Manchester Chiropractic Healthy News - March 2018

Healthcare professions are setting forth recommendations for practitioners to adhere to when providing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Manchester chiropractor at Manchester Chiropractic & Sports Injuries is always ready for such a conversation about Manchester back pain. Back pain is a huge health issue distressing 80% of us in Manchester at some point in life. Back pain is dealt with by many sorts of physicians in many types of professional societies. Their societal recommendations are related regarding imaging (Do not order 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 progressing the patient care from passive to active care. More precisely, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the reaction to the last one and not prescribing opioid drugs for acute disabling low back pain without evaluation 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 present, 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 avoiding lumbar spine imaging in non-traumatic back pain except if 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 using EMG studies to determine the cause of spine pain, and not getting advanced spinal imaging (ex MRI) within the first 6 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 in spite of non-surgical treatment. (7) It is up to you, the Manchester 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 begin a conversation with your Manchester chiropractor, your Manchester back pain specialist, at Manchester Chiropractic & Sports Injuries as you decide on the type of care appropriate for your Manchester back pain relief.

 

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

Common Manchester non-surgical interventions for Manchester 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 Manchester 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 increased active care emphasis as pain decreases – matches 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 sought by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your Manchester back pain to your Manchester chiropractor’s office! Make it your first Manchester back pain relief healthcare stop!