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St. Francisville Chiropractic Healthy News - March 2018

 

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

Healthcare professions are setting forth recommendations for practitioners to follow when dispensing health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your St. Francisville chiropractor at Family & Sports Chiropractic of St. Francisville is always ready for such a conversation about St. Francisville back pain. Back pain is a big health issue upsetting 80% of us in St. Francisville at some point in life. Back pain is managed by many types of physicians in many kinds of professional societies. Their societal recommendations are similar concerning imaging (Do not order within the first 6 weeks of pain unless there are “red flags.”), attempting non-surgical care ahead of imaging and/or referring for back surgery, and shifting the patient care from passive care to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the response to the last one and not prescribing opioid drugs for acute disabling low back pain without evaluation and a trial 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 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 unless there are severe or progressive neurological deficits or a suspicion of an underlying condition. (4) The American College of Physicians recommends not ordering 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 ordering EMG studies to determine the cause of spine pain, and not doing advanced spinal imaging (ex MRI) in the first 6 weeks of non-specific acute low back pain with no red flags. (6) The Danish Health Authority recommends not referring 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 is up to you, the St. Francisville 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 begin a conversation with your St. Francisville chiropractor, your St. Francisville back pain specialist, at Family & Sports Chiropractic of St. Francisville as you decide on the type of care appropriate for your St. Francisville 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 St. Francisville Back Pain

Common St. Francisville non-surgical interventions for St. Francisville 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 St. Francisville back surgery is spinal manipulation (10) of which 90% (11) is delivered 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 importance as pain decreases – fits 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 without red flags. Bring your St. Francisville back pain to your St. Francisville chiropractor’s office! Make it your first St. Francisville back pain relief healthcare stop!

CONTACT Family & Sports Chiropractic of St. Francisville

Schedule your next St. Francisville chiropractic visit today. Family & Sports Chiropractic of St. Francisville anticipates helping you choose the next best step toward back pain relief.

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