Layden Chiropractic Respects the Painful Spine with Evidence-Based Care
The spine merits respect. Layden Chiropractic respects all Plainville spines, those in good shape and those in not so good shape. When the spine hurts, it demands attention. The attention the hurting spine gets is not always respectful of the guidelines for its pain relief. That fact is getting notice in the medical research. Evidence based guidelines for a painful spine’s care are abundant, but they are not always followed. They are published but not always read or implemented. The spine deserves better. Your Plainville chiropractor respects the spine and matches its trouble to the best evidence-based protocol for its relief which is often times non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or beneficial for spine pain often provided even in Plainville? The American Pain Society and the American College of Physicians advocate spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy using joint mobilization techniques and flexion distraction is reported to be effective for low back pain relief. (2) Conservative treatment in the form of spinal manipulation should be tried by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction brings clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical approaches and outcomes differ from place to place for patients with the same condition. It invites standardization of care and the establishment of international guidelines based about what works best according to such evidence. (5) Layden Chiropractic agrees that published guidelines documenting what is best need to be respected.
CLINICAL REALITY
What is being done? A just published article that assessed the care of Canadian spine pain patients sent for spine surgery bluntly stated that “Surgeons do not use clinical practice guidelines before spine surgery.” What did they do? Prescribed medications to 74.2% of them 46.3% of whom got opioids. 61.1% of patients tried two or fewer non-surgical forms of treatment. The article suggests that if patients attempted to use evidence-based non-operative treatments before a spine surgery consultation, fewer would be referred and, in Canada, fewer would get worse as they have to wait so long to get to the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that resulted in increased complication risk without any improvement in disability or reoperation rates. (7) Layden Chiropractic offers Plainville chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.
MAKE A Plainville CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen, who advocates non-surgical care of back pain with chiropractic for less costly and unnecessary medical care.
Schedule a Plainville chiropractic consultation now with the Plainville spine specialist at Layden Chiropractic where your hurting spine is seen with respect and relieving care as evidence says is best.
