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Poulin Chiropractic of Herndon and Ashburn Respects the Painful Spine with Evidence-Based Care

October 03, 2017

The spine deserves respect. Poulin Chiropractic of Herndon and Ashburn respects all Ashburn and Herndon spines, those in good shape and those in not so good shape. 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 followed. They are published but not always read or implemented. The spine deserves better. Your Ashburn and Herndon chiropractor respects the spine and matches 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 favorable for spine pain often delivered even in Ashburn and Herndon? 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 written to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment should be attempted by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction brings clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical approaches and outcomes vary from place to place for patients with the same condition. It invites standardization of care and the establishment of international guidelines founded regarding what works best according to such evidence. (5) Poulin Chiropractic of Herndon and Ashburn agrees that published guidelines documenting what is most effective need to be respected.

CLINICAL REALITY

What is really going on? A recently published 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 tried 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 see the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that resulted in increased complication risk without any improvement in disability or reoperation rates. (7) Poulin Chiropractic of Herndon and Ashburn delivers Ashburn and Herndon chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Ashburn and Herndon 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 Ashburn and Herndon chiropractic consultation now with the Ashburn and Herndon spine specialist at Poulin Chiropractic of Herndon and Ashburn where your hurting spine is seen with respect and relieving care as evidence reports as being best.