What do you expect from your
chiropractic care of Brooks
back pain? That is a pivotal question. Research
reports that it plays
a role in back pain treatment outcome whether that treatment is surgical or conservative. Soft Health and Healing Clinic aspires
to listen to you and your expectations of our Brooks back
pain treatment and present what our treatment’s outcomes have been in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A recent research project examined
patient and surgeon expectations of back surgery. Patients expected complete
relief and improvement of their back pain after lumbar spine surgery. Surgeons
expected improvement that ranged from a little to a lot dependant on the patient and his/her specific issues. 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’s
why Soft Health and Healing Clinic devotes time to each Brooks
back pain patient at the beginning of care, making sure the source of pain and its treatment plan are well-described.
If not, ask us!
AN ACCEPTABLE SYMPTOM STATE
patient expectations are not met with 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% reported having an acceptable symptom
state at 1 month of care. Specifically, patient-reported acceptable symptoms involved
these: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for
disability, 10.0 for anxiety, and 6.7 for depression. (2) Soft Health and Healing Clinic appreciates that no pain is the preferred state and is ready to talk
with our Brooks chiropractic patients their options and potential
DECIDING ON TREATMENT OPTIONS
The question of back surgery is a big issue. Evidence-based medicine views
the patient as being 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 new paper indicated that the patient’s social, psychological, and other non-clinical
characteristics must be considered in planning care. (3)
One issue 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 positive
according to a new report on how back pain patient recovery
expectations impact clinical outcomes. A review of
60 studies found that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Soft Health and Healing Clinic applies
effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and understood. Brooks chiropractic care keeps the back pain patient at its center.
CONTACT Soft Health and Healing 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 helped manage back pain for a patient who was adamant about not wanting back surgery.
Schedule your next Brooks
chiropractic visit today. Soft Health and Healing Clinic wants to know your answer to the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!