New Roads Chiropractic Healthy News - March 2018

Every profession is establishing recommendations for practitioners to abide by when dispensing health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your New Roads chiropractor at New Roads Chiropractic Center is always ready for such a conversation about New Roads back pain. Back pain is a huge health concern upsetting 80% of us in New Roads at some point in life. Back pain is handled by many sorts of physicians in many types of professional societies. Their societal recommendations are comparable concerning imaging (Don’t perform within the first six weeks of pain except if there are “red flags.”), testing non-surgical care before imaging and/or referring for back surgery, and shifting 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 evaluating the reaction to the last one and not prescribing opioid drugs for acute disabling low back pain without assessment and a test of other alternatives. (2) The American Chiropractic Association recommends not performing repeat imaging to see how the patient is responding, not getting spinal imaging for acute low back pain in the first 6 weeks of pain unless there are red flags, and avoiding long term use of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding lumbar spine imaging in non-traumatic back pain except if there are severe or progressive neurological deficits or a suspicion of an underlying condition. (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 suggesting bed rest for more than 48 hours for low back pain, not using EMG studies to determine the cause of spine pain, and not doing advanced spinal imaging (ex MRI) within the first six weeks of non-specific acute low back pain devoid of red flags. (6) The Danish Health Authority recommends not sending patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain continues for 12 weeks in spite of non-surgical treatment. (7) It’s up to you, the New Roads 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 start a conversation with your New Roads chiropractor, your New Roads back pain specialist, at New Roads Chiropractic Center as you choose the type of care appropriate for your New Roads back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for New Roads Back Pain

Common New Roads non-surgical interventions for New Roads 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 New Roads back surgery is spinal manipulation (10) of which 90% (11) is performed by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with increased active care emphasis 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 sought by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your New Roads back pain to your New Roads chiropractor’s office! Make it your first New Roads back pain relief healthcare stop!