If all you Have is a Hammer, Everything is a Nail

Although this has historically been the rallying cry for chiropractors, massage therapists, acupuncturists and more, now the American College of Physicians is joining the ranks. In new guidelines published in The Annals of Internal Medicine, on Monday, February 13, 2017, they stated, “Opiods – one of the most commonly prescribed medications for pain relief and a source of increasing addiction and death – should only be considered for chronic back pain when other alternatives – natural and prescription – don’t work.

Even acetaminophen, which includes the brand name Tylenol, is no longer recommended for acute lower back pain relief, due to a 2014 study in the journal The Lancet that showed it was no more effective than placebo. 1drug addiction

Would you believe lower back pain is the most common reason non-cancer patients are prescribed opiods? Experts believe it is a common gateway to opiod addiction as well as transitioning to heroin! This is the conclusion of Steven Atlas, director of practice-based research at Massachusetts General Hospital, who authored an editorial accompanying the American College of Physicians guidelines. 2

Let’s see…You have a couple of options for lower back pain. One, you can start on a prescription of opiods, which have been proven to be a gateway to opiod addiction, leading to heroin, or you can use a safe and effective method such as chiropractic to find the cause of what’s causing your body to malfunction. Seems like a no brainer to me. I wonder why the American College of Physicians has taken so long to come to the conclusion that opiods are not the logical step towards correcting back pain. It’s not recent news that opiod use or even prolonged acetaminophen use is damaging to your health. I always come back to the theory that if the only tool you have is a hammer, everything else is a nail. Meaning, if a patient presents with a pain, (nail) you need to hit it with a hammer (drugs, surgery).

Everything is not a nail. A headache is not neck pain, which is not difficulty sleeping, which is not lower back pain, which is not anxiety, you get my point. You are very smart. Your body is very smart. It has an inborn intelligence, that helps guide you through good health and poor health. Symptoms are the way your smart body tells you something is not right and needs to be changed. Symptoms are not the way your body tells you it wants to become an opiod or heroin addict!

Listen to your innate intelligence. You are not a nail. You do not need a hammer. Maybe you are a screw or an eye hook. Hammers cannot solve every problem. If you or your friends and family have not found the right tool to solve your problem, give me a call!

1 http://jamanetwork.com/journals/jama/fullarticle/2463257

2 Wall Street Journal Tuesday, February 14, 2017 Life and Arts section

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