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 overlooked in medical studies regardless of the abundance
of studies showing benefit. (The “why?”
discussion will be addressed in another article.) Here are a
couple examples. (1) One instance is in treating
cervical radiculopathy patients, patients with neck-related arm pain, and
myelopathy. The original study looked at the outcomes one year after cervical spine surgery for these conditions with no
comparison to conservative care for patients who question
what would happen if they decided not to have surgery.
(1) The research regarding Cox® Technic for patients with cervical
spine radiculopathy state benefits for these
patients. Cervical radiculopathy because of a large C5-6 resolved
with flexion distraction. (2) In a 39-patient study, cervical radiculopathy
treated with Cox® Technic provided 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 remained 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 given than injections (92.3%) and
surgery (66%). (5) The research on the advantage and effectiveness
of conservative care of lumbar spinal stenosis is growing, particularly
with Cox® Technic. A case report affirmed that Cox® flexion
distraction decreased 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 relieved low back and leg pain symptoms
of stenosis. (7) In a 30-patient study of lumbar spine stenosis,
flexion distraction reduced pain and disability. (8) In a 57
lumbar spine stenosis patient study, Cox® relieved pain by 76%. Disability
eased in 73%. (9) In a 30-patient study, Cox® was proved
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. Wilson Family Chiropractic offers such chiropractic care. Your Millville
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 explains
her utilization of the Cox®
Technic System of Spinal Pain Management for lumbar spine stenosis.
Millville CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Wilson Family Chiropractic talks with our Millville 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 get up from a fully seated position
in 30 seconds. A lower 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) The slower we move as we age, the less our quality
of life may be.
Improving motion speed may boost
mobility in older folks. (12) The quicker
the STS, the more the low back and knee moved which
should be taken into consideration when testing back pain and
knee pain patients. (13) Check your sit-to-stand ability.
How is it? Wilson Family Chiropractic can work with you to tackle
back pain and knee pain issues that may be slowing you down!
CONTACT Wilson Family Chiropractic
Thank you for confiding in Millville chiropractic
care for your healthcare needs. We are
happy to be a member of your healthcare mobility
and spinal care team and look forward to seeing you at Wilson Family Chiropractic
for your next appointment!