Oxford Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

Emergency room physicians are working on figuring out what is best to do for back pain patients who come to the ER for help. It’s a dilemma for them, especially since nearly 3 million such patients with undifferentiated musculoskeletal low back pain visit the emergency room for help annually! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a Oxford ER doc help? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the Oxford chiropractic back pain specialist provide? Spinal manipulation and nutrients. Chiropractic has published about successful management of back pain.

EMERGENCY ROOM: IMAGING

The ER orders lots of imaging. One in 3 patients who go to the emergency room for back pain (compared to 1 in 4 who visit a primary care physician) has imaging done: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations do not support this as they say to hold off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are letting the ER doctors know that they have been using such care already? Not likely as only 34% of patients who go to an ER tell 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

Pain relief, it seems, is what they can do. Researchers have looked at a variety of pain medication combinations ER doctors have used to figure out what is effective. What have they found? Stronger pain medication options don’t offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen does not appear to enhance function or pain any more than placebo plus ibuprofen by 1 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 for emergency room patients with acute musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients who go to an ER for their back pain still had functional impairment 3 months later as well as 42% reported 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 may all be frustrating for ER docs and their patients but not typically for chiropractors and their chiropractic back pain patients. The Oxford chiropractic back pain specialist at Satterwhite Chiropractic is prepared with the best of chiropractic care for Oxford back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Oxford chiropractor gets it. Familiarity 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 Oxford chiropractor’s confidence that back pain relief and management for many otherwise frustrated Oxford back pain patients is promising.

Listen to this PODCAST with Dr. Michael Schneider on The Back Doctors Podcast with Dr. Michael Johnson who describes the role of the primary spine physician who would be the physician to turn to for back pain issues.

CONTACT Satterwhite Chiropractic

Schedule a Oxford chiropractic appointment with Satterwhite Chiropractic especially if an emergency department trip has not resulted in the pain relief you hoped. Oxford chiropractic care has figured out a well-documented and researched way to manage back pain.

	Satterwhite Chiropractic welcomes Oxford back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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