Emergency room physicians are trying
to figure out what is best to offer back pain
patients who come to the ER for help. It’s a dilemma
for them, particularly since nearly 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 Brooks ER doc help?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the Brooks chiropractic back pain specialist provide?
Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.
EMERGENCY ROOM: IMAGING
The ER performs plenty of
imaging. One in 3 patients who go to 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 guidelines
don’t support this as they say to hold 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? Not likely as only 34% of
patients who go to an ER share with the emergency department
physician that they use healthcare options like chiropractors,
massage therapy, acupuncture and the like. (5) What about the pain?
EMERGENCY ROOM: MEDICATIONS
Relief for the pain is what they focus on. Researchers have studied
all sorts of pain medication combinations ER doctors have prescribed
to determine what is effective. What have
they discovered? Stronger pain medication options do not
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen does not seem 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) Mixing
ibuprofen and acetaminophen did not decrease 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% say
they’ve used some type of analgesic pain reliever in the day prior. There are short and long-term issues for ER patients
with low back pain. (1) This might be frustrating for emergency
department docs and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
Brooks chiropractic back pain specialist at Soft Health and Healing Clinic is
equipped with the best of chiropractic care for
Brooks back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Brooks chiropractor understands.
Skill 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 Brooks chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Brooks
back pain patients is possible.
Listen to this PODCAST
with Dr. Michael Schneider on The
Back Doctors Podcast with Dr. Michael Johnson who shares
the goal of the primary spine physician who would be the physician
to seek out for back pain issues.
CONTACT Soft Health and Healing Clinic
Schedule a Brooks chiropractic appointment
with Soft Health and Healing Clinic especially if an emergency department trip
hasn’t resulted in the pain relief you hoped.
Brooks chiropractic care has shared a well-documented
and researched way to manage back pain.
"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