Call Us at 225-924-3989

Or
Contact Us

Comparison Of Baton Rouge Back Pain Relief Via Opioid Or Spinal Manipulation

December 14, 2021

“What should I do about my back pain? It’s been going on for so long.”

Sound familiar? Sure, it does! Medical Spine and Sports Injury and Rehab Centers knows  Baton Rouge back pain patients wrestle with this question. There are many options – rest, exercise, meds, manipulation, chiropractic, medicine, yoga, acupuncture, surgery, etc. – which makes it difficult to choose. Recent research has looked at the cost, safety, and risk of treatment escalation for patients who choose spinal manipulation initially versus those who choose opioid analgesic treatment first for their chronic low back pain. The results are interesting.

COSTS OF OPIOID VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Chronic low back pain is a costly condition, but just how costly is it? A review of Medicare health expenditures for long-term care of chronic low back pain assessed the costs of opioid analgesic treatment versus those for spinal manipulation therapy. There were 28,160 participants aged 65-84 years old. 77% started with opioid therapy for their chronic low back pain. 23% began with SMT. The long-term costs for opioid-therapy patients were 58% lower, but long-term overall healthcare expenditures were 1.87 times higher for those same opioid patients. (1) Medical Spine and Sports Injury and Rehab Centers follows a system of Baton Rouge chiropractic treatment frequency guided by the 50% Rule seeking 50% relief of pain within 30 days with more visits initially and fewer as the pain reduces.

SAFETY OF OPIOIDS VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Cost is one thing. What about safety? An analysis of patient files of Medicare beneficiaries aged 65 to 84 with chronic low back pain for 5 years studied the long-term safety of two common approaches to chronic low back pain: opioid analgesic therapy and spinal manipulation therapy. The researchers considered a variety of patient records: patients who only underwent spinal manipulation, only took opioids, began with opioids then had spinal manipulation, and started with spinal manipulation then supplemented with opioids. What did they find? The risk of adverse drug events was quite a bit higher – 42 times higher - for patients who started with opioid therapy first for their chronic back pain than those who commenced care with spinal manipulation. (2) Medical Spine and Sports Injury and Rehab Centers utilizes the well research-documented, safe, gentle protocols of Cox® Technic.

ESCALATION OF CARE RISK FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Research documents another important factor in back pain treatment: how well does a treatment help the patient avoid more complex treatment? A third review of Medicare patient data looked at escalation of care risk – hospital stays, ER visits, imaging, back surgery, pain med interventions, and other such encounters for potential complications of chronic low back pain – in long-term chronic low back pain care patients who started with opioid analgesic therapy or spinal manipulation therapy. Starting care with spinal manipulation therapy was associated with reduced rates of escalation of care. The rate of escalated care encounters was 2.5 times greatear for opioid care patients. (3) The use of Cox® Technic at Medical Spine and Sports Injury and Rehab Centers minimizes the need for escalated care while carefully monitoring each patient for any signs that such may be helpful or needed.

CONTACT Medical Spine and Sports Injury and Rehab Centers

Listen to this PODCAST with Dr. Nike Taylor on The Back Doctors Podcast with Dr. Michael Johnson as she discusses treatment of chronic low back pain with the Cox® Technic Flexion Distraction System of Spinal Pain Management.

Schedule your Baton Rouge chiropractic appointment today. Whether the answer to the question of “what should I do about my back pain?” was opioid treatment or other care, spinal manipulation at Medical Spine and Sports Injury and Rehab Centers may well be your next (or your initial if you are just beginning the search for help) treatment that will get you the back pain relief you want in a cost-effective, safe way. 

 
Medical Spine and Sports Injury and Rehab Centers presents new comparison studies of the safety, cost, and effectiveness in reducing the need for further care of chronic low back pain: opioid vs spinal manipulation treatments.