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 not
mentioned in medical studies despite the plethora
of studies demonstrating benefit. (The “why?”
discussion is for another article.) Here are two examples. (1) One example is in treating
cervical radiculopathy patients, patients with neck-related arm pain, and
myelopathy. The original study looked at the outcomes 12
months after cervical spine surgery for these conditions with no
comparison to conservative care for patients who ponder
what would happen if they decided not to have surgery.
(1) The research about Cox® Technic for patients with cervical
spine radiculopathy state advantages for such
patients. Cervical radiculopathy because of a large C5-6 settled
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 10 weeks and 15 treatments, relief stayed stable. (4) (2) The other example
is not recommending non-surgical treatment for lumbar
spine stenosis. In a review of published clinical practice
guidelines for the care of lumbar spinal stenosis,
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 growing, especially
with Cox® Technic. A case report affirmed that Cox® flexion
distraction reduced frequency and intensity of radicular leg
pain and back pain linked with lumbar spinal stenosis. (6) Another
described that 12 visits for flexion distraction treatment
and ancillary therapies alleviated low back and leg pain symptoms
of stenosis. (7) In a 30-patient report 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 a helpful intervention for treating pain and
dysfunction in patients with lumbar spinal stenosis. (10) The
time has come for non-surgical, conservative care of conditions like lumbar
spinal stenosis and cervical radiculopathy. Dr. Hoang's Chiropractic Clinic offers such chiropractic care. Your Montreal
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.
Montreal CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Dr. Hoang's Chiropractic Clinic talks with our Montreal chiropractic
patients about practicing sit-to-stand motion to maintain
and improve mobility and health. Sit-to-stand test is revealed
by how many times you can stand up from a fully seated sit
in 30 seconds. A lower number of stands signifies
a higher fall risk. By age, the number of
stands for risk varies. 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 knee and low back moved which
should be considered when testing back pain and
knee pain patients. (13) Check your sit-to-stand ability.
How did you do? Dr. Hoang's Chiropractic Clinic can work with you to tackle
back pain and knee pain problems that may be slowing you down!
CONTACT Dr. Hoang's Chiropractic Clinic
Thank you for confiding in Montreal chiropractic
care for your healthcare needs. We are
honored to be a member of your healthcare mobility
and spinal care team and look forward to seeing you at Dr. Hoang's Chiropractic Clinic
for your next visit!