Everett Chiropractic Center Blog

February 3, 2018

The Opioid Crisis: Who Is/Is Not Guided By The Guidelines?

As far back as 1994, spinal manipulation has been a leading approach for managing low back pain in national care guidelines, and chiropractic care was the only approach that was also noted to improve function. (AHCPR Clinical Guideline #14: Acute Low Back Pain for Adults)

The 2017 American College of Physicians guidelines continued to point to spinal manipulation as a preferred initial non-drug therapy selection for chronic low back pain, along with other chiropractic services such as exercise, mindfulness, and low-laser therapy. (Annual of Internal Medicine; February 24, 2017)

So what percent of medical providers recommend spinal manipulation? Two. (OPTUM Insurance Study 2012 (retrospective review of 16,000,000 musculoskeletal cases)

“259 MILLION opioid painkiller prescriptions were written in 2012 – enough for one bottle for every adult in the U.S. 2016 data suggests that opioid problem is WORSENING, not improving.” (Centers for Disease Control; https://www.cdc.gov/vitalsigns/opioid-prescribing)

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January 31, 2018

The Opioid Crisis: How Effective IS Chiropractic Anyway?

In a retrospective review of over 16,000,000 cases, patients were determined to be better off starting with chiropractic care for general musculoskeletal care. Chiropractic care was significantly more effective, and also more cost-effective than medical care and physical therapy (up to 300%).

Optum Insurance Study, 2012

Chiropractic is 100% non-opioid/non-pharmaceutical. Also 100% consistent with multidisciplinary pain management guidelines and musculoskeletal care best practices. (Austin McMillin, DC, Painkillers: The Opioid Crisis; A prescription-induced public health care catastrophe)

January 30, 2018

What is the leading cause of death for adults under age 50 in America?

It isn’t too much chiropractic care…

According to June 6, 2017 CBS Evening News, it is…

January 27, 2018

Prescription Opioid Overdoses

Status: “I don’t think we’ve ever seen anything like this. Certainly not in modern times.” –Robert Anderson (CDC Control & Prevention Death Statistics Director), December 2016

In other news… “86% reduction in opioid prescriptions when complimentary and alternative care (including chiropractic) was included as a coverage benefit.” (Neighborhood Health Plan of Rhode Island Clinical Practice Guideline, Complementary Alternative Medicine (CAM), December 2014

Side note: this Legislative session the insurance industry has 15 lobbyist whose top priority is to squash Senate Bill 6157 (House Bill 2837)  – a bill that would prohibit one of their favorite barriers to patients accessing care: prior authorization. This burden is one way that care is denied to people who want to seek non-pharmacological (e.g., chiropractic) care. It is worth remembering that at the top of the food chain of every insurance company is a “Medical Director”.

Have you called your Legislator this week? Maybe a call from you will help.

January 26, 2018

When Does Addiction Become a Risk with Opioids?

Long-term addiction becomes a major risk after only 5 days of opioid use. (https://www.vox.com/science-and-health/2017/3/23/14987892/opioid-herion-epidemic-charts:(citing CDC); Accessed May 2017)

259 MILLION opioid painkiller prescriptions were written in 2012 – enough for one bottle for every adult in the U.S. 2016 data suggests the opioid problem is WORSENING, not improving. (Boscarino, et al, Addiction, 2010

January 25, 2018

Who gets the Opioid Prescriptions?

Well, first, “To understand just how bad the opioid epidemic has gotten, consider these statistics: Drug overdoses in 2015 were linked to more deaths than car crashes or guns, and in fact killed more people than car crashes and gun homicides combined.”

Pain complaints are a leading reason for medical visits. The most common pain complaints are musculoskeletal, and back pain, is the most common of these. (Roafi, et al, VITAL HEALTH STAT 2016)

More than half of “regular” prescription opioid users have back pain. (Sullivan, et al: PAIN, 2005)

As far back as 1994, spinal manipulation has been a leading approach for chronic low back pain in national guidelines, and chiropractic care was the only approach that was also not to improve function. (AHCPR Clinical Guideline #14: Acute Low Back Pain for Adults)

“Chiropractors are the only physician-level health care providers that have always specialized in non-opioid, non-pharmacological musculoskeletal pain management. Chiropractors are also the leading health care providers specializing in conservative, highly effective, low-risk approaches such as spinal manipulation that have been demonstrated to be high value both for pain management and functional improvement. The chiropractic profession has always been centered on naturally effective pain management and functional improvement in patient care, especially in respect to back, neck and musculoskeletal pain.” (Pain Killers: The Opioid Crisis; A prescription-induced public health care catastrophe, Austin McMillin, DC, 2017)

What if treatment protocols, in Hospital and medical clinics, were aligned with the authoritative management guidelines? National guidelines recommendation a shift away from prescription painkillers and a move toward non-pharmacological alternative, such as chiropractic, as the first option for pain relief (at the CDC, the National Safety Council, and the Food and Drug Administration).

January 24, 2018

The Opioid Crisis

hydrocodone

 

“Among the changes, the new standards will require hospitals to provide nonpharmacological pain treatment methods, alternatives that can include physical methods such as acupuncture and chiropractic therapy, as well as relaxation and cognitive behavioral therapy.”

This from an August, 2017 article in FierceHealthcare.

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