Plainville Chiropractic Healthy News - March 2018

Healthcare professions are establishing recommendations for practitioners to abide by when dispensing health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Plainville chiropractor at Layden Chiropractic is always ready for such a conversation about Plainville back pain. Back pain is a huge health issue affecting 80% of us in Plainville at some point in life. Back pain is handled by many kinds of physicians in many types of professional societies. Their societal recommendations are related regarding imaging (Do not order within the first six weeks of pain except if there are “red flags.”), attempting non-surgical care before imaging and/or referring for back surgery, and shifting the patient care from passive to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the response to the last one and not prescribing opioid drugs for acute disabling low back pain without assessment and a test of other alternatives. (2) The American Chiropractic Association recommends not ordering repeat imaging to monitor progress of care, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless there are red flags, and staying away from long term use of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends sidestepping lumbar spine imaging in non-traumatic back pain unless there are severe or progressive neurological deficits or a suspicion of an underlying condition. (4) The American College of Physicians recommends not obtaining imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not advocating bed rest for more than 48 hours for low back pain, not ordering EMG studies to establish the cause of spine pain, and not getting advanced spinal imaging (ex MRI) within the first 6 weeks of non-specific acute low back pain without red flags. (6) The Danish Health Authority recommends not referring patients for back surgery for a lumbar disc herniation with radiculopathy except if the severe and debilitating back pain persists for 12 weeks in spite of non-surgical treatment. (7) It’s up to you, the Plainville back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Use these professions’ recommendations for back pain care to guide a conversation with your Plainville chiropractor, your Plainville back pain specialist, at Layden Chiropractic as you choose the type of care suitable for your Plainville back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for Plainville Back Pain

Common Plainville non-surgical interventions for Plainville back pain relief are pain medications, exercise, manual manipulation, massage, and heat/ice. (8, 9) Included in the top non-surgical interventions to try before Plainville back surgery is spinal manipulation (10) of which 90% (11) is performed by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more active care emphasis as pain reduces – matches Choosing Wisely recommendations as it works toward 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function sought by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your Plainville back pain to your Plainville chiropractor’s office! Make it your first Plainville back pain relief healthcare stop!