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Mandeville Chiropractic Healthy News - March 2018

 

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

Every profession is setting forth recommendations for practitioners to adhere to when delivering health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Mandeville chiropractor at Mandeville Chiropractic is always ready for such a conversation about Mandeville back pain. Back pain is a big health concern distressing 80% of us in Mandeville at some point in life. Back pain is managed by many kinds of physicians in many kinds of specialist societies. Their societal recommendations are related regarding imaging (Do not do in the first six 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. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the reaction 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 performing repeat imaging to monitor progress of care, not obtaining 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 sidestepping 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 establish the cause of spine pain, and not doing advanced spinal imaging (ex MRI) in the first six 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 unless the severe and debilitating back pain continues for 12 weeks regardless of non-surgical treatment. (7) It’s up to you, the Mandeville 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 Mandeville chiropractor, your Mandeville back pain specialist, at Mandeville Chiropractic as you choose the type of care proper for your Mandeville 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 Mandeville Back Pain

Common Mandeville non-surgical interventions for Mandeville 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 Mandeville 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 importance as pain decreases – 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 sought by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your Mandeville back pain to your Mandeville chiropractor’s office! Make it your first Mandeville back pain relief healthcare stop!

CONTACT Mandeville Chiropractic

Schedule your next Mandeville chiropractic visit today. Mandeville Chiropractic looks forward to helping you choose the next best step toward back pain relief.

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