Prescriptions of Opioids Pre and Post Back Surgery for St Peters Back Pain, Chiropractic Care May Reduce Rxs and Pain

September 05, 2023

Opioid use for pain has been a common treatment. Its use is a little too common as medicine today is even attempting to scale back on its prescription. For back surgery patients, it’s been quite common, both before and/or after back surgery. Though today the use of opioids is being less supported, many back pain sufferers still receive opioid prescriptions from their healthcare providers. Old Mill Chiropractic would love to be the first healthcare provider St Peters back pain and neck pain patients visit and truly embrace the opportunity to care for the post-surgical continued pain patients - with or without opioid prescriptions - who come to us with the same or returned pain in the same spinal area where they had surgery. We are ready to help.

BACK SURGERY OUTCOME PREDICTORS: # of Rx Prescribers and # of Rx Prescriptions

Very few hurry into back surgery. Back pain sufferers often look for help from various healthcare providers before surgery is contemplated and/or scheduled. 66.9% of patients in a retrospective study of patients who had single-level fusion surgeries employed one or less opioid prescription prescribers before surgery while 33.1% had more than one opioid prescribers. The more pre-surgical opioid prescribers in a back surgery patient’s case was a predictor of increased improvement of post-surgical back pain. The more pre-surgical opioid prescriptions a patient used was a predictor for poorer surgical outcomes including lower improvement in back VAS pain scores, leg VAS pain scores, Oswestry Disability Index scores, and for more post-surgical opioid prescriptions, prescribers, and morphine milligram equivalents. An interesting and seemingly side point of the study was that if a nonoperative spine provider was included in the case, a greater improvement in leg pain VAS scores was noted. (1) Chiropractic is a profession of nonoperative spine providers! We chiropractors are ready and well-trained to help control back pain before and after surgery and give patients an opportunity to reduce their opioid use for pain management. 

CHIROPRACTIC POST-SURGICAL CARE AND OPIOID USE

For patients who went through back surgery to find that they experience back pain in the same area that the surgery was supposed to fix, the return of pain can be frustrating. Some return to the medical model and get new pain medication prescriptions or prolonged prescriptions for the post-surgery meds. Others turn to chiropractic care. A recent study of such patients who sought chiropractic care with chiropractors who are certified in Cox® Technic spinal manipulation (manual spinal decompression manipulation) stated that of the 59 participants in the study, 11 entered the study with opioid medications. Eight of them self-reported that they lowered or quit their use. Three said they continued their use. (2) This holds hope for many post-surgical continued pain patients that pain relief enough to not have to rely on medications may be possible]. Old Mill Chiropractic is St Peters’s post-surgical back pain provider to see for Cox® Technic treatment.

CONTACT Old Mill Chiropractic

Listen to this PODCAST with Dr. Marc Baker on The Back Doctors Podcast with Dr. Michael Johnson as he describes his use of The Cox® Technic System of Spinal Pain Management in delivering relief for a military veteran with back pain after back surgery.

Make your St Peters chiropractic appointment today. If you’ve had back surgery - now take pain meds, opioids, or not - we look forward to seeing and helping you.

St Peters chiropractic care to reduce pain after back surgery and potentially patient choice to use opioids