Plymouth Chiropractic Healthy News - March 2018

 

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

Every profession is setting forth recommendations for practitioners to follow when providing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Plymouth chiropractor at Atiyeh Chiropractic and Functional Neurology is always ready for such a conversation about Plymouth back pain. Back pain is a huge health concern affecting 80% of us in Plymouth at some point in life. Back pain is managed by many types of physicians in many kinds of professional societies. Their societal recommendations are comparable regarding imaging (Don’t do in the first six weeks of pain except if there are “red flags.”), testing non-surgical care before imaging and/or referring for back surgery, and moving the patient care from passive care 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 performing 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 avoiding long term use of passive care but instead shift 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 ordering 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 establish the cause of spine pain, and not getting advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain devoid of 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 continues for 12 weeks regardless of non-surgical treatment. (7) It is up to you, the Plymouth back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Consider these professions’ recommendations for back pain care to start a conversation with your Plymouth chiropractor, your Plymouth back pain specialist, at Atiyeh Chiropractic and Functional Neurology as you choose the type of care suitable for your Plymouth 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 Plymouth Back Pain

Common Plymouth non-surgical interventions for Plymouth 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 Plymouth 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 reduces – matches 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 pursued by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your Plymouth back pain to Atiyeh Chiropractic and Functional Neurology! Make it your first Plymouth back pain relief healthcare stop!

CONTACT Atiyeh Chiropractic and Functional Neurology

Schedule your next Plymouth chiropractic visit today. Atiyeh Chiropractic and Functional Neurology looks forward to helping you choose the next best step toward back pain relief.

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