Emergency room physicians are trying
to figure out what is optimal to offer back pain
patients who choose the ER for help. It is a dilemma
for them, particularly since almost 3 million such
patients with undifferentiated musculoskeletal low back pain go
to 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 Fort Wayne ER doc help?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the Fort Wayne chiropractic back pain specialist offer?
Spinal manipulation and nutrients. Chiropractic has published about successful
management of back pain.
EMERGENCY ROOM: IMAGING
The ER does a lot of
imaging. One in 3 patients who visit the emergency department
for back pain (compared to 1 in 4 who visit a primary care physician) has imaging done:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations
don’t support this as they recommend holding off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are letting the ER doctors know that they have been using
such care already? Not likely as only 34% of
patients who go to an ER share with the emergency department
physician that they use healthcare options like chiropractors,
massage therapy, acupuncture and the like. (5) What about the pain?
EMERGENCY ROOM: MEDICATIONS
Relief for the pain is what they focus on. Researchers have studied
all sorts of pain medication combinations ER doctors have used
to figure out what works best. What have
they discovered? Stronger pain medication options don’t
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen does not appear to enhance
function or pain any more than placebo plus ibuprofen by 1 week
after an ED visit for acute low back pain. (6,7) Combining
ibuprofen and acetaminophen didn’t decrease pain
scores or the need for other analgesic pain meds compared with either ibuprofen
or acetaminophen alone in emergency room patients with acute
musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients
who go to an emergency room for their back pain continued to experience functional impairment 3 months later as well as
42% said they had moderate or severe pain. 46% report using some type of analgesic pain reliever in the day prior. There are short and long-term problems for ER patients
with low back pain. (1) This may all be frustrating for ER physicians and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
Fort Wayne chiropractic back pain specialist at Aaron Chiropractic Clinic is
equipped with the best of chiropractic care for
Fort Wayne back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Fort Wayne chiropractor gets it.
Familiarity 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 supports your Fort Wayne chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Fort Wayne
back pain patients is promising.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who describes
the goal of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Aaron Chiropractic Clinic
Schedule a Fort Wayne chiropractic appointment
with Aaron Chiropractic Clinic especially if an ER visit
hasn’t produced the pain relief you wanted.
Fort Wayne chiropractic care has figured out a well-documented
and researched way to manage back pain.