Emergency room physicians are trying
to figure out what is optimal 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 visit 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 see 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.
"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