The spine merits respect. Pensacola Spinal Rehab Center
respects all Pensacola spines, those healthy and those hurting. When the spine hurts, it demands
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 abundant, but they are not
always followed. They are published but not always read or
implemented. The spine deserves better. Your Pensacola 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 Pensacola? 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 tried 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 methods and outcomes differ
from place to place for patients with the same condition. It beckons
standardization of care and the establishment of international guidelines founded
about what works best according to such evidence. (5)
Pensacola Spinal Rehab Center agrees that published guidelines showing what
is most effective need to be respected.
CLINICAL REALITY
What is being done? A just
published article that assessed the care of Canadian
spine pain patients sent for spine surgery bluntly
reported 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 suggests that if
patients received 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 resulted in increased
complication risk without any improvement in disability or reoperation rates. (7)
Pensacola Spinal Rehab Center offers Pensacola chiropractic spine
care with less intrusive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A Pensacola 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 Pensacola chiropractic consultation today
with the Pensacola spine specialist at Pensacola Spinal Rehab Center where your
hurting spine is met with respect and relieving care as evidence reports as being best.