Dr. Hoang's Chiropractic Clinic Respects the Painful Spine with Evidence-Based Care

The spine deserves respect. Dr. Hoang's Chiropractic Clinic respects all Montreal spines, those in good shape and those in not so good shape. When the spine hurts, it demands attention. The attention the hurting spine gets is not always respectful of the guidelines for its pain relief. That fact is getting notice in the medical research. Evidence based guidelines for a painful spine’s care are abundant, but they are not always used. They are published but not always read or implemented. The spine deserves better. Your Montreal chiropractor respects the spine and complements its trouble to the best evidence-based protocol for its relief which is often times non-surgical and non-drug.

CLINICAL GUIDELINES AND APPROACHES

What is recommended and/or beneficial for spine pain often delivered even in Montreal? The American Pain Society and the American College of Physicians endorse 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 attempted by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction delivers clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical approaches and outcomes vary from place to place for patients with the same condition. It beckons standardization of care and the establishment of international guidelines founded on what works best according to such evidence. (5) Dr. Hoang's Chiropractic Clinic agrees that published guidelines documenting what is best need to be respected.

CLINICAL REALITY

What is really going on? A recently released article that assessed the care of Canadian spine pain patients referred for spine surgery came out and stated 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 less non-surgical forms of treatment. The article proposes 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 such a long time to see the surgeon. (6) Lumbar cage fusion rates rose from 3.6% to 58% in 5 years that resulted in higher complication risk without any improvement in disability or reoperation rates. (7) Dr. Hoang's Chiropractic Clinic offers Montreal chiropractic spine care with less invasive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A Montreal CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who promotes non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.

Schedule a Montreal chiropractic consultation now with the Montreal spine specialist at Dr. Hoang's Chiropractic Clinic where your hurting spine is seen with respect and relieving care as evidence says is best.