Gormish Chiropractic & Rehabilitation Respects the Painful Spine with Evidence-Based Care

The spine deserves respect. Gormish Chiropractic & Rehabilitation respects all Carrolltown spines, those in good shape and those in not so good shape. When the spine hurts, it gets attention. The attention the hurting spine gets isn’t always respectful of the guidelines for its pain relief. That fact is getting notice in the medical research. Evidence based guidelines for a painful spine’s care abound, but they aren’t always followed. They are published but not always read or implemented. The spine deserves better. Your Carrolltown chiropractor respects the spine and coordinates its trouble to the best evidence-based protocol for its relief which is many times non-surgical and non-drug.

CLINICAL GUIDELINES AND APPROACHES

What is recommended and/or favorable for spine pain often provided even in Carrolltown? The American Pain Society and the American College of Physicians advocate spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy using joint mobilization techniques and flexion distraction is written 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 brings clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research notes that surgical methods and outcomes vary from place to place for patients with the same condition. It invites standardization of care and the establishment of international guidelines based regarding what works best according to such evidence. (5) Gormish Chiropractic & Rehabilitation agrees that published guidelines showing what is most effective require respectful use.

CLINICAL REALITY

What is being done? A just released article that assessed the care of Canadian spine pain patients sent for spine surgery bluntly reported 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 attempted to use 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 get to the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that lead to increased complication risk without any improvement in disability or reoperation rates. (7) Gormish Chiropractic & Rehabilitation offers Carrolltown chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Carrolltown CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who supports non-surgical care of back pain with chiropractic for less costly and unnecessary medical care.

Schedule a Carrolltown chiropractic consultation now with the Carrolltown spine specialist at Gormish Chiropractic & Rehabilitation where your hurting spine is met with respect and relieving care as evidence reports as being best.