Who to see for back pain: Consumer Reports

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http://www.consumerreports.org/cro/2013/01/relief-for-your-aching-back/index.htm#

Relief for your aching back
What worked for our readers
Last updated: March 2013
Who to see

About 80 percent of the adults in the U.S. have been bothered by back pain at some point. The Consumer Reports Health Ratings Center recently surveyed more than 14,000 subscribers who experienced lower-back pain in the past year but never had back surgery. More than half said the pain severely limited their daily routine for a week or longer, and 88 percent said it recurred throughout the year.

Lower-back pain disrupts many aspects of life. In our survey, 46 percent said that it interfered with their sleep, 31 percent reported that it thwarted their efforts to maintain a healthy weight, and 24 percent said that it hampered their sex life.

Where to go for treatment
When back pain goes on and on, many people go to see a primary-care doctor. While this visit may help rule out any serious underlying disease, a surprising number of the lower-back-pain sufferers we surveyed said they were disappointed with what the doctor could do to help. Although many of our respondents who saw a primary-care doctor left dissatisfied, doctors can write prescriptions and give referrals for hands-on treatments that might be covered by health insurance.

Who helped the most?
The percentage of people highly (completely or very) satisfied with their back-pain treatments and advice varied by practitioner visited.

Professional Highly satisfied
Chiropractor 59%
Physical therapist 55%
Acupuncturist 53%
Physician, specialist 44%
Physician, primary-care doctor 34%
Source: Consumer Reports Health Ratings Center
Patients with lower-back pain are faced with a confusing list of options. Our survey respondents tried an average of five or six different treatments over the course of just a year. We asked them to rate a comprehensive list of remedies (available to subscribers) and had enough data to rate 23 treatments. We analyzed the medical evidence for each and came up with recommendations and cautions. Here are some highlights from our survey findings:

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seems reasonable.

most acute back pain is myofascial, so it should respond to hands on therapy.

also, this is a survey, so in terms of real data... well, that might be an oxymoron.

ps, to continue, which for some reason you did not:
Spinal injections (available to subscribers) were rated just below chiropractic treatments by those who took our survey. Fifty-one percent of the respondents found them to be very helpful, although the techniques their doctors used varied.
Narcotic pain medications

Tried by 53 percent of the respondents who were given prescription medication, narcotic pain medication is far from a proven solution for acute lower-back pain but may reduce chronic lower-back pain when compared with a placebo. Long-term use of narcotic pain medications, also known as opioids, such as codeine, morphine, or oxycodone, is probably not a good idea for treating lower-back pain, but the drugs may be needed for short-term relief if other treatments don't work. Remember that taking opioids can be risky. Clinical trials have shown that about half the people who take opioid pain relievers suffer from adverse reactions, including constipation, drowsiness, and respiratory depression. Opioid-induced bowel dysfunction is a rather common side effect and may include a variety of additional gastrointestinal symptoms, including reflux and heartburn, abdominal cramping, bloating, and spasms. Substance-use disorders—the overuse of these medications, getting drugs from more than one doctor, or providing pills to friends—affect about one-quarter of the people taking opioids for back pain, and emergency-room department reports of opioid overdose have risen sharply in recent years. Additional concerns include a paradoxical increase in pain sensitivity, reduced testosterone levels, and erectile dysfunction.
 
most acute back pain is myofascial, so it should respond to hands on therapy.


disagree. but what do we know, we are just 2 highly trained spine specialists?

herein lies the problem.
 
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http://www.consumerreports.org/cro/2013/01/relief-for-your-aching-back/index.htm#

Relief for your aching back
What worked for our readers
Last updated: March 2013
Who to see

Who helped the most?
The percentage of people highly (completely or very) satisfied with their back-pain treatments and advice varied by practitioner visited.

Professional Highly satisfied
Chiropractor 59%
Physical therapist 55%
Acupuncturist 53%
Physician, specialist 44%
Physician, primary-care doctor 34%
Source: Consumer Reports Health Ratings Center
Patients with lower-back pain are faced with a confusing list of options. Our survey respondents tried an average of five or six different treatments over the course of just a year. We asked them to rate a comprehensive list of remedies (available to subscribers) and had enough data to rate 23 treatments. We analyzed the medical evidence for each and came up with recommendations and cautions. Here are some highlights from our survey findings:

:clap:
 
Rehashing of these findings. Where chiropractic and orthopedic visits were the most expensive.

The Outcomes and Costs of Care for Acute Low Back Pain among Patients Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons

Timothy S. Carey, M.D., M.P.H., Joanne Garrett, Ph.D., Anne Jackman, M.S.W., Curtis McLaughlin, D.B.A., John Fryer, Ph.D., Douglas R. Smucker, M.D., M.P.H., and the North Carolina Back Pain Project

N Engl J Med 1995; 333:913-917October 5, 199
 
Rehashing of these findings. Where chiropractic and orthopedic visits were the most expensive.

The Outcomes and Costs of Care for Acute Low Back Pain among Patients Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons

Timothy S. Carey, M.D., M.P.H., Joanne Garrett, Ph.D., Anne Jackman, M.S.W., Curtis McLaughlin, D.B.A., John Fryer, Ph.D., Douglas R. Smucker, M.D., M.P.H., and the North Carolina Back Pain Project

N Engl J Med 1995; 333:913-917October 5, 199

Weren't we talking about patient satisfaction?
 
Weren't we talking about patient satisfaction?

And then you had to go and spike the ball:)

Seriously, for axial LBP they should be seeing you before us.
 
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