Fernandina Beach Chiropractic Healthy News - March 2018

Every profession is establishing recommendations for practitioners to adhere to when providing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Fernandina Beach chiropractor at Amelia Chiropractic Clinic is always ready for such a conversation about Fernandina Beach back pain. Back pain is a huge health issue affecting 80% of us in Fernandina Beach at some point in life. Back pain is managed by many kinds of physicians in many types of specialist societies. Their societal recommendations are similar regarding imaging (Don’t do within the first six weeks of pain unless there are “red flags.”), trying non-surgical care ahead of imaging and/or referring for back surgery, and shifting the patient care from passive care to active care. More precisely, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without checking for the reaction to the latter one and not prescribing opioid drugs for acute disabling low back pain without assessment and a test of other alternatives. (2) The American Chiropractic Association recommends not doing repeat imaging to see how the patient is responding, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, and avoiding long term use of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding lumbar spine imaging in non-traumatic back pain except if there are severe or progressive neurological deficits or a suspicion of an underlying issue. (4) The American College of Physicians recommends not ordering imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not advocating bed rest for more than 48 hours for low back pain, not ordering EMG studies to establish the cause of spine pain, and not getting advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain devoid of red flags. (6) The Danish Health Authority recommends not sending patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain continues for 12 weeks despite non-surgical treatment. (7) It’s up to you, the Fernandina Beach back pain patient or concerned loved one, to choose wisely the path of care for back pain relief. Consider these professions’ recommendations for back pain care to guide a conversation with your Fernandina Beach chiropractor, your Fernandina Beach back pain specialist, at Amelia Chiropractic Clinic as you decide on the type of care appropriate for your Fernandina Beach back pain relief.

 

TIP OF THE MONTH: Try Non-Surgical Interventions for Fernandina Beach Back Pain

Common Fernandina Beach non-surgical interventions for Fernandina Beach back pain relief are pain medications, exercise, manual manipulation, massage, and heat/ice. (8, 9) Included in the top non-surgical interventions to try before Fernandina Beach back surgery is spinal manipulation (10) of which 90% (11) is delivered by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more active care importance as pain decreases – matches Choosing Wisely recommendations as it seeks 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function pursued by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your Fernandina Beach back pain to Amelia Chiropractic Clinic! Make it your first Fernandina Beach back pain relief healthcare stop!