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REVIEW article

Front. Pain Res.

Sec. Pain Research Methods

Volume 6 - 2025 | doi: 10.3389/fpain.2025.1642035

The Burden of Acute Pain In The U.S. in the Wake of the Opioid Crisis

Provisionally accepted
James  C HackworthJames C Hackworth1John  E SchneiderJohn E Schneider2Maggie  L Do ValleMaggie L Do Valle2*David  FamDavid Fam1Ema  OffidaniEma Offidani1Jim  PotenzianoJim Potenziano1
  • 1Tris Pharma Inc, Monmouth Junction, United States
  • 2Avalon Health Economics, Morristown, United States

The final, formatted version of the article will be published soon.

The prevalence of acute pain has grown substantially over the past two decades, due primarily to more surgeries, an aging population, and the rapid growth in the prevalence of metabolic disease. Although opioids are often the only effective treatment for many types of acute pain, especially severe acute pain, their use, even over a short period of time, comes with substantial risks of dependence, misuse, and diversion. Moreover, a large fraction of the patients currently suffering from opioid use disorder and those dying from opioid overdoses had their first exposure as pain patients. Conversely, refraining from using opioids in cases where other treatment options are ineffective creates a different set of risks. This potential undertreatment of acute pain, especially severe acute pain, increases the risk of acute pain transitioning to chronic pain. The use of opioids to treat acute pain and the ineffective treatment of acute pain have important implications for population health and health care costs.

Keywords: Acute Pain, Opioid Use Disorder (OUD), Pain Management, Undertreatment, Chronification of pain, Healthcare costs

Received: 05 Jun 2025; Accepted: 12 Sep 2025.

Copyright: © 2025 Hackworth, Schneider, Do Valle, Fam, Offidani and Potenziano. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Maggie L Do Valle, maggie.dovalle@avalonecon.com

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.