Fort Wayne Chiropractic Healthy News - March 2018 CHOOSING WISELY (1) – WHAT TO DO ABOUT BACK PAIN Healthcare professions are setting forth recommendations for practitioners to follow when providing health care with hopes to stimulate conversations between patients and their healthcare providers and among healthcare providers themselves. Your Fort Wayne chiropractor at Cox Chiropractic Medicine Inc is always ready for such a conversation about Fort Wayne back pain. Back pain is a big health issue upsetting 80% of us in Fort Wayne at some point in life. Back pain is managed by many kinds of physicians in many kinds of professional societies. Their societal recommendations are similar concerning imaging (Don’t order in the first six weeks of pain except if there are “red flags.”), attempting non-surgical care before imaging and/or referring for back surgery, and progressing the patient care from passive care to active care. For example, the American Academy of Physical Medicine and Rehabilitation recommends not ordering repeat epidural steroid injections without evaluating the response to the last one and not prescribing opioid drugs for acute disabling low back pain without evaluation and a test of other alternatives. (2) The American Chiropractic Association recommends not doing repeat imaging to see how the patient is responding, not obtaining spinal imaging for acute low back pain in the first 6 weeks of pain unless red flags are present, and avoiding long term usage of passive care but instead move the patient to active care. (3) The American College of Emergency Room Physicians recommends sidestepping lumbar spine imaging in non-traumatic back pain unless there are severe or progressive neurological deficits or a suspicion of an underlying condition. (4) The American College of Physicians recommends not ordering imaging studies in patients with non-specific low back pain. (5) The North American Spine Society recommends not advocating bed rest for more than 48 hours for low back pain, not using EMG studies to establish the cause of spine pain, and not doing advanced spinal imaging (ex MRI) in the first 6 weeks of non-specific acute low back pain with no red flags. (6) The Danish Health Authority recommends not sending patients for back surgery for a lumbar disc herniation with radiculopathy unless the severe and debilitating back pain continues for 12 weeks regardless of non-surgical treatment. (7) It is up to you, the Fort Wayne back pain patient or concerned loved one, to choose wisely the course of care for back pain relief. Consider these professions’ recommendations for back pain care to begin a conversation with your Fort Wayne chiropractor, your Fort Wayne back pain specialist, at Cox Chiropractic Medicine Inc as you decide on the type of care proper for your Fort Wayne back pain relief.Listen to this PODCAST from the Back Doctors' Podcast series about two cases of back pain helped with Cox Technic, one with imaging and all sorts of care and the second case without any imaging studies. TIP OF THE MONTH: Try Non-Surgical Interventions for Fort Wayne Back Pain Common Fort Wayne non-surgical interventions for Fort Wayne back pain relief are pain medications, exercise, manual manipulation, massage, and heat/ice. (8, 9) Included in the top non-surgical interventions to try before Fort Wayne back surgery is spinal manipulation (10) of which 90% (11) is delivered by chiropractors. The Cox Technic System of Spine Care – spinal manipulation with exercise, nutrition and passive care for pain and inflammation reduction with more active care importance as pain reduces – fits Choosing Wisely recommendations as it seeks 50% relief of pain within 30 days of care (which is more than the 30% or greater improvement in self-reported pain and function sought by medicine ) before advanced imaging or surgical referral in absence of red flags. Bring your Fort Wayne back pain to your Fort Wayne chiropractor’s office! Make it your first Fort Wayne back pain relief healthcare stop!CONTACT Cox Chiropractic Medicine Inc Schedule your next Fort Wayne chiropractic visit today. Cox Chiropractic Medicine Inc anticipates helping you choose the next best step toward back pain relief.Thank you for letting us care for you, your family, and friends! "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."