The sheer magnitude of America’s prescription opioid abuse epidemic has evoked visceral responses and calls-to-action from public and private sectors. As longtime advocates of drug-free management of acute, subacute and chronic back, neck and neuro-musculoskeletal pain, the chiropractic profession is aligned with these important initiatives and committed to actively participate in solving the prescription opioid addiction crisis. A profession dedicated to health and well-being, Doctors of Chiropractic (DCs) are educated, trained and positioned to deliver non-pharmacologic pain management and play a leading role in “America’s Opioid Exit Strategy.”

Data released by the Centers for Disease Control and Prevention (CDC) revealed that “opioid deaths continued to surge in 2015, surpassing 30,000 for the first time in recent history. CDC Director Tom Frieden said, “The epidemic of deaths involving opioids continues to worsen. Prescription opioid misuse and use of heroin and illicitly manufactured fentanyl are intertwined and deeply troubling problems.”

The human toll of prescription opioid use, abuse, dependence, overdose and poisoning have rightfully become a national public health concern.

This toolkit will provide the necessary resources to effectively tackle the opioid epidemic, including the Foundation for Chiropractic Progress’ (F4CP) (www. landmark positioning paper, ‘Chiropractic: A Key to America’s Opioid Exit Strategy,’ ( as well as print advertisements, advertorials, social syndications, infographics, social media postings and more!

Questions or Comments: For additional information or to submit feedback, please contact F4CP Marketing Director Alexis Lignos at


For the overwhelming number of people who suffer with chronic pain, chiropractic care offers a drug-free, non-invasive and cost-effective alternative to opioid drugs.

Chiropractic is the largest, most regulated and best recognized of the complementary and alternative care professions. In fact, patient surveys reported in the Annals of Internal Medicine show that chiropractors are used more than any other alternative provider group and patient satisfaction with chiropractic care is very high. Patient use of chiropractic in the United States has tripled in the past two decades.

The importance of chiropractic care is further amplified since many individuals are prescribed opioids for back, low back and neck pain, headaches, neuro-musculoskeletal conditions and other related conditions. An estimated 126.6 million Americans (one in two adults) are affected by a musculoskeletal condition.

Providers in multiple disciplines and throughout the health care continuum are now advocating chiropractic care as a leading alternative to usual medical care for chronic pain conditions.

To find a doctor of chiropractic near you, visit

‘Chiropractic: A Key to America’s Opioid Exit Strategy’ ( is a follow-up discussion to ‘Chiropractic: A Safer Strategy than Opioids’ ( (June 2016), which examines the positive steps as well as the shortcomings of initiatives undertaken from July 2016 - March 2017 to address the opioid crisis. It also assesses the current landscape of opportunities to offer patients, doctors and payers meaningful programs to effectively address acute, subacute and chronic neck, low back and neuro- musculoskeletal pain without the use of painkillers.

Based upon the evidence articulated in this ground-breaking positioning paper, it becomes clear that chiropractic care is a key component of ‘America’s Opioid Exit Strategy’ on several levels:

    Perform first-line assessment and care for neck, back and neuro-musculoskeletal pain to avoid opiate prescribing from the first onset of pain

    Provide care throughout treatment to mitigate the introduction of drugs

    Offer an effective approach to acute, subacute and chronic pain management that helps addicts achieve a wellness focused, pain-free lifestyle as they reduce their utilization of opioids.

    It’s also a compelling opportunity for our health system, commercial and government payers, employers -- and most importantly patients -- to resolve the issues surrounding pain at lower costs, with improved outcomes and without drugs or surgery.

    Click to download

Authors include leading professionals:

  • Laura Carabello, Principal, CPR Strategic Marketing Communications
  • Gerard Clum, DC, President Emeritus, Life Chiropractic College West and Director, The Octagon, Life University
  • William Meeker, DC, MPH, President, Palmer College of Chiropractic – San Jose Campus
  • Sherry McAllister, DC, M.S (Ed)., CCSP, Executive Vice President, Foundation for Chiropractic Progress®
  • Alexis Lignos, Marketing Director, Foundation for Chiropractic Progress®
To view and download a copy of the position paper, click here.


arrow “For acute and subacute pain, the guidelines recommend non drug therapies first, such as applying heat, massage, acupuncture, or spinal manipulation, which is often done by a chiropractor.” — Wall Street Journal

The F4CP has distributed a press release over the national Business Wire touting the benefits of chiropractic care for pain management. This release reaches more than 10,000 outlets nationwide.

Please read the press release announcement entitled: F4CP® Publishes ‘Chiropractic: A Key to America’s Opioid Exit Strategy’: Advocates Drug-free Care for Acute, Subacute and Chronic Low Back and Neck Pain, here:

Further details about the American College of Physicians acute, subacute and chronic low back and neck pain guidelines can be read in the press release entitled: F4CP® Lauds Drug-Free Back Pain Guidelines from American College of Physicians, Cites Wall Street Journal Reference to Chiropractic Spinal Manipulation, here:

Additionally, the F4CP is placing print advertisements in national print publications, including The Wall Street Journal, Roll Call and Politico.

To view and to download the Poster, click here.


    The F4CP has created advertorials – advertisements designed to look like independent news stories -- to be distributed to thousands of news outlets nationwide. Advertorials aim to raise awareness of consumer healthcare concerns and educate the general public about the role and value of chiropractic care.


    The F4CP produced a social syndication to be distributed nationally. Social syndications are published in different publications simultaneously, in order to promote the same content on multiple sites.


    The F4CP produced a social syndication to be distributed nationally. Social syndications are published in different publications simultaneously, in order to promote the same content on multiple sites.

    Support the Campaign: Save Lives. Stop Opioid Abuse. Choose Chiropractic.

    Sean Drake, DC, Highlights Value of Chiropractic for Athletes


    The F4CP® has recreated a patient education sheet (original source: about the utilization of prescription opioids, the potential side effects and how to spot overdose/ overmedication symptoms.


To view the Foundation for Chiropractic Progress® complete list of resources on the dangers of opioid prescription painkillers and the benefits of drug-free, alternative care, please visit To support ‘Save Lives. Stop Opioid Abuse. Choose Chiropractic.’ visit: and GIVE now.


The F4CP will be promoting its campaign via a multitude of social media platforms, including:

To join the F4CP in its social media efforts, please utilize the hashtag #StopOpioidAbuse in all of your postings. Additionally, the F4CP has implemented a new program entitled, ‘Social Media ACCELERATOR™’, which distributes weekly social media messaging to its members, who can share directly to their social media platforms. If you need assistance posting the provided content or setting up personalized social media platforms, please contact F4CP Marketing Director, Alexis Lignos, at


Social media management platforms, such as Hootsuite (, allow you to manage all of your social media pages in one place. When you have a busy practice, social media management systems are extremely helpful. Implementing a management system helps track social network channels, monitor what others are saying about your brand and connect all of your pages – Facebook, Twitter, YouTube, LinkedIn, etc. – under one roof.

To set up a Hootsuite account, the Foundation for Chiropractic Progress has created a step-by-step guide.

We all know social media is important – this is why we have taken the extra step to help you manage your social media pages. Hootsuite even allows you to schedule posts days in advance! We suggest you take one hour per week to schedule all of your posts for the upcoming week. This way, your social media accounts are maintained on a daily basis.

To view the complete guide, visit:


Prescribers should heed CDC guidelines and begin prescribing safer alternatives such as chiropractic care for chronic pain management.

Pharmaceutical manufacturers should institute more responsible marketing and physician education that will result in improved prescribing habits.

Hospital emergency rooms should evaluate their options for managing patients' pain without the use of opioid painkillers.

Payers and plan sponsors – both government and commercial – should make chiropractic care an accessible, affordable, option for chronic pain relief, with reimbursement of DCs as covered providers.

Chiropractic services should be expanded in the Department of Defense and veteran’s health care systems since neuro-musculoskeletal pain is one of the leading causes of disability in the active military and veteran populations.