Proactive vs Reactionary Care

There seems to be two main groups of patients in my office. The first group always has an appointment scheduled and comes into the office for spinal adjustments on a regular basis, while the other population presents for care when they are in crisis.  These two groups illustrate two different models for healthcare.  The regularly scheduled patients are proactive and present for care to maintain their well-being.  Patients who present only when they are in pain represent care which is reactionary – this is how most Americans utilize healthcare.  Reactionary or crisis care means needing a root canal when flossing, brushing and regular cleanings would have preserved healthy teeth and gums; requiring ER services for any number of life-threatening conditions preventable with good diet and exercise; letting our automobile engines seize instead of regularly changing the oil; or visiting the doctor when back pain is too great to bear.

The Eventuality of Back Pain & Arthritis

Estimates indicate that about 80% of people will deal with significant low back pain at some point in their lives.  And a great many of us will eventually experience arthritis pain and stiffness.  Just witness the huge proliferation in products to treat joint discomfort, low back and arthritis pain as a testament to this expanding problem.  From the New England Journal of Medicine, a review found that a clear diagnosis could not be made in near 85% of low back injury cases1.  After careful examination, abnormalities could not be found.  Another study, with emphasis on imaging, determined that 97% of low back pain was mechanical in nature2.  Maybe degeneration is not pathological, but normal…

Pain, injuries and accelerated degeneration are the result of biomechanical stress.  Indeed, Wolff’s Law tells us that any bone, subjected to prolonged biomechanical stress will adapt to that stress3.  This is the same process that causes premature degenerative changes, osteoarthritis, and loss of joint motion.

How Do We Combat These Changes?

With treatments to resolve structural imbalances and support proper biomechanics.  Chiropractic maintenance care is effective because it allows patients to preserve good spinal biomechanics and smooth, pain-free joint mobility.

We know how to abide by a more sensible, preventative model.  We follow a similar paradigm in the maintenance of our teeth and automobiles.  Unfortunately, our spines are not something that can be replaced.  Start the new year off right and resolve to keep your spine happy and healthy for years to come.

Call Matthews Chiropractic Center today to schedule a spinal biomechanical evaluation and get on the road to wellness.

1. Deyo RA, Weinstein JN.  Low Back Pain. N Engl J Med. 2001 Feb 1;344(5):363-70. [↩]
2. Jarvik JG, Deyo RA.  Diagnostic evaluation of low back pain with emphasis on imaging. Ann Intern Med. 2002 Oct 1;137(7):586-97. [↩]
3. “Wolff’s Law.”  Stedman’s Medical Dictionary.  26th ed.  1995.  Print. [↩]