Lynchburg Chiropractic Healthy News - March 2018

 

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

Every profession is setting forth recommendations for practitioners to adhere to when dispensing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Lynchburg chiropractor at Palmer Chiropractic Center is always ready for such a conversation about Lynchburg back pain. Back pain is a huge health concern affecting 80% of us in Lynchburg at some point in life. Back pain is dealt with by many sorts of physicians in many kinds of specialist societies. Their societal recommendations are comparable concerning imaging (Do not do within the first 6 weeks of pain unless there are “red flags.”), testing non-surgical care ahead of imaging and/or referring for back surgery, and progressing the patient care from passive to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the response 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 see how the patient is responding, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, and staying away from long term usage of passive care but instead shift the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding lumbar spine imaging in non-traumatic back pain unless 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 figure out the cause of spine pain, and not getting advanced spinal imaging (ex MRI) within the first six weeks of non-specific acute low back pain with no 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’s up to you, the Lynchburg back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Use these professions’ recommendations for back pain care to guide a conversation with your Lynchburg chiropractor, your Lynchburg back pain specialist, at Palmer Chiropractic Center as you choose the type of care appropriate for your Lynchburg 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 Lynchburg Back Pain

Common Lynchburg non-surgical interventions for Lynchburg 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 Lynchburg 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 decreases – matches Choosing Wisely recommendations as it works toward 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 in absence of red flags. Bring your Lynchburg back pain to Palmer Chiropractic Center! Make it your first Lynchburg back pain relief healthcare stop!

CONTACT Palmer Chiropractic Center

Schedule your next Lynchburg chiropractic visit today. Palmer Chiropractic Center anticipates helping you choose the next best step toward back pain relief.

Thank you for letting us care for you, your family, and friends!

 
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