“What should I do about my back pain? It’s been going on for so long.”
Sure, it does! Moriarty Chiropractic knows Nashua back pain
patients struggle with this problem. There are many options – rest, exercise, meds, manipulation, chiropractic, medicine, yoga, acupuncture, surgery, etc. – which makes it difficult to decide. Recent studies have looked at the cost, safety, and risk of treatment escalation for patients who choose spinal manipulation
first versus those who choose opioid analgesic treatment initially for their chronic low back pain. The findings 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 expenses for long-term care of chronic low back pain assessed the costs of opioid analgesic treatment opposed to those for spinal manipulation therapy. There were 28,160 participants aged 65-84 years old. 77% began with opioid therapy for their chronic low back pain. 23% began with SMT. The long-term expenses for opioid-therapy patients were 58% lower, but long-term overall healthcare expenses were 1.87 times higher for those same opioid patients. (1) Moriarty Chiropractic follows a system of Nashua chiropractic treatment frequency guided by the 50% Rule looking for 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 common treatment options for chronic low back pain: opioid analgesic therapy and spinal manipulation therapy. The researchers considered a variety of patient records: patients who only received spinal manipulation, only received opioids, began with opioids then had spinal manipulation, and began with spinal manipulation then supplemented with opioids. What did they discover? The risk of adverse drug events was substantially higher – 42 times higher - for patients who began with opioid therapy first for their chronic back pain than those who began with spinal manipulation. (2) Moriarty Chiropractic uses the well research-documented, safe, gentle protocols of Cox® Technic.
ESCALATION OF CARE RISK FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS
Research documents another key factor in back pain treatment: how well does a treatment help the patient avoid 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 linked to 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 Moriarty Chiropractic lessens the need for escalated care while cautiously monitoring each patient for any signs that such may be helpful or needed.
CONTACT Moriarty 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.
Schedule your Nashua chiropractic appointment today. Whether the response to the question of “what should I do about my back pain?” was opioid treatment or other care, spinal manipulation at Moriarty Chiropractic may well be your next (or your first if you are just beginning the search for help) treatment that will get you the back pain relief you are seeking in a cost-effective, safe way.