The spine deserves respect. Johnson Chiropractic
respects all Richmond 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 are plentiful, but they are not
always used. They are published but not always read or
implemented. The spine deserves better. Your Richmond 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 favorable for
spine pain often provided even in Richmond? 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 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 provides clinically significant
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
reports that surgical approaches and outcomes vary
from place to place for patients with the same condition. It beckons
standardization of care and the establishment of international guidelines based
regarding what works best according to such evidence. (5)
Johnson Chiropractic agrees that published guidelines documenting what
is most effective require respectful use.
CLINICAL REALITY
What is being done? A recently
published article that reviewed the care of Canadian
spine pain patients sent for spine surgery bluntly
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 deteriorate as they have to wait such
a long time to see the surgeon. (6) Lumbar cage fusion rates rose
from 3.6% to 58% in 5 years that resulted in increased
complication risk without any improvement in disability or reoperation rates. (7)
Johnson Chiropractic offers Richmond chiropractic spine
care with less invasive, more effective means, specifically
with the evidence-based protocols of Cox Technic.
MAKE A Richmond CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who encourages non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a Richmond chiropractic consultation now
with the Richmond spine specialist at Johnson Chiropractic where your
hurting spine is seen with respect and relieving care as evidence documents 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."