What expectations do you have of your
chiropractic care of Fernandina Beach
back pain? That is a pivotal question. Research
reports that that questions of expectations plays
a role in back pain treatment outcome whether that treatment is surgical or conservative. Amelia Chiropractic Clinic intends
to listen to you and your expectations of our Fernandina Beach back
pain treatment and share what our treatment’s outcomes have been in practice and in
research.
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A new research project studied
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 advance better outcomes. (1) That’s
why Amelia Chiropractic Clinic devotes time to each Fernandina Beach
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 a patient doesn’t get
the relief he/she desired from 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) Amelia Chiropractic Clinic realizes no pain is the preferred state and is ready to talk
with our Fernandina Beach chiropractic patients their options and possible
outcomes.
DECIDING ON TREATMENT OPTIONS
Deciding
whether to have back surgery is a big decision. Evidence-based medicine sees that the patient at the center of care. What is
the patient perspective of this care? How is the patient perspective considered in treatment planning and choosing from available options? A new paper pointed
out 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 influences
the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking
opioid use patients expected more complete improvement compared
with 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 this new report on how back pain patient recovery
expectations impact clinical outcomes. A review of
60 studies reported that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Amelia Chiropractic Clinic offers
effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and absorbed. Fernandina Beach chiropractic care keeps the back pain patient at its center.
CONTACT Amelia Chiropractic Clinic
Listen to this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he explained how Cox®
Technic System of Spinal Pain Management and chiropractic treatment assisted
in the management of back pain for a patient who was adamant about not wanting back surgery.
Make your next Fernandina Beach
chiropractic visit soon. Amelia Chiropractic Clinic invites you to ponder and answer the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!