Montreal Chiropractic and Back Pain Relief Expectations via Surgical or Conservative Care
What do you expect from your Montreal chiropractic care of back pain? That is a pivotal question. Research reports that it plays a role in back pain treatment outcome be the treatment surgical or conservative. Dr. Hoang's Chiropractic Clinic intends to hear your expectations of our Montreal back pain treatment and share the outcomes of our treatment documented in practice and in research.
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A recent research project scrutinized 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 ranged from a little to a lot dependant on the patient and his/her specific issues. 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 foster better outcomes. (1) That is why Dr. Hoang's Chiropractic Clinic spends time with each Montreal back pain patient early on in care, making sure the source of pain and its treatment plan are well-described. If not, ask us!
AN ACCEPTABLE SYMPTOM STATE
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) Dr. Hoang's Chiropractic Clinic realizes no pain is the preferred state and is ready to talk with our Montreal chiropractic patients their options and potential outcomes.
DECIDING ON TREATMENT OPTIONS
Deciding whether to have back surgery is a big decision. Evidence-based medicine views the patient as being the center of care. What is the patient perspective of this care? How is the patient perspective taken into consideration in treatment planning and decision making among available options? A new paper pointed out that the patient’s social, psychological, and other non-clinical characteristics must be considered in planning care. (3) One issue 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 many patients, the prospect of work is goal of back pain treatment which is affirming according to this new report on how back pain patient recovery expectations affect clinical outcomes. A review of 60 studies reported that a patient’s recovery expectations are probably strongly associated with future work participation. (5) Dr. Hoang's Chiropractic Clinic offers effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain sufferers is presented and understood. Montreal chiropractic care keeps the back pain patient at its center.
CONTACT Dr. Hoang's Chiropractic Clinic
Check out 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 absolutely positive about not wanting back surgery.
Schedule your next Montreal chiropractic visit today. Dr. Hoang's Chiropractic Clinic invites you to ponder and answer the question of your expectations for our treatment so that we can both be happy with the outcome!
