Comparison Of Largo 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! Hollstrom & Associates Inc knows  Largo back pain patients struggle with this question. There are many options – rest, exercise, meds, manipulation, chiropractic, medicine, yoga, acupuncture, surgery, etc. – which makes it difficult to decide. Recent studies have looked at the cost, safety, and risk of treatment escalation for patients who choose spinal manipulation initially 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? An analysis of Medicare health expenses for long-term care of chronic low back pain compared the costs of opioid analgesic treatment opposed to those for spinal manipulation therapy. There were 28,160 participants aged 65-84 years old. 77% began with opioid therapy for their chronic low back pain. 23% started with SMT. The long-term costs for opioid-therapy patients were 58% lower, but long-term overall healthcare expenditures were 1.87 times higher for those same opioid patients. (1) Hollstrom & Associates Inc follows a system of Largo chiropractic treatment frequency guided by the 50% Rule looking for 50% relief of pain within a month with more visits initially and less as the pain reduces.

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

Cost is one thing. What about safety? An analysis 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 usual treatment options for chronic low back pain: opioid analgesic therapy and spinal manipulation therapy. The researchers studied a variety of patient records: patients who only received spinal manipulation, only received opioids, started with opioids then had spinal manipulation, and started with spinal manipulation then added opioids. What did they discover? The risk of adverse drug events was quite a bit higher – 42 times higher - for patients who started with opioid therapy first for their chronic back pain than those who commenced care with spinal manipulation. (2) Hollstrom & Associates Inc uses 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 help the patient avoid more complex treatment? A third review of Medicare patient data studied the risk of escalated treatments – hospital stays, emergency room visits, imaging, back surgery, pain med interventions, and other types of encounters for potential 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. Starting care with spinal manipulation therapy was linked to lower 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 Hollstrom & Associates Inc lessens the requirement for escalated care while carefully monitoring each patient for any signs that such may be helpful or needed.

CONTACT Hollstrom & Associates Inc

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 with the Cox® Technic Flexion Distraction System of Spinal Pain Management.

Schedule your Largo 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 Hollstrom & Associates Inc may well be your next (or your first if you are just starting the search for help) treatment that will get you the back pain relief you are seeking in a cost-effective, safe way. 

 
Hollstrom & Associates Inc presents new comparison studies of the safety, cost, and effectiveness in reducing the risk of further care of chronic low back pain: opioid vs spinal manipulation treatments.