Dr. Hoang's Chiropractic Clinic Respects the Painful Spine with Evidence-Based Care
The spine merits respect. Dr. Hoang's Chiropractic Clinic respects all Montreal spines, those healthy and those hurting. 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 plentiful, but they aren’t always used. They are published but not always read or implemented. The spine deserves better. Your Montreal chiropractor respects the spine and matches 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 provided even in Montreal? The American Pain Society and the American College of Physicians advocate spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy using joint mobilization techniques and flexion distraction is written to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment should be tried by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction delivers clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research states that surgical approaches and outcomes differ from place to place for patients with the same condition. It invites standardization of care and the establishment of international guidelines built about what works best according to such evidence. (5) Dr. Hoang's Chiropractic Clinic agrees that published guidelines documenting what is best require respectful use.
CLINICAL REALITY
What is being done? A recently published article that assessed the care of Canadian spine pain patients referred for spine surgery bluntly wrote 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 fewer non-surgical forms of treatment. The article suggests that if patients attempted to use 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 so long to see the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that lead to escalated 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 documents best.
