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Fort Wayne Chiropractic and Back Pain Relief Expectations via Surgical or Conservative Care

December 08, 2020

What do you expect from your chiropractic care of Fort Wayne back pain? That is a key question. Research is reporting that that questions of expectations has a role in back pain treatment outcome be the treatment surgical or conservative. Cox Chiropractic Medicine Inc intends to listen to you and your expectations of our Fort Wayne back pain treatment and share what our treatment’s outcomes have been in practice and in research.


A new research project studied patient and surgeon expectations of back surgery. Patients expected complete relief and improvement of their back pain after lumbar spine surgery. Surgeons expected improvement that varied from a little to a lot depending on the patient and his/her specific condition. Can you guess whose expectations were met? The surgeons’ expectations. Two years after the back surgery, the patient-reported outcomes met the surgeon’s expectations. The researchers stressed that effective communication about expectations may well further better outcomes. (1) That’s why Cox Chiropractic Medicine Inc spends time with each Fort Wayne back pain patient early on in care, making sure the source of pain and its treatment plan are well-explained. If not, tell us!


If initial patient expectations are not  met with back surgery, what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or without active discopathy), 54% stated having an acceptable symptom state at 1 month of care. Specifically, patient-reported acceptable symptoms involved these: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for disability, 10.0 for anxiety, and 6.7 for depression. (2) Cox Chiropractic Medicine Inc realizes no pain is the preferred state and is ready to discuss with our Fort Wayne chiropractic patients their options and potential outcomes.


Deciding whether to have back surgery is a big decision. Evidence-based medicine sees that the patient at the center of care. What is the patient perspective of this care? How is the patient perspective regarded in treatment planning and choosing from available options? A recent paper indicated that the patient’s social, psychological, and other non-clinical characteristics must be taken into account in planning care. (3) One factor in the back-surgery decision that reportedly influences the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking opioid use patients expected more complete improvement opposed to non-users. They also had higher expectations of positive outcome than higher-dose opioid patients. (4) For a lot of patients, the prospect of work is goal of back pain treatment which is encouraging according to a new report on how back pain patient recovery expectations influence clinical outcomes. A review of 60 studies found that a patient’s recovery expectations are probably strongly associated with future work participation. (5) Cox Chiropractic Medicine Inc uses effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain sufferers is presented and absorbed. Fort Wayne chiropractic care keeps the back pain patient at its center.

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Listen to this PODCAST with Dr. Anthony Galante on The Back Doctors Podcast with Dr. Michael Johnson as he described how Cox® Technic System of Spinal Pain Management and chiropractic treatment helped manage back pain for a patient who was adamant about not wanting back surgery.

Schedule your next Fort Wayne chiropractic visit soon. Cox Chiropractic Medicine Inc wants to know your answer to the question of your expectations for our treatment so that we can both be satisfied with the outcome!

Cox Chiropractic Medicine Inc strives to meet realistic patient expectations when it comes to conservative back pain relief.