Of course. He just warned that it was just enough to rupture blood vessels but not noticeable in one’s stool.
The tough part is that there are so few remedies for pain, and the medical business responded to the relatively small number of opioid abusers (vs. the much larger number of legitimate users) by making it virtually impossible for those in chronic pain to obtain something that can be effective with minimal downsides when used responsibly. I know of people who used it for years in just that manner.