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

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

EMERGENCY ROOM: IMAGING

The ER orders lots of imaging. One in 3 patients who visit the emergency department for back pain (compared to 1 in 4 who go to a primary care physician) has imaging ordered: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines don’t support this as they recommend holding off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are letting the ER doctors know that they have been using such care already? Probably not since only 34% of patients who go to an ER tell the emergency department physician that they get healthcare options like chiropractors, massage therapy, acupuncture and the like. (5) What about the pain?

EMERGENCY ROOM: MEDICATIONS

Relief for the pain is what they focus on. Researchers have studied all sorts of pain medication combinations ER doctors have used to see what works best. 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 improve function or pain any more than placebo plus ibuprofen by 1 week after an ED visit for acute low back pain. (6,7) Combining ibuprofen and acetaminophen didn’t reduce pain scores or the need for other analgesic pain meds compared with either ibuprofen or acetaminophen alone in 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 still had 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 day prior. There are short and long-term issues for ER patients with low back pain. (1) This might be frustrating for emergency department physicians and their patients but not always for chiropractors and their chiropractic back pain patients. The Ashburn chiropractic back pain specialist at Poulin Chiropractic of Herndon and Ashburn is prepared with the best of chiropractic care for Ashburn back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Ashburn chiropractor understands. Experience 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 boosts your Ashburn chiropractor’s confidence that back pain relief and management for many otherwise frustrated Ashburn 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 Poulin Chiropractic of Herndon and Ashburn

Schedule a Ashburn chiropractic visit with Poulin Chiropractic of Herndon and Ashburn especially if an emergency department visit hasn’t produced the pain relief you hoped. Ashburn chiropractic care has figured out a well-documented and researched way to manage back pain.

	Poulin Chiropractic of Herndon and Ashburn invites Ashburn back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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