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Millville Chiropractics Role in Back Pain Guidelines

Guidelines and recommendations for everything from how to properly replace a light bulb to appropriately decide on whether to do back surgery pervade our daily lives. Guidelines are valued by people facing a new challenge or a new health condition for the first time. Guidelines for the care of back pain have been available for years, many recommending non-surgical care including spinal manipulation as first line treatment. Just how well are those guidelines followed by relevant healthcare practitioners, by back pain sufferers? Wilson Family Chiropractic found these recent reports interesting and thought our Millville chiropractic patients would, too. We can all use them to design and go along with a guideline-based treatment plan.

BACK PAIN TREATMENT GUIDELINES

Your Millville chiropractor is aware of the current guidelines to best help you, our Millville back pain patient. Back in 2009, the American College of Physicians listed spinal manipulation in its guidelines’ recommendations of appropriate spinal pain care options. (1) Wilson Family Chiropractic uses the well-documented Cox® Technic System of Spinal Pain Management which has a published algorithm of decision-making for patients suffering pain below the knee and patients with pain that does not extend below the knee with a goal of 50% improvement in 30 days or so of care. These guidelines came out in 1996 and have been tested in clinic-based data collections in the years since. (2) Such guidelines with research backing and proper clinical application build confidence that there is hope to our Millville chiropractic patients!

ARE GUIDELINES BEING FOLLOWED?

We hope so! Nearly 64% of chiropractors say they use (Cox®) flexion distraction with their spine pain patients and have the algorithm/guideline accessible to them. Wilson Family Chiropractic is one of those chiropractors. Beyond chiropractic, broad guidelines for back pain care are available. Are they followed? A newly completed review of chiropractic and OT/PT use among 146,087 adults with low back pain in the past 3 months documented that chiropractic care or OT/PT care for low back pain increased after clinical guidelines recommending their care were introduced in 2016. Between 2002 and 2018, a little less than a third of those adults with low back pain said that they were undergoing chiropractic and/or PT/OT with an increase to a third after the 2016 clinical guidelines were published. (3) This does demonstrate that guidelines assist with treatment direction but are not always followed. In Denmark where guidelines for low back pain care are defined for primary care before referral found that 33% of patients had not gone through an adequate course of treatment in primary care before referral. The patients were on average 53 years old with almost 50% of them saying that they’d had pain for more than a year, and 75% saying that they had pain below the knee. (4) Struggles in the healthcare system to abide by guidelines are seemingly global.

CHIROPRACTIC’S ROLE

A group of chiropractic leaders assembled their thoughts on the role of the chiropractor in his/her own practice, with his/her own patients, within the healthcare community, and within society for healthcare. Very interesting! Independently, chiropractors reported themselves as competent and well-educated spine and musculoskeletal care experts who delivered evidence-based care based on the current research, clinical expertise, and patient values. They delivered patient-centered care that extends to cooperating with other healthcare providers with the best interest of the patient in mind. (5) Using guidelines, chiropractors are confident that they can help their back pain patients with those patient’s best interests in mind.

CONTACT Wilson Family Chiropractic

Listen to this PODCAST with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates how he used The Cox® Technic System of Spinal Pain Management to help a patient dealing with back pain and foot drop.

Make your Millville chiropractic appointment today. Facing a serious bout of back pain is certainly not equivalent to changing a light bulb for the first time, but it is comforting to know that there are available to navigate the way through the task! 

 
Millville chiropractic guidelines to manage back pain today and tomorrow 
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"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."