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Malverne Chiropractic Healthy News - March 2018



Every profession is establishing recommendations for practitioners to abide by when delivering health care in hopes of opening conversations between patients and their healthcare providers and among healthcare providers themselves. Your Malverne chiropractor at Malverne Health & Wellness is always ready for such a conversation about Malverne back pain. Back pain is a huge health issue upsetting 80% of us in Malverne at some point in life. Back pain is managed by many types of physicians in many types of specialist societies. Their societal recommendations are comparable concerning imaging (Don’t perform in the first 6 weeks of pain except if there are “red flags.”), trying non-surgical care before imaging and/or referring for back surgery, and shifting the patient care from passive to active care. More precisely, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the reaction to the latter one and not prescribing opioid drugs for acute disabling low back pain without assessment and a trial of other alternatives. (2) The American Chiropractic Association recommends not doing repeat imaging to monitor progress of care, not getting spinal imaging for acute low back pain in the first 6 weeks of pain unless there are red flags, and avoiding long term usage of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends avoiding lumbar spine imaging in non-traumatic back pain except if there are severe or progressive neurological deficits or a suspicion of an underlying issue. (4) The American College of Physicians recommends not ordering imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not suggesting bed rest for more than 48 hours for low back pain, not using EMG studies to figure out the cause of spine pain, and not ordering advanced spinal imaging (ex MRI) in the first six weeks of non-specific acute low back pain devoid of red flags. (6) The Danish Health Authority recommends not sending patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain continues for 12 weeks notwithstanding non-surgical treatment. (7) It is up to you, the Malverne back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Consider these professions’ recommendations for back pain care to guide a conversation with your Malverne chiropractor, your Malverne back pain specialist, at Malverne Health & Wellness as you decide on the type of care suitable for your Malverne back pain relief.

Listen to this PODCAST from the Back Doctors' Podcast series about two cases of back pain helped with Cox Technic, one with imaging and all sorts of care and the second case without any imaging studies.


TIP OF THE MONTH: Try Non-Surgical Interventions for Malverne Back Pain

Common Malverne non-surgical interventions for Malverne back pain relief are pain medications, exercise, manual manipulation, massage, and heat/ice. (8, 9) Included in the top non-surgical interventions to try before Malverne back surgery is spinal manipulation (10) of which 90% (11) is delivered by chiropractors. The Cox Technic System of Spine Carespinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with increased active care emphasis as pain reduces – fits Choosing Wisely recommendations as it seeks 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function sought by medicine [12]) before advanced imaging or surgical referral in absence of red flags. Bring your Malverne back pain to your Malverne chiropractor’s office! Make it your first Malverne back pain relief healthcare stop!

CONTACT Malverne Health & Wellness

Schedule your next Malverne chiropractic appointment today. Malverne Health & Wellness looks forward to helping you choose the next best step toward back pain relief.

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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."