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Gormish Chiropractic & Rehabilitation Questions The Curiosity of MRIs

MRI. What does it mean for Carrolltown back pain and related leg pain? That is a intriguing question. Diagnosing Carrolltown lumbar spinal stenosis doesn’t always need an MRI for a definitive diagnosis. MRI images can be revealing…and demanding of clinical tests to establish what those images really suggest. An MRI is a familiar test to many Carrolltown chiropractic patients seeking Carrolltown back pain relief, but the MRI’s timing and results require cautious consideration as to when they’re taken and what they really indicate for the chiropractic care of spinal stenosis at Gormish Chiropractic & Rehabilitation.


Spinal stenosis is a normal condition and the most common sign for spinal back surgery in the over-65 age group. With the expansion of this group, by 2025 59% of them are expected to acquire spinal stenosis. (1) Many times your Carrolltown chiropractor can diagnose spinal stenosis with only a few questions and physical examination discoveries without an MRI. Your Carrolltown chiropractor may order an MRI as a confirming test of the Carrolltown chiropractic clinical examination diagnosis previously determined just by seeing you.


In the event of a disc extrusion triggering spinal stenosis where the Carrolltown herniated disc escapes its outer bands and seeps out into the spinal canal physically compressing and chemically inflaming the spinal nerve, an MRI showing this often bodes well for the MRI’s patient. At one year later, whether treated with surgery or without, the back-related sciatica patient had less leg pain. In this case an MRI doesn’t help much in influencing which patient would do better with early surgery or prolonged conservative care. (2) And the healing of these Carrolltown spinal stenosis related extrusions takes time and good, guided care like that from Gormish Chiropractic & Rehabilitation.


Understand that as rates for spinal surgery rise – ten times across the US – so too do the rates of advanced spinal imaging. In a study, areas with more MRIs saw more spine surgeries (and spinal stenosis surgery specifically). (3) Understand too that what a surgeon notices on MRI affects how he or she manages the spinal back surgery for stenosis. He/She considers the extent and location of nerve compression as well as degenerative changes at adjacent levels. Experienced surgeons agreed more with each other’s interpretations of MRI images than less experienced surgeons. (1) Experienced chiropractors like yours at Gormish Chiropractic & Rehabilitation also are more adept at picking up on Carrolltown spinal stenosis as the diagnosis.


Treat it actively. Don’t depend on passive care like bed rest. That is old school care. Give it time. Participate in the active, conservative care your Carrolltown chiropractor shares with you for at least 6-8 weeks to see some change because there is no clear difference between surgical (though quicker relief may come) and non-surgical care after a year or two. (4) Gormish Chiropractic & Rehabilitation uses the Cox Technic System of Spine Pain Management for Carrolltown spinal stenosis and back pain relief care. The 50% Rule guides treatment frequency and treatment progress and decision-making as to when/if an MRI is necessary (if you’ve not had one done) or surgical or other care consultation turns out to be necessary.

CONTACT Gormish Chiropractic & Rehabilitation

Schedule a Carrolltown chiropractic appointment to see your Carrolltown chiropractic back pain specialist about your Carrolltown back pain and sciatica to take the curiosity out of the question about MRI’s role in your Carrolltown back pain treatment plan. 

Carrolltown MRIs for spinal stenosis may be revealing…or puzzling. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."