What expectations do you have of your
San Jose chiropractic care of back pain? That question is huge. Research
reports that it has a role in back pain treatment outcome be the
treatment surgical or conservative. Chiropractic Solutions intends
to listen to you and your expectations of our San Jose 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 complete
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. Whose
expectations were met? The surgeons’
expectations. A couple years after the back surgery, the patient-reported outcomes met the surgeon’s expectations.
The researchers emphasized that effective communication about expectations
may well foster better outcomes. (1) That’s
why Chiropractic Solutions spends time with each San Jose
back pain patient early on in care, making sure the source of pain and its treatment plan are well-described.
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 included: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for
disability, 10.0 for anxiety, and 6.7 for depression. (2) Chiropractic Solutions knows no pain is the preferred state and is prepared to discuss
with our San Jose chiropractic patients their options and potential
DECIDING ON TREATMENT OPTIONS
whether to have back surgery is a big decision. Evidence-based medicine views
the patient as being the center of care. What is
the patient perspective of this care? How is the patient perspective regarded in treatment planning and choosing from available options? A recent paper pointed
out that the patient’s social, psychological, and other non-clinical
characteristics must be considered in planning care. (3)
One issue in the back-surgery decision that reportedly influences
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 a
lot of patients, the prospect of work is a light at the end of the
tunnel which is encouraging
according to this new report on how back pain patient recovery
expectations sway clinical outcomes. A review of
60 studies found that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Chiropractic Solutions employs
effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and absorbed. San Jose chiropractic care keeps the back pain patient at its center.
CONTACT Chiropractic Solutions
Listen to this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he explained how Cox®
Technic System of Spinal Pain Management and chiropractic treatment assisted
in the management of back pain for a patient who was adamant about not wanting back surgery.
Schedule your next San Jose
chiropractic visit soon. Chiropractic Solutions invites you to ponder and answer the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!