Severna Park Chiropractic Healthy News - March 2018

 

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

Healthcare professions are establishing 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 Severna Park chiropractor at Back And Neck Care Center is always ready for such a conversation about Severna Park back pain. Back pain is a big health concern affecting 80% of us in Severna Park at some point in life. Back pain is handled by many types of physicians in many types of professional societies. Their societal recommendations are similar concerning imaging (Don’t order in the first 6 weeks of pain unless there are “red flags.”), trying non-surgical care before imaging and/or referring for back surgery, and shifting the patient care from passive care to active care. More specifically, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the response 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 obtaining 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 shift 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 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 using EMG studies to establish the cause of spine pain, and not doing advanced spinal imaging (ex MRI) within the first 6 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 except if the severe and debilitating back pain persists for 12 weeks notwithstanding non-surgical treatment. (7) It’s up to you, the Severna Park back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Use these professions’ recommendations for back pain care to start a conversation with your Severna Park chiropractor, your Severna Park back pain specialist, at Back And Neck Care Center as you decide on the type of care suitable for your Severna Park 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 Severna Park Back Pain

Common Severna Park non-surgical interventions for Severna Park 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 Severna Park back surgery is spinal manipulation (10) of which 90% (11) is done by chiropractors. The Cox Technic System of Spine Carespinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more 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 pursued by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your Severna Park back pain to Back And Neck Care Center! Make it your first Severna Park back pain relief healthcare stop!

CONTACT Back And Neck Care Center

Schedule your next Severna Park chiropractic visit today. Back And Neck Care Center 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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