The Role of Insurance Coverage in the McHenry Back Surgery or Non-Surgical Care Choice

July 09, 2019

“Back surgery is one of the most overused types of surgery as well as the most common ailment that sends patients to doctors, chiropractors, and physical therapists,” conveys Crain’s Detroit Business magazine’s article called Health Insurers Look for Ways to Cut Costs with Back Surgery. What a way to begin an article! It goes on:

  • $90 billion on low back pain alone annually
  • 1.2 million spinal surgeries annually
  • $60,000 to $110,000 per lumbar fusion surgery (the fastest-growing type of surgery in the past 10 years)

The back surgery failure rate, the so-called “failed back syndrome” or the more “politically correct” term “post-surgical continued pain syndrome,” may be as high as 50%. (1) With healthcare spending in the US over $3.5 trillion - $10,739 per person – it is no wonder that insurers look for another way to cut costs, particularly when one-third of the money goes to hospital care of chronic illnesses. (2) OrthoIllinois Chiropractic is well-equipped and knowledgeable in offering non-hospital-based care to help McHenry back pain – chronic and acute – patients find relief of and manage their back pain – and post-surgical continued back pain - without surgery.

LOW BACK PAIN FACTS

Low back pain is the foremost reason of years lived with disability around the world. Today, recommendations for low back pain relief care discourage pain medications, steroid injections and spine surgery and encourage physical therapy and psychological therapy. Healthcare systems tend to struggle with these new approaches. Why? Pharmaceutical companies’ financial interests, old payment systems that favor medical care, outdated traditions, and legal, personal, political, and societal beliefs of us all. These views are shared in the Bulletin of the World Health Organization, believe it or not. (3) OrthoIllinois Chiropractic reads this with interest.

BACK SURGERY CHOICE

In light of these facts, it’s not hard to believe that some back pain sufferers will pick back surgery over non-surgical management of their back pain. “Patients go where insurance pays, even if it is surgery.” In one study, back pain sufferers made the choice to see a primary care physician (PCP) or physical therapist (PT) or chiropractor first because of their health plan type, co-payment, and deductible. Modifying these things to make them more valuable/less expensive/less restrictive as to provider type might well inspire low back pain sufferers to choose non-hospital, conservative treatment rather than back surgery. (4) OrthoIllinois Chiropractic is all for this! Less than 1% of back pain sufferers require back surgery. (5) OrthoIllinois Chiropractic is prepared to help the rest of the McHenry back pain sufferers manage their back pain and rework their lifestyles to be with the spine they have and deal with its episodes of pain and relief.

RECURRENT BACK PAIN

McHenry back pain sufferers are in good company if their back pain returns. It happens. It’s controllable. It’s manageable. Some facts first: Within a year of recovery, 69% of patients had another episode of back pain of some sort. What risks trigger a recurrence of back pain? Awkward postures, long sitting times, and more than 2 prior back pain experiences. (6) It is ok though. Really! OrthoIllinois Chiropractic helps McHenry back pain patients find their way through these recurrences and deal with them so they do not limit anyone’s enjoyment of life.  We have a treatment plan!

CONTACT OrthoIllinois Chiropractic

Listen to Dr. Kimble Cater on The Back Doctors Podcast with Dr. Michael Johnson discuss how he helped an expectant mother with her repeated episodes of back pain. Whether you’re pregnant or not, McHenry chiropractic care at OrthoIllinois Chiropractic can help you deal with repeated episodes of back pain, too.

Schedule a McHenry chiropractic appointment at OrthoIllinois Chiropractic for back pain relief. Our care is not overused!  The gentle, effective, evidence-based system of Cox® Technic seeks 50% relief within 4-6 weeks of care and often gets 70%, 80%, 90% and greater for many of our patients at less cost – in terms of finances and lifestyle – than back surgery.

OrthoIllinois Chiropractic notes that back pain sufferers may choose their back pain treatment option based on insurance coverage. If insurance pays for back surgery, will you choose that?