The spine merits respect. Minster Chiropractic Center
respects all Minster spines, those healthy and those hurting. When the spine hurts, it gets
attention. The attention the hurting spine gets isn’t always
respectful of the guidelines for its pain relief. That fact is getting
notice in the medical research. Evidence based guidelines for a painful spine’s
care are plentiful, but they aren’t
always used. They are published but not always read or
implemented. The spine deserves better. Your Minster chiropractor
respects the spine and coordinates its trouble to the
best evidence-based protocol for its relief which is frequently non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or beneficial for
spine pain often delivered even in Minster? The
American Pain Society and the American College of Physicians recommend
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) Spinal manipulation as a conservative treatment
should be tried 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 calls for
standardization of care and the establishment of international guidelines built
regarding what works best according to such evidence. (5)
Minster Chiropractic Center agrees that published guidelines documenting what
is best need to be respected.
CLINICAL REALITY
What is really going on? A recently
released article that reviewed the care of Canadian
spine pain patients sent for spine surgery came out and
stated 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 fewer
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 get to 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)
Minster Chiropractic Center offers Minster chiropractic spine
care with less invasive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A Minster CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who advocates non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a Minster chiropractic consultation today
with the Minster spine specialist at Minster Chiropractic Center where your
hurting spine is seen with respect and relieving care as evidence says
is best.
"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."