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Prescriptions of Opioids Pre and Post Back Surgery for Baton Rouge Back Pain, Chiropractic Care May Reduce Rxs and Pain

September 05, 2023

Opioid use for pain has been a customary treatment. Its use is a little too much so as medicine today is even attempting to slow its prescription. For back surgery patients, it has been quite common, both before and/or after back surgery. Though today the use of opioids is being less encouraged, many back pain sufferers still receive opioid prescriptions from their healthcare providers. Medical Spine and Sports Injury and Rehab Centers would love to be the first healthcare provider Baton Rouge back pain and neck pain patients visit and truly welcome the opportunity to take care of the post-surgical continued pain patients - with or without opioid prescriptions - who come to us with the same or returned pain in the same spinal area where they had surgery. We are have the skills to help.

BACK SURGERY OUTCOME PREDICTORS: # of Rx Prescribers and # of Rx Prescriptions

Very few rush into back surgery. Back pain sufferers often seek care from various healthcare providers before surgery is contemplated and/or scheduled. 66.9% of patients in a retrospective study of patients who experienced single-level fusion surgeries had one or less opioid prescription prescribers before surgery while 33.1% had more than one opioid prescribers. The more pre-surgical opioid prescribers in a back surgery patient’s case was a predictor of increased improvement of post-surgical back pain. The more pre-surgical opioid prescriptions a patient had was a predictor for poorer surgical outcomes including lower improvement in back VAS pain scores, leg VAS pain scores, Oswestry Disability Index scores, and for more post-surgical opioid prescriptions, prescribers, and morphine milligram equivalents. An attention-getting and seemingly side note to the study was that if a nonoperative spine provider was involved in the case, a greater improvement in leg pain VAS scores was noted. (1) Chiropractic is a profession of nonoperative spine providers! We chiropractors are prepared and well-trained to help contrain back pain before and after surgery and give patients an opportunity to reduce their opioid use for pain management. 


For patients who underwent back surgery to find that they got the same pain in the back area that the surgery was supposed to relieve, the return of pain can be vexing. Some return to the medical model and get new pain medication prescriptions or extended prescriptions for the post-surgery meds. Others seek chiropractic care. A new study of such patients who turned to chiropractic care with chiropractors who are certified in Cox® Technic spinal manipulation (manual spinal decompression manipulation) stated that of the 59 participants in the study, 11 entered the study with opioid medications. Eight of them self-reported that they reduced or discontinued their use. Three said they maintained their use. (2) This holds hope for many post-surgical continued pain patients that pain relief enough to not have to rely on medications may be possible]. Medical Spine and Sports Injury and Rehab Centers is Baton Rouge’s post-surgical back pain provider to consult for Cox® Technic treatment.

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Listen to this PODCAST with Dr. Marc Baker on The Back Doctors Podcast with Dr. Michael Johnson as he describes his use of The Cox® Technic System of Spinal Pain Management in delivering relief for a military veteran with back pain after back surgery.

Schedule your Baton Rouge chiropractic appointment today. If you have undergone back surgery - now using pain meds, opioids, or not - we are looking to working with you.

Baton Rouge chiropractic care to reduce pain after back surgery and potentially patient choice to use opioids