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Amelia Chiropractic Clinic Respects the Painful Spine with Evidence-Based Care

October 03, 2017

The spine merits respect. Amelia Chiropractic Clinic respects all Fernandina Beach 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 aren’t always respected. They are published but not always read or implemented. The spine deserves better. Your Fernandina Beach chiropractor respects the spine and coordinates 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 Fernandina Beach? 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) Conservative treatment in the form of spinal manipulation should be attempted by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction provides clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research notes that surgical methods and outcomes differ from place to place for patients with the same condition. It pleas for standardization of care and the establishment of international guidelines founded on what works best according to such evidence. (5) Amelia Chiropractic Clinic agrees that published guidelines showing what is best require respectful use.

CLINICAL REALITY

What is really going on? A recently released article that assessed the care of Canadian spine pain patients sent 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 less non-surgical forms of treatment. The article proposes 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 so long to see the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that lead to increased complication risk without any improvement in disability or reoperation rates. (7) Amelia Chiropractic Clinic offers Fernandina Beach chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Fernandina Beach CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who supports non-surgical care of back pain with chiropractic for less costly and unnecessary medical care.

Schedule a Fernandina Beach chiropractic consultation today with the Fernandina Beach spine specialist at Amelia Chiropractic Clinic where your hurting spine is met with respect and relieving care as evidence says is best.