Manahawkin Chiropractic Center Respects the Painful Spine with Evidence-Based Care

October 03, 2017

The spine deserves respect. Manahawkin Chiropractic Center respects all Manahawkin spines, those in good shape and those in not so good shape. When the spine hurts, it demands 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 are not always followed. They are published but not always read or implemented. The spine deserves better. Your Manahawkin chiropractor respects the spine and coordinates its trouble to the best evidence-based protocol for its relief which is often times non-surgical and non-drug.

CLINICAL GUIDELINES AND APPROACHES

What is recommended and/or beneficial for spine pain often delivered even in Manahawkin? The American Pain Society and the American College of Physicians advocate 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 disability related to low back pain. (3) Flexion distraction delivers clinically significant 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 invites standardization of care and the establishment of international guidelines based regarding what works best according to such evidence. (5) Manahawkin Chiropractic Center agrees that published guidelines documenting what is best require respectful use.

CLINICAL REALITY

What is really going on? A just released article that reviewed the care of Canadian spine pain patients referred for spine surgery bluntly reported 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 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 see the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that resulted in higher complication risk without any improvement in disability or reoperation rates. (7) Manahawkin Chiropractic Center delivers Manahawkin chiropractic spine care with less invasive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Manahawkin CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who encourages non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.

Schedule a Manahawkin chiropractic consultation now with the Manahawkin spine specialist at Manahawkin Chiropractic Center where your hurting spine is seen with respect and relieving care as evidence says is best.