Preston Chiropractic Healthy News - March 2018

 

CHOOSING WISELY (1) – WHAT TO DO ABOUT BACK PAIN

Healthcare professions are establishing recommendations for practitioners to adhere to when delivering health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Preston chiropractor at Chiropractic Associates is always ready for such a conversation about Preston back pain. Back pain is a big health concern upsetting 80% of us in Preston at some point in life. Back pain is managed by many types of physicians in many types of professional societies. Their societal recommendations are similar concerning imaging (Don’t order within the first 6 weeks of pain unless there are “red flags.”), testing non-surgical care ahead of imaging and/or referring for back surgery, and progressing the patient care from passive to active care. More specifically, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the response to the latter 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 see how the patient is responding, 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 usage 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 except if 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 using EMG studies to figure out the cause of spine pain, and not ordering advanced spinal imaging (ex MRI) within the first 6 weeks of non-specific acute low back pain with no red flags. (6) The Danish Health Authority recommends not referring patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain persists for 12 weeks despite non-surgical treatment. (7) It is up to you, the Preston back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Use these professions’ recommendations for back pain care to start a conversation with your Preston chiropractor, your Preston back pain specialist, at Chiropractic Associates as you choose the type of care proper for your Preston back pain relief.

Listen to this PODCAST from the Back Doctors' Podcast series about two cases of back pain helped with Cox Technic, one with imaging and all sorts of care and the second case without any imaging studies.

 
 

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

Common Preston non-surgical interventions for Preston 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 Preston back surgery is spinal manipulation (10) of which 90% (11) is done by chiropractors. The Cox Technic System of Spine Carespinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with increased active care importance as pain decreases – fits Choosing Wisely recommendations as it seeks 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 in absence of red flags. Bring your Preston back pain to your Preston chiropractor’s office! Make it your first Preston back pain relief healthcare stop!

CONTACT Chiropractic Associates

Schedule your next Preston chiropractic visit today. Chiropractic Associates anticipates helping you choose the next best step toward back pain relief.

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