Yorkville Chiropractic and Wellness Centre Respects the Painful Spine with Evidence-Based Care
The spine merits respect. Yorkville Chiropractic and Wellness Centre respects all Toronto spines, those in good shape and those in not so good shape. When the spine hurts, it demands attention. The attention the hurting spine gets isn’t always respectful of the guidelines for its pain relief. That fact is receiving notice in the medical research. Evidence based guidelines for a painful spine’s care abound, but they are not always used. They are published but not always read or implemented. The spine deserves better. Your Toronto chiropractor respects the spine and coordinates its trouble to the best evidence-based protocol for its relief which is many times non-surgical and non-drug.
CLINICAL GUIDELINES AND APPROACHES
What is recommended and/or favorable for spine pain often provided even in Toronto? The American Pain Society and the American College of Physicians recommend spinal manipulation for low back pain. (1) Flexion distraction (aka Cox Technic) and manual therapy using joint mobilization techniques and flexion distraction is reported to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment should be tried by patients with chronic low back pain and low back pain related disability. (3) Flexion distraction brings clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research states that surgical approaches and outcomes vary from place to place for patients with the same condition. It pleas for standardization of care and the establishment of international guidelines based regarding what works best according to such evidence. (5) Yorkville Chiropractic and Wellness Centre agrees that published guidelines documenting what is most effective need to be respected.
CLINICAL REALITY
What is being done? A recently released article that assessed the care of Canadian spine pain patients referred for spine surgery came out and reported that “Surgeons do not use clinical practice guidelines before spine surgery.” What did they do? Prescribed medications to 74.2% of them 46.3% of whom got opioids. 61.1% of patients tried two or less non-surgical forms of treatment. The article proposes that if patients received evidence-based non-operative treatments before a spine surgery consultation, fewer would be referred and, in Canada, fewer would get worse as they have to wait such a long time to see the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that lead to escalated complication risk without any improvement in disability or reoperation rates. (7) Yorkville Chiropractic and Wellness Centre delivers Toronto chiropractic spine care with less intrusive, more effective means, specifically with the evidence-based protocols of Cox Technic.
MAKE A Toronto CHIROPRACTIC APPOINTMENT
Listen to this PODCAST with medical doctor, Dr. David Moen, who promotes non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.
Schedule a Toronto chiropractic consultation now with the Toronto spine specialist at Yorkville Chiropractic and Wellness Centre where your hurting spine is seen with respect and relieving care as evidence reports as being best.
