Emergency room physicians are working on figuring out what is best to do for back pain
patients who choose the ER for help. It is a dilemma
for them, especially since almost 3 million such
patients with undifferentiated musculoskeletal low back pain go
to the emergency room for help annually! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a Watertown ER doc help?
How can an ER doctor deliver higher value care? (2) Imaging and
medication. What can the Watertown chiropractic back pain specialist offer?
Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.
EMERGENCY ROOM: IMAGING
The ER does lots of
imaging. One in 3 patients who go to the emergency room
for back pain (as opposed to 1 in 4 who seek care
from a primary care physician) gets imaging performed:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
do not support this as they recommend holding off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are telling ER doctors that they have been using
such care already? Probably not since only 34% of
patients who go to an ER share with the emergency department
physician that they use healthcare options like chiropractors,
massage therapy, acupuncture and the like. (5) What about the pain?
EMERGENCY ROOM: MEDICATIONS
Pain relief, it
seems, is what they can do. Researchers have studied
a variety of pain medication combinations ER doctors have prescribed
to see what is effective. What have
they discovered? Stronger pain medication options do not
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen does not appear to up
function or pain any more than placebo plus ibuprofen within a week
after an ED visit for acute low back pain. (6,7) Mixing
ibuprofen and acetaminophen did not decrease pain
scores or the need for other analgesic pain meds compared with either ibuprofen
or acetaminophen alone in emergency room patients with acute
musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients
who visit an emergency room for their back pain continued to experience functional impairment 3 months later as well as
42% said they had moderate or severe pain. 46% report using some type of analgesic pain reliever in the last
day. There are short and long-term issues for ER patients
with low back pain. (1) This might be frustrating for emergency
department docs and their patients but not always
for chiropractors and their chiropractic back pain patients. The
Watertown chiropractic back pain specialist at Watertown Wellness Center is
armed with the best of chiropractic care for
Watertown back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Watertown chiropractor understands.
Skill with chiropractic spinal manipulation via
The Cox® Technic System of Spinal Pain Management with the addition of
nutrition like chondroitin sulfate, glucosamine sulfate and curcurmin and
turmeric supports your Watertown chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Watertown
back pain patients is possible.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who describes
the role of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Watertown Wellness Center
Schedule a Watertown chiropractic appointment
with Watertown Wellness Center especially if an ER visit
hasn’t resulted in the pain relief you wanted.
Watertown chiropractic care has shared a well-documented
and researched way to manage back pain.