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

EMERGENCY ROOM: IMAGING

The ER orders plenty of imaging. One in 3 patients who visit the emergency room for back pain (compared to 1 in 4 who visit a primary care physician) has imaging performed: simple imaging 26%, complex imaging 8.2%. (3) Today’s imaging guidelines don’t support this as they say to hold off on imaging for 4-6 weeks of conservative care before imaging. (4) Maybe patients are telling ER doctors that they have been under such care already? Not likely since only 34% of patients who visit an ER share with 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

Pain relief, it seems, is what they can do. Researchers have studied a variety of pain medication combinations ER doctors have used to determine what works best. What have they discovered? Stronger pain medication options do not offer much of a difference. Adding baclofen, metaxalone, or tizanidine to ibuprofen doesn’t appear to improve 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 for 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 continued to experience 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 docs and their patients but not typically for chiropractors and their chiropractic back pain patients. The Paramus chiropractic back pain specialist at Paramus Medical & Sports Rehabilitation Center is prepared with the best of chiropractic care for Paramus back pain relief.

CHIROPRACTIC: MANIPULATION AND NUTRIENTS

Your Paramus 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 Paramus chiropractor’s confidence that back pain relief and management for many otherwise frustrated Paramus 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 role of the primary spine physician who would be the physician to seek out for back pain issues.

CONTACT Paramus Medical & Sports Rehabilitation Center

Schedule a Paramus chiropractic appointment with Paramus Medical & Sports Rehabilitation Center especially if an ER visit hasn’t produced the pain relief you wanted. Paramus chiropractic care has shared a well-documented and researched way to manage back pain.

	Paramus Medical & Sports Rehabilitation Center welcomes Paramus back pain patients to the clinic instead of the emergency room for pain meds whenever possible. 
 
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