Murfreesboro Chiropractics Role in Back Pain Guidelines
Guidelines and recommendations for so many things from how to properly replace a light bulb to when to do back surgery pervade our daily lives. Guidelines are appreciated by people facing a new task or a new pain for the first time. Guidelines for the care of back pain have been available through the years, many listing non-surgical care including spinal manipulation as first line treatment. Just how well are those guidelines followed by relevant healthcare providers, by back pain patients? Most Chiropractic Clinic found these newly published reports attention-getting and thought our Murfreesboro chiropractic patients would, also. We can all use them to design and follow a guideline-based treatment plan.
BACK PAIN TREATMENT GUIDELINES
Your Murfreesboro chiropractor is aware of the current guidelines to best assist you, our Murfreesboro back pain patient. Back in 2009, the American College of Physicians added spinal manipulation to its guidelines’ recommendations of suitable spinal pain care choices. (1) Most Chiropractic Clinic uses the well-documented Cox® Technic System of Spinal Pain Management which has a published algorithm of decision-making for patients who have pain below the knee and patients with pain that does not go below the knee with a goal of 50% improvement in a month of care. These guidelines came out in 1996 and have been tested in clinic-based data collections through the years. (2) Such guidelines with research support and proper clinical application soothe our Murfreesboro chiropractic patients!
ARE GUIDELINES BEING FOLLOWED?
We hope so! Nearly 64% of chiropractors say they use (Cox®) flexion distraction with their spine pain patients and have the algorithm/guideline available to them. Most Chiropractic Clinic is one of those chiropractors. Beyond chiropractic, broad guidelines for back pain care are also accessible. Are they followed? A recent review of chiropractic and OT/PT use among 146,087 adults with low back pain in the past 3 months documented that chiropractic care or OT/PT care for low back pain increased after clinical guidelines recommending their care were introduced in 2016. Between 2002 and 2018, a bit less than a third of said adults with low back pain said that they were undergoing chiropractic and/or PT/OT with a rise to a third after the 2016 clinical guidelines were published. (3) This does demonstrate that guidelines help with treatment direction but are not always followed. In Denmark where guidelines for low back pain care are defined for primary care before referral found that 33% of patients had not gone through an adequate course of treatment in primary care before being referred. The patients were on average 53 years old with nearly 50% of them saying that they had pain for over a year, and 75% reporting pain below the knee. (4) Struggles in the healthcare system to follow guidelines are seemingly global.
CHIROPRACTIC’S ROLE
A group of chiropractic leaders compiled their ideas on the role of the chiropractor in his/her own practice, with his/her own patients, within the healthcare community, and within society for healthcare. Very interesting! Individually, chiropractors described themselves as competent and well-educated spine and musculoskeletal care experts who delivered evidence-based care founded on the latest research, clinical expertise, and patient values. They provided patient-centered care that spreads to cooperating with other healthcare providers with the best interest of the patient in mind. (5) Using guidelines, chiropractors are sure that they can help their back pain patients with their best interests in mind.
CONTACT Most Chiropractic Clinic
Listen to this PODCAST with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates how he used The Cox® Technic System of Spinal Pain Management to relieve a patient dealing with back pain and foot drop.
Make your Murfreesboro chiropractic appointment now. Facing a serious episode of back pain is certainly not comparable to changing a light bulb for the first time, but it is comforting to know that there are published guidelines to navigate the way through the task!
