Baton Rouge 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 Baton Rouge chiropractor at Capitol Spine & Rehabilitation is always ready for such a conversation about Baton Rouge back pain. Back pain is a huge health issue affecting 80% of us in Baton Rouge at some point in life. Back pain is dealt with by many sorts of physicians in many types of specialist societies. Their societal recommendations are similar regarding imaging (Don’t perform within 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 care to active care. More specifically, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the response 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 performing repeat imaging to see how the patient is responding, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, and staying away from long term use of passive care but instead move 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 obtaining 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 using EMG studies to figure out the cause of spine pain, and not getting advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain devoid of red flags. (6) The Danish Health Authority recommends not referring 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 Baton Rouge back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Use these professions’ recommendations for back pain care to guide a conversation with your Baton Rouge chiropractor, your Baton Rouge back pain specialist, at Capitol Spine & Rehabilitation as you choose the type of care appropriate for your Baton Rouge 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 Baton Rouge Back Pain

Common Baton Rouge non-surgical interventions for Baton Rouge 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 Baton Rouge back surgery is spinal manipulation (10) of which 90% (11) is performed 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 decreases – fits 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 pursued by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your Baton Rouge back pain to Capitol Spine & Rehabilitation! Make it your first Baton Rouge back pain relief healthcare stop!

CONTACT Capitol Spine & Rehabilitation

Schedule your next Baton Rouge chiropractic visit today. Capitol Spine & Rehabilitation anticipates helping you choose the next best step toward back pain relief.

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