Vancouver Chiropractic Care Instead of an Emergency Room Visit and Pain Meds for Back Pain

Emergency room physicians are working on figuring out what is best to do for back pain patients who choose the ER for help. It’s a dilemma for them, especially since nearly 3 million such patients with undifferentiated musculoskeletal low back pain choose the emergency room for help annually! (1) Unless there is cauda equina syndrome demanding surgery or an infection, pain is the issue. What can a Vancouver ER do? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the Vancouver chiropractic back pain specialist offer? Spinal manipulation and nutrients. Chiropractic has published about successful management of back pain.

EMERGENCY ROOM: IMAGING

The ER performs a lot of imaging. One in 3 patients who go to the emergency department for back pain (as opposed to 1 in 4 who seek care from a primary care physician) gets imaging done: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging recommendations don’t 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 as only 34% of patients who visit an ER share with the emergency department physician that they use 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 studied a variety of pain medication combinations ER doctors have prescribed to see what is effective. What have they discovered? Stronger pain medication options don’t offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen doesn’t 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 for 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% said they had moderate or severe pain. 46% report using some type of analgesic pain reliever in the last day. There are short and long-term problems for ER patients with low back pain. (1) This might be frustrating for ER physicians and their patients but not always for chiropractors and their chiropractic back pain patients. The Vancouver chiropractic back pain specialist at Vancouver Spine Care Centre is armed with the best of chiropractic care for Vancouver back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Vancouver chiropractor gets it. Familiarity 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 Vancouver chiropractor’s confidence that back pain relief and management for many otherwise frustrated Vancouver back pain patients is possible.

Listen to this PODCAST with Dr. Michael Schneider on The Back Doctors Podcast with Dr. Michael Johnson who describes the goal of the primary spine physician who would be the physician to turn to for back pain issues.

CONTACT Vancouver Spine Care Centre

Schedule a Vancouver chiropractic appointment with Vancouver Spine Care Centre especially if an ER trip has not produced the pain relief you wanted. Vancouver chiropractic care has figured out a well-documented and researched way to manage back pain.

	Vancouver Spine Care Centre invites Vancouver back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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