Chronic pain is a significant public-health issue – and it's only getting worse. Fortunately, more people are turning to conservative, nonpharmaceuctical care over opioids; with chiropractic one of the most frequently utilized nondrug choices.
"Trends in the Use of Opioids vs Nonpharmacologic Treatments in Adults With Pain, 2011-2019," published in JAMA Network Open, reveals all this and more.
Utilization: Nondrug Care Tops Opioid Use
"Exclusive opioid use for chronic pain significantly decreased from 2014 (14.43%; 95% CI, 12.95%-16.01%) to 2017 (10.57%; 95% CI, 9.56%-11.63%), while nonpharmacologic treatments significantly increased from 2014 (18.50%; 95% CI, 16.64%-20.47%) to 2017 (22.50%; 95% CI, 20.78%-24.29%). By 2019, any opioid use decreased to 15.52% (95% CI, 13.99%-17.14%), while any nonpharmacologic use increased to 43.84% (95% CI, 41.44%-46.27%)."
In fact, nonpharmacologic treatment surpassed opioid treatment among adults with chronic, nonsurgical pain.
People Increasingly Turn to Chiropractic
"The most prevalent nonpharmacologic clinicians were chiropractors and physical therapists. [Per previous research,] chiropractic care increased from 6.9% in 1990 to 8.4% in 2012. Our study shows that use of chiropractic care continued increasing through 2019 (chronic pain, 25.6%; surgical pain, 8.9%)."
Chiropractic and physical therapy use for chronic pain surpassed overall opioid use during the study period.
Important Policy Takeaways for Health Care and Insurance
"Our study holds broad clinical and policy relevance, including expanding the reimbursement for nonpharmacologic health care professionals and equalizing direct access – without a physician referral – [our emphasis] between these professionals in some circumstances. Administrators and health care professionals may benefit from education on the effective non-pharmacologic treatments and which licensed professionals can be consulted to deliver such treatments."
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
Some pundits say that the upcoming presidential and congressional races, and many local races, might be the most consequential in our country’s history. We do not have the choice of sitting on the sidelines and hoping our patients will carry our water. Unlike other medical professions such as physical therapists, podiatrists, nurses, etc., the health care class (AMA) will not protect us. We must be in the game.
The most common condition affecting the shoulder is rotator-cuff disease. From acute tears to chronic tendinopathy, it’s common and needs a thorough workup. In fact, even asymptomatic shoulders can have full-thickness rotator-cuff rears in up to 40% of instances. Let’s look at additional conditions that can present to the office with weakness, loss of motion and pain in the shoulder beyond rotator-cuff tears.
