Emergency room physicians are trying
to figure out what is optimal to do for back pain
patients who choose the ER for help. It’s a dilemma
for them, especially since almost 3 million such
patients with undifferentiated musculoskeletal low back pain visit the emergency room for help annually! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. What
can a Preston ER do?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the Preston chiropractic back pain specialist offer?
Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.
EMERGENCY ROOM: IMAGING
The ER does a lot of
imaging. One in 3 patients who visit the emergency department
for back pain (compared to 1 in 4 who seek care
from a primary care physician) gets imaging performed:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
don’t support this as they say to hold off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are letting the ER doctors know that they have been using
such care already? Not likely as only 34% of
patients who go to an ER tell the emergency department
physician that they use healthcare options like chiropractors,
massage therapy, acupuncture and the like. (5) What about the pain?
EMERGENCY ROOM: MEDICATIONS
Relief for the pain is what they focus on. Researchers have looked at
a variety of pain medication combinations ER doctors have used
to figure out what works best. What have
they found? Stronger pain medication options don’t
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen doesn’t appear to up
function or pain any more than placebo plus ibuprofen within a week
after an ED visit for acute low back pain. (6,7) Mixing
ibuprofen and acetaminophen didn’t reduce pain
scores or the need for other analgesic pain meds compared with either ibuprofen
or acetaminophen alone for emergency room patients with acute
musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients
who go to an ER for their back pain still
had functional impairment 3 months later as well as
42% said they had moderate or severe pain. 46% report using some type of analgesic pain reliever in the day prior. There are short and long-term problems for ER patients
with low back pain. (1) This might be frustrating for emergency
department physicians and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
Preston chiropractic back pain specialist at Chiropractic Associates is
prepared with the best of chiropractic care for
Preston back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Preston chiropractor understands.
Familiarity with chiropractic spinal manipulation via
The Cox® Technic System of Spinal Pain Management with the addition of
nutrition like chondroitin sulfate, glucosamine sulfate and curcurmin and
turmeric supports your Preston chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Preston
back pain patients is promising.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who describes
the role of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Chiropractic Associates
Schedule a Preston chiropractic visit
with Chiropractic Associates especially if an emergency department visit
has not resulted in the pain relief you hoped.
Preston chiropractic care has shared a well-documented
and researched way to manage back pain.