Tuesday, July 30, 2013

Bad Medicine!.......... for low back pain



Maybe Bon Jovi was right with Bad Medicine!  Does your clinician follow the established guidelines to treat low back pain (LBP) or are you receiving "bad medicine"?  A recent study from the Journal of American Medial Association - Internal Medicine, stated that " Despite numerous published clinical guidelines, management of back pain has relied increasingly on guideline discordant care."  The results of this 2013 showed:

No change in physical therapy referrals


Increase in narcotic usage


Decrease in NSAIDS and tylenol usage


Increase in diagnostic imaging (such as CT scans and MRI)


Increase in physician referrals


Physical therapy and the usage of NSAIDS were considered as GOOD coordination with the LBP guidelines and evidenced based.  Physician referrals, diagnostic imaging, and narcotic usage were considered BAD coordination with the guidelines.  This looks like the health care system is doing everything along the BAD track doesn't it?   So,is your clinician following the guidelines, that have been set by proven and established research, and may lead to better outcome for our patients with LBP or are they following Bad Medicine!   Here is another link to physician guidelines in the clinic regarding the treatment of LBP from the American College of Physician.  At Pursuit Physical Therapy, you never have to question your quality of care.  Your treatment is always what is best for you!  If you have LBP, call Pursuit Physical Therapy at 407-494-8835 or visit our website at www.PursuitTherapy.com for more information about how we can help your LBP.  








3 comments:

  1. here is another great blog about the treatment of LBP

    http://postinjuryrunning.com/Blog/?p=422

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  2. Looks like NPR found the article first:

    http://www.npr.org/blogs/health/2013/07/30/206910829/doctors-increasingly-ignore-evidence-in-treating-back-pain

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  3. I agree with you in this article, some of other clinician doesn't follow rules and guidelines and people should realize and be practical in choosing the right clinician. Just like my favorite pain physicians, its pain management Brooklyn here in NYC.

    ReplyDelete