“What should I do about my back pain? It’s been going on for
so long.”
Sound familiar? It does for many Fort Wayne chronic low
back pain sufferers. Cox Chiropractic Medicine Inc knows
Fort Wayne
back pain patients struggle with this problem. There
are a variety of options – rest, exercise, meds, manipulation, chiropractic,
medicine, yoga, acupuncture, surgery, etc. – which makes it difficult
to decide. Recent studies have looked at the cost,
safety, and risk of treatment escalation for patients who choose
spinal manipulation
first versus those who choose opioid
analgesic treatment first for their chronic low back pain. The results
are thought-provoking.
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? An analysis of Medicare health spendings
for long-term care of chronic low back pain compared the costs
of opioid analgesic treatment versus those for spinal manipulation
therapy. There were 28,160 participants aged 65-84 years old. 77% began
with opioid therapy for their chronic low back pain. 23% started
with SMT. The long-term costs for opioid-therapy patients were 58%
lower, but long-term overall healthcare expenditures were 1.87
times greater for those same opioid patients. (1) Cox Chiropractic Medicine Inc
follows a system of Fort Wayne chiropractic treatment frequency steered
by the 50% Rule looking for 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 looked at the long-term safety of two usual
approaches to chronic low back pain: opioid
analgesic therapy and spinal manipulation therapy. The researchers considered
a few types of patient records: patients who only received
spinal manipulation, only took opioids, started with
opioids then had spinal manipulation, and started
with spinal manipulation then supplemented with opioids. What did
they discover? The risk of adverse drug events was quite a bit
higher – 42 times higher - for patients who started with opioid
therapy initially for their chronic back pain than those who began with spinal manipulation. (2) Cox Chiropractic Medicine Inc 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 keep a patient from having to
undergo 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 types of encounters
for possible complications of chronic low back pain – in long-term
chronic low back pain care patients who began with opioid analgesic
therapy or spinal manipulation therapy. Commencing care with
spinal manipulation therapy was associated with lower
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 Cox Chiropractic Medicine Inc minimizes the requirement
for escalated care while carefully monitoring each patient for
indications that such may be helpful or needed.
CONTACT Cox Chiropractic Medicine Inc
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.
Set up your Fort Wayne
chiropractic appointment today. Whether the response
to the question of “what should I do about my back pain?” was opioid treatment
or other care, spinal manipulation at Cox Chiropractic Medicine Inc may well be your next (or
your initial if you are just beginning the search
for help) treatment that will help you attain the back pain
relief you are seeking in a cost-effective, safe way.