After suffering a career-threatening injury, Alex Smith discloses his concerns regarding pain medication

Ann Wong
May 14, 2025
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alex smith raises pain medicine concerns after a career-threatening injury

Alex Smith, a former NFL quarterback, is well-versed in the harsh realities and hazards associated with professional football. Washington Commanders player Smith suffered a life-altering limb injury in 2018. The injury necessitated multiple interventions, including a spiral and compound fracture of his right tibia and fibula. However, the complications did not conclude there.

Smith was diagnosed with sepsis, a life-threatening infection response that often kills. He was inches from losing his leg. After nearly two years out, Smith miraculously returned to the field in 2020—one of the most incredible sports comebacks.

Although his on-field return was widely celebrated, the extent of the agony Smith experienced during his recovery is not widely recognized. Smith and his wife were confronted with the formidable challenge of managing his discomfort at home after his hospital discharge. Rescue medications were administered to them, and they were cautioned against their improper use, in addition to receiving a plethora of instructions. This responsibility was overwhelming.

Smith stated to CNN Sports, “The NFL joke is that everyone eventually gets injured.” “Pain becomes an ongoing presence.” It affects every aspect of your life, including your sleep, relationships, mentality, and rehabilitation.

He remembered experiencing severe pain, but he was hesitant to request respite due to the negative connotations associated with painkillers in the NFL. Smith stated that he had observed his colleagues battling addiction during his playing career, and the problem frequently persists after players retire. In order to manage the physical demands of the sport, numerous athletes develop a reliance on pain medication.

Alex Smith acknowledged that pain management was largely overlooked during his recuperation; however, he is buoyed by the sports community’s recent recognition of its importance. For example, the NFL Players Association has initiated the provision of guidance on the advantages and disadvantages of various pain management strategies.

Smith, 41, is currently retired and employing his voice to alter the narrative surrounding pain treatment. A topic that transcends the realm of sports. The ongoing opioid crisis is underscored by the fact that nearly 9 million Americans aged 12 and older misused opioids in 2023, as indicated by recent data.

Smith stated, “I have observed the negative aspects of this.” “I have experience with individuals who have struggled with addiction, and it is a terrifying experience.” When I was discharged from the hospital with opioid prescriptions, my wife and I were apprehensive. I was embarrassed to seek assistance with my pain due to my apprehension regarding the potential side effects of the medications. However, this is no longer the case.”

Alex Smith is currently advocating for a novel initiative that motivates individuals, particularly incoming NFL novices. To create personalized pain management plans. He wants people to understand their options and handle their pain.

“At that time, my options were restricted,” he stated. “If I had the opportunity to return, I would devise a comprehensive strategy—a pain game plan.” That would have been of immense assistance to me. I desire for others to engage in those discussions at an early stage. Thereby avoiding the dread and uncertainty that I encountered.”

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Smith is of the opinion that it is time to end the silence and eradicate the stigma associated with pain management. “We now possess superior instruments,” he stated. “Let’s use them.”

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Author Ann Wong

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