Call us to set up an appointment! Herndon (703) 561-0600 Ashburn (703) 723-4040

Ashburn Chiropractic and Back Pain Relief Expectations via Surgical or Conservative Care

What expectations do you have of your chiropractic care of Ashburn back pain? That is a pivotal question. Research reports that it has a role in back pain treatment outcome be the treatment surgical or conservative. Poulin Chiropractic of Herndon and Ashburn intends to hear your expectations of our Ashburn back pain treatment and present what our treatment’s outcomes have been in practice and in research.


A new research project scrutinized patient and surgeon expectations of back surgery. Patients expected full relief and improvement of their back pain after lumbar spine surgery. Surgeons expected improvement that varied from a little to a lot depending on the patient and his/her specific condition. Can you guess whose expectations were met? The surgeons’ expectations. Two years after the back surgery, the patient-reported outcomes met the surgeon’s expectations. The researchers emphasized that effective communication about expectations may well foster better outcomes. (1) That’s why Poulin Chiropractic of Herndon and Ashburn spends time with each Ashburn back pain patient early on in care, ensuring that the source of pain and its treatment plan are well-described. If not, tell us!


If initial patient expectations aren’t  met with back surgery, what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or without active discopathy), 54% stated having an acceptable symptom state at 1 month of care. Specifically, patient-reported acceptable symptoms included: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for disability, 10.0 for anxiety, and 6.7 for depression. (2) Poulin Chiropractic of Herndon and Ashburn realizes no pain is the preferred state and is prepared to discuss with our Ashburn chiropractic patients their options and possible outcomes.


The question of back surgery is a big issue. Evidence-based medicine views the patient as being the center of care. What is the patient perspective of this care? How is the patient perspective considered in treatment planning and choosing from available options? A recent paper pointed out that the patient’s social, psychological, and other non-clinical characteristics must be considered in planning care. (3) One factor in the back-surgery decision that reportedly influences the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking opioid use patients expected more complete improvement compared with non-users. They also had higher expectations of positive outcome than higher-dose opioid patients. (4) For a lot of patients, the prospect of work is a light at the end of the tunnel which is encouraging according to a new report on how back pain patient recovery expectations impact clinical outcomes. A review of 60 studies reported that a patient’s recovery expectations are probably strongly associated with future work participation. (5) Poulin Chiropractic of Herndon and Ashburn uses effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain sufferers is described and understood. Ashburn chiropractic care keeps the back pain patient at its center.

CONTACT Poulin Chiropractic of Herndon and Ashburn

Check out this PODCAST with Dr. Anthony Galante on The Back Doctors Podcast with Dr. Michael Johnson as he described how Cox® Technic System of Spinal Pain Management and chiropractic treatment assisted in the management of back pain for a patient who was adamant about not wanting back surgery.

Set your next Ashburn chiropractic visit today. Poulin Chiropractic of Herndon and Ashburn wants to know your answer to the question of your expectations for our treatment so that we can both be happy with the outcome!

Poulin Chiropractic of Herndon and Ashburn strives to meet realistic patient expectations regarding conservative back pain relief. 
« View All Featured Articles
"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."