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Moriarty Chiropractic Questions The Curiosity of MRIs

November 06, 2018

MRI. What does it do for Nashua back pain and related leg pain? That’s a peculiar question. Diagnosing Nashua lumbar spinal stenosis does not always need an MRI for a clear diagnosis. MRI images can be enlightening…and demanding of clinical tests to determine what those images really suggest. An MRI is a well-known procedure to a lot of Nashua chiropractic patients wanting Nashua back pain relief, but the MRI’s timing and outcomes require cautious consideration as to when they are ordered and what they really indicate for the chiropractic treatment of spinal stenosis at Moriarty Chiropractic.


Spinal stenosis is a normal condition and the most common indicator for spinal back surgery in the over-65 age group. With the expansion of this group, by 2025 59% of them are expected to have spinal stenosis. (1) Many times your Nashua chiropractor can identify spinal stenosis with only a few questions and physical examination discoveries without an MRI. Your Nashua chiropractor may order an MRI as a confirming exam of the Nashua chiropractic clinical examination diagnosis previously made just by seeing you.


In the event of a disc extrusion causing spinal stenosis where the Nashua herniated disc escapes its outer bands and oozes into the spinal canal physically constricting and chemically inflaming the spinal nerve, an MRI showing this many times bodes well for the MRI’s patient. At one year later, whether managed surgically or non-surgically, the back-related sciatica patient had less leg pain. In this case an MRI doesn’t help much in determining which patient would do better with quicker surgery or prolonged conservative care. (2) And the healing of these Nashua spinal stenosis related extrusions takes time and good, guided care like that from Moriarty Chiropractic.


Understand that as rates for spinal surgery increase – ten times across the US – so too do the rates of advanced spinal imaging. In one study, cities with more MRIs have more spine surgeries (and spinal stenosis surgery specifically). (3) Know too that what a surgeon sees on MRI affects how he or she handles the spinal back surgery for stenosis. He/She studies the extent and location of nerve compression as well as degenerative changes at adjacent levels. Experienced surgeons reached agreement more with each other’s interpretations of MRI images than less experienced surgeons. (1) Experienced chiropractors like yours at Moriarty Chiropractic also are more adept at picking up on Nashua spinal stenosis as the diagnosis.


Treat it actively. Don’t depend on passive care like bed rest. That is old school care. Give it time. Participate in the active, conservative care your Nashua chiropractor shares with you for at least 6-8 weeks to witness some change because there is no clear difference between surgical (though quicker relief may come) and non-surgical care after a year or two. (4) Moriarty Chiropractic utilizes the Cox Technic System of Spine Pain Management for Nashua spinal stenosis and back pain relief care. The 50% Rule guides treatment frequency and treatment progress and decision-making as to when/if an MRI is required (if you have not had one done) or surgical or other care consultation turns out to be necessary.

CONTACT Moriarty Chiropractic

Schedule a Nashua chiropractic appointment to see your Nashua chiropractic back pain specialist about your Nashua back pain and sciatica to take the curiosity out of the question about MRI’s role in your Nashua back pain treatment plan. 

Nashua MRIs for spinal stenosis may be revealing…or puzzling.