What expectations do you have of your
chiropractic care of Malverne
back pain? That question is huge. Research
reports that that questions of expectations has a role in back pain treatment outcome whether that treatment is surgical or conservative. Malverne Health & Wellness aspires
to listen to you and your expectations of our Malverne back
pain treatment and share what our treatment’s outcomes have been in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A recent 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 varied from a little to a lot dependant on the patient and his/her specific issues. Can you guess whose expectations were met? The surgeons’
expectations. Two years after the back surgery, the patient-reported outcomes met the surgeon’s expectations.
The researchers stressed that effective communication about expectations
may well foster better outcomes. (1) That’s
why Malverne Health & Wellness spends time with each Malverne
back pain patient early on in care, making sure the source of pain and its treatment plan are well-explained.
If not, ask us!
AN ACCEPTABLE SYMPTOM STATE
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% stated 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) Malverne Health & Wellness realizes no pain is the preferred state and is ready to talk
with our Malverne chiropractic patients their options and possible
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 taken
into consideration in treatment planning and choosing from available options? A recent paper indicated that the patient’s social, psychological, and other non-clinical
characteristics must be considered in planning care. (3)
One issue in the back-surgery decision that reportedly influences
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 a light at the end of the
tunnel which is positive
according to a new report on how back pain patient recovery
expectations influence clinical outcomes. A review of
60 studies reported that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Malverne Health & Wellness employs
effective, nonsurgical care of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is described and understood. Malverne chiropractic care keeps the back pain patient at its center.
CONTACT Malverne Health & Wellness
Check out this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he explained how Cox®
Technic System of Spinal Pain Management and chiropractic treatment assisted
in the management of back pain for a patient who was absolutely
positive about not wanting back surgery.
Make your next Malverne
chiropractic visit soon. Malverne Health & Wellness invites you to ponder and answer the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!