Baton Rouge Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

Emergency room physicians are working on figuring out what is optimal to offer back pain patients who choose the ER for help. It is a quandry for them, particularly since almost 3 million such patients with undifferentiated musculoskeletal low back pain go to the emergency room for help each year! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. What can a Baton Rouge ER do? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the Baton Rouge chiropractic back pain specialist provide? Spinal manipulation and nutrients. Chiropractic has published about successful management of back pain.

EMERGENCY ROOM: IMAGING

The ER does lots of imaging. One in 3 patients who visit the emergency room for back pain (compared to 1 in 4 who visit 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 say to hold off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are letting the ER doctors know that they have been under such care already? Probably not as 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 offer. Researchers have looked at a variety of pain medication combinations ER doctors have used to figure out what is effective. What have they found? 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 by 1 week after an ED visit for acute low back pain. (6,7) Combining ibuprofen and acetaminophen didn’t decrease pain scores or the need for other analgesic pain meds compared with either ibuprofen or acetaminophen alone for 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% say they’ve used some type of analgesic pain reliever in the day prior. There are short and long-term problems for ER patients with low back pain. (1) This might be frustrating for ER docs and their patients but not always for chiropractors and their chiropractic back pain patients. The Baton Rouge chiropractic back pain specialist at Capitol Spine & Rehabilitation is armed with the best of chiropractic care for Baton Rouge back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Baton Rouge chiropractor understands. Familiarity 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 boosts your Baton Rouge chiropractor’s confidence that back pain relief and management for many otherwise frustrated Baton Rouge back pain patients is promising.

Listen to this PODCAST with Dr. Michael Schneider on The Back Doctors Podcast with Dr. Michael Johnson who shares the goal of the primary spine physician who would be the physician to turn to for back pain issues.

CONTACT Capitol Spine & Rehabilitation

Schedule a Baton Rouge chiropractic visit with Capitol Spine & Rehabilitation especially if an ER visit has not produced the pain relief you wanted. Baton Rouge chiropractic care has shared a well-documented and researched way to manage back pain.

	Capitol Spine & Rehabilitation welcomes Baton Rouge back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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