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Montreal 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’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 visit 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 under 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

Relief for the pain is what they focus on. Researchers have studied all sorts of pain medication combinations ER doctors have prescribed to see what is effective. What have they found? 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 within a 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 may all be frustrating for ER docs and their patients but not typically 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 seek out 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 produced the pain relief you hoped. Montreal chiropractic care has figured out a well-documented and researched way to manage back pain.

	Dr. Hoang's Chiropractic Clinic welcomes Montreal back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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