The spine merits respect. The Chiropractic TRUhealthDR
respects all Colorado Springs spines, those healthy and those hurting. When the spine hurts, it demands
attention. The attention the hurting spine gets is not always
respectful of the guidelines for its pain relief. That fact is receiving
notice in the medical research. Evidence based guidelines for a painful spine’s
care are abundant, but they are not
always respected. They are published but not always read or
implemented. The spine deserves better. Your Colorado Springs chiropractor
respects the spine and matches 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 delivered even in Colorado Springs? The
American Pain Society and the American College of Physicians recommend
spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy
using joint mobilization techniques and flexion distraction is reported
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 delivers 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 calls for
standardization of care and the establishment of international guidelines based
about what works best according to such evidence. (5)
The Chiropractic TRUhealthDR agrees that published guidelines documenting what
is most effective require respectful use.
CLINICAL REALITY
What is really going on? A just
released article that reviewed the care of Canadian
spine pain patients sent for spine surgery bluntly
stated 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 rose
from 3.6% to 58% in 5 years that resulted in escalated
complication risk without any improvement in disability or reoperation rates. (7)
The Chiropractic TRUhealthDR offers Colorado Springs chiropractic spine
care with less invasive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A Colorado Springs CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who advocates non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a Colorado Springs chiropractic consultation now
with the Colorado Springs spine specialist at The Chiropractic TRUhealthDR where your
hurting spine is seen with respect and relieving care as evidence reports as being best.
"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."