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Watertown Chiropractic Healthy News - March 2018

 

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

Healthcare professions are setting forth recommendations for practitioners to adhere to when delivering health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Watertown chiropractor at Watertown Wellness Center is always ready for such a conversation about Watertown back pain. Back pain is a big health concern affecting 80% of us in Watertown at some point in life. Back pain is dealt with by many types of physicians in many kinds of professional societies. Their societal recommendations are similar concerning imaging (Do not perform in the first six weeks of pain except if there are “red flags.”), trying non-surgical care ahead of imaging and/or referring for back surgery, and shifting the patient care from passive care to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the response to the last 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 getting spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, and avoiding long term use of passive care but instead shift the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding lumbar spine imaging in non-traumatic back pain unless there are severe or progressive neurological deficits or a suspicion of an underlying issue. (4) The American College of Physicians recommends not ordering 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 figure out the cause of spine pain, and not getting advanced spinal imaging (ex MRI) within the first 6 weeks of non-specific acute low back pain without 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 in spite of non-surgical treatment. (7) It is up to you, the Watertown back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Consider these professions’ recommendations for back pain care to start a conversation with your Watertown chiropractor, your Watertown back pain specialist, at Watertown Wellness Center as you choose the type of care suitable for your Watertown 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 Watertown Back Pain

Common Watertown non-surgical interventions for Watertown 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 Watertown back surgery is spinal manipulation (10) of which 90% (11) is done 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 seeks 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function sought by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your Watertown back pain to your Watertown chiropractor’s office! Make it your first Watertown back pain relief healthcare stop!

CONTACT Watertown Wellness Center

Schedule your next Watertown chiropractic appointment today. Watertown Wellness Center anticipates helping you choose the next best step toward back pain relief.

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