Apple Country Chiropractic Respects the Painful Spine with Evidence-Based Care
The spine merits respect. Apple Country Chiropractic respects all Williamson spines, those healthy and those hurting. When the spine hurts, it demands attention. The attention the hurting spine gets isn’t always respectful of the guidelines for its pain relief. That fact is getting notice in the medical research. Evidence based guidelines for a painful spine’s care are plentiful, but they are not always respected. They are published but not always read or implemented. The spine deserves better. Your Williamson chiropractor respects the spine and matches its trouble to the best evidence-based protocol for its relief which is frequently non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or beneficial for spine pain often provided even in Williamson? The American Pain Society and the American College of Physicians advocate spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy using joint mobilization techniques and flexion distraction is reported to be effective for low back pain relief. (2) Conservative treatment in the form of spinal manipulation should be undertaken by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction delivers clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical approaches and outcomes differ from place to place for patients with the same condition. It invites standardization of care and the establishment of international guidelines founded on what works best according to such evidence. (5) Apple Country Chiropractic agrees that published guidelines documenting what is best need to be respected.
CLINICAL REALITY
What is being done? A recently published article that assessed the care of Canadian spine pain patients referred for spine surgery came out and reported that “Surgeons do not use clinical practice guidelines before spine surgery.” What did they do? Prescribed medications to 74.2% of them 46.3% of whom got opioids. 61.1% of patients tried two or fewer non-surgical forms of treatment. The article proposes that if patients attempted to use evidence-based non-operative treatments before a spine surgery consultation, fewer would be referred and, in Canada, fewer would get worse as they have to wait such a long time to get to the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that resulted in escalated complication risk without any improvement in disability or reoperation rates. (7) Apple Country Chiropractic offers Williamson chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.
MAKE A Williamson CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen, who promotes non-surgical care of back pain with chiropractic for less costly and unnecessary medical care.
Schedule a Williamson chiropractic consultation today with the Williamson spine specialist at Apple Country Chiropractic where your hurting spine is seen with respect and relieving care as evidence says is best.
