Have you heard it said that numbers don’t lie? With all the numbers out there about back and neck pain costs and outcomes, we can put that to the test. Lombardy Chiropractic Clinic presents a few of the latest ones that are really interesting and reassuring of our Augusta chiropractic approach using the Cox® Technic System of Spinal Pain Management.
OPTIONS USED FOR BACK PAIN VS BACK PAIN GUIDELINE RECOMMENDATIONS
Treatment guidelines for back pain are well-published. Are they followed? Of 100 million patient healthcare insurance claims, 56,000 experienced persistent low back pain. These patients were not surgical candidates and had gone through conventional medical care. Of those 56,000, 60% underwent physical therapy, 50% experienced chiropractic, 26% got steroid injections and 66% took prescribed pain meds (57% opioids, 38% muscle relaxants). Were guidelines followed? Not exactly. In contradiction to low back pain treatment guidelines, most patients were given opioids while several non-drug treatments were used by only a few. (1) Another report stated that 775,893 general practitioner visits resulted in 6,904 referrals (just 0.89%) to physiotherapy, a non-pharmacological treatment choice for commonly referred problems like low back pain and osteoarthritis. (2) The healthcare costs of these patients were very large. (1) Augusta back pain treatment costs don’t vary that much.
COSTS OF BACK PAIN CARE
A review of Humana healthcare claims resulted in these findings: the pre-operative costs of conservative treatment alternatives for cervical spine radiculopathy were only 37.7% of the total non-surgical expenses for this condition. Injection costs were the highest, costing $988 on average per patient. Other expenses were – in order of cost expenditure - physical therapy ($510), medications (narcotics, gabapentin, NSAIDs), bracing ($193), and chiropractic services ($193). 62% of overall costs for care of cervical radiculopathy were for diagnostic modalities. (3) Augusta neck and back pain patients have an experienced chiropractor at Lombardy Chiropractic Clinic.
INTERPROFESSIONAL REFERRAL FOR BACK PAIN CARE
Recent data showed a 106% increase in the number of physician visits for low back pain and extremity pain that led to a referral to another physician partly because of ineffective outpatient conservative treatment. The study that presented this finding concluded with the suggestion that patients who are most likely to need surgery would be referred to as their first subspeciality, a surgeon. Additionally, patients who are less likely to require surgery would meet with a non-surgical spine specialist or primary care physician. (4) Your Augusta chiropractor at Lombardy Chiropractic Clinic is well-prepared to be the Augusta non-surgical spine specialist this article suggests for our Augusta low back pain and neck pain and arm pain and leg pain sufferers!
CLINICAL OUTCOMES OF TREATMENT
Of 609 patients with sciatica and back-related leg pain visiting primary care physicians, only 55% reported ‘improvement’ – just 30% or more reduction in disability - at one year follow-up. (5) Chiropractors using the Cox® Technic System of Spinal Pain Management seek at minimum a 50% reduction of pain non-surgically in a month. In a 1000 cases study of Cox® Technic treatment outcomes, leg pain radicular patients improved significantly more with Cox® Technic flexion distraction therapy than with physical therapy. (6) In a study of post-surgical continued back pain patients, 81% of them reported greater than 50% relief of pain in 11 visits in 49 days (mean). At two your follow-up, 78.6% of them still had more than 50% relief of pain. Mean relief of pain was maintained: 71.6% at the end of active care and 70% at 2-year follow-up. (7) Your Augusta chiropractor provides just such relief and knows when to refer if necessary.
CONTACT Lombardy Chiropractic Clinic
Listen to this PODCAST with Dr. Byron Folwell on The Back Doctors Podcast with Dr. Michael Johnson as he describes The Cox® Technic System of Spinal Pain Management integration for relieving post-surgical continued back pain.
Schedule your Augusta chiropractic appointment soon. Don’t let numbers concern you. Let them lead you down the path to pain relief. See you soon!