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 too many time not considered in medical studies despite the plethora of studies showing benefit. (The “why?” discussion is for another article.) Here are two examples. (1) One case 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 wonder what would ensue if they decided not to have surgery. (1) The research about Cox® Technic for patients with cervical spine radiculopathy state advantages for these patients. Cervical radiculopathy due to 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 and arm pain after 15 treatments in 10 weeks, 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 lumbar spine stenosis care, researchers reported that non-surgical treatments (28.6%) were less commonly recommended than injections (92.3%) and surgery (66%). (5) The research on the advantage and effectiveness of conservative care of lumbar spinal stenosis is growing, especially with Cox® Technic. A case report stated that Cox® flexion distraction decreased frequency and intensity of radicular leg pain and back pain associated with lumbar spinal stenosis. (6) Another wrote 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 improved 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 cervical radiculopathy and lumbar spine stenosis. Moriarty Chiropractic offers such chiropractic care. Your Nashua 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 explains her utilization of the Cox® Technic System of Spinal Pain Management for lumbar spine stenosis.
Nashua CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Moriarty Chiropractic talks with our Nashua chiropractic patients about practicing sit-to-stand motion to maintain and improve mobility and health. Sit-to-stand test is determined by how many times you can get up from a fully seated position in 30 seconds. A fewer number of stands signifies a greater fall risk. 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) Moving slowly as we age may reduce the quality of daily life. Increasing motion speed 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) Test your sit-to-stand ability. How did you do? Moriarty Chiropractic can work with you to tackle back pain and knee pain issues that may be slowing you down!
CONTACT Moriarty Chiropractic
Thank you for confiding in Nashua chiropractic care for your healthcare needs. We are pleased to be a part of your healthcare mobility and spinal care team and look forward to seeing you at Moriarty Chiropractic for your up-coming appointment!