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Murfreesboro Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

Emergency room physicians are working on figuring 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 each year! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. What can a Murfreesboro ER do? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the Murfreesboro chiropractic back pain specialist provide? Spinal manipulation and nutrients. Chiropractic has published about successful management of back pain.

EMERGENCY ROOM: IMAGING

The ER performs plenty 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 performed: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines don’t support this as they say to hold off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are telling ER doctors that they have been under such care already? Probably not as only 34% of patients who visit an ER tell 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 see 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 doesn’t appear 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) Combining ibuprofen and acetaminophen did not 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 still had functional impairment 3 months later as well as 42% reported moderate or severe pain. 46% say they’ve used some type of analgesic pain reliever in the last day. There are short and long-term issues for ER patients with low back pain. (1) This may all be frustrating for emergency department docs and their patients but not always for chiropractors and their chiropractic back pain patients. The Murfreesboro chiropractic back pain specialist at Most Chiropractic Clinic is prepared with the best of chiropractic care for Murfreesboro back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Murfreesboro chiropractor gets it. Skill 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 boosts your Murfreesboro chiropractor’s confidence that back pain relief and management for many otherwise frustrated Murfreesboro back pain patients is possible.

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 Most Chiropractic Clinic

Schedule a Murfreesboro chiropractic appointment with Most Chiropractic Clinic especially if an ER trip hasn’t produced the pain relief you wanted. Murfreesboro chiropractic care has figured out a well-documented and researched way to manage back pain.

	Most Chiropractic Clinic welcomes Murfreesboro back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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