New patient referrals to our clients: 791,004 Referrals as of 11/20/2018

Academy of Chiropractic’s

MD Relationship Program

MD Meetings - the SURGEON

Clinical Consultation 

From:  William J Owens Jr DC DAAMLP

 

What the Surgeons Need - PART 3

 

Hospitals have very specific needs, urgent care centers and emergency departments have specialized needs. And so does the surgeon. So even though we're working on the same patient, these different providers have a need in helping to managing patients, presently, there's no answer from a biomechanical perspective in medicine.  Presently, I'm on faculty at State University of New York at Buffalo, in the family medicine department. I see what medicine, from an education perspective is struggling with and why they need is us. But what they need is us coming to them with a valid scientific rationale for what we do.  Historically the biggest problem with chiropractic professionals' articulating what we do to the scientific community is they've never trusted that we have an objective and a scientifically valid way to diagnose and manage the biomechanical problems!  Depending on what school of thought you subscribe to, that could be chiropractic subluxation, that could be spinal fixation, or whatever it may be. It's all the same thing, we know that the spine has a predictable biomechanical balance to it, there's a specific shape that it should be. All of these things were proven during the time of Punjabi and White in the laboratory.  Our goal NOW as chiropractors, is to bring that laboratory based biomechanical knowledge into the clinical setting.  When it comes to working with the surgeon, that's what we want to do. We want to be the doctor that assesses and manages the biomechanical component of their spine pain patients.

 

Remember, there's only two reasons that your spine will hurt. One is from an anatomical issue, which would be a fracture, infection, disc herniation, disc sitting on the nerve, degenerative disc disease, all these things that are generating pain from a structural change.  The second reason your spine hurts is from a biomechanical component or a biomechanical issue, which would be subluxation, joint fixation, loss of cervical lordosis, etc. Additionally any one of those can all be associated with an anatomical component further compounding the complexity of the patient’s pain. If you have a disc issue, you're going to have a biomechanical problem with it. If you have a ligament injury and you have ligament laxity, you're going to have a mechanical component to it. Every patient that has spine pain will have a biomechanical component without a doubt, but only a select few will actually have an anatomical problem that also correlates with that mechanical issue.

 

Subsequently, only a smaller portion of those patients will actually require surgery. So when we work with the surgeon, it doesn't make sense for the surgeon to be given a 100 referrals from the community and only really be able to work on 8 of them. It makes sense for the community to refer into a primary spine care provider such as a credentialed chiropractor, which is what the Academy of Chiropractic and the MD referral program is all about and let those people respond to conservative care and the ones that really require a surgical consult or the ones that are sent to the surgeon. Because in the end, the surgeon is going to do their best work when they're doing what they were trained to do, which is surgery. They were never trained to be case managers.  That one of the big reasons that we have an opioid crisis, particularly with spine pain.

 

 

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