Plainville Chiropractics Role in Back Pain Guidelines

Guidelines and recommendations for so many things from how to properly change a light bulb to appropriately decide on whether to do back surgery fill our daily lives. Guidelines are valued by people confronting a new challenge or a new pain for the first time. Guidelines for the care of back pain have been published for years, many listing non-surgical care including spinal manipulation as first line treatment. Just how well are those guidelines followed by relevant healthcare providers, by back pain patients? Layden Chiropractic found these recent reports attention-getting and thought our Plainville chiropractic patients would, also. We can all use them to create and go along with a guideline-based treatment plan.

BACK PAIN TREATMENT GUIDELINES

Your Plainville chiropractor is aware of the current guidelines to best assist you, our Plainville back pain patient. Back in 2009, the American College of Physicians listed spinal manipulation in its guidelines’ recommendations of appropriate spinal pain care choices. (1) Layden Chiropractic uses the well-documented Cox® Technic System of Spinal Pain Management which has a published algorithm of decision-making for patients suffering pain below the knee and patients with pain that doesn’t go below the knee with a goal of 50% improvement in 30 days or so of care. These guidelines were released in 1996 and have been tested in clinic-based data collections in the years since. (2) Such guidelines with research support and proper clinical application build confidence that there is hope to our Plainville chiropractic patients!

ARE GUIDELINES BEING FOLLOWED?

We hope so! Nearly 64% of chiropractors say they use (Cox®) flexion distraction with their spine pain patients and have the algorithm/guideline accessible to them. Layden Chiropractic is one of those chiropractors. Beyond chiropractic, broad guidelines for back pain care are also accessible. Are they followed? A newly completed review of chiropractic and OT/PT use among 146,087 adults with low back pain in the past 3 months found that chiropractic care or OT/PT care for low back pain increased after clinical guidelines recommending their care were announced in 2016. Between 2002 and 2018, a little less than a third of said adults with low back pain said that they were getting chiropractic and/or PT/OT with an increase to a third after the 2016 clinical guidelines were published. (3) This does show that guidelines help with treatment direction but are not always followed. In Denmark where guidelines for low back pain care are defined for primary care before referral found that 33% of patients had not undergone an adequate course of treatment in primary care before referral. The patients were on average 53 years old with nearly 50% of them saying that they’d had pain for over a year, and 75% reporting pain below the knee. (4) Struggles in the healthcare system to follow guidelines are seemingly global.

CHIROPRACTIC’S ROLE

A group of chiropractic leaders shared their thoughts on the role of the chiropractor in his/her own practice, with his/her own patients, within the healthcare community, and within society for healthcare. Quite interesting! Individually, chiropractors described themselves as capable and well-educated spine and musculoskeletal care experts who provided evidence-based care founded on the current research, clinical expertise, and patient values. They provided patient-centered care that spreads to cooperating with other healthcare providers with the best interest of the patient in mind. (5) Using guidelines, chiropractors are sure that they can help their back pain patients with their best interests in mind.

CONTACT Layden Chiropractic

Listen to this PODCAST with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates his use of The Cox® Technic System of Spinal Pain Management to help a patient dealing with back pain and foot drop.

Make your Plainville chiropractic appointment soon. Facing a serious bout of back pain is certainly not comparable to changing a light bulb for the first time, but it is comforting to know that there are published guidelines to navigate the way through the task! 

 
Plainville chiropractic guidelines to manage back pain today and tomorrow 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."