The spine merits respect. McMurray Chiropractic Solutions
respects all San Jose spines, those healthy and those hurting. When the spine hurts, it gets
attention. The attention the hurting spine gets is not always
respectful of the guidelines for its pain relief. That fact is receiving
notice in the medical research. Evidence based guidelines for a painful spine’s
care abound, but they are not
always respected. They are published but not always read or
implemented. The spine deserves better. Your San Jose chiropractor
respects the spine and coordinates its trouble to the
best evidence-based protocol for its relief which is frequently non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or favorable for
spine pain often provided even in San Jose? 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) Spinal manipulation as a conservative treatment
should be attempted by patients with chronic low back pain
and low back pain related disability.
(3) Flexion distraction brings clinically significant
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 built
about what works best according to such evidence. (5)
McMurray Chiropractic Solutions agrees that published guidelines documenting what
is most effective need to be respected.
CLINICAL REALITY
What is being done? A recently
published article that assessed the care of Canadian
spine pain patients referred for spine surgery came out and
wrote 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 fewer
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 get worse as they have to wait such
a long time to get to the surgeon. (6) Lumbar cage fusion rates increased
from 3.6% to 58% in 5 years that lead to increased
complication risk without any improvement in disability or reoperation rates. (7)
McMurray Chiropractic Solutions delivers San Jose chiropractic spine
care with less invasive, more effective means, specifically
with the evidence-based protocols of Cox Technic.
MAKE A San Jose CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who supports non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a San Jose chiropractic consultation now
with the San Jose spine specialist at McMurray Chiropractic Solutions where your
hurting spine is met with respect and relieving care as evidence reports as being 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."