Emergency room physicians are trying
to figure out what is best to offer back pain
patients who choose the ER for help. It’s a dilemma
for them, especially since nearly 3 million such
patients with undifferentiated musculoskeletal low back pain visit 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 Colorado Springs ER doc help?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the Colorado Springs chiropractic back pain specialist offer?
Spinal manipulation and nutrients. Chiropractic has published about successful
management of back pain.
EMERGENCY ROOM: IMAGING
The ER does lots of
imaging. One in 3 patients who go to the emergency room
for back pain (as opposed to 1 in 4 who go to a primary care physician) has imaging ordered:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
do not support this as they recommend holding off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are telling ER doctors that they have been using
such care already? Not likely as only 34% of
patients who visit 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
Pain relief, it
seems, is what they can do. Researchers have studied
a variety of pain medication combinations ER doctors have used
to figure out what is effective. What have
they discovered? Stronger pain medication options do not
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen does not seem to up
function or pain any more than placebo plus ibuprofen within a week
after an ED visit for acute low back pain. (6,7) Mixing
ibuprofen and acetaminophen did not reduce 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 visit an emergency room for their back pain still
had 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 always
for chiropractors and their chiropractic back pain patients. The
Colorado Springs chiropractic back pain specialist at The Chiropractic TRUhealthDR is
prepared with the best of chiropractic care for
Colorado Springs back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Colorado Springs chiropractor understands.
Experience 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 Colorado Springs chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Colorado Springs
back pain patients is promising.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who shares
the goal of the primary spine physician who would be the physician
to turn to for back pain issues.
CONTACT The Chiropractic TRUhealthDR
Schedule a Colorado Springs chiropractic appointment
with The Chiropractic TRUhealthDR especially if an emergency department visit
has not resulted in the pain relief you hoped.
Colorado Springs chiropractic care has shared a well-documented
and researched way to manage back pain.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I