Sandy Springs Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

Emergency room physicians are working on figuring out what is optimal to offer back pain patients who come to the ER for help. It is a dilemma for them, particularly since nearly 3 million such patients with undifferentiated musculoskeletal low back pain visit the emergency room for help each year! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. What can a Sandy Springs ER do? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the Sandy Springs chiropractic back pain specialist offer? Spinal manipulation and nutrients. Chiropractic has published about successful management of back pain.

EMERGENCY ROOM: IMAGING

The ER orders lots of imaging. One in 3 patients who visit the emergency department for back pain (as opposed to 1 in 4 who go to a primary care physician) gets imaging ordered: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines do not support this as they recommend holding off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are telling ER doctors that they have been under such care already? Not likely since only 34% of patients who visit an ER tell the emergency department physician that they get healthcare options like chiropractors, massage therapy, acupuncture and the like. (5) What about the pain?

EMERGENCY ROOM: MEDICATIONS

Relief for the pain is what they focus on. Researchers have studied all sorts of pain medication combinations ER doctors have prescribed to determine what works best. 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 improve function or pain any more than placebo plus ibuprofen by 1 week after an ED visit for acute low back pain. (6,7) Mixing ibuprofen and acetaminophen did not reduce pain scores or the need for other analgesic pain meds compared with either ibuprofen or acetaminophen alone for emergency room patients with acute musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients who go to an ER for their back pain continued to experience 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 issues for ER patients with low back pain. (1) This may all be frustrating for ER physicians and their patients but not always for chiropractors and their chiropractic back pain patients. The Sandy Springs chiropractic back pain specialist at Cross Chiropractic Center is equipped with the best of chiropractic care for Sandy Springs back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Sandy Springs 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 boosts your Sandy Springs chiropractor’s confidence that back pain relief and management for many otherwise frustrated Sandy Springs back pain patients is possible.

Listen to this PODCAST with Dr. Michael Schneider on The Back Doctors Podcast with Dr. Michael Johnson who shares the role of the primary spine physician who would be the physician to turn to for back pain issues.

CONTACT Cross Chiropractic Center

Schedule a Sandy Springs chiropractic appointment with Cross Chiropractic Center especially if an ER visit has not resulted in the pain relief you wanted. Sandy Springs chiropractic care has shared a well-documented and researched way to manage back pain.

	Cross Chiropractic Center invites Sandy Springs back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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