Concord, NC Chiropractic Healthy News - March 2018

Every profession is setting forth recommendations for practitioners to follow when delivering health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Concord, NC chiropractor at Pure Chiropractic is always ready for such a conversation about Concord, NC back pain. Back pain is a big health issue upsetting 80% of us in Concord, NC at some point in life. Back pain is managed by many kinds of physicians in many types of specialist societies. Their societal recommendations are comparable concerning imaging (Don’t order in the first six weeks of pain unless there are “red flags.”), testing non-surgical care before imaging and/or referring for back surgery, and progressing the patient care from passive to active care. More specifically, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction to the latter 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 ordering 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 noted, and staying away from long term usage 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 except if 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 suggesting bed rest for more than 48 hours for low back pain, not using EMG studies to determine 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 referring patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain persists for 12 weeks in spite of non-surgical treatment. (7) It’s up to you, the Concord, NC 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 Concord, NC chiropractor, your Concord, NC back pain specialist, at Pure Chiropractic as you decide on the type of care appropriate for your Concord, NC back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for Concord, NC Back Pain

Common Concord, NC non-surgical interventions for Concord, NC 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 Concord, NC back surgery is spinal manipulation (10) of which 90% (11) is delivered by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more active care importance as pain reduces – fits 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 pursued by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your Concord, NC back pain to your Concord, NC chiropractor’s office! Make it your first Concord, NC back pain relief healthcare stop!