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---
title: 25% of People With Sprained Ankles Were Prescribed Opioids
description: A new study says doctors prescribed opioids to 25% of people who were treated for sprained ankles between 2011 and 2015.
canonical: https://time.com/5351906/opioid-prescriptions-sprained-ankles/
author: Jamie Ducharme
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article:content_tier: free
article:published_time: 2018-07-28T16:33:48.000Z
article:modified_time: 2023-12-12T18:28:59.000Z
article:section: Health
og:title: A New Study Shows Just How Often Docs Prescribe Opioids
og:description: Even for sprained ankles
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og:image:alt: Oxycodone narcotic pain reliever
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twitter:title: A New Study Shows Just How Often Docs Prescribe Opioids
twitter:description: Even for sprained ankles
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt342f8a0eca4297bd/6989368e22fb857767e264a9/oxycodone.jpeg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# A New Study Shows Just How Much Doctors Prescribe Opioids

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by 

[Jamie Ducharme](https://time.com/author/jamie-ducharme/)


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## Jamie Ducharme


Ducharme is a contributor to TIME.

Updated: Dec 12, 2023 6:28 PM UTCPublished: Jul 28, 2018 4:33 PM UTC

![Oxycodone narcotic pain reliever](https://static.time.com/v3/assets/bltea6093859af6183b/blt342f8a0eca4297bd/6989368e22fb857767e264a9/oxycodone.jpeg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Oxycodone pills.

Oxycodone pills. Education Images—UIG via Getty Images

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by 

[Jamie Ducharme](https://time.com/author/jamie-ducharme/)


![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=96&quality=75&auto=webp)

## Jamie Ducharme


Ducharme is a contributor to TIME.

Updated: Dec 12, 2023 6:28 PM UTCPublished: Jul 28, 2018 4:33 PM UTC

After years of rising use, [federal data suggests](https://www.cdc.gov/mmwr/volumes/66/wr/mm6626a4.htm?s%5Fcid=mm6626a4%5Fw) that opioid prescriptions are beginning to drop off in the U.S., perhaps in an effort to curtail a [substance abuse epidemic that continues to get worse](http://time.com/5187886/opioid-overdose-rates/).

But new research suggests that many doctors are still prescribing these powerful drugs — even for relatively minor injuries.

In fact, a quarter of patients treated for ankle sprains between 2011 and 2015 left the hospital with an opioid prescription, [according to a paper](https://www.sciencedirect.com/science/article/pii/S0196064418304980#!) published in the _Annals of Emergency Medicine._ 

To reach that finding, University of Pennsylvania researchers analyzed private insurance claims filed by almost 31,000 patients who had been treated in an emergency room for a sprained ankle. All of these patients were older than 18, and none had filled an opioid prescription during the prior six months.

Overall, 25.1% of these patients received an opioid prescription, the researchers found. The average opioid prescription was relatively low-dose and supplied about 15 pills, or enough for three days, but a small number received prescriptions equivalent to more than 30 tablets of mid-strength oxycodone — which the [Drug Enforcement Administration says](https://www.dea.gov/druginfo/ds.shtml) has “high potential for abuse.”

Almost 5% of patients in the study who received prescriptions of this strength progressed to prolonged opioid use, compared to about 1% of patients who were written more moderate prescriptions and 0.5% of individuals who did not get an opioid prescription, the paper says.


Prescription habits also varied widely from state to state, the researchers found: In Arkansas, for example, 40% of patients walked away with opioid prescriptions, compared to almost 3% of people in North Dakota.

The paper also notes that overall prescription rates dropped during the study period, from 28% of patients in 2011 to 20.4% in 2015\. In 2016, a year after the research period ended, the Centers for Disease Control and Prevention [issued new, stricter guidelines](http://time.com/4259639/cdc-federal-government-national-standards-prescription-painkillers/) for prescribers. And in 2017, [CVS pharmacy began limiting access to opioids](http://time.com/4952176/cvs-pharmacy-opioid-epidemic/).

The study, which was in part funded by the National Institute on Drug Abuse (NIDA), is the latest to demonstrate how [doctor-prescribed opioids can contribute to long-term substance use](http://time.com/4675325/doctors-opioid-epidemic/). An estimated 80% of people who eventually use heroin first misused prescription drugs, [according to NIDA](https://www.drugabuse.gov/publications/research-reports/relationship-between-prescription-drug-heroin-abuse/prescription-opioid-use-risk-factor-heroin-use).

Despite the prevalence of opioid medications, however, research suggests that [over-the-counter painkillers are just as effective](http://time.com/5012393/non-opioid-pain-relievers-just-as-effective-as-opioids/) for most injuries, and that many [Americans would prefer to treat pain without drugs](http://time.com/4936193/pain-relief-opioids/?iid=sr-link5).

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