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 still
had 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.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I