Executive Chiropractic of Iowa Respects the Painful Spine with Evidence-Based Care
The spine deserves 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 demands attention. The attention the hurting spine gets isn’t 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 respected. 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 written to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment should be attempted by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction brings clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical methods and outcomes vary from place to place for patients with the same condition. It pleas for 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 showing what is most effective require respectful use.
CLINICAL REALITY
What is being done? A recently released article that assessed the care of Canadian spine pain patients sent for spine surgery bluntly wrote 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 fewer non-surgical forms of treatment. The article suggests that if patients tried evidence-based non-operative treatments before a spine surgery consultation, fewer would be referred and, in Canada, fewer would deteriorate as they have to wait such a long time to see the surgeon. (6) Lumbar cage fusion rates grew from 3.6% to 58% in 5 years that resulted in escalated complication risk without any improvement in disability or reoperation rates. (7) Executive Chiropractic of Iowa offers West Des Moines chiropractic spine care with less invasive, more effective means, particularly 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 costly and unnecessary medical care.
Schedule a West Des Moines chiropractic consultation today with the West Des Moines spine specialist at Executive Chiropractic of Iowa where your hurting spine is seen with respect and relieving care as evidence says is best.
