Ottawa Chiropractic Healthy News - March 2018

 

CHOOSING WISELY (1) – WHAT TO DO ABOUT BACK PAIN

Healthcare professions are establishing recommendations for practitioners to adhere to when providing health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Ottawa chiropractor at The practice of Dr. Tim Schneider is always ready for such a conversation about Ottawa back pain. Back pain is a big health issue affecting 80% of us in Ottawa at some point in life. Back pain is handled by many sorts of physicians in many kinds of specialist societies. Their societal recommendations are comparable concerning imaging (Don’t do within the first six weeks of pain except if there are “red flags.”), testing non-surgical care ahead of imaging and/or referring for back surgery, and progressing the patient care from passive to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the response to the latter one and not prescribing opioid drugs for acute disabling low back pain without assessment and a trial of other alternatives. (2) The American Chiropractic Association recommends not ordering repeat imaging to monitor progress of care, not getting spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are noted, and avoiding long term use of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding lumbar spine imaging in non-traumatic back pain except if there are severe or progressive neurological deficits or a suspicion of an underlying issue. (4) The American College of Physicians recommends not ordering imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not advocating bed rest for more than 48 hours for low back pain, not using EMG studies to establish the cause of spine pain, and not getting advanced spinal imaging (ex MRI) in the first 6 weeks of non-specific acute low back pain without red flags. (6) The Danish Health Authority recommends not referring patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain persists for 12 weeks in spite of non-surgical treatment. (7) It’s up to you, the Ottawa back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Use these professions’ recommendations for back pain care to start a conversation with your Ottawa chiropractor, your Ottawa back pain specialist, at The practice of Dr. Tim Schneider as you decide on the type of care proper for your Ottawa back pain relief.

Listen to this PODCAST from the Back Doctors' Podcast series about two cases of back pain helped with Cox Technic, one with imaging and all sorts of care and the second case without any imaging studies.

 
 

TIP OF THE MONTH: Try Non-Surgical Interventions for Ottawa Back Pain

Common Ottawa non-surgical interventions for Ottawa back pain relief are pain medications, exercise, manual manipulation, massage, and heat/ice. (8, 9) Included in the top non-surgical interventions to try before Ottawa back surgery is spinal manipulation (10) of which 90% (11) is done by chiropractors. The Cox Technic System of Spine Carespinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with increased active care importance as pain decreases – fits Choosing Wisely recommendations as it works toward 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function sought by medicine [12]) before advanced imaging or surgical referral without red flags. Bring your Ottawa back pain to The practice of Dr. Tim Schneider! Make it your first Ottawa back pain relief healthcare stop!

CONTACT The practice of Dr. Tim Schneider

Schedule your next Ottawa chiropractic appointment today. The practice of Dr. Tim Schneider anticipates helping you choose the next best step toward back pain relief.

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