The spine deserves respect. Hollstrom & Associates Inc
respects all Largo spines, those in
good shape and those in not so good shape. When the spine hurts, it gets
attention. The attention the hurting spine gets is not always
respectful of the guidelines for its pain relief. That fact is receiving
notice in the medical research. Evidence based guidelines for a painful spine’s
care are plentiful, but they are not
always respected. They are published but not always read or
implemented. The spine deserves better. Your Largo 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 provided even in Largo? The
American Pain Society and the American College of Physicians recommend
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 provides clinically meaningful
improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research
states that surgical methods and outcomes differ
from place to place for patients with the same condition. It calls for
standardization of care and the establishment of international guidelines founded
about what works best according to such evidence. (5)
Hollstrom & Associates Inc agrees that published guidelines showing what
is best need to be respected.
CLINICAL REALITY
What is being done? A recently
published article that reviewed the care of Canadian
spine pain patients sent 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 less
non-surgical forms of treatment. The article proposes 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 deteriorate as they have to wait such
a long time to get to the surgeon. (6) Lumbar cage fusion rates rose
from 3.6% to 58% in 5 years that resulted in increased
complication risk without any improvement in disability or reoperation rates. (7)
Hollstrom & Associates Inc offers Largo chiropractic spine
care with less intrusive, more effective means, specifically
with the evidence-based protocols of Cox Technic.
MAKE A Largo CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen,
who supports non-surgical care of back pain
with chiropractic for less expensive and unnecessary medical care.
Schedule a Largo chiropractic consultation today
with the Largo spine specialist at Hollstrom & Associates Inc where your
hurting spine is seen with respect and relieving care as evidence documents best.
"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."