Call us to set up an appointment! 516-599-3999

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

Emergency room physicians are trying to figure out what is best to offer back pain patients who choose the ER for help. It is a quandry for them, particularly since nearly 3 million such patients with undifferentiated musculoskeletal low back pain visit the emergency room for help each year! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. What can a Malverne ER do? How can an ER doctor provide higher value care? (2) Imaging and medication. What can the Malverne chiropractic back pain specialist offer? Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.

EMERGENCY ROOM: IMAGING

The ER does lots of imaging. One in 3 patients who go to the emergency department for back pain (as opposed to 1 in 4 who visit a primary care physician) gets imaging ordered: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines don’t support this as they recommend holding 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 under such care already? Not likely as only 34% of patients who visit an ER share with the emergency department physician that they get healthcare options like chiropractors, massage therapy, acupuncture and the like. (5) What about the pain?

EMERGENCY ROOM: MEDICATIONS

Relief for the pain is what they focus on. Researchers have studied all sorts of pain medication combinations ER doctors have prescribed to figure out what is effective. What have they discovered? Stronger pain medication options don’t offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen does not seem to up 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 didn’t decrease pain scores or the need for other analgesic pain meds compared with either ibuprofen or acetaminophen alone in emergency room patients with acute musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients who visit an ER for their back pain continued to experience functional impairment 3 months later as well as 42% said they had moderate or severe pain. 46% report using 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 might be frustrating for ER physicians and their patients but not typically for chiropractors and their chiropractic back pain patients. The Malverne chiropractic back pain specialist at Malverne Health & Wellness is armed with the best of chiropractic care for Malverne back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Malverne chiropractor understands. 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 supports your Malverne chiropractor’s confidence that back pain relief and management for many otherwise frustrated Malverne 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 seek out for back pain issues.

CONTACT Malverne Health & Wellness

Schedule a Malverne chiropractic appointment with Malverne Health & Wellness especially if an ER trip hasn’t resulted in the pain relief you wanted. Malverne chiropractic care has shared a well-documented and researched way to manage back pain.

	Malverne Health & Wellness welcomes Malverne back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
« View All Nutrition Articles
"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."