CRITICISM OF NOT CONSIDERING NON-SURGICAL, CONSERVATIVE CARE: Cervical Radiculopathy and Lumbar Spine Stenosis
Conservative treatment – like chiropractic spinal manipulation
and Cox® Technic - of some of the most common spinal
pain conditions is often overlooked in medical studies regardless of the plethora
of studies showing 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 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 ensue if they decided not to have surgery.
(1) The research about Cox® Technic for patients with cervical
spine radiculopathy show benefits for such
patients. Cervical radiculopathy because of a large C5-6 resolved
with flexion distraction. (2) In a 39-patient study, cervical radiculopathy
treated with Cox® Technic gave relief in a mean of 13.2 visits.
(3) At 2-year follow-up for a cervical disc herniation patient with arm pain after 15 treatments
in 10 weeks, relief stayed stable. (4) (2) The other example
is not suggesting non-surgical treatment for lumbar
spine stenosis. In an analysis of published clinical practice
guidelines for the care of lumbar spinal stenosis,
researchers reported that non-surgical treatments (28.6%) were not
as commonly recommended than injections (92.3%) and
surgery (66%). (5) The research on the advantage and value
of conservative care of lumbar spinal stenosis is expanding, especially
with Cox® Technic. A case report affirmed that Cox® flexion
distraction decreased frequency and intensity of radicular leg
pain and back pain linked with lumbar spinal stenosis. (6) Another
wrote 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 decreased pain and disability. (8) In a 57
lumbar spine stenosis patient study, Cox® improved pain by 76%. Disability
improved in 73%. (9) In a 30-patient study, Cox® was proved
to be a helpful 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 lumbar
spinal stenosis and cervical radiculopathy. Back And Neck Care Center offers such chiropractic care. Your Severna Park
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.
Severna Park CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Back And Neck Care Center talks with our Severna Park chiropractic
patients about practicing sit-to-stand motion to keep and increase mobility and health. Sit-to-stand test is ascertained
by how many times you can stand up from a fully seated position
in 30 seconds. A smaller number of stands signifies
a higher risk of falling. By age, the number of
stands for risk varies. 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.
Improving the speed of motion may boost
mobility in older folks. (12) The quicker
the STS, the more the knee and low back moved which
should be taken into consideration when testing back pain and
knee pain patients. (13) Check your sit-to-stand ability.
How did you do? Back And Neck Care Center can work with you to address
back pain and knee pain problems that may be slowing you down!
CONTACT Back And Neck Care Center
Thank you for trusting Back And Neck Care Center with your healthcare needs. We are
honored to be a part of your healthcare mobility
and spinal care team and look forward to seeing you at Back And Neck Care Center
for your up-coming appointment!