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Rosenberg Wellness Center Respects the Painful Spine with Evidence-Based Care

October 03, 2017

The spine merits respect. Rosenberg Wellness Center respects all New York City 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 receiving 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 New York City chiropractor respects the spine and matches 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 beneficial for spine pain often delivered even in New York City? The American Pain Society and the American College of Physicians recommend 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) Conservative treatment in the form of spinal manipulation should be tried by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction delivers clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research states that surgical approaches 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 founded regarding what works best according to such evidence. (5) Rosenberg Wellness Center agrees that published guidelines showing what is best need to be respected.

CLINICAL REALITY

What is really going on? A recently released article that assessed the care of Canadian spine pain patients sent for spine surgery bluntly 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 proposes that if patients attempted to use 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 grew from 3.6% to 58% in 5 years that resulted in increased complication risk without any improvement in disability or reoperation rates. (7) Rosenberg Wellness Center delivers New York City chiropractic spine care with less invasive, more effective means, specifically with the evidence-based protocols of Cox Technic.

MAKE A New York City CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who advocates non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.

Schedule a New York City chiropractic consultation today with the New York City spine specialist at Rosenberg Wellness Center where your hurting spine is seen with respect and relieving care as evidence reports as being best.