Approach to Use of Opioids in Patients with Low Back Pain - Revised

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Presenter:  Roger Chou, MD, Professor of Medicine, Oregon Health and Science University, and Director, Pacific Northwest Evidence-based Practice Center

Fee:  No Cost

Target Audience: The target audience for this module is primary care physicians. 

Module Description:

Low back pain is extremely common and can be difficult to treat. Although opioids are frequently used to treat low back pain, evidence showing long-term benefits is limited and opioids are associated with important adverse effects. This module provides primary care physicians with an approach to using opioids in low back pain. Faculty will emphasize the need to consider using opioids within an overall pain management plan that: 1) addresses psychosocial contributors to pain; 2) recognizes that opioids are not first-line treatment for low back pain and may not be appropriate in all patients; 3) utilizes non-opioid treatments; and 4) routinely incorporates risk mitigation and reassessment strategies.

Core Competencies as a result of participating in this activity:

Interpersonal Skills and Communication
Medical Knowledge
Patient Care

Educational Objectives: 

At the conclusion of this activity participants should be able to:
• List the benefits and harms of opioids in patients with low back pain
• Summarize an evidence-based approach in the use of opioids for low back pain

Method of participating in the learning process:  

In order to receive maximum creditlearners must:  

1. Review the materials provided in this module.
2. Earn a minimum cumulative score of 80% on the post-test. 
3. Complete an evaluation to assess satisfaction and plans for individual and/or team practice change.
4. Follow instructions at the end of the course regarding how to retrieve a certificate.* 

*Credit will not be awarded unless all components of the program are completed.  Partial credit will not be awarded.

Accreditation and Certification of this activity:  

imageJoint Accreditation Statement

In support of improving patient care, American Academy of Addiction Psychiatry is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Release date: July 8, 2019            Date of ExpirationJuly 8, 2022

Physician Designation Statement

American Academy of Addiction Psychiatry designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  


AAAP's interprofessional continuing education program aims to provide educational information that is balanced, independent, objective and free of bias and based on evidence. During the planning process, anyone that is involved in the content is required to disclose to AAAP and our learners any real or potential conflict of interest related to the educational activity. The following individuals have no relevant financial relationships with an ACCME defined commercial interest to disclose: Thomas Penders, MD, Michael Goedde, MD, Nitigna Desai, MD, Karen Oliver, PhD, John Renner, Jr, MD, Kevin Sevarino, MD, PhD, Colleen LaBelle, MSN, RN-BC, CARN, Kathryn Cates-Wessel, Miriam Giles, Carol Johnson, Jennifer Lundstrom, and Justina Pereira.  PCSS Clinical Expert Committee member Frances Levin, MD has nothing relevant to the content of this module to disclose. Content Developer Roger Chou, MD, has nothing to disclose.  

Faculty have been advised that any recommendations involving clinical medicine must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in the presentation must conform to the generally accepted standards of experimental design, data collection, and analysis. Learners are advised that this activity may contain references to unlabeled uses of US FDA-approved products or to products not approved by the FDA for use in the United States. In these instances, participants will be made aware of such usage and discussions regarding either non–FDA-approved or investigational use of products/devices.

ADA Accommodation Statement 

AAAP encourage persons with disabilities to participate in our programs and activities. If you anticipate needing any type of accommodation or have questions about this activity, please email

Privacy and Confidentiality Policy 

AAAP values your privacy and confidentiality of the information you choose to share with us. Personal information collected from evaluations will not be shared with third parties. 

Disclaimer: The views, opinions, and content expressed herein do not necessarily reflect the views or policies of AAAP, CSAT, SAMHSA, or HHS. No official support of or endorsement by AAAP, CSAT, SAMHSA, or HHS for these opinions or for particular instruments, software, or resources is intended or should be inferred.

Support for the Program: 

Funding for this initiative was made possible (in part) by grant no. 5U79TI026556 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


Online Module Pre Test
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass Please answer the following pre-test questions to the best of your ability. These will serve only as a brief assessment of prior knowledge before accessing the training. A passing score is not required in order to advance in the course.
Recording Presentation
Open to view video.
Open to view video. You must access the entire recorded module titled "Approach to Use of Opioids in Patients with Low Back Pain - Revised" to attest that you have viewed the presentation in its entirety. Note: by viewing the full presentation it will unlock and allow you to proceed to the post-test.
Online Module Post Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass Please answer the following questions to the best of your ability. NOTE: In order to receive your CME Certificate/Certificate of Completion, you must earn a score of 4 out of 5 on this post-test. Upon passing the post-test, you will be directed to complete an evaluation.
Please answer the following evaluation questions to the best of your ability. NOTE: Upon completion, you will receive a verification code on the last page of the survey. Return to this page and enter the verification code in its designated component below to claim your Certificate.
Verification Code
Enter code to continue.
Enter code to continue. Enter the verification code provided at the end of the evaluation to access your CME Credit Certificate/Certificate of Completion for this course.
I am an MD or DO and would like a CME Credit Certificate
1.00 (one) credit  |  Certificate available
1.00 (one) credit  |  Certificate available Certificate for AMA PRA Category 1 Credit(s)™
I am not an MD or DO and would like a CME Credit Certificate
1.00 (one) credit  |  Certificate available
1.00 (one) credit  |  Certificate available Certificate for CME Credit
I would like only a Certificate of Completion
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No credits available  |  Certificate available Completion Certificate