The Role of Physical Therapy in Opioid Use Disorder (OUD) Recovery

How Physical Therapy Supports Opioid Use Disorder

Opioid Use Disorder (OUD) is a chronic medical condition that affects millions of individuals in the U.S., often beginning with prescription opioids for pain management. Over time, dependence on opioids can lead to significant physical, psychological, and social consequences. While Medication-Assisted Treatment (MAT) and behavioral therapies are widely recognized as the foundation of effective OUD treatment, physical therapy (PT) is emerging as a powerful, non-pharmacological tool to support recovery.

At New Heights Recovery, we integrate physical therapy into our Addiction Program, Partial Hospitalization Program, Intensive Outpatient Program, and Addiction Treatment Program to help clients rebuild strength, improve mobility, and manage pain without relying on opioids. Our holistic approach ensures that clients not only overcome addiction but also regain their physical health and independence.

The Physical Toll of Opioid Use Disorder

Opioids, including prescription painkillers (oxycodone, morphine, hydrocodone) and illicit drugs like heroin and fentanyl, are highly addictive substances that alter brain chemistry. They are often prescribed for chronic pain but can lead to physical dependence and withdrawal symptoms when stopped.

Beyond their effects on the brain, opioids also impact the musculoskeletal, cardiovascular, and nervous systems, leading to long-term physical health challenges.

Common Physical Issues Associated with OUD:

  1. Chronic Pain and Opioid-Induced Hyperalgesia
    • Opioids can make individuals more sensitive to pain over time, a condition known as opioid-induced hyperalgesia.
    • As tolerance builds, opioids become less effective, leading to increased dosages and a higher risk of dependence.
  2. Muscle Weakness and Atrophy
    • Long-term opioid use contributes to muscle loss and reduced strength, making everyday movements difficult.
    • Many individuals with OUD experience joint stiffness and decreased mobility due to a sedentary lifestyle during active addiction.
  3. Poor Posture and Movement Dysfunction
    • Many people develop postural imbalances due to prolonged opioid use and lack of regular movement.
    • This can lead to back pain, joint misalignment, and difficulty performing daily activities.
  4. Cardiovascular and Respiratory Decline
    • Opioids suppress the respiratory system, leading to shortness of breath, decreased stamina, and cardiovascular issues.
  5. Withdrawal-Related Muscle Pain and Fatigue
    • Opioid withdrawal symptoms often include muscle aches, joint pain, restlessness, and nerve pain.
    • These symptoms can be intense and discouraging, making it difficult for individuals to stay committed to their recovery journey.

How Physical Therapy Supports Opioid Use Disorder Recovery

Physical therapy is an evidence-based, non-drug pain management solution that helps individuals with OUD recover both physically and mentally. It provides a natural alternative to opioids by improving mobility, reducing pain, and strengthening muscles.

Key Benefits of Physical Therapy in OUD Treatment

1. Non-Pharmacological Pain Management

Many individuals with OUD initially began opioid use due to chronic pain. Physical therapy offers alternative methods for pain relief, including:

  • Manual Therapy – Hands-on techniques such as joint mobilization and massage therapy help reduce pain and stiffness.
  • Therapeutic Exercise – Strengthening and flexibility exercises improve movement and reduce pain without medication.
  • Posture and Ergonomic Training – Helps individuals improve movement efficiency and avoid pain caused by poor posture.

2. Strengthening and Restoring Muscle Function

Long-term opioid use leads to muscle weakness, reduced coordination, and joint stiffness.

  • Resistance Training helps rebuild muscle strength and prevents long-term mobility issues.
  • Stretching and Range-of-Motion Exercises improve flexibility and reduce stiffness caused by a sedentary lifestyle.

3. Easing Withdrawal Symptoms

Physical therapy techniques can help manage withdrawal symptoms naturally, including:

  • Hydrotherapy (Water-Based Therapy) – Relieves joint and muscle pain with low-impact exercises in warm water.
  • Breathing and Relaxation Techniques – Helps reduce restlessness, muscle cramps, and anxiety.
  • Mindfulness-Based Movement (Yoga & Tai Chi) – Enhances physical relaxation and reduces stress during withdrawal.

4. Reducing the Risk of Relapse

  • Exercise and physical activity stimulate endorphin production, which helps improve mood and naturally reduces cravings.
  • Research shows that individuals who engage in regular physical activity are more likely to remain in recovery and less likely to relapse.
  • Physical activity helps individuals reconnect with their bodies, increasing self-awareness and self-confidence in recovery.

5. Enhancing Emotional and Mental Well-Being

Opioid addiction often leads to co-occurring mental health conditions, including anxiety, depression, and PTSD.

  • Exercise and movement therapy have been shown to reduce symptoms of depression by up to 50%.
  • Physical therapy improves sleep quality, which is often disrupted during opioid withdrawal.
  • Engaging in structured physical activity helps reduce stress and improve overall emotional resilience.

Physical Therapy Techniques Used in OUD Recovery

At New Heights Recovery, we offer customized physical therapy programs tailored to each client’s unique needs. Our therapists focus on safe, structured exercises that promote healing and prevent injury.

1. Strength Training & Resistance Exercises

  • Helps rebuild muscle mass and improve physical endurance.
  • Reduces joint pain and enhances balance and coordination.

2. Manual Therapy & Massage Therapy

  • Reduces tension, stiffness, and chronic pain caused by opioid use.
  • Increases circulation and flexibility to promote healing.

3. Hydrotherapy (Aquatic Therapy)

  • Warm water therapy provides pain relief and improves movement.
  • Ideal for individuals with chronic joint pain and stiffness.

4. Yoga and Tai Chi

  • Incorporates mindfulness, stretching, and controlled breathing to promote relaxation.
  • Improves flexibility, core strength, and emotional stability.

5. Postural Correction and Mobility Training

  • Addresses movement dysfunctions and poor posture caused by opioid use.
  • Helps individuals regain independence in daily activities.

Opioid-Related Physical Health Issues

Integrating Physical Therapy into OUD Treatment at New Heights Recovery

At New Heights Recovery, we take a whole-person approach to addiction treatment. Physical therapy is integrated into our structured addiction treatment programs, ensuring clients receive comprehensive support at every stage of recovery.

1. Partial Hospitalization Program (PHP)

  • Includes daily therapy sessions, medical support, and physical therapy treatments.
  • Helps individuals transition from inpatient detox to structured recovery.

2. Intensive Outpatient Program (IOP)

  • Offers flexibility for individuals balancing treatment with daily responsibilities.
  • Incorporates PT exercises for ongoing pain management and mobility improvement.

3. Mental Health Treatment

  • Addresses co-occurring disorders such as depression and anxiety.
  • Uses PT techniques to support emotional well-being.

4. Substance Abuse Treatment & MAT

  • Combines MAT with physical therapy to reduce cravings and improve overall health.

Take the First Step Toward Recovery with New Heights Recovery

If you or a loved one is struggling with Opioid Use Disorder, recovery is possible. At New Heights Recovery, we provide personalized, evidence-based treatment programs that include physical therapy, Medication-Assisted Treatment (MAT), behavioral therapy, and holistic wellness approaches.

Call us at (614) 858-8826 or contact New Heights Recovery today to learn more about our Addiction Program, PHP, IOP, and Substance Abuse Treatment options. Let us help you regain your strength, health, and freedom from addiction.

FAQs on Physical Therapy Supports Opioid Use Disorder

How does physical therapy help with opioid addiction recovery?

Physical therapy provides non-opioid pain relief, restores mobility, and improves overall physical and mental well-being, making it a valuable part of opioid addiction treatment.

Can physical therapy help with opioid withdrawal symptoms?

Yes, physical therapy can help manage withdrawal-related muscle aches, stiffness, and restlessness through stretching, relaxation techniques, and low-impact exercises.

What are the benefits of physical therapy in opioid recovery?

Physical therapy enhances strength, flexibility, and posture, reduces chronic pain, and promotes mental well-being, lowering the risk of relapse.

What types of physical therapy are used in addiction treatment?

Common techniques include strength training, manual therapy, hydrotherapy, yoga, posture correction, and breathing exercises to support recovery.

How does physical therapy reduce relapse risks?

Exercise and movement therapy stimulate endorphins, which naturally improve mood, reduce stress, and help prevent relapse.

Can physical therapy be combined with Medication-Assisted Treatment (MAT)?

Yes, physical therapy is an excellent complement to MAT, as it helps manage pain without opioids and supports overall recovery.

Who should consider physical therapy in their OUD recovery plan?

Individuals experiencing chronic pain, muscle weakness, joint stiffness, or mobility issues due to opioid use can greatly benefit from physical therapy.

How long does physical therapy last in addiction treatment?

The duration varies depending on individual needs, but most clients incorporate physical therapy throughout their recovery journey.