What Research Says About Chronic Low Back Pain

Friday, November 18th, 2016
understanding chronic low back pain and back pain treatment

Why They Did It

With chronic back pain being so prevalent in our society, it’s significance cannot be overstated. The authors of this study felt it necessary to attempt to better understand all aspects of low back pain, treatment, and outcomes.

How They Did It

The authors examined the following areas to determine use and effectiveness.

  • Imaging
  • Opioid Use
  • Spinal Injections
  • Spinal Surgery

What They Found

  • 629% increase Medicare expenditures on epidural spinal injections.
  • 423% increase for opioids due to back pain.
  • 307% increase in low back MRIs for beneficiaries of Medicare.
  • 220% increase in spinal fusion surgeries.
  • No improvement in patient outcomes and/or disability rates.

Wrap It Up

Prescribing yet more imaging, opioids, injections, and operations is not likely to improve outcomes for patients with chronic back pain. We must rethink chronic back pain at fundamental levels. Our understanding of chronic back pain mechanisms remains rudimentary, including our knowledge of spinal biology, central nervous system processing, genetic factors, and psychosocial, and environmental influences. Greater investment is needed in this basic science research.

Clinicians may often be applying an acute care model to a chronic condition. There are no “magic bullets” for chronic back pain, and expecting a cure from a drug, injection, or operation is generally wishful thinking.

Deyo RA, “Overtreating chronic back pain: time to back off?” J Am Board Fam Med. 2009 Jan-Feb;22(1):62-8.

Just another reason to call a chiropractor TODAY!

Research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, in comparison to the traditional medical model, patients get good or excellent results with Chiropractic. Chiropractic care is safe, more cost-effective, it decreases your chances of having surgery, and it reduces your chances of becoming disabled. We do this conservatively and non-surgically. In addition, we can do it with minimal time requirements and minimal hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward from initial recovery, we can likely keep it that way while raising the general, overall level of health! Please feel free to leave a comment and tell me your thoughts. I’d love to hear what you think.And….SHARE, SHARE, SHARE!! We cannot make a difference without your help.

Till next time……

The Amarillo Chiropractor Blog is written by Dr. Jeff Williams.
Amarillo TX Amarillo Pain & Accident Chiropractic Clinic provides customized chiropractic care to the Amarillo TX, Canyon TX, Pampa TX, Happy TX, White Deer TX, Dumas TX, Groom TX, Conway TX, Panhandle TX, Claude TX, Clarendon TX, Borger TX, Tulia TX, Hereford TX, Fritch TX, Bushland TX, and Vega TX communities.

Visit our main website at www.amarillochiropractor.com for customized Chiropractic in Amarillo TX. Choose several options to schedule your appointment: call (806) 355-3000 or click the button below for our contact info.

by Jeff S. Williams, D.C.
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