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 highly common spinal
pain conditions is often overlooked in medical studies despite the plethora
of studies describing benefit. (The “why?”
discussion is for another article.) Here are a
couple examples. (1) One instance is in treating
cervical radiculopathy patients, patients with neck-related arm pain, and
myelopathy. The original study examined the outcomes 12
months after cervical spine surgery for these conditions with no
comparison to conservative care for patients who speculate
what would ensue if they chose not to have surgery.
(1) The research about Cox® Technic for patients with cervical
spine radiculopathy state benefits for these
patients. Cervical radiculopathy due to a large C5-6 resolved
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 recommending non-surgical treatment for lumbar
spine stenosis. In an analysis of published clinical practice
guidelines for lumbar spine stenosis care,
researchers wrote that non-surgical treatments (28.6%) were not
as commonly given than injections (92.3%) and
surgery (66%). (5) The research on the benefit and effectiveness
of conservative care of lumbar spinal stenosis is expanding, particularly
with Cox® Technic. A case report affirmed that Cox® flexion
distraction reduced frequency and intensity of radicular leg
pain and back pain associated with lumbar spinal stenosis. (6) Another
described that 12 visits for flexion distraction treatment
and ancillary therapies relieved low back and leg pain symptoms
of stenosis. (7) In a 30-patient study of lumbar spine stenosis,
flexion distraction reduced pain and disability. (8) In a 57
lumbar spine stenosis patient study, Cox® relieved pain by 76%. Disability
improved in 73%. (9) In a 30-patient study, Cox® was proved
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. Poulin Chiropractic of Herndon and Ashburn offers such chiropractic care. Your Ashburn
chiropractor is experienced 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.
Ashburn CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Poulin Chiropractic of Herndon and Ashburn talks with our Ashburn chiropractic
patients about practicing sit-to-stand motion to maintain
and improve mobility and health. Sit-to-stand test is determined
by how many times you can get up from a fully seated position
in 30 seconds. A smaller number of stands indicates
a greater risk of falling. By age, the number of
stands for risk differs. In women from ages 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 motion speed may increase
mobility in older folks. (12) The faster the speed of
the STS, the more the low back and knee moved which
should be considered when testing back pain and
knee pain patients. (13) Check your sit-to-stand ability.
How did you do? Poulin Chiropractic of Herndon and Ashburn can work with you to address
back pain and knee pain issues that may be slowing you down!
CONTACT Poulin Chiropractic of Herndon and Ashburn
Thank you for confiding in Ashburn 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 Poulin Chiropractic of Herndon and Ashburn
for your next appointment!