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
Relief for the pain is what they focus on. 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.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I