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 often not
mentioned in medical studies regardless of the abundance
of studies demonstrating benefit. (The “why?”
discussion will be addressed in another article.) Here are two examples. (1) One example 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 speculate
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 because of a large C5-6 settled
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 and arm pain after 15 treatments
in 10 weeks, relief remained stable. (4) (2) The other example
is not suggesting non-surgical treatment for lumbar
spine stenosis. In an analysis of published clinical practice
guidelines for the care of lumbar spinal stenosis,
researchers wrote that non-surgical treatments (28.6%) were not
as commonly recommended than injections (92.3%) and
surgery (66%). (5) The research on the benefit and effectiveness
of conservative care of lumbar spinal stenosis is expanding, especially
with Cox® Technic. A case report affirmed 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 relieved low back and leg pain symptoms
of stenosis. (7) In a 30-patient report 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
got better 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. Layden Chiropractic offers such chiropractic care. Your Plainville
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 describes
her utilization of the Cox®
Technic System of Spinal Pain Management for lumbar spine stenosis.
Plainville CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Layden Chiropractic talks with our Plainville 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 stand up from a fully seated sit
in 30 seconds. A lower number of stands signifies
a greater risk of falling. 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 the speed of motion may increase
mobility in older folks. (12) The faster the speed of
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 did you do? Layden Chiropractic can work with you to tackle
back pain and knee pain problems that may be slowing you down!
CONTACT Layden Chiropractic
Thank you for confiding in Plainville 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 visiting with you at Layden Chiropractic
for your next appointment!