The spine deserves respect. Capitol Spine & Rehabilitation
respects all Baton Rouge spines, those healthy and those hurting. When the spine hurts, it gets
attention. The attention the hurting spine gets is not 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 aren’t
always respected. They are published but not always read or
implemented. The spine deserves better. Your Baton Rouge chiropractor
respects the spine and complements its trouble to the
best evidence-based protocol for its relief which is many
times non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or favorable for
spine pain often delivered even in Baton Rouge? The
American Pain Society and the American College of Physicians endorse
spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy
using joint mobilization techniques and flexion distraction is reported
to be effective for low back pain relief. (2) Conservative treatment in the
form of spinal manipulation
should be attempted by patients with chronic low back pain
and low back pain related disability.
(3) Flexion distraction delivers clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
notes that surgical approaches and outcomes vary
from place to place for patients with the same condition. It beckons
standardization of care and the establishment of international guidelines built
on what works best according to such evidence. (5)
Capitol Spine & Rehabilitation agrees that published guidelines documenting what
is most effective require respectful use.
CLINICAL REALITY
What is really going on? A recently
published article that assessed the care of Canadian
spine pain patients referred for spine surgery bluntly
wrote 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 tried 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 get to the surgeon. (6) Lumbar cage fusion rates increased
from 3.6% to 58% in 5 years that resulted in escalated
complication risk without any improvement in disability or reoperation rates. (7)
Capitol Spine & Rehabilitation offers Baton Rouge chiropractic spine
care with less invasive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A Baton Rouge CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who promotes non-surgical care of back pain
with chiropractic for less costly and unnecessary medical care.
Schedule a Baton Rouge chiropractic consultation now
with the Baton Rouge spine specialist at Capitol Spine & Rehabilitation where your
hurting spine is met with respect and relieving care as evidence says
is best.