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McHenry 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 visit the ER for help. It’s a quandry for them, especially since almost 3 million such patients with undifferentiated musculoskeletal low back pain go to 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 McHenry ER do? How can an ER doctor deliver higher value care? (2) Imaging and medication. What can the McHenry chiropractic back pain specialist offer? Spinal manipulation and nutrients. Chiropractic has published about successfully managing back pain.

EMERGENCY ROOM: IMAGING

The ER performs lots of imaging. One in 3 patients who go to the emergency department for back pain (compared to 1 in 4 who go to a primary care physician) gets imaging done: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines do not support this as they recommend holding off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are telling ER doctors that they have been using such care already? Not likely since only 34% of patients who go to 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 offer. Researchers have looked at a variety of pain medication combinations ER doctors have prescribed to see what works best. What have they found? Stronger pain medication options do not offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen doesn’t appear 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) 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 ER for their back pain still had functional impairment 3 months later as well as 42% reported moderate or severe pain. 46% report using some type of analgesic pain reliever in the day prior. There are short and long-term problems for ER patients with low back pain. (1) This may all be frustrating for emergency department docs and their patients but not always for chiropractors and their chiropractic back pain patients. The McHenry chiropractic back pain specialist at Spengel Chiropractic is armed with the best of chiropractic care for McHenry back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your McHenry 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 McHenry chiropractor’s confidence that back pain relief and management for many otherwise frustrated McHenry back pain patients is possible.

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

CONTACT Spengel Chiropractic

Schedule a McHenry chiropractic appointment with Spengel Chiropractic especially if an emergency department trip has not produced the pain relief you hoped. McHenry chiropractic care has figured out a well-documented and researched way to manage back pain.

	Spengel Chiropractic invites McHenry back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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