What expectations do you have of your
Burlington and Hamilton chiropractic care of back pain? That question is huge. Research
reports that it plays
a role in back pain treatment outcome be the
treatment surgical or conservative. Spinal Care Clinic intends
to hear your expectations of our Burlington and Hamilton back
pain treatment and share what our treatment’s outcomes have been in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A recent research project scrutinized
patient and surgeon expectations of back surgery. Patients expected full
relief and improvement of their back pain after lumbar spine surgery. Surgeons
expected improvement that varied from a little to a lot dependant on the patient and his/her specific condition. Can you guess whose expectations were met? The surgeons’
expectations. A couple years after the back surgery, the patient-reported outcomes met the surgeon’s expectations.
The researchers stressed that effective communication about expectations
may well advance better outcomes. (1) That is
why Spinal Care Clinic spends time with each Burlington and Hamilton
back pain patient at the beginning of care, making sure the source of pain and its treatment plan are well-explained.
If not, tell us!
AN ACCEPTABLE SYMPTOM STATE
If a patient does not experience
the relief he/she desired from back surgery,
what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or
without active discopathy), 54% stated having an acceptable symptom
state at 1 month of care. Specifically, patient-reported acceptable symptoms included: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for
disability, 10.0 for anxiety, and 6.7 for depression. (2) Spinal Care Clinic realizes no pain is the preferred state and is ready to talk
with our Burlington and Hamilton chiropractic patients their options and possible
DECIDING ON TREATMENT OPTIONS
The question of back surgery is a big issue. Evidence-based medicine sees that the patient at the center of care. What is
the patient perspective of this care? How is the patient perspective taken
into consideration in treatment planning and decision making
among available options? A recent paper pointed
out that the patient’s social, psychological, and other non-clinical
characteristics must be taken into account in planning care. (3)
One factor in the back-surgery decision that reportedly influences
the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking
opioid use patients expected more complete improvement compared
with non-users. They also had higher
expectations of positive outcome than higher-dose opioid patients. (4) For a
lot of patients, the prospect of work is a light at the end of the
tunnel which is affirming
according to this new report on how back pain patient recovery
expectations impact clinical outcomes. A review of
60 studies reported that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Spinal Care Clinic employs
effective, nonsurgical care of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and absorbed. Burlington and Hamilton chiropractic care keeps the back pain patient at its center.
CONTACT Spinal Care Clinic
Check out this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he described how Cox®
Technic System of Spinal Pain Management and chiropractic treatment assisted
in the management of back pain for a patient who was adamant about not wanting back surgery.
Schedule your next Burlington and Hamilton
chiropractic visit today. Spinal Care Clinic invites you to think
about and answer the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!