What do you expect from your
Manchester chiropractic care of back pain? That is a pivotal question. Research
reports that that questions of expectations has a role in back pain treatment outcome whether that treatment is surgical or conservative. Manchester Chiropractic & Sports Injuries aspires
to hear your expectations of our Manchester back
pain treatment and present the outcomes of our treatment
documented in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A new research project scrutinized
patient and surgeon expectations of back surgery. Patients expected full
relief and improvement of their back pain after lumbar spine surgery. Surgeons
expected improvement that ranged from a little to a lot dependant on the patient and his/her specific condition. Can you guess whose expectations were met? The surgeons’
expectations. A couple years after the back surgery, the outcomes
reported by patients met the surgeon’s expectations.
The researchers emphasized that effective communication about expectations
may well foster better outcomes. (1) That is
why Manchester Chiropractic & Sports Injuries spends time with each Manchester
back pain patient at the beginning of care, ensuring
that the source of pain and its treatment plan are well-explained.
If not, tell us!
AN ACCEPTABLE SYMPTOM STATE
patient expectations are not met with back surgery,
what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or
without active discopathy), 54% reported having an acceptable symptom
state at 1 month of care. Specifically, patient-reported acceptable symptoms involved
these: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for
disability, 10.0 for anxiety, and 6.7 for depression. (2) Manchester Chiropractic & Sports Injuries realizes no pain is the preferred state and is ready to discuss
with our Manchester chiropractic patients their options and possible
DECIDING ON TREATMENT OPTIONS
The question of back surgery is a big issue. Evidence-based medicine sees that the patient at the center of care. What is
the patient perspective of this care? How is the patient perspective regarded in treatment planning and decision making
among available options? A recent paper indicated that the patient’s social, psychological, and other non-clinical
characteristics must be taken into account in planning care. (3)
One issue in the back-surgery decision that reportedly impacts
the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking
opioid use patients expected more complete improvement opposed to non-users. They also had higher
expectations of positive outcome than higher-dose opioid patients. (4) For many patients, the prospect of work is a light at the end of the
tunnel which is affirming
according to this new report on how back pain patient recovery
expectations impact clinical outcomes. A review of
60 studies reported that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Manchester Chiropractic & Sports Injuries offers
effective, nonsurgical care of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and understood. Manchester chiropractic care keeps the back pain patient at its center.
CONTACT Manchester Chiropractic & Sports Injuries
Listen to this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he described how Cox®
Technic System of Spinal Pain Management and chiropractic treatment helped manage back pain for a patient who was adamant about not wanting back surgery.
Set your next Manchester
chiropractic visit soon. Manchester Chiropractic & Sports Injuries invites you to think
about and answer the question of your
expectations for our treatment so that we can both be happy
with the outcome!