^ Unfortunately in recent years, a good number of folks who use/get addicted to heroin had previously never been a recreational drug user but rather were prescribed opioids for back, neck, and other chronic pain. Apparently, that's why there's an epidemic. So, folks prescribed pain pills for back and other pain need to be very wary and to try not to take them unless they can't stand the pain/only take them no more than occasionally/keep dosages low if at all possible. If there's anything else one can do to alleviate the pain, by all means go that route including surgery, epidural steroidal injections, hot/cold compresses, chiropractor, acupuncture, massages, TENS etc. Fortunately, many folks don't like how pain pills make them feel/side effects and have no problem avoiding taking many or even any of them. They aren't the problem. The ones who do like the feeling (in addition to the pain relief) too much are those who are most vulnerable to getting addicted and then later using heroin.