Vancouver Disc Centers Respects the Painful Spine with Evidence-Based Care
The spine merits respect. Vancouver Disc Centers respects all Vancouver spines, those healthy and those hurting. When the spine hurts, it demands attention. The attention the hurting spine gets isn’t 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 plentiful, but they are not always followed. They are published but not always read or implemented. The spine deserves better. Your Vancouver 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 Vancouver? The American Pain Society and the American College of Physicians endorse 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 provides clinically meaningful 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 beckons standardization of care and the establishment of international guidelines built on what works best according to such evidence. (5) Vancouver Disc Centers agrees that published guidelines documenting what is best need to be respected.
CLINICAL REALITY
What is really going on? A just released article that assessed the care of Canadian spine pain patients referred 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 fewer non-surgical forms of treatment. The article suggests that if patients received 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 get to the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that lead to escalated complication risk without any improvement in disability or reoperation rates. (7) Vancouver Disc Centers offers Vancouver chiropractic spine care with less intrusive, more effective means, specifically with the evidence-based protocols of Cox Technic.
MAKE A Vancouver 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 Vancouver chiropractic consultation today with the Vancouver spine specialist at Vancouver Disc Centers where your hurting spine is met with respect and relieving care as evidence documents best.
