Chiropractic Care of Inflammatory Montreal Back Pain

There are so many spinal conditions! 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 initial 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 commonly missed as a cause of chronic low back pain although approximately 1% of the US population has it. Traits of axial spondyloarthritis include onset before 45 years old, morning stiffness, improvement with exercise not rest, alternating gluteal pain, and positive 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 finger or toe), 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. Early diagnosis is vital as is a rheumatology referral for evaluation and co-management. (1) Not only is axial spondyloarthritis overlooked in medical offices, but it’s sometimes overlooked in chiropractic offices, 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 pass between symptom onset and diagnosis. Being a back pain condition, axial spondyloarthritis can be diagnosed and co-managed with chiropractic care for effective 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 medical, chiropractic and rehab frequently works well for these patients in decreasing their symptoms and improving 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 led to 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 delivers very gentle spinal manipulation and mobilization in the form of Cox® Technic distraction decompression. An advanced type of the condition doesn’t rule out chiropractic care or its resulting good 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 describes his use of the Cox® Technic System of Spinal Pain Management for managing ankylosing spondylitis.

Schedule your Montreal chiropractic appointment today. All types of spine-related conditions are welcome!