Music as an Adjunct to Opioid-Based Analgesia

UMMS Affiliation

Department of Emergency Medicine, Division of Medical Toxicology

Publication Date


Document Type



Anesthesia and Analgesia | Behavioral Medicine | Emergency Medicine | Health Information Technology | Medical Toxicology | Pain Management | Rehabilitation and Therapy | Therapeutics


Epidemic increases in opioid use in the USA and globally highlight the need for effective adjunctive therapies to opioid-based analgesia. Given the shortcomings of behavioral adjuncts to opioid-based pain treatment, an urgent need exists for pain-related behavioral interventions that resonate with broad patient populations, can be delivered confidentially in any environment, and can incorporate new content automatically. Understanding the potential for automated behavioral therapies like music therapy in modulating the experience of pain may unlock methods to transition patients to lower doses of pharmacologic therapy or provide alternatives to opioids during acute exacerbations of pain. This manuscript describes the neurologic mechanism of action, theoretical basis, and potential applications of personalized music as a smartphone-based mHealth intervention for acute and chronic pain management.


Music, Opioids, Pain, mHealth, Behavioral medicine, UMCCTS funding

DOI of Published Version



J. Med. Toxicol. (2017) 13:249–254. doi: 10.1007/s13181-017-0621-9. Link to article on publisher's site

Journal/Book/Conference Title

Journal of medical toxicology : official journal of the American College of Medical Toxicology

Related Resources

Link to Article in PubMed

PubMed ID