The spine merits respect. Vancouver Disc Centers
respects all Vancouver spines, those healthy and those hurting. When the spine hurts, it demands
attention. The attention the hurting spine gets isn’t always
respectful of the guidelines for its pain relief. That fact is receiving
notice in the medical research. Evidence based guidelines for a painful spine’s
care are abundant, but they aren’t
always respected. They are published but not always read or
implemented. The spine deserves better. Your Vancouver chiropractor
respects the spine and coordinates its trouble to the
best evidence-based protocol for its relief which is frequently non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or beneficial for
spine pain often provided even in Vancouver? The
American Pain Society and the American College of Physicians advocate
spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy
using joint mobilization techniques and flexion distraction is reported
to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment
should be tried by patients with chronic low back pain
and low back pain related disability.
(3) Flexion distraction brings clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
notes that surgical methods and outcomes vary
from place to place for patients with the same condition. It calls for
standardization of care and the establishment of international guidelines built
on what works best according to such evidence. (5)
Vancouver Disc Centers agrees that published guidelines documenting what
is best need to be respected.
What is being done? A just
released article that assessed the care of Canadian
spine pain patients referred for spine surgery came out and
reported that “Surgeons do not use clinical practice
guidelines before spine surgery.” What did they do? Prescribed medications to
74.2% of them 46.3% of whom got opioids. 61.1% of patients tried two or fewer
non-surgical forms of treatment. The article suggests that if
patients received evidence-based non-operative
treatments before a spine surgery consultation, fewer would be referred and, in
Canada, fewer would get worse as they have to wait so long to get to the surgeon. (6) Lumbar cage fusion rates grew
from 3.6% to 58% in 5 years that resulted in higher
complication risk without any improvement in disability or reoperation rates. (7)
Vancouver Disc Centers offers Vancouver chiropractic spine
care with less intrusive, more effective means, particularly
with the evidence-based protocols of Cox Technic.
MAKE A Vancouver CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who advocates non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a Vancouver chiropractic consultation now
with the Vancouver spine specialist at Vancouver Disc Centers where your
hurting spine is seen with respect and relieving care as evidence reports as being best.