Emergency room physicians are working on figuring out what is optimal to offer back pain
patients who visit the ER for help. It’s a quandry
for them, particularly since nearly 3 million such
patients with undifferentiated musculoskeletal low back pain visit the emergency room for help each year! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. What
can a Fernandina Beach ER do?
How can an ER doctor deliver higher value care? (2) Imaging and
medication. What can the Fernandina Beach chiropractic back pain specialist provide?
Spinal manipulation and nutrients. Chiropractic has published about successful
management of back pain.
EMERGENCY ROOM: IMAGING
The ER performs plenty of
imaging. One in 3 patients who visit the emergency room
for back pain (compared to 1 in 4 who seek care
from a primary care physician) gets imaging performed:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
do not support this as they recommend holding off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are telling ER doctors that they have been using
such care already? Not likely as only 34% of
patients who visit 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 prescribed
to see what is effective. What have
they found? Stronger pain medication options don’t
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen does not appear to improve
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 did not 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 go to an emergency room for their back pain still
had functional impairment 3 months later as well as
42% reported 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 issues for ER patients
with low back pain. (1) This may all be frustrating for emergency
department physicians and their patients but not always
for chiropractors and their chiropractic back pain patients. The
Fernandina Beach chiropractic back pain specialist at Amelia Chiropractic Clinic is
equipped with the best of chiropractic care for
Fernandina Beach back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Fernandina Beach chiropractor gets it.
Familiarity 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 Fernandina Beach chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Fernandina Beach
back pain patients is possible.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who shares
the role of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Amelia Chiropractic Clinic
Schedule a Fernandina Beach chiropractic visit
with Amelia Chiropractic Clinic especially if an emergency department trip
hasn’t resulted in the pain relief you hoped.
Fernandina Beach chiropractic care has shared a well-documented
and researched way to manage back pain.
"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