Fernandina Beach Chiropractic Healthy News - March 2018

Healthcare professions are setting forth recommendations for practitioners to adhere to when delivering health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Fernandina Beach chiropractor at Amelia Chiropractic Clinic is always ready for such a conversation about Fernandina Beach back pain. Back pain is a huge health concern distressing 80% of us in Fernandina Beach at some point in life. Back pain is handled by many kinds of physicians in many types of professional societies. Their societal recommendations are related concerning imaging (Don’t order in the first 6 weeks of pain except if there are “red flags.”), attempting non-surgical care ahead of imaging and/or referring for back surgery, and progressing the patient care from passive care to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction to the last one and not prescribing opioid drugs for acute disabling low back pain without evaluation and a test of other alternatives. (2) The American Chiropractic Association recommends not ordering repeat imaging to monitor progress of care, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless there are red flags, 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 using EMG studies to establish the cause of spine pain, and not getting advanced spinal imaging (ex MRI) within the first 6 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 unless the severe and debilitating back pain continues for 12 weeks despite non-surgical treatment. (7) It is up to you, the Fernandina Beach back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Use these professions’ recommendations for back pain care to guide a conversation with your Fernandina Beach chiropractor, your Fernandina Beach back pain specialist, at Amelia Chiropractic Clinic as you choose the type of care proper for your Fernandina Beach back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for Fernandina Beach Back Pain

Common Fernandina Beach non-surgical interventions for Fernandina Beach 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 Fernandina Beach 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 increased active care importance as pain decreases – fits Choosing Wisely recommendations as it seeks 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 Fernandina Beach back pain to Amelia Chiropractic Clinic! Make it your first Fernandina Beach back pain relief healthcare stop!