West Palm Beach Chiropractic Healthy News - March 2018

 

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

Healthcare professions are setting forth recommendations for practitioners to abide by when dispensing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your West Palm Beach chiropractor at Moses Chiropractic is always ready for such a conversation about West Palm Beach back pain. Back pain is a huge health issue affecting 80% of us in West Palm Beach at some point in life. Back pain is managed by many types of physicians in many types of professional societies. Their societal recommendations are related concerning imaging (Don’t perform in the first six weeks of pain except if there are “red flags.”), testing non-surgical care ahead of imaging and/or referring for back surgery, and progressing the patient care from passive to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the response to the last one and not prescribing opioid drugs for acute disabling low back pain without assessment and a test of other alternatives. (2) The American Chiropractic Association recommends not performing repeat imaging to see how the patient is responding, not getting spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, and staying away from long term use 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 condition. (4) The American College of Physicians recommends not getting imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not advocating bed rest for more than 48 hours for low back pain, not ordering 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 continues for 12 weeks despite non-surgical treatment. (7) It’s up to you, the West Palm Beach back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Use these professions’ recommendations for back pain care to start a conversation with your West Palm Beach chiropractor, your West Palm Beach back pain specialist, at Moses Chiropractic as you choose the type of care appropriate for your West Palm Beach 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 West Palm Beach Back Pain

Common West Palm Beach non-surgical interventions for West Palm Beach 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 West Palm Beach 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 increased 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 West Palm Beach back pain to Moses Chiropractic! Make it your first West Palm Beach back pain relief healthcare stop!

CONTACT Moses Chiropractic

Schedule your next West Palm Beach chiropractic visit today. Moses Chiropractic anticipates helping you choose the next best step toward back pain relief.

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