The spine merits respect. Chiropractic Care
respects all West Palm Beach spines, those healthy and those hurting. When the spine hurts, it gets
attention. The attention the hurting spine gets isn’t always
respectful of the guidelines for its pain relief. That fact is getting
notice in the medical research. Evidence based guidelines for a painful spine’s
care are plentiful, but they are not
always respected. They are published but not always read or
implemented. The spine deserves better. Your West Palm Beach chiropractor
respects the spine and coordinates its trouble to the
best evidence-based protocol for its relief which is many
times non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or favorable for
spine pain often delivered even in West Palm Beach? 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 written
to be effective for low back pain relief. (2) Conservative treatment in the
form of spinal manipulation
should be tried by patients with chronic low back pain
and low back pain related disability.
(3) Flexion distraction provides clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
states that surgical methods and outcomes vary
from place to place for patients with the same condition. It invites
standardization of care and the establishment of international guidelines based
regarding what works best according to such evidence. (5)
Chiropractic Care agrees that published guidelines showing what
is most effective require respectful use.
CLINICAL REALITY
What is really going on? A just
published article that assessed the care of Canadian
spine pain patients referred for spine surgery bluntly
reported 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 proposes that if
patients received evidence-based non-operative
treatments before a spine surgery consultation, fewer would be referred and, in
Canada, fewer would deteriorate as they have to wait such
a long time to see the surgeon. (6) Lumbar cage fusion rates rose
from 3.6% to 58% in 5 years that resulted in higher
complication risk without any improvement in disability or reoperation rates. (7)
Chiropractic Care delivers West Palm Beach chiropractic spine
care with less invasive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A West Palm Beach 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 West Palm Beach chiropractic consultation today
with the West Palm Beach spine specialist at Chiropractic Care 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."