Manahawkin Chiropractic Healthy News - March 2018

Every profession is establishing recommendations for practitioners to follow when delivering health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Manahawkin chiropractor at Manahawkin Chiropractic Center is always ready for such a conversation about Manahawkin back pain. Back pain is a huge health concern affecting 80% of us in Manahawkin at some point in life. Back pain is handled by many types of physicians in many kinds of professional societies. Their societal recommendations are related concerning imaging (Don’t perform in the first six weeks of pain except if there are “red flags.”), trying non-surgical care before imaging and/or referring for back surgery, and moving the patient care from passive care to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the response to the latter one and not prescribing opioid drugs for acute disabling low back pain without assessment and a trial of other alternatives. (2) The American Chiropractic Association recommends not performing repeat imaging to monitor progress of care, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are noted, and avoiding long term usage of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends sidestepping lumbar spine imaging in non-traumatic back pain unless there are severe or progressive neurological deficits or a suspicion of an underlying issue. (4) The American College of Physicians recommends not ordering imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not suggesting bed rest for more than 48 hours for low back pain, not ordering EMG studies to determine the cause of spine pain, and not ordering advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain with no red flags. (6) The Danish Health Authority recommends not referring patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain continues for 12 weeks notwithstanding non-surgical treatment. (7) It is up to you, the Manahawkin back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Consider these professions’ recommendations for back pain care to start a conversation with your Manahawkin chiropractor, your Manahawkin back pain specialist, at Manahawkin Chiropractic Center as you choose the type of care appropriate for your Manahawkin back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for Manahawkin Back Pain

Common Manahawkin non-surgical interventions for Manahawkin back pain relief are pain medications, exercise, manual manipulation, massage, and heat/ice. (8, 9) Included in the top non-surgical interventions to try before Manahawkin back surgery is spinal manipulation (10) of which 90% (11) is done by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with increased active care emphasis as pain decreases – matches Choosing Wisely recommendations as it seeks 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function pursued by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your Manahawkin back pain to your Manahawkin chiropractor’s office! Make it your first Manahawkin back pain relief healthcare stop!