Pure Chiropractic Respects the Painful Spine with Evidence-Based Care

October 03, 2017

The spine deserves respect. Pure Chiropractic respects all Concord, NC spines, those healthy and those hurting. When the spine hurts, it gets attention. The attention the hurting spine gets isn’t always respectful of the guidelines for its pain relief. That fact is getting notice in the medical research. Evidence based guidelines for a painful spine’s care are abundant, but they are not always respected. They are published but not always read or implemented. The spine deserves better. Your Concord, NC chiropractor respects the spine and matches its trouble to the best evidence-based protocol for its relief which is frequently non-surgical and non-drug.

CLINICAL GUIDELINES AND APPROACHES

What is recommended and/or favorable for spine pain often provided even in Concord, NC? The American Pain Society and the American College of Physicians recommend 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) Conservative treatment in the form of spinal manipulation should be tried by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction provides clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical approaches and outcomes vary from place to place for patients with the same condition. It calls for standardization of care and the establishment of international guidelines built regarding what works best according to such evidence. (5) Pure Chiropractic agrees that published guidelines documenting what is most effective require respectful use.

CLINICAL REALITY

What is being done? A recently published article that assessed the care of Canadian spine pain patients sent for spine surgery bluntly 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 less non-surgical forms of treatment. The article suggests that if patients attempted to use evidence-based non-operative treatments before a spine surgery consultation, fewer would be referred and, in Canada, fewer would get worse as they have to wait such a long time to see the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that lead to higher complication risk without any improvement in disability or reoperation rates. (7) Pure Chiropractic offers Concord, NC chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Concord, NC CHIROPRACTIC APPOINTMENT

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

Schedule a Concord, NC chiropractic consultation now with the Concord, NC spine specialist at Pure Chiropractic where your hurting spine is met with respect and relieving care as evidence documents best.