The spine deserves respect. Spinal Care Clinic
respects all Burlington and Hamilton spines, those healthy and those hurting. When the spine hurts, it gets
attention. The attention the hurting spine gets is not always
respectful of the guidelines for its pain relief. That fact is getting
notice in the medical research. Evidence based guidelines for a painful spine’s
care are abundant, but they aren’t
always respected. They are published but not always read or
implemented. The spine deserves better. Your Burlington and Hamilton chiropractor
respects the spine and complements its trouble to the
best evidence-based protocol for its relief which is often times non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or beneficial for
spine pain often provided even in Burlington and Hamilton? The
American Pain Society and the American College of Physicians advocate
spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy
using joint mobilization techniques and flexion distraction is reported
to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment
should be tried by patients with chronic low back pain
and disability related to low back pain.
(3) Flexion distraction brings clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
states that surgical methods and outcomes vary
from place to place for patients with the same condition. It pleas for
standardization of care and the establishment of international guidelines founded
on what works best according to such evidence. (5)
Spinal Care Clinic agrees that published guidelines showing what
is best need to be respected.
CLINICAL REALITY
What is being done? A just
released article that assessed the care of Canadian
spine pain patients sent for spine surgery came out and
reported that “Surgeons do not use clinical practice
guidelines before spine surgery.” What did they do? Prescribed medications to
74.2% of them 46.3% of whom got opioids. 61.1% of patients tried two or less
non-surgical forms of treatment. The article suggests that if
patients attempted to use evidence-based non-operative
treatments before a spine surgery consultation, fewer would be referred and, in
Canada, fewer would get worse as they have to wait such
a long time to get to the surgeon. (6) Lumbar cage fusion rates rose
from 3.6% to 58% in 5 years that resulted in escalated
complication risk without any improvement in disability or reoperation rates. (7)
Spinal Care Clinic offers Burlington and Hamilton chiropractic spine
care with less intrusive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A Burlington and Hamilton CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who encourages non-surgical care of back pain
with chiropractic for less costly and unnecessary medical care.
Schedule a Burlington and Hamilton chiropractic consultation today
with the Burlington and Hamilton spine specialist at Spinal Care Clinic where your
hurting spine is met with respect and relieving care as evidence says
is best.
"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."