Guidelines and recommendations for everything from how to correctly change a light bulb
to appropriately decide on whether to do back surgery pervade
our world. Guidelines are appreciated by people facing
a new challenge or a new health condition for the first
time. Guidelines for the care of back pain have been published
through the years, many citing non-surgical
care including spinal manipulation as first line treatment. Just how well are
those guidelines followed by involved healthcare providers,
by back pain sufferers? Spinal Care Clinic found these recent reports interesting and thought
our Burlington and Hamilton chiropractic patients would, also. We can all
use them to create and follow a guideline-based
treatment plan.
BACK PAIN TREATMENT GUIDELINES
Your Burlington and Hamilton chiropractor keeps
abreast of the current guidelines to best help you, our Burlington and Hamilton
back pain patient. Back in 2009, the American College of Physicians added spinal manipulation to its guidelines’
recommendations of appropriate spinal pain care options.
(1) Spinal Care Clinic uses the well-documented Cox® Technic
System of Spinal Pain Management which has a published algorithm of
decision-making for patients who have pain below the knee
and patients who have pain that does not
go below the knee with a goal of 50% improvement in 30 days or
so of care. These guidelines were released 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 help
our Burlington and Hamilton 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. Spinal Care Clinic is one of those
chiropractors. Beyond chiropractic, general guidelines for back
pain care are also accessible. 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 found that
chiropractic care or OT/PT care for low back pain rose 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 getting chiropractic and/or PT/OT with a rise to a third after the 2016 clinical guidelines were released.
(3) This does demonstrate that guidelines help
with treatment direction but are not always followed. In Denmark
where guidelines for low back pain care are outlined
for primary care before referral found that 33% of
patients had not gone through an adequate course of treatment
in primary care before being referred. The patients were on
average 53 years old with nearly 50% of them reporting
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 compiled
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. Quite interesting! Independently,
chiropractors reported themselves as experienced
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 spreads 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 Spinal Care Clinic
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 Burlington and Hamilton chiropractic
appointment soon. Facing a serious episode 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 published
guidelines to navigate the way through the task!