Emergency room physicians are trying
to figure out what is best to offer back pain
patients who come to the ER for help. It is a dilemma
for them, particularly since almost 3 million such
patients with undifferentiated musculoskeletal low back pain choose the emergency room for help annually! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a West Des Moines ER doc help?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the West Des Moines chiropractic back pain specialist offer?
Spinal manipulation and nutrients. Chiropractic has published about successful
management of back pain.
EMERGENCY ROOM: IMAGING
The ER does lots of
imaging. One in 3 patients who go to the emergency room
for back pain (compared to 1 in 4 who go to a primary care physician) has imaging ordered:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
don’t support this as they recommend holding off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are telling ER doctors that they have been using
such care already? Probably not as only 34% of
patients who visit an ER share with the emergency department
physician that they get healthcare options like chiropractors,
massage therapy, acupuncture and the like. (5) What about the pain?
EMERGENCY ROOM: MEDICATIONS
Pain relief, it
seems, is what they can offer. Researchers have studied
a variety of pain medication combinations ER doctors have prescribed
to see what is effective. What have
they found? Stronger pain medication options don’t
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen doesn’t seem to up
function or pain any more than placebo plus ibuprofen by 1 week
after an ED visit for acute low back pain. (6,7) Mixing
ibuprofen and acetaminophen didn’t decrease pain
scores or the need for other analgesic pain meds compared with either ibuprofen
or acetaminophen alone for emergency room patients with acute
musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients
who go to an ER for their back pain still
had functional impairment 3 months later as well as
42% reported moderate or severe pain. 46% say
they’ve used some type of analgesic pain reliever in the day prior. There are short and long-term issues for ER patients
with low back pain. (1) This may all be frustrating for emergency
department docs and their patients but not always
for chiropractors and their chiropractic back pain patients. The
West Des Moines chiropractic back pain specialist at Executive Chiropractic of Iowa is
prepared with the best of chiropractic care for
West Des Moines back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your West Des Moines chiropractor understands.
Experience with chiropractic spinal manipulation via
The Cox® Technic System of Spinal Pain Management with the addition of
nutrition like chondroitin sulfate, glucosamine sulfate and curcurmin and
turmeric boosts your West Des Moines chiropractor’s confidence that back
pain relief and management for many otherwise frustrated West Des Moines
back pain patients is promising.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who shares
the goal of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Executive Chiropractic of Iowa
Schedule a West Des Moines chiropractic appointment
with Executive Chiropractic of Iowa especially if an emergency department trip
has not resulted in the pain relief you hoped.
West Des Moines chiropractic care has shared a well-documented
and researched way to manage back pain.
"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