Buffalo, NY Chiropractic Healthy News - March 2018

 

CHOOSING WISELY (1) – WHAT TO DO ABOUT BACK PAIN

Every profession is establishing recommendations for practitioners to adhere to when delivering health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Buffalo, NY chiropractor at The Novelli Wellness Center is always ready for such a conversation about Buffalo, NY back pain. Back pain is a big health issue distressing 80% of us in Buffalo, NY at some point in life. Back pain is managed by many types of physicians in many types of specialist societies. Their societal recommendations are related concerning imaging (Do not perform within the first 6 weeks of pain unless there are “red flags.”), trying non-surgical care ahead of imaging and/or referring for back surgery, and shifting the patient care from passive care to active care. More precisely, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction to the last one and not prescribing opioid drugs for acute disabling low back pain without assessment and a test of other alternatives. (2) The American Chiropractic Association recommends not doing repeat imaging to monitor progress of care, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless there are red flags, and avoiding long term usage of passive care but instead shift 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 issue. (4) The American College of Physicians recommends not obtaining 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 doing advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain without red flags. (6) The Danish Health Authority recommends not sending patients for back surgery for a lumbar disc herniation with radiculopathy except if the severe and debilitating back pain continues for 12 weeks notwithstanding non-surgical treatment. (7) It is up to you, the Buffalo, NY 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 guide a conversation with your Buffalo, NY chiropractor, your Buffalo, NY back pain specialist, at The Novelli Wellness Center as you decide on the type of care suitable for your Buffalo, NY back pain relief.

Listen to this PODCAST from the Back Doctors' Podcast series about two cases of back pain helped with Cox Technic, one with imaging and all sorts of care and the second case without any imaging studies.

 
 

TIP OF THE MONTH: Try Non-Surgical Interventions for Buffalo, NY Back Pain

Common Buffalo, NY non-surgical interventions for Buffalo, NY 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 Buffalo, NY back surgery is spinal manipulation (10) of which 90% (11) is performed by chiropractors. The Cox Technic System of Spine Carespinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with increased active care importance as pain decreases – fits Choosing Wisely recommendations as it seeks 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function pursued by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your Buffalo, NY back pain to The Novelli Wellness Center! Make it your first Buffalo, NY back pain relief healthcare stop!

CONTACT The Novelli Wellness Center

Schedule your next Buffalo, NY chiropractic appointment today. The Novelli Wellness Center looks forward to helping you choose the next best step toward back pain relief.

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