#GetPT1st For Back Pain

#GetPT1st For Back Pain

Chances are, you or someone you know has had back pain. Each year 15% of the population has their first episode of back pain, and over the course of our lives, 80% of us will have back pain. Even though back pain is common, the medical community does a poor job managing it. Stories of chronic pain, opioid use, multiple surgeries, and a lifetime of disability are far too common.

Let’s look at some of the common treatments for low back pain and see how they stack up against physical therapy:

MEDICATION
Low back pain is the #1 reason for opioid prescription in the US, however in 2106, the CDC recommended against the use of opioids for back pain in favor of “non-drug treatments like physical therapy.”

 

IMAGING
Having an X-ray or MRI for back pain is common, however it’s rarely needed or helpful. Research has NEVER demonstrated a link between imaging and symptoms. As we age, degenerative changes on imaging is common.

  • 90% of people age 50 to 55 have disc degeneration when imaged, whether they have symptoms or not
  • In 2015 a study that looked at 1,211 MRI scans of people with no pain found that 87.6% had a disc bulge
  • Just getting an image increases the chances that you’ll have surgery by 34%

 

SURGERY
The US has sky high rates for back surgeries – 40% higher than any other country and 5x higher than the UK. You’d think that with all the back surgeries we do, we’d be pretty good at it but the outcomes are terrible! A worker’s comp study looked at 725 people who had spinal fusions VS 725 people who didn’t. The surgical group had:

  • A 1 in 4 chance of a repeat surgery
  • A 1 in 3 chance of a major complication
  • A 1 in 3 chance of never returning to work again

 

PHYSICAL THERAPY
Current clinical practice guidelines support manual therapy and exercise. Additionally, research proves that early PT lead to better outcomes with lower costs, and decreases the risk of surgery, unnecessary imaging, and use of opioids. A study of 122,723 people with low back pain who started PT within 14 days found that it decreased the cost to treat back pain by 60%. But unfortunately only 2% of people with back pain start with PT, and only 7% get to PT within 90 days.

 

Despite the data showing that PT is the most effective, safest, and lowest cost option to treat low back pain, most people take far too long to get there. Almost every state (including WA State!) has direct access, meaning that you can go directly to a physical therapist without a doctor’s referral. If you see your doctor for back pain, and PT isn’t one of the first treatment options, ask for it!

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Covid-19 Notice

06/09/2020 Covid-19 Notice:

Our clinics are open for in-clinic physical therapy visits, telemedicine physical therapy visits and virtual Pilates sessions. This allows us to comply as much as possible with the phased reopening of WA State, while also meeting our obligation as essential infrastructure workers. For in clinic treatment, the PT will wear a mask and patient needs to wear a mask of their own, social distancing is observed throughout the clinic and rigorous cleaning guidelines will be followed. At times during your treatment, it may not be possible for your PT to observe social distancing, such as during certain manual therapy techniques. The need for in-clinic treatment vs. telehealth treatment will be a joint determination between you and your PT. You may review our Covid-19 Exposure Control, Mitigation and Recovery Plan for the details of how we provide safe in-person care.

We are grateful for and support all of our clients who have been able to march and protest in support of Black Lives Matter. In order to continue to provide the safest clinic experience possible for our clients and providers, we are asking that any client who has participated in a march or protest do one of the following: 1.) Switch to telehealth visits for 14 days. 2.) Get tested for Covid-19 and provide us with negative results. Note that Seattle's mayor has cleared the way for those who march to get tested without symptoms and encourages participants to get tested. 3.) Wait 14 days after marching/protesting to return to the clinic. Thank you for understanding that this policy is in place to allow us to meet our responsibility to all clients, which is to do no harm.

We remain passionate about helping you improve and maintain the function of your movement system so that you can do the activities you love. We invite you to follow/Like our  Facebook page, where I am offering complimentary weekly Pilates mat class on Fridays at 7am. All are welcome to participate in these classes or view them anytime on our Facebook page.

Please contact me directly with any questions or concerns. Be in touch with your PT to schedule your physical therapy visit. We are available via clinic phone (206-535-7356) and email (elizabeth@elizabethrogerspt.com). We will update you here and our Facebook page as things change.

Thank you for your support of this small, locally-owned physical therapy private practice!

Elizabeth Rogers, PT

Owner, Elizabeth Rogers Pilates & Physical Therapy, PLLC