What expectations do you have of your
La Grande chiropractic care of back pain? That question is huge. Research
reports that it plays
a role in back pain treatment outcome whether that treatment is surgical or conservative. Paulette Hugulet, DC, LLC aspires
to hear your expectations of our La Grande back
pain treatment and share what our treatment’s outcomes have been in practice and in
INFLUENTIAL EXPECTATIONS FOR BACK SURGERY OUTCOMES
A recent research project scrutinized
patient and surgeon expectations of back surgery. Patients expected complete
relief and improvement of their back pain after lumbar spine surgery. Surgeons
expected improvement that ranged from a little to a lot dependant on the patient and his/her specific condition. Can you guess whose expectations were met? The surgeons’
expectations. Two years after the back surgery, the patient-reported outcomes met the surgeon’s expectations.
The researchers emphasized that effective communication about expectations
may well further better outcomes. (1) That is
why Paulette Hugulet, DC, LLC spends time with each La Grande
back pain patient early on in care, ensuring
that the source of pain and its treatment plan are well-described.
If not, ask us!
AN ACCEPTABLE SYMPTOM STATE
If a patient doesn’t experience
the relief he/she wanted from back surgery,
what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or
without active discopathy), 54% stated having an acceptable symptom
state at 1 month of care. Specifically, patient-reported acceptable symptoms involved
these: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for
disability, 10.0 for anxiety, and 6.7 for depression. (2) Paulette Hugulet, DC, LLC realizes no pain is the preferred state and is prepared to talk
with our La Grande chiropractic patients their options and possible
DECIDING ON TREATMENT OPTIONS
The question of back surgery is a big issue. Evidence-based medicine sees that the patient at the center of care. What is
the patient perspective of this care? How is the patient perspective taken
into consideration in treatment planning and decision making
among available options? A new paper indicated that the patient’s social, psychological, and other non-clinical
characteristics must be considered in planning care. (3)
One factor in the back-surgery decision that reportedly influences
the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking
opioid use patients expected more complete improvement compared
with non-users. They also had higher
expectations of positive outcome than higher-dose opioid patients. (4) For a
lot of patients, the prospect of work is goal of back pain treatment which is affirming
according to a new report on how back pain patient recovery
expectations affect clinical outcomes. A review of
60 studies found that a patient’s recovery expectations are
probably strongly associated with future work participation. (5) Paulette Hugulet, DC, LLC uses
effective, nonsurgical care of back pain to meet patient expectations once the research on outcomes for other back pain
sufferers is presented and absorbed. La Grande chiropractic care keeps the back pain patient at its center.
CONTACT Paulette Hugulet, DC, LLC
Listen to this PODCAST
with Dr. Anthony Galante on The Back Doctors Podcast with Dr.
Michael Johnson as he explained how Cox®
Technic System of Spinal Pain Management and chiropractic treatment assisted
in the management of back pain for a patient who was adamant about not wanting back surgery.
Schedule your next La Grande
chiropractic visit soon. Paulette Hugulet, DC, LLC invites you to ponder and answer the question of your
expectations for our treatment so that we can both be satisfied
with the outcome!