Old Mill Chiropractic Respects the Painful Spine with Evidence-Based Care
The spine merits respect. Old Mill Chiropractic respects all St Peters spines, those in good shape and those in not so good shape. When the spine hurts, it gets attention. The attention the hurting spine gets isn’t 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 plentiful, but they aren’t always used. They are published but not always read or implemented. The spine deserves better. Your St Peters 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 St Peters? 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 written to be effective for low back pain relief. (2) Conservative treatment in the form of spinal manipulation should be undertaken by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction brings 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 differ from place to place for patients with the same condition. It invites standardization of care and the establishment of international guidelines founded on what works best according to such evidence. (5) Old Mill Chiropractic agrees that published guidelines showing what is most effective need to be respected.
CLINICAL REALITY
What is really going on? A just published article that reviewed the care of Canadian spine pain patients referred for spine surgery bluntly stated 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 fewer non-surgical forms of treatment. The article proposes that if patients received 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 see the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that resulted in escalated complication risk without any improvement in disability or reoperation rates. (7) Old Mill Chiropractic delivers St Peters chiropractic spine care with less invasive, more effective means, particularly with the evidence-based protocols of Cox Technic.
MAKE A St Peters CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen, who supports non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.
Schedule a St Peters chiropractic consultation today with the St Peters spine specialist at Old Mill Chiropractic where your hurting spine is seen with respect and relieving care as evidence says is best.
