Apple Country Chiropractic Respects the Painful Spine with Evidence-Based Care

The spine merits respect. Apple Country Chiropractic respects all Williamson 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 isn’t always respectful of the guidelines for its pain relief. That fact is receiving notice in the medical research. Evidence based guidelines for a painful spine’s care abound, but they aren’t always used. They are published but not always read or implemented. The spine deserves better. Your Williamson 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 favorable for spine pain often provided even in Williamson? The American Pain Society and the American College of Physicians endorse 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) Spinal manipulation as a conservative treatment should be tried by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction provides clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research states that surgical approaches 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 built regarding what works best according to such evidence. (5) Apple Country Chiropractic agrees that published guidelines documenting what is most effective require respectful use.

CLINICAL REALITY

What is being done? A just released article that assessed the care of Canadian spine pain patients referred for spine surgery came out and stated 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 proposes 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 get to 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) Apple Country Chiropractic offers Williamson chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Williamson CHIROPRACTIC APPOINTMENT

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

Schedule a Williamson chiropractic consultation today with the Williamson spine specialist at Apple Country Chiropractic where your hurting spine is met with respect and relieving care as evidence reports as being best.