What expectations do you have of your
Lynchburg chiropractic care of back pain? That question is huge. Research
reports that it has a role in back pain treatment outcome whether that treatment is surgical or conservative. Palmer Chiropractic Center aims
to listen to you and your expectations of our Lynchburg back
pain treatment and share what our treatment’s outcomes have been in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A new research project examined
patient and surgeon expectations of back surgery. Patients expected complete
relief and improvement of their back pain after lumbar spine surgery. Surgeons
expected improvement that ranged from a little to a lot depending
on the patient and his/her specific condition. Can you guess whose expectations were met? The surgeons’
expectations. Two years after the back surgery, the outcomes
reported by patients met the surgeon’s expectations.
The researchers emphasized that effective communication about expectations
may well advance better outcomes. (1) That is
why Palmer Chiropractic Center spends time with each Lynchburg
back pain patient at the beginning of care, ensuring
that the source of pain and its treatment plan are well-described.
If not, ask us!
AN ACCEPTABLE SYMPTOM STATE
patient expectations are not met with back surgery,
what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or
without active discopathy), 54% reported having an acceptable symptom
state at 1 month of care. Specifically, patient-reported acceptable symptoms included: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for
disability, 10.0 for anxiety, and 6.7 for depression. (2) Palmer Chiropractic Center knows no pain is the preferred state and is ready to talk
with our Lynchburg chiropractic patients their options and potential
DECIDING ON TREATMENT OPTIONS
The question of back surgery is a big issue. Evidence-based medicine sees that the patient at the center of care. What is
the patient perspective of this care? How is the patient perspective taken
into consideration in treatment planning and decision making
among available options? A new paper pointed
out that the patient’s social, psychological, and other non-clinical
characteristics must be taken into account in planning care. (3)
One issue in the back-surgery decision that reportedly impacts
the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking
opioid use patients expected more complete improvement compared
with non-users. They also had higher
expectations of positive outcome than higher-dose opioid patients. (4) For many patients, the prospect of work is goal of back pain treatment which is encouraging
according to a new report on how back pain patient recovery
expectations affect clinical outcomes. A review of
60 studies found that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Palmer Chiropractic Center offers
effective, nonsurgical care of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and understood. Lynchburg chiropractic care keeps the back pain patient at its center.
CONTACT Palmer Chiropractic Center
Listen to this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he described how Cox®
Technic System of Spinal Pain Management and chiropractic treatment assisted
in the management of back pain for a patient who was adamant about not wanting back surgery.
Schedule your next Lynchburg
chiropractic visit soon. Palmer Chiropractic Center wants to know your answer to the question of your
expectations for our treatment so that we can both be happy
with the outcome!