They say
numbers don’t lie. With all the numbers out there about back and neck pain
costs and outcomes, we can put that to the test. Apple Country Chiropractic shares a few of the more
recent ones that are quite interesting and supportive
of our Williamson chiropractic method integrating
the Cox® Technic System of Spinal Pain Management.
OPTIONS USED FOR BACK PAIN VS BACK PAIN GUIDELINE
RECOMMENDATIONS
Treatment guidelines for back pain are well-established. Are they observed? Of 100 million patient
healthcare insurance claims, 56,000 had persistent low back
pain. These patients were not surgical candidates and had undergone conventional medical care. Of those 56,000,
60% underwent physical therapy, 50% underwent
chiropractic, 26% received steroid injections and 66% took
prescribed pain meds (57% opioids, 38% muscle relaxants). Were guidelines followed? Not exactly. In contradiction
to guidelines for low back pain treatment, most patients were given
opioids while several non-drug treatments were utilized by only a
few. (1) Another report stated that 775,893 general practitioner
visits resulted in 6,904 referrals (just 0.89%) to physiotherapy, a
non-drug treatment choice for commonly
referred problems like low back pain and osteoarthritis. (2) The healthcare
costs of these patients were quite large. (1) Williamson
back pain treatment costs are not that different.
COSTS OF BACK PAIN CARE
A review of Humana healthcare claims resulted in these findings: the pre-surgical costs
of conservative treatment alternatives for cervical spine
radiculopathy were only 37.7% of the total non-operative
expenses for this condition. Injection costs were the highest,
coming in at $988 on average per patient. Other expenses
were – in order of cost expenditure - physical therapy ($510), medications (narcotics,
gabapentin, NSAIDs), bracing ($193), and chiropractic services
($193). 62% of overall costs for care of cervical radiculopathy went
to diagnostic modalities. (3) Williamson neck and back pain sufferers
have an experienced chiropractor
at Apple Country Chiropractic.
INTERPROFESSIONAL REFERRAL FOR BACK PAIN CARE
New data revealed a 106% increase
in the number of physician visits for low back pain and extremity pain that led
to a referral to another physician inpart
because of ineffective outpatient conservative treatment.
The study that presented this finding ended
with the suggestion that patients who are most likely to need surgery would see a surgeon
as their first subspecialty referral visit. Further,
patients who are less likely to require surgery would meet with
a non-operative spine specialist or primary care physician. (4)
Your Williamson chiropractor at Apple Country Chiropractic is well-prepared
to be the Williamson non-surgical spine specialist this article describes
for our Williamson low back pain and neck pain and arm pain and leg pain
sufferers!
CLINICAL OUTCOMES OF TREATMENT
Of 609 patients with sciatica and back-related leg pain
visiting primary care physicians, only 55% reported ‘improvement’
– just 30% or more decrease in disability - at one year follow-up. (5)
Chiropractors using the Cox® Technic System of Spinal Pain Management strive
for at minimum a 50% decrease of pain non-surgically
in a month. In a 1000 cases study of Cox® Technic treatment
outcomes, leg pain radicular patients improved significantly better
with Cox® Technic flexion distraction therapy than with physical therapy. (6)
In a study of post-surgical continued back pain patients, 81% of them reported
greater than 50% relief of pain in 11 visits in 49 days (mean). At two your
follow-up, 78.6% of them still had more than 50% relief of pain.
Mean relief of pain was continued: 71.6% at the end of active
care and 70% at 2-year follow-up. (7) Your Williamson chiropractor provides
just such relief and knows when to refer if needed.
CONTACT Apple Country Chiropractic
Listen to this PODCAST
with Dr. Byron Folwell on The Back Doctors Podcast with
Dr. Michael Johnson as he describes The Cox® Technic
System of Spinal Pain Management incorporation for relieving
post-surgical continued back pain.
Schedule your Williamson chiropractic
appointment soon. Don’t let numbers concern
you. Let them enlighten your path to pain relief. See
you soon!