San Jose Chiropractic Healthy News - March 2018

Every profession is establishing recommendations for practitioners to follow when providing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your San Jose chiropractor at Chiropractic Solutions is always ready for such a conversation about San Jose back pain. Back pain is a huge health issue affecting 80% of us in San Jose at some point in life. Back pain is managed by many kinds of physicians in many kinds of specialist societies. Their societal recommendations are related regarding imaging (Do not perform in the first six weeks of pain except if there are “red flags.”), trying non-surgical care before imaging and/or referring for back surgery, and moving the patient care from passive care to active care. More precisely, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the response to the last one and not prescribing opioid drugs for acute disabling low back pain without evaluation and a trial of other alternatives. (2) The American Chiropractic Association recommends not ordering repeat imaging to see how the patient is responding, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, 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 ordering EMG studies to establish the cause of spine pain, and not ordering advanced spinal imaging (ex MRI) within the first six weeks of non-specific acute low back pain without red flags. (6) The Danish Health Authority recommends not referring 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 San Jose 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 begin a conversation with your San Jose chiropractor, your San Jose back pain specialist, at Chiropractic Solutions as you decide on the type of care proper for your San Jose back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for San Jose Back Pain

Common San Jose non-surgical interventions for San Jose 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 San Jose 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 more active care importance as pain decreases – matches Choosing Wisely recommendations as it works toward 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function sought by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your San Jose back pain to your San Jose chiropractor’s office! Make it your first San Jose back pain relief healthcare stop!