Manahawkin Chiropractic Healthy News - March 2018

Every profession is setting forth recommendations for practitioners to follow when delivering health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Manahawkin chiropractor at Manahawkin Chiropractic Center is always ready for such a conversation about Manahawkin back pain. Back pain is a big health concern upsetting 80% of us in Manahawkin at some point in life. Back pain is managed by many sorts of physicians in many types of professional societies. Their societal recommendations are comparable regarding imaging (Do not order within the first 6 weeks of pain unless there are “red flags.”), trying non-surgical care ahead of imaging and/or referring for back surgery, and progressing the patient care from passive to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction 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 monitor progress of care, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless there are red flags, and avoiding long term usage of passive care but instead shift the patient to active care. (3) The American College of Emergency Room Physicians recommends sidestepping lumbar spine imaging in non-traumatic back pain unless there are severe or progressive neurological deficits or a suspicion of an underlying condition. (4) The American College of Physicians recommends not getting imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not suggesting bed rest for more than 48 hours for low back pain, not ordering EMG studies to figure out the cause of spine pain, and not ordering advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain with no 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 despite non-surgical treatment. (7) It’s up to you, the Manahawkin back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Use these professions’ recommendations for back pain care to start a conversation with your Manahawkin chiropractor, your Manahawkin back pain specialist, at Manahawkin Chiropractic Center as you choose the type of care suitable for your Manahawkin back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for Manahawkin Back Pain

Common Manahawkin non-surgical interventions for Manahawkin 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 Manahawkin back surgery is spinal manipulation (10) of which 90% (11) is performed by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more active care emphasis as pain reduces – matches 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 Manahawkin back pain to Manahawkin Chiropractic Center! Make it your first Manahawkin back pain relief healthcare stop!