Paulette Hugulet, DC, LLC Respects the Painful Spine with Evidence-Based Care

The spine deserves respect. Paulette Hugulet, DC, LLC respects all La Grande spines, those healthy and those hurting. When the spine hurts, it gets attention. The attention the hurting spine gets is not 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 aren’t always used. They are published but not always read or implemented. The spine deserves better. Your La Grande chiropractor respects the spine and coordinates 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 provided even in La Grande? The American Pain Society and the American College of Physicians advocate 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 low back pain related disability. (3) Flexion distraction delivers clinically meaningful improvement in pain by 79% and disability by 70% at 14.5 months follow-up. (4) Research notes that surgical methods and outcomes differ from place to place for patients with the same condition. It pleas for standardization of care and the establishment of international guidelines founded about what works best according to such evidence. (5) Paulette Hugulet, DC, LLC agrees that published guidelines documenting what is best require respectful use.

CLINICAL REALITY

What is being done? A just published article that reviewed the care of Canadian spine pain patients referred for spine surgery bluntly wrote 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 less non-surgical forms of treatment. The article proposes that if patients received evidence-based non-operative treatments before a spine surgery consultation, fewer would be referred and, in Canada, fewer would deteriorate as they have to wait so long 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) Paulette Hugulet, DC, LLC delivers La Grande chiropractic spine care with less intrusive, more effective means, particularly with the evidence-based protocols of Cox Technic.

MAKE A La Grande CHIROPRACTIC APPOINTMENT

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

Schedule a La Grande chiropractic consultation now with the La Grande spine specialist at Paulette Hugulet, DC, LLC where your hurting spine is seen with respect and relieving care as evidence says is best.