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Burlington and Hamilton Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

Emergency room physicians are trying to figure out what is optimal to offer back pain patients who visit the ER for help. It is a dilemma for them, especially since almost 3 million such patients with undifferentiated musculoskeletal low back pain go to the emergency room for help each year! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a Burlington and Hamilton ER doc help? How can an ER doctor provide higher value care? (2) Imaging and medication. What can the Burlington and Hamilton chiropractic back pain specialist offer? Spinal manipulation and nutrients. Chiropractic has published about successful management of back pain.

EMERGENCY ROOM: IMAGING

The ER performs plenty of imaging. One in 3 patients who visit the emergency room for back pain (as opposed to 1 in 4 who seek care from a primary care physician) gets imaging performed: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations don’t support this as they recommend holding off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are telling ER doctors that they have been under such care already? Probably not since 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 offer. 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 does not 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 didn’t 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 emergency room for their back pain still had functional impairment 3 months later as well as 42% said they had moderate or severe pain. 46% report using 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 might be frustrating for ER physicians and their patients but not typically for chiropractors and their chiropractic back pain patients. The Burlington and Hamilton chiropractic back pain specialist at Spinal Care Clinic is prepared with the best of chiropractic care for Burlington and Hamilton back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Burlington and Hamilton chiropractor gets it. Familiarity 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 Burlington and Hamilton chiropractor’s confidence that back pain relief and management for many otherwise frustrated Burlington and Hamilton back pain patients is possible.

Listen to this PODCAST with Dr. Michael Schneider on The Back Doctors Podcast with Dr. Michael Johnson who describes the goal of the primary spine physician who would be the physician to seek out for back pain issues.

CONTACT Spinal Care Clinic

Schedule a Burlington and Hamilton chiropractic appointment with Spinal Care Clinic especially if an emergency department trip has not resulted in the pain relief you hoped. Burlington and Hamilton chiropractic care has figured out a well-documented and researched way to manage back pain.

	Spinal Care Clinic invites Burlington and Hamilton back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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