Emergency room physicians are trying
to figure out what is best to offer back pain
patients who choose the ER for help. It is a quandry
for them, particularly since almost 3 million such
patients with undifferentiated musculoskeletal low back pain choose the emergency room for help annually! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a Pflugerville ER doc help?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the Pflugerville chiropractic back pain specialist provide?
Spinal manipulation and nutrients. Chiropractic has published about successful
management of back pain.
EMERGENCY ROOM: IMAGING
The ER does lots of
imaging. One in 3 patients who go to the emergency department
for back pain (compared to 1 in 4 who go to a primary care physician) gets imaging done:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
don’t support this as they recommend holding off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are letting the ER doctors know that they have been using
such care already? Not likely since only 34% of
patients who visit an ER share with the emergency department
physician that they get 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 offer. Researchers have studied
a variety of pain medication combinations ER doctors have prescribed
to determine what is effective. What have
they found? Stronger pain medication options don’t
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen doesn’t appear to improve
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 didn’t 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 visit an emergency room for their back pain continued to experience functional impairment 3 months later as well as
42% reported moderate or severe pain. 46% report using some type of analgesic pain reliever in the last
day. There are short and long-term problems for ER patients
with low back pain. (1) This may all be frustrating for emergency
department physicians and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
Pflugerville chiropractic back pain specialist at Pflugerville Wellness Center is
armed with the best of chiropractic care for
Pflugerville back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Pflugerville chiropractor understands.
Experience 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 supports your Pflugerville chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Pflugerville
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 role of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Pflugerville Wellness Center
Schedule a Pflugerville chiropractic visit
with Pflugerville Wellness Center especially if an ER visit
hasn’t produced the pain relief you wanted.
Pflugerville chiropractic care has shared a well-documented
and researched way to manage back pain.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I