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San Jose Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

Emergency room physicians are working on figuring out what is best to offer back pain patients who come to the ER for help. It is a dilemma for them, especially since nearly 3 million such patients with undifferentiated musculoskeletal low back pain choose the emergency room for help annually! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. What can a San Jose ER do? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the San Jose chiropractic back pain specialist provide? Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.

EMERGENCY ROOM: IMAGING

The ER does plenty of imaging. One in 3 patients who go to the emergency room for back pain (as opposed to 1 in 4 who seek care from a primary care physician) has imaging ordered: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines don’t support this as they say to hold off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are letting the ER doctors know that they have been under such care already? Not likely since only 34% of patients who go to an ER tell the emergency department physician that they get healthcare options like chiropractors, massage therapy, acupuncture and the like. (5) What about the pain?

EMERGENCY ROOM: MEDICATIONS

Pain relief, it seems, is what they can offer. Researchers have looked at a variety of pain medication combinations ER doctors have used to figure out what works best. What have they found? Stronger pain medication options do not offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen doesn’t seem to enhance function or pain any more than placebo plus ibuprofen by 1 week after an ED visit for acute low back pain. (6,7) Mixing ibuprofen and acetaminophen didn’t reduce pain scores or the need for other analgesic pain meds compared with either ibuprofen or acetaminophen alone in emergency room patients with acute musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients who visit an ER for their back pain still had functional impairment 3 months later as well as 42% said they had moderate or severe pain. 46% say they’ve used some type of analgesic pain reliever in the last day. There are short and long-term problems for ER patients with low back pain. (1) This may all be frustrating for emergency department docs and their patients but not typically for chiropractors and their chiropractic back pain patients. The San Jose chiropractic back pain specialist at Chiropractic Solutions is equipped with the best of chiropractic care for San Jose back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your San Jose chiropractor gets it. Skill with chiropractic spinal manipulation via The Cox® Technic System of Spinal Pain Management with the addition of nutrition like chondroitin sulfate, glucosamine sulfate and curcurmin and turmeric supports your San Jose chiropractor’s confidence that back pain relief and management for many otherwise frustrated San Jose back pain patients is possible.

Listen to this PODCAST with Dr. Michael Schneider on The Back Doctors Podcast with Dr. Michael Johnson who describes the role of the primary spine physician who would be the physician to seek out for back pain issues.

CONTACT Chiropractic Solutions

Schedule a San Jose chiropractic visit with Chiropractic Solutions especially if an ER visit hasn’t produced the pain relief you wanted. San Jose chiropractic care has shared a well-documented and researched way to manage back pain.

	Chiropractic Solutions invites San Jose back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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