Two Rivers Chiropractic Healthy News - March 2018

 

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

Every profession is establishing recommendations for practitioners to adhere to when providing health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Two Rivers chiropractor at Lakeshore Chiropractic is always ready for such a conversation about Two Rivers back pain. Back pain is a huge health concern affecting 80% of us in Two Rivers at some point in life. Back pain is handled by many types of physicians in many kinds of specialist societies. Their societal recommendations are comparable regarding imaging (Do not do in the first 6 weeks of pain except if there are “red flags.”), attempting non-surgical care ahead of 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 latter one and not prescribing opioid drugs for acute disabling low back pain without evaluation and a test of other alternatives. (2) The American Chiropractic Association recommends not ordering repeat imaging to monitor progress of care, 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 move the patient to active care. (3) The American College of Emergency Room Physicians recommends sidestepping lumbar spine imaging in non-traumatic back pain except if 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 using 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 sending patients for back surgery for a lumbar disc herniation with radiculopathy except if the severe and debilitating back pain continues for 12 weeks in spite of non-surgical treatment. (7) It’s up to you, the Two Rivers back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Consider these professions’ recommendations for back pain care to begin a conversation with your Two Rivers chiropractor, your Two Rivers back pain specialist, at Lakeshore Chiropractic as you choose the type of care suitable for your Two Rivers 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 Two Rivers Back Pain

Common Two Rivers non-surgical interventions for Two Rivers 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 Two Rivers back surgery is spinal manipulation (10) of which 90% (11) is performed 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 emphasis as pain reduces – 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 Two Rivers back pain to your Two Rivers chiropractor’s office! Make it your first Two Rivers back pain relief healthcare stop!

CONTACT Lakeshore Chiropractic

Schedule your next Two Rivers chiropractic appointment today. Lakeshore Chiropractic 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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