovery.
We use the latest in addiction medicine, including:
Buprenorphine-naloxone
Buprenorphine-naloxone, commonly known as Suboxone, has several key features that make it a valuable medication for treating opioid use disorder (OUD). Here are the primary features:
Key Features:
Combination Medication
Buprenorphine: A partial opioid agonist that helps reduce cravings and withdrawal symptoms without producing the same level of euphoria as full opioids.
Naloxone: An opioid antagonist included to deter misuse. If the medication is taken as prescribed (sublingually), naloxone has minimal, to no effect. However, if someone attempts to inject the medication, naloxone can precipitate withdrawal symptoms, making it less likely to be abused.
Uses:
Opioid Dependence Treatment: Suboxone is part of a broader treatment plan, including counseling and psychosocial support, to help individuals reduce or quit their opioid use.
Cravings and Withdrawal: Buprenorphine’s partial agonist properties help to manage opioid cravings and withdrawal symptoms effectively, aiding in the recovery process.
Maintenance Therapy: It can be used for long-term maintenance therapy, helping patients manage their opioid dependence and reducing the risk of relapse.
How It’s Administered:
Buprenorphine-naloxone is typically administered as a sublingual film or tablet, which dissolves under the tongue. This route is chosen to ensure the medication is absorbed properly and to activate the naloxone component only when necessary.
It is important to follow your providers instructions on taking this medication to ensure best results from the medication. Initially it will be taken once or twice daily, but eventually can be given in another form and administered monthly.
Benefits:
Reduced Cravings: Helps manage opioid cravings and withdrawal symptoms.
Lower Abuse Potential: Because buprenorphine is a partial agonist and naloxone discourages misuse,
Suboxone has a lower potential for abuse compared to full opioid agonists.
Side Effects:
Common side effects may include headache, nausea, sweating, constipation, and insomnia. Severe side effects can include respiratory depression, particularly if combined with other substances like alcohol or benzodiazepines.
Important Considerations:
Prescription and Monitoring: Suboxone is a controlled substance and should be prescribed and monitored by a healthcare provider experienced in treating opioid use disorder.
Interaction with Other Medications: Suboxone can interact with other medications, especially those that depress the central nervous system, so it’s crucial to inform healthcare providers of all medications being taken.
Suboxone plays a significant role in helping individuals recover from opioid addiction by managing withdrawal symptoms and reducing the risk of relapse.
Buprenorphine injectable
Buprenorphine injectable (Sublocade) is a formulation of buprenorphine that is administered via injection rather than taken orally or sublingually. It is primarily used to treat opioid use disorder (OUD) and sometimes for pain management. There are different formulations of injectable buprenorphine, but the most commonly known one for OUD treatment is Sublocade.
Sublocade is an extended-release formulation of buprenorphine designed for the treatment of moderate to severe opioid use disorder. It is administered as a subcutaneous injection (under the skin) once a month.
Key Features:
Extended-Release: Sublocade provides a steady release of buprenorphine over a month, helping to manage opioid cravings and withdrawal symptoms continuously.
Dosing: The medication is typically given once a month, which can improve adherence to treatment by eliminating the need for daily dosing.
Administration: Sublocade must be administered by a healthcare professional. It is injected into the abdominal area as a liquid that solidifies into a gel-like depot, releasing buprenorphine slowly over time.
Uses:
Opioid Dependence Treatment: Like other buprenorphine products, Sublocade is used as part of a comprehensive treatment plan for opioid use disorder, which includes counseling and psychosocial support.
Transition from Oral/Suboxone Treatment: Patients typically start with a sublingual form of buprenorphine (like Suboxone) before transitioning to Sublocade once they are stable.
Benefits:
Improved Adherence: Since it’s administered once a month, Sublocade reduces the burden of daily medication management and the risk of missed doses.
Lower Diversion Risk: Injectable formulations like Sublocade are less prone to diversion and misuse compared to oral or sublingual forms.
Side Effects:
Talk with your provider about the possible side-effects of this medication, particularly if used with other CNS depressants.
Other Forms of Injectable Buprenorphine:
Buprenex: An injectable form of buprenorphine used primarily for pain management. It is administered via intramuscular (IM) or intravenous (IV) injection and is typically used in clinical settings for short-term pain control.
Important Considerations:
Prescription and Monitoring: Injectable buprenorphine, like all forms of buprenorphine, is a controlled substance and requires careful prescribing and monitoring by a healthcare provider.
Potential for Overdose: While less common with buprenorphine compared to full opioid agonists, there is still a risk of overdose, particularly if combined with other depressants like alcohol or benzodiazepines.
Injectable buprenorphine options like Sublocade offer a convenient and effective way to manage opioid dependence, with the added benefit of reducing the risk of misuse and improving treatment adherence.
Naltrexone (commonly known as Vivitrol):
Naltrexone is a medication used primarily to treat alcohol use disorder (AUD) and opioid use disorder (OUD). It works by blocking the effects of opioids and reducing cravings for alcohol, making it a valuable tool in addiction treatment.
How Naltrexone Works:
Opioid Antagonist: Naltrexone is an opioid antagonist, meaning it blocks opioid receptors in the brain. By doing so, it prevents opioids (like heroin, morphine, or prescription painkillers) from producing their typical effects, such as euphoria or pain relief. This can help reduce the motivation to use opioids.
Alcohol Use Disorder: While the exact mechanism is not fully understood, naltrexone is thought to reduce the pleasurable effects and cravings associated with alcohol consumption, making it easier for individuals to abstain from drinking.
Forms of Naltrexone:
Oral Tablets: Typically taken once daily.
Injectable Form (Vivitrol): Administered as an intramuscular injection once a month. This long-acting form provides continuous support for patients and improves adherence to treatment.
Uses:
Opioid Use Disorder (OUD): Naltrexone is used to help individuals who have detoxed from opioids to remain opioid-free. Unlike buprenorphine or methadone, naltrexone does not replace opioids but instead blocks their effects.
Alcohol Use Disorder (AUD): Naltrexone can help individuals reduce their alcohol consumption or maintain abstinence by decreasing the rewarding effects of alcohol and reducing cravings.
Benefits:
Non-Addictive: Naltrexone is not addictive and does not produce euphoria or physical dependence.
Long-Acting Injection: The injectable form (Vivitrol) improves compliance by reducing the need for daily medication and providing consistent medication levels in the body.
Side Effects:
Talk with your provider about the possible side-effects of this medication.
Important Considerations:
Detoxification Requirement: For opioid use disorder, individuals must be completely detoxified (opioid-free) for at least 7-10 days before starting naltrexone to avoid precipitated withdrawal, which can be severe.
Medical Supervision: Naltrexone should be prescribed and monitored by a healthcare provider, especially when starting treatment.
Liver Function Monitoring: Regular liver function tests are recommended, as naltrexone can cause liver damage in some individuals.
Naltrexone is an effective medication for helping individuals recover from alcohol and opioid addiction. It works best when used as part of a comprehensive treatment program that includes counseling, support groups, and other behavioral therapies.
Mechanism: Naltrexone is an opioid antagonist that blocks the rewarding effects of alcohol in the brain, reducing the urge to drink and the pleasure derived from alcohol consumption.
Forms: Available as an oral tablet (Revia) taken daily or as a long-acting injectable (Vivitrol) given once a month.
Benefits: Helps reduce heavy drinking and supports abstinence. The injectable form improves adherence by eliminating the need for daily dosing.
Considerations: Requires that the patient be opioid-free before starting treatment to avoid precipitating withdrawal. Liver function should be monitored.
Mechanism: Acamprosate works by stabilizing chemical balance in the brain that might be disrupted by long-term alcohol use. It helps reduce cravings and the discomfort associated with alcohol withdrawal.
Forms: Taken as an oral tablet, usually three times a day.
Benefits: Effective in helping maintain abstinence, particularly in individuals who are already sober when they start the medication.
Considerations: Generally well-tolerated, but requires adherence to a three-times-daily regimen. It is often used in combination with other treatments.
Mechanism: Disulfiram works by interfering with the body's ability to metabolize alcohol, leading to unpleasant reactions (like nausea, vomiting, headache, and flushing) if alcohol is consumed. This creates a deterrent effect.
Forms: Available as an oral tablet taken daily.
Benefits: Discourages drinking by causing an aversive reaction when alcohol is consumed.
Considerations: Requires strict adherence and commitment to abstinence from alcohol. Patients need to avoid any products containing alcohol (e.g., some cough syrups, mouthwashes) to prevent a reaction.
Mechanism: Though primarily used as an anticonvulsant and migraine medication, topiramate has been found to reduce alcohol cravings and the pleasurable effects of alcohol.
Forms: Taken as an oral tablet.
Benefits: Can be used off-label to help reduce heavy drinking and support abstinence.
Considerations: Can cause cognitive side effects (e.g., memory problems, difficulty concentrating) and should be used under medical supervision.
Mechanism: Originally developed to treat seizures, gabapentin has been found to help reduce alcohol cravings and withdrawal symptoms.
Forms: Taken as an oral tablet, usually two to three times a day.
Benefits: Useful for managing anxiety and insomnia associated with alcohol withdrawal, and may help reduce cravings.
Considerations: Often used off-label, with potential side effects including drowsiness, dizziness, and fatigue.
Mechanism: Baclofen is a muscle relaxant that has shown promise in reducing alcohol cravings and consumption by modulating the GABA system in the brain.
Forms: Taken as an oral tablet.
Benefits: May help reduce alcohol consumption and support abstinence, especially in individuals with a high level of alcohol dependence.
Considerations: Can cause drowsiness and should be used under careful medical supervision.
Detoxification: For individuals with severe physical dependence, medical detoxification might be necessary. This process typically involves managing withdrawal symptoms with medications like benzodiazepines under medical supervision, which often requires inpatient hospitalization.
Behavioral Therapies: Medications are most effective when combined with behavioral therapies, such as Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy (MET), and participation in support groups like Alcoholics Anonymous (AA).
Nutritional Support: Addressing nutritional deficiencies caused by chronic alcohol use (e.g., thiamine deficiency) is also a critical component of treatment.
The choice of medication and treatment approach depends on various factors, including the severity of the alcohol use disorder, the patient's health status, co-occurring mental health conditions, and personal preferences. Treatment should always be guided by a healthcare provider specializing in addiction medicine.
Focused Physical Therapy with a Holistic Awareness
Our new clinic specializes in offering comprehensive central nervous system (CNS)-based physical therapy services that focus on treating chronic pain, injuries, and post-surgical recovery, with a keen awareness of each patient's overall health history, including past use of pain medications or any history of addiction. While the service is (CNS)-based physical therapy, we strive to maintain a holistic approach to health, ensuring that all treatments are delivered with an understanding of each patient’s broader health context.
Patients receive personalized care plans designed not only to address their immediate (CNS)-based physical needs but also to promote long-term health and wellness. Our physical therapists are experts in developing programs that enhance mobility, strength, and functionality, while also considering factors that could impact recovery, such as previous dependencies or sensitivities to certain medications.
Our physical therapy treatments are delivered in a safe and supportive environment. We are proactive in utilizing therapies that minimize the need for pain medications, reducing the risk of dependency. For patients with a history of substance use, our approach is particularly careful, ensuring that recovery strategies support overall well-being without compromising past progress in addiction recovery.
Specialized care to address injuries from car accidents, promoting a full recovery.
Comprehensive therapy to assist injured workers in safely returning to their jobs.
We accept and work with many major insurance plans so you can focus on your recovery without worrying about the cost.
Tailored treatment plans to help athletes recover quickly and prevent future injuries.
Focused rehabilitation to aid recovery and restore function after surgery.
Provides support and stability to muscles and joints during activity or recovery.
A soft tissue technique to improve mobility and reduce muscle tension.
Uses suction therapy to enhance circulation and relieve muscle soreness.
Physical therapy is an essential component of our holistic approach to addiction recovery. Substance abuse often takes a toll on the body, leading to physical health problems, muscle weakness, chronic pain, and mobility issues. By incorporating physical therapy, we aim to restore physical function, improve overall well-being, and support the body’s healing process. This helps individuals regain their strength and mobility, empowering them to lead more active, fulfilling lives as they work through their recovery journey.
Substance abuse can cause significant physical and mental stress, often leading to pain, fatigue, and decreased motivation to engage in physical activity. Physical therapy helps address these issues by:
By treating the physical aspect of addiction, we aim to provide a more comprehensive recovery experience.
Physical therapy in our addiction treatment center focuses on common physical problems that arise from substance abuse, such as:
Our physical therapists create personalized treatment plans to address these issues, helping patients regain their physical health as part of their recovery.
Yes. Physical therapy provides an effective, non-pharmaceutical approach to pain management, which is especially important for individuals recovering from substance abuse. Many individuals turn to substances to cope with chronic pain, and breaking that cycle is critical to long-term recovery. Through therapeutic exercises, manual therapy, and other modalities, physical therapy helps reduce pain and improve function, making it easier for patients to manage their symptoms without relying on drugs.
Our addiction treatment program focuses on treating the whole person—mind, body, and spirit. Physical therapy fits into this holistic model by addressing the physical health of our patients, while counseling and behavioral therapies address mental and emotional health. This comprehensive approach ensures that patients receive the care they need on all levels, promoting overall healing and a greater chance of long-term recovery success.
Patients can expect a personalized and supportive experience in physical therapy, tailored to their specific needs and recovery goals. Our licensed physical therapists will assess each individual’s physical condition and develop a customized treatment plan that may include:
Our goal is to help patients feel stronger, more confident, and better equipped to lead active, healthy lives after treatment.
Physical therapy and addiction counseling complement each other by addressing different aspects of recovery. While counseling focuses on the psychological and emotional components of addiction, physical therapy helps restore physical health. Together, they create a more comprehensive treatment plan, ensuring that patients are supported in both mind and body. This integrated approach helps individuals achieve better overall outcomes in their recovery journey.
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