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Based on the BMJ Group Press Release
Gabapentin and the Growing Concern
What You Need to Know About Its Link to Cognitive Decline
For years, gabapentin has been prescribed as a safer alternative to opioids for managing chronic nerve-related pain, especially in conditions like sciatica or persistent low back pain. But new research is raising serious concerns about its long-term impact on brain health.
A large-scale study published in Regional Anesthesia & Pain Medicine found a troubling link between long-term gabapentin use and a significantly higher risk of dementia and mild cognitive impairment (MCI).
Let’s break down what this means—and what safer, natural solutions may be available for those seeking relief from chronic back pain.
Key Findings from the Study
Researchers reviewed medical records from over 52,000 adult patients treated for chronic low back pain between 2004 and 2024. Their goal? To understand whether gabapentin, often thought to be a low-risk option, could be contributing to cognitive decline.
Here’s what they discovered:
- Patients who received six or more prescriptions of gabapentin were:
- 29% more likely to develop dementia
- 85% more likely to develop MCI within 10 years
- Alarmingly, in younger adults (ages 35–49):
- Risk of dementia more than doubled
- Risk of MCI more than tripled
- Risk increased with prescription frequency:
- 12 or more prescriptions correlated with a 40% increased risk of dementia
Although the study is observational—meaning it doesn’t prove cause and effect—the scale and patterns are hard to ignore.
Why This Matters
Gabapentin became popular for its low addiction potential compared to opioids. But the growing evidence suggests it may carry its own long-term risks, especially when used over time and in higher doses.
The real concern? Many adults are prescribed gabapentin for chronic musculoskeletal pain without being fully informed of the potential neurological consequences.
A Smarter Approach to Back Pain
At Broomall Total Health Center, we focus on root-cause solutions that support both the body and the brain.
As a chiropractor specializing in structural correction and functional wellness, I believe in providing care that helps restore natural alignment, improve nerve function, and reduce inflammation, without the risks associated with long-term medication use.
We offer a comprehensive range of non-invasive options, including:
- Spinal decompression
- Advanced chiropractic adjustments
- Neuromuscular therapies
- Rehabilitative exercise programs
- Lifestyle and nutrition guidance
These treatments not only relieve pain but also help patients regain strength, balance, and clarity, without compromising cognitive health.
What Should You Do If You’re on Gabapentin?
If you’re currently taking gabapentin for back pain or nerve-related issues, don’t panic—but do stay informed:
- Speak with your prescribing doctor about the findings and review your treatment plan.
- Consider a second opinion to explore alternatives that address the cause of your pain, not just the symptoms.
- Book a consultation at our clinic to discuss safe, drug-free treatment options tailored to your condition.
The Bottom Line
This new research is a powerful reminder that the choices we make to manage pain today can significantly impact our health in the years ahead. While gabapentin may still have a place in some instances, for many, there are safer, more holistic options worth exploring.
If you’re ready to break free from chronic pain without compromising your brain health, we’re here to help.
Call us at 610-353-2220 to schedule your appointment and get started on your path to lasting relief—naturally.