Emergency room physicians are working on figuring out what is optimal to do for back pain
patients who choose the ER for help. It is a dilemma
for them, especially since nearly 3 million such
patients with undifferentiated musculoskeletal low back pain visit the emergency room for help annually! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. What
can a Manahawkin ER do?
How can an ER doctor deliver higher value care? (2) Imaging and
medication. What can the Manahawkin chiropractic back pain specialist provide?
Spinal manipulation and nutrients. Chiropractic has published about successful
management of back pain.
EMERGENCY ROOM: IMAGING
The ER performs a lot of
imaging. One in 3 patients who visit the emergency department
for back pain (compared to 1 in 4 who seek care
from a primary care physician) gets imaging done:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations
don’t support this as they say to hold off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are telling ER doctors that they have been under
such care already? Probably not as only 34% of
patients who visit 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
Relief for the pain is what they focus on. Researchers have studied
all sorts of pain medication combinations ER doctors have prescribed
to determine what works best. What have
they discovered? Stronger pain medication options do not
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen doesn’t seem 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) Mixing
ibuprofen and acetaminophen did not 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% reported moderate or severe pain. 46% report using some type of analgesic pain reliever in the last
day. There are short and long-term problems for ER patients
with low back pain. (1) This might be frustrating for emergency
department docs and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
Manahawkin chiropractic back pain specialist at Manahawkin Chiropractic Center is
armed with the best of chiropractic care for
Manahawkin back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Manahawkin chiropractor gets it.
Skill 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 Manahawkin chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Manahawkin
back pain patients is possible.
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 Manahawkin Chiropractic Center
Schedule a Manahawkin chiropractic appointment
with Manahawkin Chiropractic Center especially if an emergency department visit
has not produced the pain relief you hoped.
Manahawkin chiropractic care has figured out 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