--- title: Patient Centered Multi-Disciplinary Spine Care Pathway Results in Minimized Lower Back Pain and Treatment Costs description: The use of a patient-centered multi-disciplinary Spine Care Pathway (SCP) helped to minimize lower back pain (LBP) and the associated treatment costs image: http://upload.wikimedia.org/wikipedia/commons/thumb/1/14/Back-decompression.jpg/800px-Back-decompression.jpg --- [![Dr Karl Johnson Logo Header](https://www.helpmychronicpain.com/hs-fs/file-1517915219-png/images/logo.png "Dr Karl Johnson Logo Header")](https://www.helpmychronicpain.com) [![contact-img](https://www.helpmychronicpain.com/hs-fs/file-1517915214-png/images/contact-img.png)](http://helpmychronicpain.com/) ## Dr. Karl R.O.S. Johnson's Chronic Condition Natural Treatment Blog *Intentional musings of a unique Shelby Township Michigan Chiropractic Physician dedicated to helping people find solutions to improving their health by rooting out causes to chronic conditions such as fibromyalgia, stubborn thyroid disorder symptoms, balance disorders, chronic knee & shoulder pain, migraines, sciatica, ADD/ADHD/ASD, back pain, peripheral neuropathy, gluten sensitivity and autoimmune disorders so they can Reclaim Their Life!* # From the Desk of Dr. Karl R.O.S. Johnson, DC..... ## [Patient Centered Multi-Disciplinary Spine Care Pathway Results in Minimized Lower Back Pain and Treatment Costs](https://www.helpmychronicpain.com/blog/bid/77438/Patient-Centered-Multi-Disciplinary-Spine-Care-Pathway-Results-in-Minimized-Lower-Back-Pain-and-Treatment-Costs) Posted by [Dr. Karl R.O.S. Johnson, DC](https://www.helpmychronicpain.com/blog/author/dr-karl-ros-johnson-dc) on Mon, Oct 31, 2011 Find me on: [Facebook ](https://www.facebook.com/ShelbyChronicConditionDoctor) [LinkedIn](https://www.linkedin.com/pub/dr-karl-r-o-s-johnson-dc/26/676/422) [Twitter ](https://twitter.com/WellnessChiroMI) - [Tweet](https://twitter.com/share) [![Back-decompression](http://upload.wikimedia.org/wikipedia/commons/thumb/1/14/Back-decompression.jpg/800px-Back-decompression.jpg)](http://commons.wikimedia.org/wiki/File%3ABack-decompression.jpg)The use of a patient-centered multi-disciplinary Spine Care Pathway (SCP) helped to minimize lower back pain (LBP) and the associated treatment costs, according to a recent study, “A Hospital-Based Standardized Spine Care Pathway: Report of a Multidisciplinary, Evidence-Based Process,” published in the Journal of Manipulative and Physiological Therapeutics, February 2011, Vol. 34, No. 2. Using the National Center for Quality Assurance (NCQA) Back Pain Recognition Program (BPRP) as its framework, the SCP provided patients with the five care options cited as the most effective in the back pain literature: spinal manipulation, extension and flexion directional preference exercises, core stabilization exercises, and mechanical traction. “Lower back pain is a common condition affecting an estimated 90 percent of the population at some time,” said Ian C. Paskowski, D.C., lead author and medical director, Medical Back Pain Program at Jordan Hospital, Plymouth, Mass., the site from which this study’s date was derived. “Current methods of relieving LBP are often uncoordinated, inefficient and expensive. However, our team of researchers was the first to implement an evidence-based, standardized SCP, which aligned individual patients with the appropriate conservative care option. As predicted, the results were improved patient health and satisfaction rates, with decreased costs.” The LBP program at Jordan Hospital, managed chiefly by Doctors of Chiropractic, treated 518 patients in the first six months of the program, using a two-tiered clinical management approach. Of the total patient population, 402 were exclusively cared for by D.C.s who achieved successful treatment outcomes in an average of just 5.2 visits at the extremely low cost of only $302 per case, while maintaining a patient satisfaction rate above 95 percent. Self-reported pain and disability scores were reduced by about 70% over the course of just a few weeks. Primary Care Physicians (PCPs) have traditionally been the providers to initially see LBP patients. “We have demonstrated that when this spine care pathway is offered to PCPs, they will utilize these evidence-based guidelines and chiropractic services,” said Paskowski. “I largely credit our Doctors of Chiropractic for achieving these excellent clinical outcomes and attaining such high patient satisfaction rates. Their dedication to individual patient needs and a patient-centered approach aligns flawlessly with the medical home model and yields remarkable results. We anticipate that this SCP will become the globalized framework for uniformity and consistency in healthcare for LBP management, and that chiropractors will become the non-surgical spine care experts in the health care system.” ``` Reprinted with permission from International Review of Chiropractic, Volume 66, No. 1, 2011 by Dr. Karl R.O.S. Johnson, DC and Johnson Chiropractic Neurology & Nutrition ``` Topics: [low back pain](https://www.helpmychronicpain.com/blog/topic/low-back-pain), [multi-disciplinary](https://www.helpmychronicpain.com/blog/topic/multi-disciplinary), [spine care pathway](https://www.helpmychronicpain.com/blog/topic/spine-care-pathway), [back pain](https://www.helpmychronicpain.com/blog/topic/back-pain), [chiropractic](https://www.helpmychronicpain.com/blog/topic/chiropractic), [spine](https://www.helpmychronicpain.com/blog/topic/spine) ### STAY INFORMED - Sign Up For Dr. Johnson's Blog Updates Search This Blog Search Google [![I Could Use Some Help With My Health](https://no-cache.hubspot.com/cta/default/67234/18beb174-b53e-4a4d-8018-f3bb7049a9e7.png)](https://cta-redirect.hubspot.com/cta/redirect/67234/18beb174-b53e-4a4d-8018-f3bb7049a9e7) ### Call Dr. Johnson #### 586-731-8840 ### Follow Me ### Latests Posts ### Most Popular Posts [![Reclaim Your Life Book 3D Reflect](https://no-cache.hubspot.com/cta/default/67234/9f6ed339-86f2-4e81-afff-effda60643ed.png)](https://cta-redirect.hubspot.com/cta/redirect/67234/9f6ed339-86f2-4e81-afff-effda60643ed) [Powered by Eventbrite](http://www.eventbrite.com/) - [Home](https://www.helpmychronicpain.com/) - [About Dr. Karl R.O.S. Johnson, DC](https://www.helpmychronicpain.com/about-me/) - [What Makes Me Unique and Effective?](https://www.helpmychronicpain.com/what-makes-me-unique/) - [Blog](https://www.helpmychronicpain.com/blog/) - [Services & Treatments](https://www.helpmychronicpain.com/services-offered/) - [Insurance and Fees](https://www.helpmychronicpain.com/insurance-fees) - [Chronic Knee Pain Help](https://www.helpmychronicpain.com/chronic-Knee-Pain-Help/) - [Contact Us](https://www.helpmychronicpain.com/contact-us/) - [Michigan Brain Health](https://michiganbrainhealth.com/) - [Interactive Metronome for ADD/ADHD](https://www.helpmychronicpain.com/interactive-metronome-for-add-adhd/) ##### Community & Connection - [Johnson Chiropractic Neurology & Nutrition](https://www.facebook.com/pages/Johnson-Chiropractic-Neurology-Nutrition/252448508120089) - [Michigan Brain Health](https://www.Facebook.com/MichiganBrainHealth) - [Michigan Neuropathy Solutions](https://www.Facebook.com/MichiganNeuropathySolutions) - [Shelby Thyroid Answer Center](https://www.facebook.com/pages/Shelby-Thyroid-Answer-Center/130459820354585) - [Follow our pins](https://pinterest.com/chirokarl/pins/) - [Come be a part of our circle](https://plus.google.com/104616898007924191060/posts) - [Subscribe to our channel](http://www.youtube.com/user/chironutrition) ##### Signs & Symptoms - [ADD/ADHD](https://www.helpmychronicpain.com/add-and-adhd) - [Numbness/Burning/](https://www.helpmychronicpain.com/peripheral-neuropathy-challenges-and-treatment/)[Tingling](https://www.helpmychronicpain.com/peripheral-neuropathy-challenges-and-treatment/) - [Chronic Knee Pain](https://www.helpmychronicpain.com/chronic-Knee-Pain-Help/) - [Shoulder Pain](https://www.helpmychronicpain.com/blog/normalizing-brain-body-communication-and-the-frozen-shoulder-connection)/[Limited Motion](https://www.helpmychronicpain.com/blog/normalizing-brain-body-communication-and-the-frozen-shoulder-connection) - [Plantar Fasciitis](https://www.helpmychronicpain.com/blog/foot-pain-and-plantar-fasciitis-can-be-solved-without-surgery)/[Foot Pain](https://www.helpmychronicpain.com/blog/foot-pain-and-plantar-fasciitis-can-be-solved-without-surgery) ##### Chronic Conditions - [Chronic Back Pain](https://www.helpmychronicpain.com/back-pain/) - [Chronic Neck Pain](https://www.helpmychronicpain.com/neck-pain/) - [Chronic Sciatica or Leg Pain](https://www.helpmychronicpain.com/sciatica/) - [Chronic Knee Pain](https://www.helpmychronicpain.com/chronic-Knee-Pain-Help/) - [Frozen Shoulder or Frozen Shoulder Impingment Syndrome](https://www.helpmychronicpain.com/blog/normalizing-brain-body-communication-and-the-frozen-shoulder-connection) - [Neuropathy](https://www.helpmychronicpain.com/peripheral-neuropathy-challenges-and-treatment) - [Plantar Fasciitis](https://www.helpmychronicpain.com/blog/foot-pain-and-plantar-fasciitis-can-be-solved-without-surgery) ##### Resources & Support - [Patient Testimonials](https://www.helpmychronicpain.com/chronic-condition-testimonials/) - [Michigan Brain Health](https://michiganbrainhealth.com) - [Michigan Frozen Shoulder Clinic](http://www.michiganfrozenshoulderclinic.com) - [Chiropractic & Nutrition Wellness Center](http://www.wellnesschiro.com) - [Johnson Health & Wellness Center](http://www.johnsonhealthandwellness.com) - [2-Days to Fitness Book](http://2daystofitness.com/) - [Shelby Laser Health](http://www.shelbylaserhealth.com/) - [TheDr.com (Gluten Coach)](http://www.thedr.com/) **Dr. Karl R.O.S. Johnson, DC, BCN **| 51735 Van Dyke Avenue Shelby Township, MI 48316 | For appointments call: 586-731-8840 Use of this site constitutes your agreement to our [Terms of Service](https://www.helpmychronicpain.com/terms-of-service) and [Privacy Practices](https://www.helpmychronicpain.com/privacy-policy) [© 2021 Johnson Chiropractic Neurology & Nutrition](https://www.helpmychronicpain.com/terms-of-service)   Notice: Dr. Karl R.O.S. Johnson, DC, BCN, DNMSc, FICPA, FIFHI is state licensed by the chiropractic board in Michigan to provide conventional chiropractic health care services and is also certified by the International Association of NeuroMetabolic Professionals to provide natural health services and therapies. The services provided to clients are intended to improve the adaptive physiology of the client through nutritional, exercise, lifestyle and physiological education, information, recommendations, and training. Conventional chiropractic and neurometabolic services are completely separate services and each is provided in strict compliance with the rules and regulations set forth by the separate agencies. If you wish to receive natural health services you must first sign a Client Services Agreement.