Southern New Hampshire Chiropractic and Back Pain Relief Expectations via Surgical or Conservative Care

December 08, 2020

What do you expect from your chiropractic care of Southern New Hampshire back pain? That is a key question. Research is reporting that that questions of expectations has a role in back pain treatment outcome whether that treatment is surgical or conservative. New Hampshire Spine and Sport aspires to hear your expectations of our Southern New Hampshire back pain treatment and present the outcomes of our treatment documented in practice and in research.


A new research project studied patient and surgeon expectations of back surgery. Patients expected full relief and improvement of their back pain after lumbar spine surgery. Surgeons expected improvement that ranged from a little to a lot dependant on the patient and his/her specific issues. Whose expectations were met? The surgeons’ expectations. A couple years after the back surgery, the outcomes reported by patients met the surgeon’s expectations. The researchers emphasized that effective communication about expectations may well foster better outcomes. (1) That is why New Hampshire Spine and Sport devotes time to each Southern New Hampshire back pain patient early on in care, ensuring that the source of pain and its treatment plan are well-explained. If not, tell us!


If a patient doesn’t experience the relief he/she desired from back surgery, what is an “acceptable symptom state” for that back pain patient? What can he/she live with? For patients with chronic non-specific low back pain (with or without active discopathy), 54% reported having an acceptable symptom state at 1 month of care. Specifically, patient-reported acceptable symptoms included: 47.5 for lumbar pain, 30.5 for radicular pain, 39.3 for disability, 10.0 for anxiety, and 6.7 for depression. (2) New Hampshire Spine and Sport knows no pain is the preferred state and is prepared to talk with our Southern New Hampshire chiropractic patients their options and potential outcomes.


The question of back surgery is a big issue. Evidence-based medicine views the patient as being the center of care. What is the patient perspective of this care? How is the patient perspective considered in treatment planning and decision making among available options? A new paper pointed out that the patient’s social, psychological, and other non-clinical characteristics must be considered in planning care. (3) One issue in the back-surgery decision that reportedly impacts the decision and the outcome expectation is opioid use. Lower dose and shorter-time-taking opioid use patients expected more complete improvement opposed to non-users. They also had higher expectations of positive outcome than higher-dose opioid patients. (4) For a lot of patients, the prospect of work is a light at the end of the tunnel which is encouraging according to this new report on how back pain patient recovery expectations impact clinical outcomes. A review of 60 studies reported that a patient’s recovery expectations are probably strongly associated with future work participation. (5) New Hampshire Spine and Sport offers effective, nonsurgical care of back pain to meet patient expectations once the research on outcomes for other back pain sufferers is presented and absorbed. Southern New Hampshire chiropractic care keeps the back pain patient at its center.

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Listen to this PODCAST with Dr. Anthony Galante on The Back Doctors Podcast with Dr. Michael Johnson as he described how Cox® Technic System of Spinal Pain Management and chiropractic treatment helped manage back pain for a patient who was adamant about not wanting back surgery.

Schedule your next Southern New Hampshire chiropractic visit soon. New Hampshire Spine and Sport invites you to think about and answer the question of your expectations for our treatment so that we can both be satisfied with the outcome!

New Hampshire Spine and Sport strives to meet realistic patient expectations regarding conservative back pain relief.