Chiropractic Solutions Respects the Painful Spine with Evidence-Based Care
The spine deserves respect. Chiropractic Solutions respects all San Jose spines, those in good shape and those in not so good shape. 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 followed. They are published but not always read or implemented. The spine deserves better. Your San Jose chiropractor respects the spine and matches its trouble to the best evidence-based protocol for its relief which is often times non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or beneficial for spine pain often delivered 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 reported to be effective for low back pain relief. (2) Conservative treatment in the form of spinal manipulation should be undertaken by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction delivers clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research notes that surgical approaches 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 about what works best according to such evidence. (5) Chiropractic Solutions agrees that published guidelines documenting what is best need to be respected.
CLINICAL REALITY
What is really going on? A just published article that reviewed the care of Canadian spine pain patients referred for spine surgery came out and 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 suggests that if patients attempted to use 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 see the surgeon. (6) Lumbar cage fusion rates grew from 3.6% to 58% in 5 years that lead to increased complication risk without any improvement in disability or reoperation rates. (7) Chiropractic Solutions offers San Jose chiropractic spine care with less intrusive, more effective means, particularly 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 promotes non-surgical care of back pain with chiropractic for less costly and unnecessary medical care.
Schedule a San Jose chiropractic consultation now with the San Jose spine specialist at Chiropractic Solutions where your hurting spine is seen with respect and relieving care as evidence reports as being best.
