Episode 219: Chronic Pain and Functionality in Cancer Survivors. Shivam Patel (OMS III) explains how to approach chronic pain in a cancer survivor. He explains the importance of looking into multiple causes out of the traditional musculoskeletal systems to prescribe a more effective treatment which includes rehabilitation in many cases. Dr. Arreaza emphasizes that opioids are not the first-line treatment for chronic musculoskeletal pain. Written by Shivam Patel, OMS III, Western University of Health Sciences. Comments by Hector Arreazaa, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.