New York City Chiropractic and Back Pain Relief Expectations via Surgical or Conservative Care
What do you expect from your chiropractic care of New York City back pain? That is a key question. Research reports that it has a role in back pain treatment outcome whether that treatment is surgical or conservative. Rosenberg Wellness Center intends to hear your expectations of our New York City back pain treatment and share what our treatment’s outcomes have been in practice and in research.
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A new 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 depending on the patient and his/her specific condition. Whose expectations were met? The surgeons’ expectations. Two years after the back surgery, the patient-reported outcomes met the surgeon’s expectations. The researchers emphasized that effective communication about expectations may well foster better outcomes. (1) That is why Rosenberg Wellness Center devotes time to each New York City back pain patient at the beginning of care, making sure the source of pain and its treatment plan are well-explained. If not, ask us!
AN ACCEPTABLE SYMPTOM STATE
If initial patient expectations aren’t 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) Rosenberg Wellness Center appreciates that no pain is the preferred state and is prepared to discuss with our New York City chiropractic patients their options and potential outcomes.
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 considered in treatment planning and decision making among available options? A new paper pointed out that the patient’s social, psychological, and other non-clinical characteristics must be considered in planning care. (3) One factor in the back-surgery decision that reportedly impacts the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking opioid use patients expected more complete improvement opposed to non-users. They also had higher expectations of positive outcome than higher-dose opioid patients. (4) For many patients, the prospect of work is goal of back pain treatment which is affirming according to this new report on how back pain patient recovery expectations sway clinical outcomes. A review of 60 studies reported that a patient’s recovery expectations are probably strongly associated with future work participation. (5) Rosenberg Wellness Center applies effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain sufferers is described and understood. New York City chiropractic care keeps the back pain patient at its center.
CONTACT Rosenberg Wellness Center
Listen to 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 New York City chiropractic visit soon. Rosenberg Wellness Center wants to know your answer to the question of your expectations for our treatment so that we can both be satisfied with the outcome!
