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Moriarty Chiropractic Respects the Painful Spine with Evidence-Based Care

October 03, 2017

The spine merits respect. Moriarty Chiropractic respects all Nashua spines, those healthy and those hurting. 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 followed. They are published but not always read or implemented. The spine deserves better. Your Nashua chiropractor respects the spine and matches its trouble to the best evidence-based protocol for its relief which is many times non-surgical and non-drug.


What is recommended and/or favorable for spine pain often delivered even in Nashua? The American Pain Society and the American College of Physicians endorse 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) Conservative treatment in the form of spinal manipulation should be attempted by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction provides clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical methods and outcomes vary from place to place for patients with the same condition. It beckons standardization of care and the establishment of international guidelines founded about what works best according to such evidence. (5) Moriarty Chiropractic agrees that published guidelines showing what is most effective need to be respected.


What is really going on? A just released article that reviewed the care of Canadian spine pain patients sent for spine surgery bluntly stated 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 fewer non-surgical forms of treatment. The article suggests that if patients tried 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 get to the surgeon. (6) Lumbar cage fusion rates increased from 3.6% to 58% in 5 years that resulted in higher complication risk without any improvement in disability or reoperation rates. (7) Moriarty Chiropractic offers Nashua chiropractic spine care with less invasive, more effective means, particularly with the evidence-based protocols of Cox Technic.


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 Nashua chiropractic consultation now with the Nashua spine specialist at Moriarty Chiropractic where your hurting spine is seen with respect and relieving care as evidence reports as being best.