Category Archives: Sciatica

Chiropractic Care is Recommended Before Back Surgery for Chronic Low Back Pain!

Chiropractic Care for Chronic Low Back Pain

Chiropractic Care First For Low Back Pain!

A more natural approach for the Treatment of Chronic Low Back Pain is becoming increasing more popular.  New Guidelines from the University of Pittsburgh Medical Center outline a plan for conservative treatment plan before back surgery is considered.  Treatments such as Chiropractic Care and Physical therapy must be administered for at least three months before surgery would be considered.  In the past, medical doctors and hospitals were not as open to conservative care and would recommend only medication, injections, and or surgery.

Read more about these guidelines in the original Article from Dynamic Chiropractic on May 20, 2012.

Chiropractic Before Spine Surgery for Chronic LBP

University of Pittsburgh Medical Center Health Plan mandates conservative care before considering surgery for chronic LBP cases.

By Peter W. Crownfield, Executive Editor

The University of Pittsburgh Medical Center (UPMC) Health Plan, a health maintenance organization affiliated with the university’s School of Medicine, has adopted landmark guidelines for the management of chronic low back pain.

As of Jan. 1, 2012, candidates for spine surgery must receive “prior authorization to determine medical necessity,” which includes verification that the patient has “tried and failed a 3-month course of conservative management that included physical therapy, chiropractic therapy, and medication.” Surgery candidates also must be graduates of the plan’s LBP health coaching program. The program features a Web-based decision-making tool designed to help plan members “understand the pros and cons of surgery and high-tech radiology.” It is the first reported implementation of such a policy by a health care plan.

Putting a Clamp on the Soaring Rates of Spine Surgery

According to the December 2011 issue of the UPMC Health Plan Physician Partner Update, which informed participating providers of the new guidelines and the rationale for their implementation, “We feel strongly that this clinical initiative will improve the quality of care for members who are considering low back surgery, and that it will facilitate their involvement in the decision-making process.” The update also noted, “Surgical procedures for low back surgery performed without prior authorization will not be reimbursed at either the specialist or the hospital level.”

A Conservative Strategy for Managing Chronic LBP

PCP discussion related to self-care consisting of rest, ice, compression and elevation (RICE)

Screening for psychosocial factors or “yellow flags” and incorporate behavioral interventions as appropriate with other treatment interventions

Education on self-management techniques – functional ability assessment and education on return to work / usual activity and function

Enrollment and graduation from UPMC Health Plan Health Coach’s Low Back Pain Program (mandatory) which may also include participation in other programs such as weight loss, physical activity, tobacco cessation, depression and/or stress

Early referral to chiropractor or physical therapist, but before advanced imaging, for manipulation/mobilization; stabilization exercises; directional preference strategies – member and/or provider movements that abolish or cause centralization of pain (McKenzie self-treatment repeated movements that centralize pain)

Detailed documentation of extent and response to conservative treatment including chiropractor/physical therapy documentation

SOURCE: UPMC Health Plan Policy and Procedure Manual, October 2011: Surgical Management of Low Back Pain
(partial list of considerations prior to spine surgery to determine medical necessity). Complete policy available at www.upmchealthplan.com/pdf/PandP/MP.043.pdf.

Commenting on the UPMC Health Plan guidelines, Gerard Clum, DC, former president of the World Federation of Chiropractic and Life Chiropractic College West, and current executive committee member of the Foundation for Chiropractic Progress, stated:

“The UPMC should be congratulated for its leadership is establishing policies to assure that the least invasive and most likely to be successful care strategies, including chiropractic care, are applied for a meaningful period of time before surgical considerations are made. This decision is both an important recognition of the value of chiropractic care in the acute low back pain environment as well as a recognition of the clinical and economic downsides to spinal surgery in this situation.”

Headquartered in Pittsburgh, the UPMC Health Plan covers insureds in 15 counties in western Pennsylvania. The plan integrates 20 hospitals, 400 doctors’ offices and outpatient sites.

Chiropractic Services: What the UPMC Health Plan Covers

“It is the policy of UPMC Health Plan to recognize chiropractic services and adjunctive procedures as appropriate and consistent with good medical practice and will provide coverage when the services are medically necessary and covered by the member’s benefit plan for the specific indications detailed in this policy. Coverage is limited to medically necessary services provided by a licensed doctor of chiropractic, within the scope of his/her license.”

“Covered chiropractic services include evaluation and management, manipulation, spinal X-rays, therapeutic exercise, and adjunctive procedures that are appropriate and medically necessary for neuromusculoskeletal conditions. … Indications for Chiropractic Services: Indicated for primary, neuro-musculoskeletal symptoms involving the spine, para-spinal soft tissues, and extremities. Indications for Manipulation: Manipulation is appropriate to restore function that has been reduced or lost by illness or injury. Indications for Adjunctive Procedures: Adjunctive procedures are appropriate to restore function and prevent disability following injury. Indications for Therapeutic Exercise: Indicated for improvement or to restore functional status by building strength, endurance and flexibility of the affected region.”

Many Back pain Sufferers and doctors are recognizing the value in this type of approach to back pain relief for many reasons.  First of all, the risks and success rate of surgery can be daunting to most and surgery doesn’t correct the cause of most back pain.  Many times after surgery, they same bio mechanical problems that caused the back problem in the first place still remain hence the patient still has back pain.   Conservative methods of care such as Chiropractic care and Physical Therapy are more targeted at solving the bio mechanical problems such as spinal misalignment, muscle imbalance, muscle weakness,  and improper movement patterns.  These types of treatment also include a lot of education and stress the importance of long term stretching programs and therapeutic fitness programs that can help patients combat Back Pain over the long haul.

If you are interested in a more natural conservative approach to back pain then give Synergy Institute a call.  Our Professional Chiropractor’s and Physical Therapists have helped many Naperville and Aurora residents get back pain relief.  Call one of our Three convenient locations today.
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Stop Suffering from Back Pain.

Are you Suffering From Back Pain, Sciatica or herniated Discs?

Are you Suffering from Back Pain, Sciatica, or Disc Problems?  If so, having back and leg pain can bring life to a standstill.

You might not be able to play  sports, work, or even sit for more than a few minutes.  Its tough because people who don’t have these problems can’t even begin to understand how you feel.  I bet you can’t remember the last time you even had a restful night’s sleep.

When the cushions in you back joints, called discs, get injured or wear out, they begin to degenerate and caus pain.  Bulging and herniations form, pressing on nerve roots.

The most common treatment for disc herniations is surgery.  even with health insurance the patient is left with their own portion of the bill, in excess of $10,000 – $15,000 and sometimes more.

In addition the recovery time and missed work can be anywhere from 3 to 6 months, not to mention the obvious severe risks associated with any surgery.

Before you opt for Spinal Surgery, you should consider a less invasive approach to solving your back pain and sciatica.

Synergy Institute has a long track record of helping with sciatica and Back Pain.  Synergy Institute offers a comprehensive approach to the treatment of Back Pain, Sciatica, and Disc Herniations.

The Conditions we have had success with are:

  • Herniated Discs
  • Bulging Discs
  • Degenerative Discs
  • Back Pain
  • Low Back Pain
  • Sciatica
  • Gluteal / Buttock Pain
  • Facet Syndrome
  • Stenosis

Let Synergy Institute Help you with Get Relief From Back Pain.  Call One of our three locations today serving Back Pain Relief to Aurora, Naperville, Bolingbrook, Montgomery, Plainfield, Oswego, and Yorkville.

We will Offer You a FREE Consultation so we can find out more about your Problem and you can learn about our advanced back pain relief treatments like Spinal Disc Decompression and K-Laser Therapy.

Stop Suffering and Get Relief From Back Pain Today.

Help for Herniated, Bulging, and Degenerative Discs available in Naperville and Aurora

Are you suffering from back and neck pain due to herniated, bulging, and degenerative discs or know someone who is? If yes, you understand how intense and debilitating the pain can be.  The pain from disc problems is not just limited to the back and neck.  Many times, the pain radiates into the arms and legs and can go all the way to the hands and feet.  The pain can be aching, stabbing, burning, tingling and/or numbness because the nerves become pinched and irritated by the disc.  In some cases, the muscles begin to atrophy and weakness develops.

Typically, disc problem sufferers are initially presented with traditional treatments such as pain medication, muscle relaxers, rest, physical therapy, injections, and surgery.  For many cases these procedures may not be necessary and definitely the best to try first.  The reason is that this type of treatment can cover up the problem and not truly correct the problem.  There are some new treatments available that can help with pain relief naturally through less invasive procedures.

Synergy Institute offers several treatments that can help patients suffering from disc bulges, disc herniations, sciatica, facet syndrome, and some cases of spinal stenosis.  These specialized treatments work synergistically to address the different components of the root problem and promote faster and more complete healing.

The core treatments offered for disc problems are Spinal Disc Decompression, K-Laser, and a specialized rehabilitation protocol.  Other treatments can be added depending on the needs of the patient, but these three breakthrough treatments work well to combat disc problems.

When addressing disc problems it is critical to address the main areas of dysfunction and correct the following:  compression of the disc, disc dehydration, lack of motion in the spinal segments, abnormal motion patterns, and inflammation.  The Disc Repair Protocol at synergy Institute in Naperville and Aurora takes all of these concerns into account.  We custom blend a disc repair treatment plan for each individual patient because each cases is a little different.

We are happy to meet with patients to discuss the treatments that would be best suited for their particular problem, and will let you know if we think we can help you.   Call us today for a FREE consultation at one of our three convenient locations serving Naperville, Plainfield, Bolingbrook, Aurora, Montgomery and Oswego.

Synergy Institute offers Herniated and Bulging Disc Relief In Naperville and Aurora!