Carrolltown Chiropractic Healthy News - March 2018

Every profession is establishing recommendations for practitioners to adhere to when delivering health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Carrolltown chiropractor at Gormish Chiropractic & Rehabilitation is always ready for such a conversation about Carrolltown back pain. Back pain is a big health issue upsetting 80% of us in Carrolltown at some point in life. Back pain is handled by many sorts of physicians in many types of specialist societies. Their societal recommendations are related concerning imaging (Do not do within the first six weeks of pain except if there are “red flags.”), trying non-surgical care ahead of imaging and/or referring for back surgery, and moving 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 assessment and a trial of other alternatives. (2) The American Chiropractic Association recommends not ordering repeat imaging to monitor progress of care, not getting 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 use of passive care but instead shift 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 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 ordering advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain without 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 regardless of non-surgical treatment. (7) It is up to you, the Carrolltown 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 Carrolltown chiropractor, your Carrolltown back pain specialist, at Gormish Chiropractic & Rehabilitation as you choose the type of care appropriate for your Carrolltown back pain relief.

 

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

Common Carrolltown non-surgical interventions for Carrolltown 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 Carrolltown back surgery is spinal manipulation (10) of which 90% (11) is delivered 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 importance as pain reduces – matches Choosing Wisely recommendations as it seeks 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 in absence of red flags. Bring your Carrolltown back pain to your Carrolltown chiropractor’s office! Make it your first Carrolltown back pain relief healthcare stop!