Emergency room physicians are trying
to figure out what is best to do for back pain
patients who come to the ER for help. It’s a quandry
for them, especially since almost 3 million such
patients with undifferentiated musculoskeletal low back pain visit the emergency room for help annually! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a St. Francisville ER doc help?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the St. Francisville chiropractic back pain specialist offer?
Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.
EMERGENCY ROOM: IMAGING
The ER performs a lot of
imaging. One in 3 patients who go to the emergency department
for back pain (compared to 1 in 4 who seek care
from a primary care physician) has imaging done:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
do not support this as they recommend holding off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are telling ER doctors that they have been under
such care already? Probably not since only 34% of
patients who go to an ER share with the emergency department
physician that they use healthcare options like chiropractors,
massage therapy, acupuncture and the like. (5) What about the pain?
EMERGENCY ROOM: MEDICATIONS
Relief for the pain is what they focus on. Researchers have looked at
all sorts of pain medication combinations ER doctors have used
to determine what is effective. What have
they found? Stronger pain medication options do not
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen doesn’t seem to enhance
function or pain any more than placebo plus ibuprofen by 1 week
after an ED visit for acute low back pain. (6,7) Combining
ibuprofen and acetaminophen did not decrease pain
scores or the need for other analgesic pain meds compared with either ibuprofen
or acetaminophen alone for emergency room patients with acute
musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients
who go to an ER for their back pain continued to experience functional impairment 3 months later as well as
42% said they had moderate or severe pain. 46% report using some type of analgesic pain reliever in the last
day. There are short and long-term problems for ER patients
with low back pain. (1) This may all be frustrating for emergency
department physicians and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
St. Francisville chiropractic back pain specialist at Family & Sports Chiropractic of St. Francisville is
equipped with the best of chiropractic care for
St. Francisville back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your St. Francisville chiropractor understands.
Experience with chiropractic spinal manipulation via
The Cox® Technic System of Spinal Pain Management with the addition of
nutrition like chondroitin sulfate, glucosamine sulfate and curcurmin and
turmeric supports your St. Francisville chiropractor’s confidence that back
pain relief and management for many otherwise frustrated St. Francisville
back pain patients is possible.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who describes
the goal of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Family & Sports Chiropractic of St. Francisville
Schedule a St. Francisville chiropractic visit
with Family & Sports Chiropractic of St. Francisville especially if an emergency department visit
has not produced the pain relief you hoped.
St. Francisville chiropractic care has figured out a well-documented
and researched way to manage back pain.