The spine deserves respect. Poulin Chiropractic of Herndon and Ashburn
respects all Ashburn spines, those in
good shape and those in not so good shape. When the spine hurts, it demands
attention. The attention the hurting spine gets is not always
respectful of the guidelines for its pain relief. That fact is receiving
notice in the medical research. Evidence based guidelines for a painful spine’s
care are abundant, but they aren’t
always used. They are published but not always read or
implemented. The spine deserves better. Your Ashburn chiropractor
respects the spine and coordinates its trouble to the
best evidence-based protocol for its relief which is frequently non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or favorable for
spine pain often provided even in Ashburn? 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 undertaken by patients with chronic low back pain
and low back pain related disability.
(3) Flexion distraction delivers 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 differ
from place to place for patients with the same condition. It pleas for
standardization of care and the establishment of international guidelines built
about what works best according to such evidence. (5)
Poulin Chiropractic of Herndon and Ashburn agrees that published guidelines showing what
is most effective require respectful use.
CLINICAL REALITY
What is being done? A just
published article that reviewed the care of Canadian
spine pain patients referred for spine surgery came out and
stated 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 proposes that if
patients received evidence-based non-operative
treatments before a spine surgery consultation, fewer would be referred and, in
Canada, fewer would deteriorate as they have to wait so long to see the surgeon. (6) Lumbar cage fusion rates increased
from 3.6% to 58% in 5 years that lead to increased
complication risk without any improvement in disability or reoperation rates. (7)
Poulin Chiropractic of Herndon and Ashburn delivers Ashburn chiropractic spine
care with less intrusive, more effective means, specifically
with the evidence-based protocols of Cox Technic.
MAKE A Ashburn CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who encourages non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a Ashburn chiropractic consultation today
with the Ashburn spine specialist at Poulin Chiropractic of Herndon and Ashburn 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."