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

Malverne Health & Wellness Respects the Painful Spine with Evidence-Based Care

The spine merits respect. Malverne Health & Wellness respects all Malverne spines, those in good shape and those in not so good shape. When the spine hurts, it gets attention. The attention the hurting spine gets is not always respectful of the guidelines for its pain relief. That fact is receiving 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 Malverne 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 favorable for spine pain often provided even in Malverne? The American Pain Society and the American College of Physicians recommend spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy using joint mobilization techniques and flexion distraction is written to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment should be attempted by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction delivers clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research states that surgical approaches and outcomes differ from place to place for patients with the same condition. It pleas for standardization of care and the establishment of international guidelines based about what works best according to such evidence. (5) Malverne Health & Wellness agrees that published guidelines documenting what is most effective need to be respected.

CLINICAL REALITY

What is being done? A just published article that assessed the care of Canadian spine pain patients sent 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 deteriorate as they have to wait so long to see the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that lead to escalated complication risk without any improvement in disability or reoperation rates. (7) Malverne Health & Wellness offers Malverne chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Malverne CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who advocates non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.

Schedule a Malverne chiropractic consultation today with the Malverne spine specialist at Malverne Health & Wellness where your hurting spine is met with respect and relieving care as evidence says is best.

 
 
« View All Spine 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."