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Preston Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

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.

	Chiropractic Associates welcomes Preston back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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