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Hier ist die Aufrechterhaltung der Aktivit\u00e4t und die Bewegungstherapie zentral f\u00fcr die Therapie. Beim Einsatz von Opioiden verh\u00e4lt es sich \u00e4hnlich. Opioide sind potente Medikamente zur kurzfristigen Schmerztherapie. Langzeitanwendung kann die Schmerzen verst\u00e4rken und St\u00f6rungen im Hormonhaushalt mit Einschr\u00e4nkungen der Lebensqualit\u00e4t und Libido bewirken. Ausserdem haben Opioide ein Gew\u00f6hnungs- und Suchtpotenzial. 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