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

Emergency room physicians are working on figuring out what is best to do for back pain patients who come to the ER for help. It is a quandry for them, particularly since nearly 3 million such patients with undifferentiated musculoskeletal low back pain choose 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 Plainville ER do? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the Plainville chiropractic back pain specialist provide? Spinal manipulation and nutrients. Chiropractic has published about successful management of back pain.

EMERGENCY ROOM: IMAGING

The ER orders a lot of imaging. One in 3 patients who go to the emergency room for back pain (compared to 1 in 4 who seek care from a primary care physician) has imaging ordered: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines don’t support this as they recommend holding 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 under such care already? Not likely since only 34% of patients who go to an ER tell the emergency department physician that they get 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 all sorts of pain medication combinations ER doctors have used to figure out what works best. What have they discovered? Stronger pain medication options do not offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen doesn’t appear to improve function or pain any more than placebo plus ibuprofen within a week after an ED visit for acute low back pain. (6,7) Combining ibuprofen and acetaminophen did not 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 visit an emergency room for their back pain continued to experience functional impairment 3 months later as well as 42% reported moderate or severe pain. 46% say they’ve used some type of analgesic pain reliever in the last day. There are short and long-term problems for ER patients with low back pain. (1) This might be frustrating for emergency department docs and their patients but not always for chiropractors and their chiropractic back pain patients. The Plainville chiropractic back pain specialist at Layden Chiropractic is equipped with the best of chiropractic care for Plainville back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Plainville chiropractor gets it. Skill 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 boosts your Plainville chiropractor’s confidence that back pain relief and management for many otherwise frustrated Plainville 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 goal of the primary spine physician who would be the physician to turn to for back pain issues.

CONTACT Layden Chiropractic

Schedule a Plainville chiropractic appointment with Layden Chiropractic especially if an ER trip has not produced the pain relief you wanted. Plainville chiropractic care has figured out a well-documented and researched way to manage back pain.

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