Poulin Chiropractic of Herndon and Ashburn takes care of
Ashburn neck pain patients due to cervical spine disc
herniations that cause arm pain radiculopathy. Non-surgical care
of arm pain radiculopathy eases Ashburn neck pain and arm pain
non-surgically.
CERVICAL RADICULOPATHY
In caring for
cervical spine-related arm pain (aka cervical
radiculopathy), research guidelines report conservative
management as a first-line treatment alternative over surgery.
Clinically, cervical radiculopathy can pose as motor
change, paresthesia, reflex change, numbness and/or sensory change. Researchers have been working
to establish guidelines for its non-surgical management and treatment
at different stages of pain including acute, subacute, and
chronic. (1) Poulin Chiropractic of Herndon and Ashburn considers such guidelines in planning non-surgical treatment
for our Ashburn chiropractic patients.
GUIDELINES FOR TREATING CERVICAL DISC HERNIATIONS
In reporting the non-surgical
guidelines, researchers described the risk-benefit ratio for
surgical treatment of cervical radiculopathy as less beneficial
than for non-surgical, conservative care. In looking at
care of cervical radiculopathy through its stages, the
non-surgical interventions’ guidelines move from more passive care in the acute phase to more active, individualized, self-managed
care in the chronic phase. Specifically, for the acute
stage, multimodal management involving spinal manipulation, patient
education, exercise, and positioning that alleviates the
pain were effective. For subacute cervical
radiculopathy, enhanced specific exercises, supervised motor
control motions and/or mobilization may be incorporated. In the
chronic phase, patients may benefit from general aerobic exercise
and strength training, postural instruction, and ergonomic assessment of
job-related activities, general aerobic exercise and
strength training, postural instruction, and ergonomic assessment of
job-related activities may be added}29}. (2) We know
that our neck and arm pain patients appreciate activities
like this that allow them to return to doing what
they want to do.
TIME AND THE CERVICAL DISC HERNIATION
Overall, in a recent systematic review study, 56.4%
of degenerative cervical radiculopathy patients - 39.1% of conservatively
treated patients and 60.5% of surgically treated patients – reported motor deficits before treatment. (3) A
spine surgeon presented a case report of a patient headed for cervical spine discectomy/fusion surgery
for a C4-C5 disc herniation whose
disc resorbed on a confirming repeat MRI, making surgery unnecessary.
The researcher acknowledged that more research was accessible
on the reduction
of lumbar disc herniations seen on MRI by 34.7% to 95% over 6 to 17 months
and total resorption of the disc in 43% to 75% yet postulated
that cervical disc herniations were likely to do
the same. (4) Like the author,
Poulin Chiropractic of Herndon and Ashburn holds out hope for our cervical disc herniation and cervical
radiculopathy patients that surgery may not be necessary. Our
conservative Ashburn chiropractic treatment may
well help healing.
CONTACT Poulin Chiropractic of Herndon and Ashburn
Listen to this PODCAST
with Dr. Umar Ellahie on The
Back Doctors Podcast with Dr. Michael Johnson as he
describes cervical radiculopathy and its relieving care with
The Cox® Technic System of Spinal Pain Management.
Make your Ashburn chiropractic
appointment today. Cervical radiculopathy and cervical disc
herniation sufferers experience a pain-relieving partner at our
office.