Last updated on September 24th, 2026 at 06:55 pm
Combining advanced pain management into substance abuse treatment brings remarkable benefits, including:
Treating pain without defaulting to opioids is also where prescribing guidance has pointed. Writing in Psychology Today in October 2016 about the CDC’s guidelines for prescribing opioids, Richard Taite, who went on to found Carrara Treatment, noted that “the CDC hopes to make doctors think twice before prescribing an opioid at all, and instead use other medications or therapies when appropriate.”
The successful management of pain within the realm of substance abuse treatment can be life-changing for patients. The assurance that pain will be acknowledged and addressed with the utmost respect provides clients with a deep sense of safety and trust in the recovery process. Often, a patient’s pain was previously dismissed by physicians due to a history of substance misuse. Trust is essential for the healing process and to fully engage in the program. Not all pain is the same and needs to be treated with a comprehensive approach to ensure a positive prognosis. This integrative approach enhances comfort, improves quality of life, and is crucial for the recovery process. Lastly, the holistic strategies in pain management at Carrara include massage therapy, Breathwork, somatic therapy, yoga, stretch, personal fitness training, acupuncture, aquatic therapy, and nutritional support. Carrara’s spa offers a healing, serene environment and offerings known to calm the nervous system and reduce pain symptoms.
Injury care often begins with legitimate pain treatment, but the mix of high expectations, fast return timelines, and limited alternatives can turn short-term prescribing into long-term reliance. Understanding how culture, access, and pharmacology interact helps teams design safer paths that treat pain effectively while reducing addiction risk.
Prescriptions after acute injuries can introduce high-potency opioids to athletes at a vulnerable moment. Short courses sometimes extend as pain persists between games and practices. Without close tapering and non-opioid options, tolerance builds, refills continue, and dependence can take root before anyone notices what is happening.
High pressure to perform, return fast, and play through pain normalizes heavy analgesic use. Coaches, trainers, and peers may unintentionally reward risk-taking, while athletes hide symptoms to protect roster spots. The culture masks early warning signs, allowing misuse patterns to become established routines that are hard to unwind.
Opioids dampen pain and emotional distress, but pharmacology drives tolerance. Doses that once worked lose effect, leading to more frequent use and higher amounts. As the gap between relief and side effects widens, withdrawal appears between doses, reinforcing compulsive use and anchoring the cycle of dependence for months or years.
When prescriptions end or access tightens, some athletes pivot to cheaper illicit sources that promise similar relief. Counterfeit pills and street opioids raise overdose risk due to variable potency. This transition often follows untreated pain, unmanaged withdrawal, and a lack of supported off-ramps from care or guidance.
Street pills are often not what they seem. Synthetic opioids, Dr. Kenneth Spielvogel, MD, Carrara’s Senior Medical Officer, writes in his guide to new psychoactive substances, “are frequently pressed into counterfeit pills or mixed into other drugs without the user’s knowledge, so people regularly take them without realizing it.”
Limited access to physical therapy, non-opioid meds, and multimodal pain plans can push reliance on a single tool. Insurance limits, travel schedules, and cost barriers reduce alternatives just when they are needed most. Building access to therapy and recovery days protects healing time and curbs the pull to lean on pills alone.
Integrated prevention aligns injury care with mental health, sleep, and stress skills. Education on safe prescribing, clear tapers, and naloxone reduces harm. Programs that track pain, mood, and medication use enable earlier interventions and provide real paths back to play without dependence, secrecy, or shame over setbacks.
Encompassing extensive pain management techniques contributes directly to successful recovery outcomes by:
At Carrara Treatment, Wellness, & Spa, comprehensive pain management is a fundamental component of our substance abuse treatment, delivered by highly trained professionals. As you embark on your recovery journey, know that Carrara prioritizes your well-being and health with our integrative pain management approach.
Sources
Britney Elyse, LMFT, is an experienced mental health professional and clinical leader with more than 15 years of experience in behavioral health, addiction treatment, and recovery services. She currently serves as Director of Compliance & Clinical Services at Carrara Treatment, Wellness & Spa, where she oversees the clinical team, treatment programming, staff development, documentation standards, and coordination of care with physicians and psychiatric providers.
Throughout her career, Britney has held leadership and clinical roles at respected treatment programs including Cliffside Malibu, Cast Recovery, The Hills Treatment Center, and Tarzana Treatment Centers. Her experience encompasses individual and family therapy, clinical assessment, treatment planning, case management, utilization review, and the development of trauma-focused programming.
Britney’s therapeutic background includes trauma-informed care, Somatic Experiencing, DBT, relapse prevention, family therapy, and stages-of-change interventions. She is passionate about creating thoughtful, individualized treatment plans while supporting clients and their families throughout the recovery process.
Britney earned her Master’s degree in Clinical Psychology with an emphasis in Marriage and Family Therapy from Antioch University and has pursued advanced training in Somatic Experiencing Therapy. Her approach combines compassionate client care with strong clinical leadership and a commitment to maintaining the highest standards of treatment.
Credentials: MA, LMFT. California Licensed Marriage and Family Therapist 90937 (Board of Behavioral Sciences). MA, Antioch University. Member, CAMFT.