Executive Chiropractic of Iowa Respects the Painful Spine with Evidence-Based Care

The spine merits respect. Executive Chiropractic of Iowa respects all West Des Moines 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 getting notice in the medical research. Evidence based guidelines for a painful spine’s care abound, but they aren’t always followed. They are published but not always read or implemented. The spine deserves better. Your West Des Moines 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 West Des Moines? The American Pain Society and the American College of Physicians advocate 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 attempted by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction delivers clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research notes that surgical methods and outcomes vary from place to place for patients with the same condition. It beckons standardization of care and the establishment of international guidelines founded regarding what works best according to such evidence. (5) Executive Chiropractic of Iowa agrees that published guidelines documenting what is most effective require respectful use.

CLINICAL REALITY

What is being done? A just released article that reviewed 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 attempted to use 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 such a long time to see the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that resulted in higher complication risk without any improvement in disability or reoperation rates. (7) Executive Chiropractic of Iowa offers West Des Moines chiropractic spine care with less intrusive, more effective means, specifically with the evidence-based protocols of Cox Technic.

MAKE A West Des Moines CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who supports non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.

Schedule a West Des Moines chiropractic consultation now with the West Des Moines spine specialist at Executive Chiropractic of Iowa where your hurting spine is met with respect and relieving care as evidence documents best.

 
 
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