Plainville Chiropractic Healthy News - March 2018

Healthcare professions are establishing recommendations for practitioners to follow when delivering health care in hopes of opening 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 upsetting 80% of us in Plainville at some point in life. Back pain is managed by many sorts of physicians in many types of specialist societies. Their societal recommendations are related regarding imaging (Don’t do within the first 6 weeks of pain except if there are “red flags.”), trying non-surgical care before imaging and/or referring for back surgery, and progressing the patient care from passive to active care. More precisely, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction to the latter one and not prescribing opioid drugs for acute disabling low back pain without assessment and a trial 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 avoiding lumbar spine imaging in non-traumatic back pain except if there are severe or progressive neurological deficits or a suspicion of an underlying issue. (4) The American College of Physicians recommends not getting 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 determine the cause of spine pain, and not doing advanced spinal imaging (ex MRI) within the first 6 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 notwithstanding non-surgical treatment. (7) It is 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 begin a conversation with your Plainville chiropractor, your Plainville back pain specialist, at Layden Chiropractic as you choose the type of care proper 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 delivered 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 decreases – 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 sought by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your Plainville back pain to Layden Chiropractic! Make it your first Plainville back pain relief healthcare stop!