The spine deserves respect. Palmer Chiropractic Center
respects all Lynchburg spines, those healthy and those hurting. When the spine hurts, it demands
attention. The attention the hurting spine gets isn’t always
respectful of the guidelines for its pain relief. That fact is receiving
notice in the medical research. Evidence based guidelines for a painful spine’s
care are abundant, but they are not
always respected. They are published but not always read or
implemented. The spine deserves better. Your Lynchburg chiropractor
respects the spine and complements its trouble to the
best evidence-based protocol for its relief which is frequently non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or beneficial for
spine pain often provided even in Lynchburg? The
American Pain Society and the American College of Physicians recommend
spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy
using joint mobilization techniques and flexion distraction is written
to be effective for low back pain relief. (2) Conservative treatment in the
form of spinal manipulation
should be undertaken by patients with chronic low back pain
and disability related to low back pain.
(3) Flexion distraction brings clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
notes that surgical approaches and outcomes differ
from place to place for patients with the same condition. It calls for
standardization of care and the establishment of international guidelines built
on what works best according to such evidence. (5)
Palmer Chiropractic Center agrees that published guidelines showing what
is best require respectful use.
CLINICAL REALITY
What is being done? A just
released article that reviewed the care of Canadian
spine pain patients referred for spine surgery bluntly
wrote that “Surgeons do not use clinical practice
guidelines before spine surgery.” What did they do? Prescribed medications to
74.2% of them 46.3% of whom got opioids. 61.1% of patients tried two or fewer
non-surgical forms of treatment. The article suggests that if
patients attempted to use evidence-based non-operative
treatments before a spine surgery consultation, fewer would be referred and, in
Canada, fewer would get worse as they have to wait such
a long time to see the surgeon. (6) Lumbar cage fusion rates increased
from 3.6% to 58% in 5 years that lead to escalated
complication risk without any improvement in disability or reoperation rates. (7)
Palmer Chiropractic Center offers Lynchburg chiropractic spine
care with less invasive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A Lynchburg CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who encourages non-surgical care of back pain
with chiropractic for less costly and unnecessary medical care.
Schedule a Lynchburg chiropractic consultation today
with the Lynchburg spine specialist at Palmer Chiropractic Center where your
hurting spine is seen with respect and relieving care as evidence reports as being best.