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Chiropractic Care of Inflammatory Montreal Back Pain

The variety of spinal conditions abounds! Your Montreal chiropractor is well aware of this. Dr. Hoang's Chiropractic Clinic welcomes them all! For optimal relief of pain and limited function, the first step is recognition of the condition then set up its proper treatment. Dr. Hoang's Chiropractic Clinic is experienced in both! This week’s featured condition is inflammatory back pain, axial spondyloarthritis, and the spine-specific kind, ankylosing spondylitis.

AXIAL SPONDYLOARTHRITIS

Axial spondyloarthritis is an inflammatory back pain condition. It’s often missed as a cause of chronic low back pain while approximately 1% of the US population experiences it. Traits of axial spondyloarthritis consist of onset before 45 years old, morning stiffness, improvement with exercise not rest, alternating gluteal pain, and good response to nonsteroidal anti-inflammatory drug treatment. Other characteristics of axial spondyloarthritis care enthesitis (inflammation of tendons and ligaments as they insert into bone), dactylitis (inflammation of a toe or finger), peripheral arthritis, extra-articular appearances (like psoriasis, inflammatory bowel disease, or uveitis), positive for the human leukocyte antigen B27, and a family history of the disease. Prompt diagnosis is important as is a rheumatology referral for evaluation and co-management. (1) Not only is axial spondyloarthritis overlooked in medical offices, but it is sometimes overlooked in chiropractic practices, too. (2) It’s just not identified as what it is: an immune-mediated inflammatory disease. Your Montreal chiropractor is aware and looks for it so that typical lapses of time - sometimes years - will not go by between symptom onset and diagnosis. Since it’s a back pain condition, axial spondyloarthritis can be diagnosed and co-treated with chiropractic care for positive outcomes.

ANKYLOSING SPONDYLITIS: A SUBSET OF AXIAL SPONDYLOARTHRITIS SPECIFIC TO THE SPINE

One type of axial spondyloarthritis is ankylosing spondylitis. Spondylitis means inflammation of the vertebrae. Interdisciplinary management with chiropractic and medical care with rehabilitation frequently works well for these patients in decreasing their symptoms and increasing musculoskeletal function. (3) Treating this condition requires gentle care that certified Cox® Technic chiropractic physicians are experienced in performing. A case of a 30-year-old male first diagnosed at age 12 whose condition, despite medical care, resulted in fusion of his sacroiliac joints as well as facet joints in the lumbar and cervical spine. The patient underwent chiropractic spinal manipulation of his thoracic, lumbar, and cervical spine areas and physical therapy stretches for 12 weeks. His advanced condition responded favorably with some improvement in pain and flexibility. (4) Another male patient who was 34 years old with a 10-year history of AS underwent 18 weeks of chiropractic spinal manipulation and mobilization. This resulted in a 90% improvement in a disease activity index and an 85% improvement in a functional index from start to finish. (5) Dr. Hoang's Chiropractic Clinic offers very gentle spinal manipulation and mobilization in the form of Cox® Technic distraction decompression. An advanced type of the condition does not rule out chiropractic care or its subsequent positive outcomes.

CONTACT Dr. Hoang's Chiropractic Clinic

Listen to this PODCAST with Dr. Gabriel Monterrubio on The Back Doctors Podcast with Dr. Michael Johnson. He discusses his use of the Cox® Technic System of Spinal Pain Management for treating ankylosing spondylitis.

Make your Montreal chiropractic appointment now. All types of spine-related conditions are welcome!

Dr. Hoang's Chiropractic Clinic delivers gentle treatment for inflammatory back pain conditions, axial spondyloarthritis and ankylosing spondylitis.  
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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."