“What should I do about my back pain? It’s been going on for
so long.”
Sound familiar? Sure, it does! Wilson Family Chiropractic knows
Millville
back pain patients wrestle with this question. There
are a variety of options – rest, exercise, meds, manipulation, chiropractic,
medicine, yoga, acupuncture, surgery, etc. – which makes it difficult
to choose. Recent research has looked at the cost,
safety, and risk of treatment escalation for patients who choose
spinal manipulation
initially versus those who choose opioid
analgesic treatment first 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 expenditures
for long-term care of chronic low back pain compared the costs
of opioid analgesic treatment versus those for spinal manipulation
therapy. There were 28,160 participants aged 65-84 years old. 77% started
with opioid therapy for their chronic low back pain. 23% began
with SMT. The long-term costs for opioid-therapy patients were 58%
lower, but long-term overall healthcare expenses were 1.87
times greater for those same opioid patients. (1) Wilson Family Chiropractic
follows a system of Millville chiropractic treatment frequency steered
by the 50% Rule seeking 50% relief of pain within a
month with more visits initially 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 usual
treatment options for chronic low back pain: opioid
analgesic therapy and spinal manipulation therapy. The researchers studied
a variety of patient records: patients who only received
spinal manipulation, only took opioids, began with
opioids then underwent spinal manipulation, and started
with spinal manipulation then added opioids. What did
they find? The risk of adverse drug events was quite a bit
higher – 42 times higher - for patients who began with opioid
therapy initially for their chronic back pain than those who commenced
care with spinal manipulation. (2) Wilson Family Chiropractic utilizes the
well research-documented, safe, gentle protocols of Cox® Technic.
ESCALATION OF CARE RISK FOR CHRONIC LOW BACK PAIN MEDICARE
PATIENTS
Research documents another important factor in
back pain treatment: how well does a treatment keep a patient from having to
undergo more complex treatment? A third review of
Medicare patient data studied the risk of escalated treatments – hospital stays, ER visits,
imaging, back surgery, pain med interventions, and other such encounters
for potential complications of chronic low back pain – in long-term
chronic low back pain care patients who began with opioid analgesic
therapy or spinal manipulation therapy. Starting care with
spinal manipulation therapy was associated with reduced
rates of escalation of care. The rate of escalated care encounters was 2.5 times
greatear for opioid care patients. (3) The use of
Cox® Technic at Wilson Family Chiropractic lessens the requirement
for escalated care while cautiously monitoring each patient for
indications that such may be helpful or needed.
CONTACT Wilson Family Chiropractic
Listen to this PODCAST
with Dr. Nike Taylor on The
Back Doctors Podcast with Dr. Michael Johnson as she discusses
treatment of chronic low back pain with the Cox® Technic Flexion
Distraction System of Spinal Pain Management.
Make your Millville
chiropractic appointment soon. Whether the answer
to the question of “what should I do about my back pain?” was opioid treatment
or other care, spinal manipulation at Wilson Family Chiropractic may well be your next (or
your first if you are just beginning the search
for help) treatment that will help you attain the back pain
relief you want in a cost-effective, safe way.