People with severe or chronic back pain could be established with a chiropractor before making the move towards surgery or even corticosteroid injection therapies. If more invasive and expensive therapies are then needed, their chiropractor can then work with the patient while they go through the process of selecting a provider (and a pathway). I personally stick with my patients before, during, and certainly after the process.
The American Chiropractic Association (ACA) has commended a new effort by the American College of Physicians (ACP) to steer back-pain patients and their doctors toward chiropractic and other low-cost, “high value” treatments before opting for more expensive choices such as surgery. The campaign’s message reinforces ACA’s longstanding recommendation of cost-effective, conservative care as the first line of defense against this type of pain. You can read the ACA’s news release here: http://www.acatoday.org/press_css.cfm?CID=4826