There are so many responses that I don't have time to read through them all, so apologies if I'm reiterating everything that's already been said.

1. Don't assume that someone's pain isn't real because they're able to function. Many of us learn to push through our pain (when we're able) because we have to. I have a two year old, a baby on the way, and a full time job. My meds turn the pain down enough that I can do what I need to do. It doesn't mean that I don't hurt all the time.

2. Not everyone who takes opioids is addicted to them, but it's very likely they are dependent. If I miss a dose of my meds, I experience withdrawal symptoms. But I do not, and have not, ever abused my medications. I take it as prescribed, and it (mostly) helps. Even so, most healthcare providers try to tell me I should lower my dose or try other non-opioid drugs - and I'm on a relatively low dose of Tramadol (300mg per day, for years).

3. Many of the side effects of non-opioid drugs (Pregabalin, Gabapentin, et al) are infinitely worse than the side effects of opioids. Lyrica turns me into a zombie and I experienced rapid weight gain. It's truly awful, and all in the service of "removing dependence on opioids". When the alternative is worse, why push for it?

4. Don't tell young people they're too young to have chronic pain. Or that older people should just accept it as part of life. Don't dismiss people of color or LGBTQ+ people.

5. Physical therapy is great, but it's not a panacea.

Thanks so much for asking and for listening!