The spine merits respect. Manchester Chiropractic & Sports Injuries
respects all Manchester spines, those healthy and those hurting. When the spine hurts, it demands
attention. The attention the hurting spine gets is not 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 are plentiful, but they aren’t
always respected. They are published but not always read or
implemented. The spine deserves better. Your Manchester chiropractor
respects the spine and complements 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 beneficial for
spine pain often provided even in Manchester? The
American Pain Society and the American College of Physicians advocate
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 undertaken by patients with chronic low back pain
and disability related to low back pain.
(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 vary
from place to place for patients with the same condition. It calls for
standardization of care and the establishment of international guidelines founded
about what works best according to such evidence. (5)
Manchester Chiropractic & Sports Injuries agrees that published guidelines documenting what
is best require respectful use.
CLINICAL REALITY
What is being done? A just
released article that reviewed the care of Canadian
spine pain patients sent for spine surgery came out and
wrote 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 rose
from 3.6% to 58% in 5 years that resulted in escalated
complication risk without any improvement in disability or reoperation rates. (7)
Manchester Chiropractic & Sports Injuries offers Manchester chiropractic spine
care with less intrusive, more effective means, specifically
with the evidence-based protocols of Cox Technic.
MAKE A Manchester CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who encourages non-surgical care of back pain
with chiropractic for less costly and unnecessary medical care.
Schedule a Manchester chiropractic consultation today
with the Manchester spine specialist at Manchester Chiropractic & Sports Injuries where your
hurting spine is met with respect and relieving care as evidence documents best.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."