Emergency room physicians are working on figuring out what is best to offer back pain
patients who come to the ER for help. It’s a dilemma
for them, especially since nearly 3 million such
patients with undifferentiated musculoskeletal low back pain go
to 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 Montreal ER do?
How can an ER doctor deliver higher value care? (2) Imaging and
medication. What can the Montreal chiropractic back pain specialist provide?
Spinal manipulation and nutrients. Chiropractic has published about successful
management of back pain.
EMERGENCY ROOM: IMAGING
The ER does lots of
imaging. One in 3 patients who go to the emergency room
for back pain (as opposed to 1 in 4 who visit a primary care physician) has imaging performed:
simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations
do not support this as they say to hold off
on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients
are telling ER doctors that they have been using
such care already? Probably not since only 34% of
patients who go to 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
Pain relief, it
seems, is what they can do. Researchers have looked at
all sorts of pain medication combinations ER doctors have prescribed
to see what is effective. What have
they discovered? Stronger pain medication options do not
offer much of a difference. Adding baclofen, metaxalone, or tizanidine to
ibuprofen does not seem to up
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 in emergency room patients with acute
musculoskeletal injuries. (8) As a matter of fact, 48% of back pain patients
who visit an emergency room for their back pain continued to experience functional impairment 3 months later as well as
42% reported moderate or severe pain. 46% say
they’ve used some type of analgesic pain reliever in the day prior. There are short and long-term problems for ER patients
with low back pain. (1) This might be frustrating for ER docs and their patients but not always
for chiropractors and their chiropractic back pain patients. The
Montreal chiropractic back pain specialist at Dr. Hoang's Chiropractic Clinic is
equipped with the best of chiropractic care for
Montreal back pain relief.
CHIROPRACTIC: MANIPULATION AND NUTRIENTS
Your Montreal chiropractor understands.
Skill 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 supports your Montreal chiropractor’s confidence that back
pain relief and management for many otherwise frustrated Montreal
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 Dr. Hoang's Chiropractic Clinic
Schedule a Montreal chiropractic visit
with Dr. Hoang's Chiropractic Clinic especially if an emergency department trip
has not resulted in the pain relief you hoped.
Montreal chiropractic care has figured out a well-documented
and researched way to manage back pain.
"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