Emergency room physicians are working on figuring out what is optimal to offer back pain
patients who visit the ER for help. It’s 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. What
can a Tarrytown ER do?
How can an ER doctor deliver higher value care? (2) Imaging and
medication. What can the Tarrytown chiropractic back pain specialist provide?
Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.
EMERGENCY ROOM: IMAGING
The ER orders a lot of
imaging. One in 3 patients who visit the emergency department
for back pain (compared to 1 in 4 who visit a primary care physician) has imaging done:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines
don’t support this as they say to hold 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 as 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 do. Researchers have looked at
all sorts of pain medication combinations ER doctors have used
to see what is effective. What have
they discovered? Stronger pain medication options don’t
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen doesn’t appear to up
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 did not reduce 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 go to an ER for their back pain still
had functional impairment 3 months later as well as
42% reported moderate or severe pain. 46% say
they’ve used some type of analgesic pain reliever in the last
day. There are short and long-term issues for ER patients
with low back pain. (1) This may all be frustrating for emergency
department docs and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
Tarrytown chiropractic back pain specialist at Tarrytown Chiropractic is
armed with the best of chiropractic care for
Tarrytown back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Tarrytown chiropractor gets it.
Skill 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 boosts your Tarrytown chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Tarrytown
back pain patients is promising.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who shares
the goal of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Tarrytown Chiropractic
Schedule a Tarrytown chiropractic visit
with Tarrytown Chiropractic especially if an ER trip
hasn’t produced the pain relief you wanted.
Tarrytown chiropractic care has shared a well-documented
and researched way to manage back pain.