The Role of Insurance Coverage in the Groton Back Surgery or Non-Surgical Care Choice

July 09, 2019

“Back surgery is one of the most overused types of surgery as well as the most common ailment that sends patients to doctors, chiropractors, and physical therapists,” reports Crain’s Detroit Business magazine’s article titled Health Insurers Look for Ways to Cut Costs with Back Surgery. What a way to open an article! It continues:

  • $90 billion on low back pain alone annually
  • 1.2 million spinal surgeries a year
  • $60,000 to $110,000 per lumbar fusion surgery (the fastest-growing type of surgery in the past decade)

The back surgery failure rate, the so-called “failed back syndrome” or the more “politically correct” term “post-surgical continued pain syndrome,” is as high as 50%. (1) With healthcare spending in the US over $3.5 trillion - $10,739 a person – it is no wonder that insurers look for another way to cut costs, particularly when one-third of the money goes to hospital care of chronic illnesses. (2) Shoreline Medical Services/ Hutter Chiropractic Office is well-equipped and knowledgeable in offering non-hospital-based care to help Groton back pain – chronic and acute – patients find relief of and manage their back pain – as well as post-surgical continued back pain - non-surgically.

LOW BACK PAIN FACTS

Low back pain is the leading cause of years lived with disability around the world. Today, recommendations for low back pain relief care discourage pain medications, steroid injections and spine surgery and encourage physical therapy and psychological therapy. Healthcare systems are apt to struggle with these new approaches. Why? Pharmaceutical companies’ financial interests, old payment systems that favor medical care, outdated traditions, and legal, personal, political, and societal beliefs of us all. These views are presented in the Bulletin of the World Health Organization, believe it or not. (3) Shoreline Medical Services/ Hutter Chiropractic Office reads this with interest.

BACK SURGERY CHOICE

Considering these facts, it is not hard to believe that some back pain sufferers will pick back surgery over non-surgical management of their back pain. “Patients go where insurance pays, even if it is surgery.” In one study, back pain sufferers chose to see a primary care physician (PCP) or physical therapist (PT) or chiropractor initially because of their health plan type, co-payment, and deductible. Amending these things to make them more valuable/less expensive/less restrictive as to provider type could encourage low back pain sufferers to choose non-hospital, conservative treatment rather than back surgery. (4) Shoreline Medical Services/ Hutter Chiropractic Office likes this! Less than 1% of back pain sufferers must have back surgery. (5) Shoreline Medical Services/ Hutter Chiropractic Office is ready to help the rest of the Groton back pain sufferers cope with their back pain and rework their lifestyles to be with the spine they have and cope with its episodes of pain and relief.

RECURRENT BACK PAIN

Groton back pain sufferers are in good company if their back pain returns. It happens. It is controllable. It is manageable. Some facts first: Within a year of recovery, 69% of patients had another episode of back pain of some sort. What risks prompt a recurrence of back pain? Awkward postures, long sitting times, and more than 2 prior back pain experiences. (6) It is ok though. Really! Shoreline Medical Services/ Hutter Chiropractic Office helps Groton back pain patients navigate these recurrences and manage them so they don’t limit anyone’s enjoyment of life.  We have a treatment plan!

CONTACT Shoreline Medical Services/ Hutter Chiropractic Office

Listen to Dr. Kimble Cater on The Back Doctors Podcast with Dr. Michael Johnson discuss how he helped an expectant mother with her repeated episodes of back pain. Whether you’re pregnant or not, Groton chiropractic care at Shoreline Medical Services/ Hutter Chiropractic Office can help you cope with repeated episodes of back pain, too.

Schedule a Groton chiropractic appointment at Shoreline Medical Services/ Hutter Chiropractic Office for back pain relief. Our care is not overused!  The gentle, effective, evidence-based system of Cox® Technic look for 50% relief within 4-6 weeks of care and often delivers 70%, 80%, 90% and more for many of our patients at less cost – in terms of finances and lifestyle – than back surgery.

Shoreline Medical Services/ Hutter Chiropractic Office realizes that back pain sufferers may choose their back pain treatment option based on insurance coverage. If insurance pays for back surgery, will you choose that?