Comparison Of West Des Moines Back Pain Relief Via Opioid Or Spinal Manipulation
“What should I do about my back pain? It’s been going on for so long.”
COSTS OF OPIOID VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS
Chronic low back pain is a costly condition, but just how costly is it? An analysis of Medicare health expenditures for long-term care of chronic low back pain compared the costs of opioid analgesic treatment opposed to those for spinal manipulation therapy. There were 28,160 participants aged 65-84 years old. 77% began with opioid therapy for their chronic low back pain. 23% started with SMT. The long-term costs for opioid-therapy patients were 58% lower, but long-term overall healthcare expenses were 1.87 times higher for those same opioid patients. (1) Executive Chiropractic of Iowa follows a system of West Des Moines chiropractic treatment frequency guided by the 50% Rule seeking 50% relief of pain within a month with more visits initially and less as the pain reduces.
SAFETY OF OPIOIDS VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS
Cost is one thing. What about safety? A review of patient files of Medicare beneficiaries aged 65 to 84 with chronic low back pain for 5 years studied the long-term safety of two common treatment options for chronic low back pain: opioid analgesic therapy and spinal manipulation therapy. The researchers studied a variety of patient records: patients who only received spinal manipulation, only received opioids, started with opioids then had spinal manipulation, and began with spinal manipulation then supplemented with opioids. What did they discover? The risk of adverse drug events was substantially higher – 42 times higher - for patients who began with opioid therapy first for their chronic back pain than those who started with spinal manipulation. (2) Executive Chiropractic of Iowa utilizes the well research-documented, safe, gentle protocols of Cox® Technic.
ESCALATION OF CARE RISK FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS
Research documents another important factor in back pain treatment: how well does a treatment keep a patient from having to undergo more complex treatment? A third review of Medicare patient data looked at escalation of care risk – hospital stays, emergency room visits, imaging, back surgery, pain med interventions, and other such encounters for potential complications of chronic low back pain – in long-term chronic low back pain care patients who began with opioid analgesic therapy or spinal manipulation therapy. Starting care with spinal manipulation therapy was associated with lower rates of escalation of care. The rate of escalated care encounters was 2.5 times greatear for opioid care patients. (3) The use of Cox® Technic at Executive Chiropractic of Iowa minimizes the need for escalated care while cautiously monitoring each patient for indications that such may be helpful or needed.
CONTACT Executive Chiropractic of Iowa
Listen to this PODCAST with Dr. Nike Taylor on The Back Doctors Podcast with Dr. Michael Johnson as she discusses treatment of chronic low back pain via the Cox® Technic Flexion Distraction System of Spinal Pain Management.
Schedule your West Des Moines chiropractic appointment now. Whether the response to the question of “what should I do about my back pain?” was opioid treatment or other care, spinal manipulation at Executive Chiropractic of Iowa may well be your next (or your initial if you are just beginning the search for help) treatment that will help you attain the back pain relief you want in a cost-effective, safe way.
