Pensacola 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 providing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Pensacola chiropractor at Pensacola Spinal Rehab Center is always ready for such a conversation about Pensacola back pain. Back pain is a huge health issue distressing 80% of us in Pensacola at some point in life. Back pain is handled by many kinds of physicians in many kinds of specialist societies. Their societal recommendations are comparable regarding 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 progressing the patient care from passive to active care. More precisely, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction to the latter 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 doing 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 usage of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding 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 obtaining 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 determine the cause of spine pain, and not ordering 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 referring patients for back surgery for a lumbar disc herniation with radiculopathy except if the severe and debilitating back pain persists for 12 weeks despite non-surgical treatment. (7) It’s up to you, the Pensacola back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Consider these professions’ recommendations for back pain care to begin a conversation with your Pensacola chiropractor, your Pensacola back pain specialist, at Pensacola Spinal Rehab Center as you choose the type of care suitable for your Pensacola 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 Pensacola Back Pain

Common Pensacola non-surgical interventions for Pensacola 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 Pensacola 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 more active care importance as pain decreases – fits 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 in absence of red flags. Bring your Pensacola back pain to Pensacola Spinal Rehab Center! Make it your first Pensacola back pain relief healthcare stop!

CONTACT Pensacola Spinal Rehab Center

Schedule your next Pensacola chiropractic visit today. Pensacola Spinal Rehab Center anticipates helping you choose the next best step toward back pain relief.

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