Headache? Backache?

Haven’t you ever wondered why humans have to endure such debilitating conditions as headache and backache?  If you watch a lot of television, you will be bombarded with advertisements for analgesics (such as aspirin, paracetamol, ibuprofen, and the list goes on).  They all claim to provide some version of  “fast, effective temporary relief of aches and pains, such as headaches, migraine headaches, and back pain”, as well as other body pains. They are commonly called pain-killers.

From an anatomical viewpoint, we know that pain is an instinctive response, initiated by our brain to protect our bodies, by getting us to stop doing what we are doing, as it is potentially causing us harm to continue to do it.  Our pain changes from being local to the area of injury, when we have “simple” injuries, to a more general headache or backache response when the injury, or stress, is a result of adverse chemical, emotional or “compound” physical injuries1.

The best way to imagine how this works is the view “pain” as the engine light on the dash of all motor vehicles.  When the engine light comes on, it a top level signal that indicates that something general is wrong with your engine but does not tell you what it is.  Treating pain with a pain-killer is analogous to sticking black tape over the engine light in your car.   I am sure you have heard many a jokes about people who do this, yet we are led to believe, when watching popular media, that it’s OK to do this when our body gives us the same danger signals.

The actual pain you feel, may be the result of any number of causes, including physical (injury), body chemistry or mental (e.g. stress) and in many cases may not even be in the same part of the body as the source of the problem.

Chiropractors do not “treat” headaches or backaches.  All professional chiropractors in Australia have undergone a minimum of 5 years of university education to enable them to perform medical diagnosis of your body in order to attempt to find the thing that is triggering the pain response.

So before you rush into the store to buy you next pain-killer, consider what your body is telling you and perhaps consider getting some professional medical diagnosis from your chiropractor and allow them to help get to the root cause of your headache or backache and offer appropriate treatment.

References

  1. NeuWrite West: Pain in the Brain (this article explains the pain phenomena we experience and also cites numerous technical references)

Why Is Informed Consent Important?

Informed consent  is a person’s decision, given voluntarily, to agree to a healthcare treatment, procedure or other intervention that is made:

  • Following the provision of accurate and relevant information about the healthcare intervention and alternative options available; and
  • With adequate knowledge and understanding of the benefits and material risks of the proposed intervention relevant to the person who would be having the treatment, procedure or other intervention.

Ensuring informed consent is properly obtained is a legal, ethical and professional requirement on the part of all treating health professionals and supports person-centred care.  Good clinical practice involves ensuring that informed consent is validly obtained and appropriately timed.

Informed consent is integral to the right to information in the Australian Charter of Healthcare Rights, and recognised in Professional Codes of Conduct. Additionally, the National Safety and Quality Health Service Standards require all hospitals and day procedures services to have informed consent processes that comply with legislation, lawful requirements and best practice.

For there to be valid informed consent, the person consenting must:

  • Have the legal capacity to consent
  • Give their consent voluntarily
  • Give their consent to the specific treatment, procedure or other intervention being discussed
  • Have enough information about their condition, treatment options, the benefits and risks relevant to them, and alternative options for them to make an informed decision to consent.  This includes the opportunity to ask questions and discuss concerns.

These paragraphs above have been extracted from “Fact Sheet for clinicians – Informed consent in health care” 1.

When you come into our clinic you will be given some forms to complete which will help the chiropractor to understand your circumstances and initiate a diagnosis and subsequently recommend a treatment plan.  You will also be asked to complete an “Authorisation For And Consent to Treatment” form which outlines the benefits and risks associated with chiropractic care which will in turn allow you to give informed consent to any treatment offered.  In addition, at the time of the consultation, your practitioner will outline a treatment plan and again explain all available options, highlighting all risks and benefits of the proposed treatment.  If supplements are recommended in your treatments, your practitioner will also go through all of the risks and benefits with you, along with their recommended dosages.

As you can see, the fundamental principle of informed consent is that you are fully aware of all of the risks and benefits associated with your care plan and thereby you are in control of what is done to your body.  We therefore encourage you to ask questions if you are in doubt, or do not understand what is being proposed by your chiropractor.  Remember that is OK to say no, if you need more time to do further research, need to review the references that we can provide for your proposed treatment plan, or any other reason.  We understand that everybody is different (in fact, unique!) and that perception of risk versus benefit is ultimately a personal decision.

Rest assured that all of our chiropractors pride themselves with treating your health care as their No.1 priority and will respect any request, or decision you make, with regard to what they have offered.

 

References

  1.  Australian Commission on Safety and Quality in Health Care – “Fact Sheet for Clinicians – Informed Consent in Health Care”