Above the Curve – How the US spends its healthcare dollars on spinal treatment

By Dr. Steven Warfield

While it’s common knowledge that healthcare costs in the US have skyrocketed during the past few years, most people have no idea how these costs break down for care associated with back and neck conditions.  While from 1999 to 2008, the costs of healthcare rose an astounding 95%, annual expenses for chiropractic care when adjusted for inflation were relatively stable.  This is a good thing, since more than 50% of adults will experience a back or neck injury during their lifetime.  In fact back pain is the second most common reason that adults in the US seek medical care.  (Upper respiratory infections top the list.)

While it’s hard to put an exact dollar figure on the costs associated with spinal issues, it is widely accepted that somewhere in the neighborhood of $90 billion will be spent this year alone on the diagnosis and treatment of back and neck pain.  Everything from x-rays and MRIs, from surgery to physical therapy are attributable to back and neck injuries.  Not to mention prescription and over-the-counter pain killers.  (Don’t even get me started there.) However, these costs do not include the $10-$20 billion in earnings that will also be lost due to missed days at work while convalescing.  When you add everything up, this brings the total cost for spinal treatment at well over the $100 billion mark.

While these numbers seem alarming, so is the incidence of spinal injury.  While slip and fall or automobile accidents are responsible for a significant amount of back and neck problems, these are by no means the only culprits.  Everything from overdoing it at the gym, to playing golf, tennis or some other sports-related activity can result in spinal pain.  So too can activities around the home or work.  In fact, one of the most common ways to throw your back out is to simply lift something the wrong way.  Puttering around in the garden is also another way in which to injure your back.

Kid’s Stuff

If you are a parent, caring for young children can present something of a minefield.  Whether it’s tripping over toys, or simply the strain of picking up your child, when it comes to back and neck strain, childcare is not kid’s stuff.  Even during play time, many times adults will overdo it in their zeal to compete with or corral a tot.  Not to mention the fact that toting baby paraphernalia slung over one shoulder is sufficient to cause spinal wear and tear that can ultimately result in a trip to the chiropractor.

Other than covering yourself in bubble wrap and refusing to get off the sofa, what can the average person do to enjoy an active lifestyle while avoiding back and neck strain.  (Let me count the ways.)

1.      Make sure your bedding provides sufficient support for your back and your neck.  This means checking everything from your mattress to your pillows. 

2.      Chair Check – Does your office chair have an adjustable lumbar support and more importantly is it properly adjusted?  If you routinely find yourself slouched behind your desk then it is time to either adjust or replace your chair. 

3.      Your computer is not your friend. Especially if you spend all day sitting in front of one.  Most desktop computers and all laptops and tablets force the user to lean forward to type while viewing the screen.  My advice is to get an external monitor for your laptop and to raise the level of the monitor at least a foot above the desktop.  This will allow you to sit upright and avoid the condition called shoulders forward that is primarily caused by the modern workplace.

4.      Lift with the legs as opposed to the back.  If you must lift something off the ground, the correct way to do so without straining your back is to squat down, grasp the item and then stand straight up. Do NOT lean forward, grasp the item and then straighten your back.  This is the surest way I know to strain your back.

5.      Hire a Coach – If you haven’t been to the gym in ages, or played a round of golf or game of tennis in more than a year, the last thing you want to do is go at it full bore.  Especially if you are over forty.  At least not without supervision.  Today there are scads of professional trainers who make their living by evaluating and supervising sports-minded people.  (Another person to consult regarding exercise would be your chiropractor, since he or she has been trained in everything from stretching routines to nutrition.) 

6.      Don’t let your green thumb turn you into a dead duck.  Aside from the fact that many garden implements can be considered lethal weapons, just the act of digging, pruning and/or planting is a hotbed for back and neck strain.  (So is shoveling snow, although we don’t have that problem here in sunny Florida.)  The secret to getting the most out of your gardening is to take it a little at a time, make sure you stay hydrated and be extra cautious around tasks that involve climbing trees and operating power tools.

While health costs in the US are predicted to do little but rise, that doesn’t mean that with a little common sense you can’t enjoy good health and save yourself an unnecessary trip to the doctor.  That in itself is priceless. (Or failing that I can probably get you a good price on bubble wrap.)

Dr.’s Steven Warfield and Dave Edenfield offer the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies.  For more information visit http://endyourpain.org 

or http://chiropractor-jacksonville-fl.com