Murfreesboro Chiropractic Healthy News - March 2018

Healthcare professions are setting forth recommendations for practitioners to abide by when delivering health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Murfreesboro chiropractor at Most Chiropractic Clinic is always ready for such a conversation about Murfreesboro back pain. Back pain is a big health concern distressing 80% of us in Murfreesboro at some point in life. Back pain is managed by many sorts of physicians in many types of specialist societies. Their societal recommendations are comparable regarding imaging (Do not do in the first six weeks of pain unless there are “red flags.”), attempting non-surgical care before imaging and/or referring for back surgery, and shifting the patient care from passive to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction to the latter one and not prescribing opioid drugs for acute disabling low back pain without evaluation and a test of other alternatives. (2) The American Chiropractic Association recommends not doing repeat imaging to monitor progress of care, not getting spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, and staying away from long term usage of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding lumbar spine imaging in non-traumatic back pain unless there are severe or progressive neurological deficits or a suspicion of an underlying condition. (4) The American College of Physicians recommends not getting imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not advocating bed rest for more than 48 hours for low back pain, not ordering EMG studies to figure out the cause of spine pain, and not ordering advanced spinal imaging (ex MRI) within the first 6 weeks of non-specific acute low back pain without red flags. (6) The Danish Health Authority recommends not sending patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain persists for 12 weeks regardless of non-surgical treatment. (7) It’s up to you, the Murfreesboro 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 guide a conversation with your Murfreesboro chiropractor, your Murfreesboro back pain specialist, at Most Chiropractic Clinic as you choose the type of care proper for your Murfreesboro back pain relief.

 

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

Common Murfreesboro non-surgical interventions for Murfreesboro 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 Murfreesboro back surgery is spinal manipulation (10) of which 90% (11) is delivered by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more active care importance as pain decreases – fits Choosing Wisely recommendations as it works toward 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 Murfreesboro back pain to Most Chiropractic Clinic! Make it your first Murfreesboro back pain relief healthcare stop!