CHOOSING WISELY (1) – WHAT TO DO ABOUT BACK PAIN
Every profession is establishing recommendations for practitioners to adhere to when delivering health care with hopes to stimulate conversations between patients and
their healthcare providers and among healthcare providers themselves. Your
Orchard Park, NY chiropractor at Novelli Wellness Center is always ready for such a
conversation about Orchard Park, NY back pain. Back pain is a big
health issue distressing 80% of us in
Orchard Park, 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. For example, 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 Orchard Park, 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 Orchard Park, NY chiropractor, your Orchard Park, NY back pain specialist, at Novelli Wellness Center as you decide
on the type of care suitable for your Orchard Park, 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 Orchard Park, NY Back Pain
Common Orchard Park, NY non-surgical interventions for
Orchard Park, 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 Orchard Park, NY back surgery is spinal
manipulation (10) of which 90% (11) is performed 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 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 Orchard Park, NY back pain to Novelli Wellness Center! Make it your first Orchard Park, NY back pain
relief healthcare stop!