CRITICISM OF NOT CONSIDERING NON-SURGICAL, CONSERVATIVE CARE: Cervical Radiculopathy and Lumbar Spine Stenosis
Conservative treatment – like chiropractic spinal manipulation
and Cox® Technic - of a couple of the most common spinal
pain conditions is often not
mentioned in medical studies regardless of the abundance
of studies describing benefit. (The “why?”
discussion is for another article.) Here are a
couple examples. (1) One case is in treating
cervical radiculopathy patients, patients with neck-related arm pain, and
myelopathy. The original study looked at the outcomes one year after cervical spine surgery for these conditions with no
comparison to conservative care for patients who ponder
what would happen if they chose not to have surgery.
(1) The research regarding Cox® Technic for patients with cervical
spine radiculopathy show advantages for these
patients. Cervical radiculopathy due to a large C5-6 settled
with flexion distraction. (2) In a 39-patient study, cervical radiculopathy
treated with Cox® Technic provided relief in a mean of 13.2 visits.
(3) At 2-year follow-up for a cervical
disc herniation and arm pain after 15 treatments
in 10 weeks, relief remained stable. (4) (2) The other example
is not suggesting non-surgical treatment for lumbar
spine stenosis. In a review of published clinical practice
guidelines for the care of lumbar spinal stenosis,
researchers reported that non-surgical treatments (28.6%) were less commonly recommended than injections (92.3%) and
surgery (66%). (5) The research on the advantage and effectiveness
of conservative care of lumbar spinal stenosis is growing, particularly
with Cox® Technic. A case report stated that Cox® flexion
distraction decreased frequency and intensity of radicular leg
pain and back pain associated with lumbar spinal stenosis. (6) Another
stated that 12 visits for flexion distraction treatment
and ancillary therapies alleviated low back and leg pain symptoms
of stenosis. (7) In a 30-patient study of lumbar spine stenosis,
flexion distraction decreased pain and disability. (8) In a 57
lumbar spine stenosis patient study, Cox® improved pain by 76%. Disability
got better in 73%. (9) In a 30-patient study, Cox® was shown
to be an effective intervention for treating pain and
dysfunction in patients with lumbar spinal stenosis. (10) Now is the time for non-surgical, conservative care of conditions like cervical radiculopathy and lumbar
spine stenosis. Gormish Chiropractic & Rehabilitation offers such chiropractic care. Your Carrolltown
chiropractor is skilled in its delivery. Come see!
Listen to this PODCAST
with Dr. Amanda Harris on The
Back Doctors Podcast with Dr. Michael Johnson as she describes
her use of the Cox®
Technic System of Spinal Pain Management for lumbar spine stenosis.
Carrolltown CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Gormish Chiropractic & Rehabilitation talks with our Carrolltown chiropractic
patients about practicing sit-to-stand motion to maintain
and improve mobility and health. Sit-to-stand test is ascertained
by how many times you can get up from a fully seated sit
in 30 seconds. A fewer number of stands indicates
a greater risk of falling. By age, the number of
stands for risk differs. In women aged 60-64, less
than 12 is a higher risk; 65-69, less than 11; 70-79, less than 10; 80-84, less
than 9, 85-89, less than 8; 90-94, less than 4. Men 60-64, less than 14; 65-74,
less than 12; 75-79, less than 11; 80-94, less than 10; 85-89, less than 8;
90-94, less than 7. (11) The slower we move as we age, the less our quality
of life may be.
Increasing the speed of motion may boost
mobility in older people. (12) The quicker
the STS, the more the low back and knee moved which
should be taken into consideration when testing back pain and
knee pain patients. (13) Test your sit-to-stand ability.
How did you do? Gormish Chiropractic & Rehabilitation can work with you to tackle
back pain and knee pain problems that may be slowing you down!
CONTACT Gormish Chiropractic & Rehabilitation
Thank you for confiding in Carrolltown chiropractic
care for your healthcare needs. We are
happy to be a member of your healthcare mobility
and spinal care team and look forward to seeing you at Gormish Chiropractic & Rehabilitation
for your up-coming appointment!