The spine deserves respect. Manahawkin Chiropractic Center
respects all Manahawkin spines, those healthy and those hurting. 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 abundant, but they are not
always respected. They are published but not always read or
implemented. The spine deserves better. Your Manahawkin chiropractor
respects the spine and matches 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 beneficial for
spine pain often provided even in Manahawkin? The
American Pain Society and the American College of Physicians recommend
spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy
using joint mobilization techniques and flexion distraction is reported
to be effective for low back pain relief. (2) Conservative treatment in the
form of spinal manipulation
should be tried by patients with chronic low back pain
and low back pain related disability.
(3) Flexion distraction provides clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
states that surgical methods and outcomes differ
from place to place for patients with the same condition. It calls for
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 showing what
is best need to be respected.
CLINICAL REALITY
What is being done? A recently
released article that assessed the care of Canadian
spine pain patients sent 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 less
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 so long to see the surgeon. (6) Lumbar cage fusion rates grew
from 3.6% to 58% in 5 years that lead to 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, specifically
with the evidence-based protocols of Cox Technic.
MAKE A Manahawkin CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who advocates non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a Manahawkin chiropractic consultation today
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.