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

Emergency room physicians are working on figuring out what is optimal to offer back pain patients who come to the ER for help. It’s a dilemma for them, particularly since nearly 3 million such patients with undifferentiated musculoskeletal low back pain go to the emergency room for help each year! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a Lynchburg ER doc help? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the Lynchburg chiropractic back pain specialist provide? Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.

EMERGENCY ROOM: IMAGING

The ER orders plenty of imaging. One in 3 patients who visit the emergency department for back pain (compared to 1 in 4 who go to a primary care physician) has imaging performed: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations don’t support this as they recommend holding off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are telling ER doctors that they have been using such care already? Not likely as only 34% of patients who go to an ER share with the emergency department physician that they use healthcare options like chiropractors, massage therapy, acupuncture and the like. (5) What about the pain?

EMERGENCY ROOM: MEDICATIONS

Pain relief, it seems, is what they can offer. Researchers have studied a variety of pain medication combinations ER doctors have used to figure out what is effective. What have they discovered? Stronger pain medication options do not offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen does not appear to up function or pain any more than placebo plus ibuprofen within a week after an ED visit for acute low back pain. (6,7) Mixing 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 go to 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% report using some type of analgesic pain reliever in the day prior. There are short and long-term problems for ER patients with low back pain. (1) This may all be frustrating for ER docs and their patients but not always for chiropractors and their chiropractic back pain patients. The Lynchburg chiropractic back pain specialist at Palmer Chiropractic Center is equipped with the best of chiropractic care for Lynchburg back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Lynchburg chiropractor understands. Experience 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 Lynchburg chiropractor’s confidence that back pain relief and management for many otherwise frustrated Lynchburg back pain patients is possible.

Listen to this PODCAST with Dr. Michael Schneider on The Back Doctors Podcast with Dr. Michael Johnson who shares the role of the primary spine physician who would be the physician to turn to for back pain issues.

CONTACT Palmer Chiropractic Center

Schedule a Lynchburg chiropractic visit with Palmer Chiropractic Center especially if an ER visit has not resulted in the pain relief you wanted. Lynchburg chiropractic care has shared a well-documented and researched way to manage back pain.

	Palmer Chiropractic Center invites Lynchburg back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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