Comparison Of McHenry Back Pain Relief Via Opioid Or Spinal Manipulation

December 14, 2021

“What should I do about my back pain? It’s been going on for so long.”

Sound familiar? Sure, it does! OrthoIllinois Chiropractic knows  McHenry back pain patients wrestle with this question. There are many options – rest, exercise, meds, manipulation, chiropractic, medicine, yoga, acupuncture, surgery, etc. – which makes it difficult to decide. Recent studies have looked at the cost, safety, and risk of treatment escalation for patients who choose spinal manipulation first compared with those who choose opioid analgesic treatment initially for their chronic low back pain. The results are thought-provoking.

COSTS OF OPIOID VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Chronic low back pain is a costly condition, but just how costly is it? An analysis of Medicare health expenses for long-term care of chronic low back pain assessed the costs of opioid analgesic treatment versus those for spinal manipulation therapy. There were 28,160 participants aged 65-84 years old. 77% began with opioid therapy for their chronic low back pain. 23% started with SMT. The long-term costs for opioid-therapy patients were 58% lower, but long-term overall healthcare expenditures were 1.87 times higher for those same opioid patients. (1) OrthoIllinois Chiropractic follows a system of McHenry chiropractic treatment frequency steered by the 50% Rule seeking 50% relief of pain within a month with more visits in the beginning and fewer as the pain decreases.

SAFETY OF OPIOIDS VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Cost is one thing. What about safety? A review of patient files of Medicare beneficiaries aged 65 to 84 with chronic low back pain for 5 years looked at the long-term safety of two common treatment options for chronic low back pain: opioid analgesic therapy and spinal manipulation therapy. The researchers considered a variety of patient records: patients who only underwent spinal manipulation, only took opioids, started with opioids then had spinal manipulation, and began with spinal manipulation then supplemented with opioids. What did they discover? The risk of adverse drug events was substantially higher – 42 times higher - for patients who started with opioid therapy initially for their chronic back pain than those who began with spinal manipulation. (2) OrthoIllinois Chiropractic uses the well research-documented, safe, gentle protocols of Cox® Technic.

ESCALATION OF CARE RISK FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Research documents another key factor in back pain treatment: how well does a treatment help the patient avoid more complex treatment? A third review of Medicare patient data looked at escalation of care risk – hospital stays, emergency room visits, imaging, back surgery, pain med interventions, and other types of encounters for possible complications of chronic low back pain – in long-term chronic low back pain care patients who started with opioid analgesic therapy or spinal manipulation therapy. Commencing care with spinal manipulation therapy was linked to lower rates of escalation of care. The rate of escalated care encounters was 2.5 times higher for opioid care patients. (3) The use of Cox® Technic at OrthoIllinois Chiropractic lessens the need for escalated care while cautiously monitoring each patient for any signs that such may be helpful or needed.

CONTACT OrthoIllinois Chiropractic

Listen to this PODCAST with Dr. Nike Taylor on The Back Doctors Podcast with Dr. Michael Johnson as she describes treatment of chronic low back pain via the Cox® Technic Flexion Distraction System of Spinal Pain Management.

Schedule your McHenry chiropractic appointment today. Whether the answer to the question of “what should I do about my back pain?” was opioid treatment or other care, spinal manipulation at OrthoIllinois Chiropractic may well be your next (or your initial if you are just starting the search for help) treatment that will help you attain the back pain relief you want in a cost-effective, safe way. 

 
OrthoIllinois Chiropractic shares new comparison studies of the safety, cost, and effectiveness in reducing the risk of further care of chronic low back pain: opioid vs spinal manipulation treatments.