West Des Moines Chiropractic and Back Pain Relief Expectations via Surgical or Conservative Care

What do you expect from your chiropractic care of West Des Moines back pain? That is a key question. Research reports that it plays a role in back pain treatment outcome whether that treatment is surgical or conservative. Executive Chiropractic of Iowa intends to hear your expectations of our West Des Moines back pain treatment and share the outcomes of our treatment documented in practice and in research.

INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES

A recent research project scrutinized patient and surgeon expectations of back surgery. Patients expected full relief and improvement of their back pain after lumbar spine surgery. Surgeons expected improvement that varied from a little to a lot depending on the patient and his/her specific issues. Can you guess whose expectations were met? The surgeons’ expectations. A couple years after the back surgery, the outcomes reported by patients met the surgeon’s expectations. The researchers emphasized that effective communication about expectations may well foster better outcomes. (1) That’s why Executive Chiropractic of Iowa spends time with each West Des Moines back pain patient at the beginning of care, ensuring that the source of pain and its treatment plan are well-explained. If not, ask us!

AN ACCEPTABLE SYMPTOM STATE

If original patient expectations are not  met with back surgery, what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or without active discopathy), 54% reported having an acceptable symptom state at 1 month of care. Specifically, patient-reported acceptable symptoms involved these: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for disability, 10.0 for anxiety, and 6.7 for depression. (2) Executive Chiropractic of Iowa realizes no pain is the preferred state and is ready to discuss with our West Des Moines chiropractic patients their options and possible outcomes.

DECIDING ON TREATMENT OPTIONS

Deciding whether to have back surgery is a big decision. Evidence-based medicine views the patient as being the center of care. What is the patient perspective of this care? How is the patient perspective taken into consideration in treatment planning and choosing from available options? A recent paper indicated that the patient’s social, psychological, and other non-clinical characteristics must be taken into account in planning care. (3) One issue in the back-surgery decision that reportedly impacts the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking opioid use patients expected more complete improvement opposed to non-users. They also had higher expectations of positive outcome than higher-dose opioid patients. (4) For a lot of patients, the prospect of work is goal of back pain treatment which is encouraging according to a new report on how back pain patient recovery expectations impact clinical outcomes. A review of 60 studies found that a patient’s recovery expectations are probably strongly associated with future work participation. (5) Executive Chiropractic of Iowa offers effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain sufferers is presented and understood. West Des Moines chiropractic care keeps the back pain patient at its center.

CONTACT Executive Chiropractic of Iowa

Check out this PODCAST with Dr. Anthony Galante on The Back Doctors Podcast with Dr. Michael Johnson as he described how Cox® Technic System of Spinal Pain Management and chiropractic treatment helped manage back pain for a patient who was absolutely positive about not wanting back surgery.

Set your next West Des Moines chiropractic visit today. Executive Chiropractic of Iowa wants to know your answer to the question of your expectations for our treatment so that we can both be satisfied with the outcome!

 
Executive Chiropractic of Iowa strives to meet realistic patient expectations when it comes to conservative back pain relief. 
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"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."