What expectations do you have of your
chiropractic care of Paramus
back pain? That question is huge. Research
is reporting that that questions of expectations plays
a role in back pain treatment outcome whether that treatment is surgical or conservative. Paramus Medical & Sports Rehabilitation Center aims
to hear your expectations of our Paramus back
pain treatment and present the outcomes of our treatment
documented in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
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 ranged from a little to a lot depending
on the patient and his/her specific issues. Whose
expectations were met? The surgeons’
expectations. A couple years after the back surgery, the outcomes
reported by patients met the surgeon’s expectations.
The researchers emphasized that effective communication about expectations
may well advance better outcomes. (1) That’s
why Paramus Medical & Sports Rehabilitation Center spends time with each Paramus
back pain patient at the beginning of care, making sure the source of pain and its treatment plan are well-explained.
If not, tell us!
AN ACCEPTABLE SYMPTOM STATE
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% reported 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) Paramus Medical & Sports Rehabilitation Center appreciates that no pain is the preferred state and is prepared to discuss
with our Paramus chiropractic patients their options and potential
DECIDING ON TREATMENT OPTIONS
The question of back surgery is a big issue. Evidence-based medicine sees that the patient at the center of care. What is
the patient perspective of this care? How is the patient perspective considered in treatment planning and decision making
among 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 impacts
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 many 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 influence clinical outcomes. A review of
60 studies found that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Paramus Medical & Sports Rehabilitation Center employs
effective, nonsurgical treatment of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and understood. Paramus chiropractic care keeps the back pain patient at its center.
CONTACT Paramus Medical & Sports Rehabilitation Center
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 Paramus
chiropractic visit soon. Paramus Medical & Sports Rehabilitation Center invites you to ponder and answer the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!