What do you expect from your
Pflugerville chiropractic care of back pain? That is a key question. Research
reports that that questions of expectations plays
a role in back pain treatment outcome whether that treatment is surgical or conservative. Pflugerville Wellness Center intends
to hear your expectations of our Pflugerville back
pain treatment and share the outcomes of our treatment
documented in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A recent research project studied
patient and surgeon expectations of back surgery. Patients expected full
relief and improvement of their back pain after lumbar spine surgery. Surgeons
expected improvement that ranged from a little to a lot depending
on the patient and his/her specific condition. Can you guess whose expectations were met? The surgeons’
expectations. Two years after the back surgery, the patient-reported outcomes met the surgeon’s expectations.
The researchers stressed that effective communication about expectations
may well further better outcomes. (1) That’s
why Pflugerville Wellness Center spends time with each Pflugerville
back pain patient early on in care, ensuring
that the source of pain and its treatment plan are well-explained.
If not, tell us!
AN ACCEPTABLE SYMPTOM STATE
If a patient does not get
the relief he/she desired from back surgery,
what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or
without active discopathy), 54% reported having an acceptable symptom
state at 1 month of care. Specifically, patient-reported acceptable symptoms involved
these: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for
disability, 10.0 for anxiety, and 6.7 for depression. (2) Pflugerville Wellness Center appreciates that no pain is the preferred state and is ready to discuss
with our Pflugerville chiropractic patients their options and possible
DECIDING ON TREATMENT OPTIONS
whether to have back surgery is a big decision. Evidence-based medicine sees that the patient at the center of care. What is
the patient perspective of this care? How is the patient perspective considered in treatment planning and decision making
among available options? A recent paper indicated that the patient’s social, psychological, and other non-clinical
characteristics must be considered in planning care. (3)
One factor in the back-surgery decision that reportedly influences
the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking
opioid use patients expected more complete improvement compared
with non-users. They also had higher
expectations of positive outcome than higher-dose opioid patients. (4) For many patients, the prospect of work is goal of back pain treatment which is encouraging
according to this new report on how back pain patient recovery
expectations affect clinical outcomes. A review of
60 studies reported that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Pflugerville Wellness Center employs
effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is described and understood. Pflugerville chiropractic care keeps the back pain patient at its center.
CONTACT Pflugerville Wellness Center
Check out this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he explained how Cox®
Technic System of Spinal Pain Management and chiropractic treatment helped manage back pain for a patient who was adamant about not wanting back surgery.
Set your next Pflugerville
chiropractic visit soon. Pflugerville Wellness Center invites you to ponder and answer the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!