The spine merits respect. Pflugerville Wellness Center
respects all Pflugerville spines, those in
good shape and those in not so good shape. When the spine hurts, it gets
attention. The attention the hurting spine gets is not always
respectful of the guidelines for its pain relief. That fact is getting
notice in the medical research. Evidence based guidelines for a painful spine’s
care are plentiful, but they aren’t
always used. They are published but not always read or
implemented. The spine deserves better. Your Pflugerville chiropractor
respects the spine and coordinates its trouble to the
best evidence-based protocol for its relief which is often times non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or favorable for
spine pain often provided even in Pflugerville? The
American Pain Society and the American College of Physicians endorse
spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy
using joint mobilization techniques and flexion distraction is reported
to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment
should be attempted by patients with chronic low back pain
and low back pain related disability.
(3) Flexion distraction delivers clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
notes that surgical approaches and outcomes differ
from place to place for patients with the same condition. It invites
standardization of care and the establishment of international guidelines founded
regarding what works best according to such evidence. (5)
Pflugerville Wellness Center agrees that published guidelines documenting what
is most effective need to be respected.
CLINICAL REALITY
What is being done? A just
published article that reviewed the care of Canadian
spine pain patients sent for spine surgery came out and
reported that “Surgeons do not use clinical practice
guidelines before spine surgery.” What did they do? Prescribed medications to
74.2% of them 46.3% of whom got opioids. 61.1% of patients tried two or fewer
non-surgical forms of treatment. The article suggests that if
patients tried evidence-based non-operative
treatments before a spine surgery consultation, fewer would be referred and, in
Canada, fewer would get worse as they have to wait such
a long time to see the surgeon. (6) Lumbar cage fusion rates grew
from 3.6% to 58% in 5 years that resulted in increased
complication risk without any improvement in disability or reoperation rates. (7)
Pflugerville Wellness Center offers Pflugerville chiropractic spine
care with less intrusive, more effective means, specifically
with the evidence-based protocols of Cox Technic.
MAKE A Pflugerville CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who promotes non-surgical care of back pain
with chiropractic for less costly and unnecessary medical care.
Schedule a Pflugerville chiropractic consultation now
with the Pflugerville spine specialist at Pflugerville Wellness Center where your
hurting spine is met with respect and relieving care as evidence says
is best.
"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."