Emergency room physicians are trying
to figure out what is best to do for back pain
patients who visit the ER for help. It’s a dilemma
for them, especially since almost 3 million such
patients with undifferentiated musculoskeletal low back pain go
to the emergency room for help each year! (1) Unless there is
cauda equina syndrome demanding surgery or an infection, pain is the issue. How best can a Baton Rouge ER doc help?
How can an ER doctor provide higher value care? (2) Imaging and
medication. What can the Baton Rouge chiropractic back pain specialist offer?
Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.
EMERGENCY ROOM: IMAGING
The ER orders plenty of
imaging. One in 3 patients who go to the emergency department
for back pain (compared to 1 in 4 who go to a primary care physician) has imaging ordered:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations
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 since only 34% of
patients who go to an ER tell the emergency department
physician that they use healthcare options like chiropractors,
massage therapy, acupuncture and the like. (5) What about the pain?
EMERGENCY ROOM: MEDICATIONS
Pain relief, it
seems, is what they can offer. Researchers have studied
a variety of pain medication combinations ER doctors have prescribed
to see what is effective. What have
they found? Stronger pain medication options don’t
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen does not seem to enhance
function or pain any more than placebo plus ibuprofen by 1 week
after an ED visit for acute low back pain. (6,7) Combining
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 emergency room for their back pain still
had 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 problems for ER patients
with low back pain. (1) This may all be frustrating for emergency
department physicians and their patients but not typically
for chiropractors and their chiropractic back pain patients. The
Baton Rouge chiropractic back pain specialist at Spine & Sports Rehab Center is
armed with the best of chiropractic care for
Baton Rouge back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Baton Rouge chiropractor understands.
Experience 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 Baton Rouge chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Baton Rouge
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 goal of the primary spine physician who would be the physician
to turn to for back pain issues.
CONTACT Spine & Sports Rehab Center
Schedule a Baton Rouge chiropractic appointment
with Spine & Sports Rehab Center especially if an emergency department trip
hasn’t resulted in the pain relief you hoped.
Baton Rouge chiropractic care has figured out 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