Comparison Of Sitka Back Pain Relief Via Opioid Or Spinal Manipulation

December 14, 2021

“What should I do about my back pain? It’s been going on for so long.”

Sound familiar? Sure, it does! Arctic Chiropractic, Sitka knows  Sitka back pain patients struggle with this question. There are a variety of options – rest, exercise, meds, manipulation, chiropractic, medicine, yoga, acupuncture, surgery, etc. – which makes it hard to decide. Recent research has looked at the cost, safety, and risk of treatment escalation for patients who choose spinal manipulation first versus those who choose opioid analgesic treatment first for their chronic low back pain. The results are interesting.

COSTS OF OPIOID VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Chronic low back pain is a costly condition, but just how costly is it? A review of Medicare health spendings for long-term care of chronic low back pain assessed the costs of opioid analgesic treatment opposed to those for spinal manipulation therapy. There were 28,160 participants aged 65-84 years old. 77% started with opioid therapy for their chronic low back pain. 23% began with SMT. The long-term expenses for opioid-therapy patients were 58% lower, but long-term overall healthcare expenditures were 1.87 times higher for those same opioid patients. (1) Arctic Chiropractic, Sitka follows a system of Sitka chiropractic treatment frequency steered by the 50% Rule looking for 50% relief of pain within 30 days with more visits in the beginning and fewer as the pain decreases.

SAFETY OF OPIOIDS VS SMT FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Cost is one thing. What about safety? A review of patient files of Medicare beneficiaries aged 65 to 84 with chronic low back pain for 5 years studied the long-term safety of two common approaches to chronic low back pain: opioid analgesic therapy and spinal manipulation therapy. The researchers considered a variety of patient records: patients who only received spinal manipulation, only took opioids, started with opioids then underwent spinal manipulation, and started with spinal manipulation then supplemented with opioids. What did they discover? The risk of adverse drug events was substantially higher – 42 times higher - for patients who began with opioid therapy first for their chronic back pain than those who commenced care with spinal manipulation. (2) Arctic Chiropractic, Sitka utilizes the well research-documented, safe, gentle protocols of Cox® Technic.

ESCALATION OF CARE RISK FOR CHRONIC LOW BACK PAIN MEDICARE PATIENTS

Research documents another key factor in back pain treatment: how well does a treatment keep a patient from having to undergo more complex treatment? A third review of Medicare patient data looked at escalation of care risk – hospital stays, ER visits, imaging, back surgery, pain med interventions, and other types of encounters for possible complications of chronic low back pain – in long-term chronic low back pain care patients who began with opioid analgesic therapy or spinal manipulation therapy. Commencing care with spinal manipulation therapy was associated with reduced rates of escalation of care. The rate of escalated care encounters was 2.5 times greatear for opioid treatment patients. (3) The use of Cox® Technic at Arctic Chiropractic, Sitka lessens the requirement for escalated care while cautiously monitoring each patient for any signs that such may be helpful or needed.

CONTACT Arctic Chiropractic, Sitka

Listen to this PODCAST with Dr. Nike Taylor on The Back Doctors Podcast with Dr. Michael Johnson as she describes treatment of chronic low back pain via the Cox® Technic Flexion Distraction System of Spinal Pain Management.

Schedule your Sitka chiropractic appointment now. Whether the answer to the question of “what should I do about my back pain?” was opioid treatment or other care, spinal manipulation at Arctic Chiropractic, Sitka may well be your next (or your initial if you are just starting the search for help) treatment that will get you the back pain relief you want in a cost-effective, safe way. 

 
Arctic Chiropractic, Sitka shares new comparison studies of the safety, cost, and effectiveness in reducing the need for further care of chronic low back pain: opioid vs spinal manipulation treatments.