Severna Park Chiropractics Role in Back Pain Guidelines

Guidelines and recommendations for so many things from how to properly replace a light bulb to appropriately decide on whether to do back surgery fill our world. Guidelines are appreciated by people confronting a new task or a new health condition for the first time. Guidelines for the care of back pain have been published for years, many listing non-surgical care including spinal manipulation as first line treatment. Just how well are those guidelines followed by involved healthcare practitioners, by back pain sufferers? Back And Neck Care Center found these newly published reports interesting and thought our Severna Park chiropractic patients would, also. We can all use them to design and follow a guideline-based treatment plan.


Your Severna Park chiropractor keeps abreast of the current guidelines to best assist you, our Severna Park back pain patient. Back in 2009, the American College of Physicians listed spinal manipulation in its guidelines’ recommendations of suitable spinal pain care choices. (1) Back And Neck Care Center utilizes the well-documented Cox® Technic System of Spinal Pain Management which has a published algorithm of decision-making for patients who have pain below the knee and patients who experience pain that doesn’t extend below the knee with a goal of 50% improvement in a month of care. These guidelines were released in 1996 and have been tested in clinic-based data collections through the years. (2) Such guidelines with research backing and proper clinical application help our Severna Park chiropractic patients!


We hope so! Nearly 64% of chiropractors say they use (Cox®) flexion distraction with their spine pain patients and have the algorithm/guideline accessible to them. Back And Neck Care Center is one of those chiropractors. Beyond chiropractic, general guidelines for back pain care are available. Are they followed? A newly completed review of chiropractic and OT/PT use among 146,087 adults with low back pain in the past 3 months documented that chiropractic care or OT/PT care for low back pain increased after clinical guidelines recommending their care were introduced in 2016. Between 2002 and 2018, a little less than a third of those adults with low back pain reported going through chiropractic and/or PT/OT with an increase to a third after the 2016 clinical guidelines were released. (3) This does show that guidelines assist with treatment planning but are not always followed. In Denmark where guidelines for low back pain care are documented for primary care before being referred found that 33% of patients had not undergone an adequate course of treatment in primary care before referral. The patients were on average 53 years old with nearly 50% of them saying that they had pain for more than a year, and 75% saying that they had pain below the knee. (4) Struggles in the healthcare system to follow guidelines are seemingly global.


A group of chiropractic leaders shared their thoughts on the role of the chiropractor in his/her own practice, with his/her own patients, within the healthcare community, and within society for healthcare. Very interesting! Individually, chiropractors reported themselves as capable and well-educated spine and musculoskeletal care experts who delivered evidence-based care based on the current research, clinical expertise, and patient values. They provided patient-centered care that spreads to cooperating with other healthcare providers in the best interests of the patient. (5) Using guidelines, chiropractors are confident that they can assist their back pain patients with those patient’s best interests in mind.

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Listen to this PODCAST with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates how he used The Cox® Technic System of Spinal Pain Management to relieve a patient dealing with back pain and foot drop.

Schedule your Severna Park chiropractic appointment soon. Facing a serious episode of back pain is certainly not equivalent to changing a light bulb for the first time, but it’s comforting to know that there are published guidelines to best manage each task! 

Severna Park chiropractic guidelines to manage back pain today and tomorrow 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."