Friday, February 24, 2017

When Evidence Says No, but Doctors Say Yes

For all the truly wondrous developments of modern medicine—it is distressingly ordinary for patients to get treatments that research has shown are ineffective or even dangerous compared to conservative care. There are many reasons for this and this Atlantic article explains the reasons.
Three common treatments that fall into this category are heart stents for people who are symptom free or who have stable angina ( intermittent chest pain only), many knee meniscal surgeries for people with non acute knee cartilage tears, and spinal fusion surgery for disc degeneration.
I spend much time explaining this to patients who are interested because decisions on these procedures can have a huge impact on their lives. This is a longer article, but I encourage you to take the time to read at least part of it.
Has anyone received what they now perceive as an unnecessary treatment?When Evidence Says No, but Doctors Say Yes

Tuesday, February 14, 2017

American College of Physicians new low back pain treatment guidelines


The new guidelines for low back pain by the American College of Physicians (national society of the internists) recommends first using non-invasive, non-drug treatments before resorting to drug therapies.
ACP’s guidelines, published in the Annals of Internal Medicine, cite spinal manipulation (a centerpiece of chiropractic care), heat therapy, massage, acupuncture as possible options for non-invasive, non-drug therapies for low back pain.
Only when such treatments provide little or no relief, the guidelines state, should patients move on to medicines such as ibuprofen or muscle relaxants, which research indicates have limited pain-relief effects. 
The chiropractic profession has long advocated for doctors and patients to use a more conservative approach to treating low back pain. Do you agree on this approach?

American Chiropractic Association Applauds Low Back Pain Guidelines Advocating Non-Drug Treatments First

Wednesday, February 8, 2017

Ibuprofen for people with back pain has no significant effect - new study

Earlier research has shown that acetominophen (Tylenol) is not effective for back pain and opioid (narcotic) drugs are only minimally effective (with significant possible side effects). 
Now a new study from the University of Sydney and published in Annals of the Rheumatic Diseases which reviewed 35 previous studies on more than 6,000 showed no significant clinical benefit of ibuprofen (Motrin, Advil, Nuprin)
I have said for many years that if the pain meds worked as advertised, I would have many less patients in my clinic.
Would this info change you decision to get chiropractic or physical therapy treatment if you had a back issue in the future?

Ibuprofen for people with back pain has no significant effect - new study