Moses Chiropractic Respects the Painful Spine with Evidence-Based Care

The spine merits respect. Moses Chiropractic respects all West Palm Beach spines, those healthy and those hurting. When the spine hurts, it gets attention. The attention the hurting spine gets is not always respectful of the guidelines for its pain relief. That fact is receiving notice in the medical research. Evidence based guidelines for a painful spine’s care are abundant, but they aren’t always followed. They are published but not always read or implemented. The spine deserves better. Your West Palm Beach chiropractor respects the spine and matches its trouble to the best evidence-based protocol for its relief which is many times non-surgical and non-drug.

CLINICAL GUIDELINES AND APPROACHES

What is recommended and/or beneficial for spine pain often provided even in West Palm Beach? 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 written to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment should be tried by patients with chronic low back pain and low back pain related disability. (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 methods and outcomes vary from place to place for patients with the same condition. It pleas for standardization of care and the establishment of international guidelines built regarding what works best according to such evidence. (5) Moses Chiropractic agrees that published guidelines showing what is best require respectful use.

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 stated 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 tried evidence-based non-operative treatments before a spine surgery consultation, fewer would be referred and, in Canada, fewer would deteriorate as they have to wait so long to get to the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that resulted in increased complication risk without any improvement in disability or reoperation rates. (7) Moses Chiropractic offers West Palm Beach chiropractic spine care with less intrusive, more effective means, specifically with the evidence-based protocols of Cox Technic.

MAKE A West Palm Beach CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who advocates non-surgical care of back pain with chiropractic for less costly and unnecessary medical care.

Schedule a West Palm Beach chiropractic consultation today with the West Palm Beach spine specialist at Moses Chiropractic where your hurting spine is seen with respect and relieving care as evidence reports as being best.

 
 
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