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Dr. Gary Stefanick Respects the Painful Spine with Evidence-Based Care

The spine deserves respect. Dr. Gary Stefanick respects all New York 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 getting 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 New York 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.

CLINICAL GUIDELINES AND APPROACHES

What is recommended and/or beneficial for spine pain often delivered even in New York? 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 written to be effective for low back pain relief. (2) Spinal manipulation as a conservative treatment should be undertaken by patients with chronic low back pain and disability related to low back pain. (3) Flexion distraction delivers clinically significant improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research reports that surgical approaches and outcomes vary from place to place for patients with the same condition. It invites standardization of care and the establishment of international guidelines built on what works best according to such evidence. (5) Dr. Gary Stefanick agrees that published guidelines documenting what is best require respectful use.

CLINICAL REALITY

What is really going on? A recently released article that reviewed the care of Canadian spine pain patients referred for spine surgery bluntly 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 fewer non-surgical forms of treatment. The article suggests that if patients attempted to use 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 grew from 3.6% to 58% in 5 years that lead to increased complication risk without any improvement in disability or reoperation rates. (7) Dr. Gary Stefanick delivers New York chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A New York CHIROPRACTIC APPOINTMENT

Listen to this PODCAST with medical doctor, Dr. David Moen, who supports non-surgical care of back pain with chiropractic for less expensive and unnecessary medical care.

Schedule a New York chiropractic consultation now with the New York spine specialist at Dr. Gary Stefanick where your hurting spine is met with respect and relieving care as evidence documents best.

 
 
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