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 ignored in medical studies regardless of the plethora
of studies describing 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 one year after cervical spine surgery for these conditions with no
comparison to conservative care for patients who wonder
what would ensue if they chose not to have surgery.
(1) The research about Cox® Technic for patients with cervical
spine radiculopathy show advantages for such
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 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 stayed stable. (4) (2) The other example
is not recommending non-surgical treatment for lumbar
spine stenosis. In an analysis of published clinical practice
guidelines for the care of lumbar spinal stenosis,
researchers reported that non-surgical treatments (28.6%) were not
as commonly given than injections (92.3%) and
surgery (66%). (5) The research on the benefit and effectiveness
of conservative care of lumbar spinal stenosis is growing, particularly
with Cox® Technic. A case report affirmed that Cox® flexion
distraction reduced 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 report of lumbar spine stenosis,
flexion distraction decreased pain and disability. (8) In a 57
lumbar spine stenosis patient study, Cox® relieved pain by 76%. Disability
improved in 73%. (9) In a 30-patient study, Cox® was proved
to be an effective intervention for treating pain and
dysfunction in patients with lumbar spinal stenosis. (10) Now is the time for non-surgical, conservative care of conditions like lumbar
spinal stenosis and cervical radiculopathy. Chiropractic Care offers such chiropractic care. Your West Palm Beach
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 describes
her utilization of the Cox®
Technic System of Spinal Pain Management for lumbar spine stenosis.
West Palm Beach CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Chiropractic Care talks with our West Palm Beach chiropractic
patients about practicing sit-to-stand motion to maintain
and improve mobility and health. Sit-to-stand test is ascertained
by how many times you can get up from a fully seated sit
in 30 seconds. A smaller number of stands signifies
a greater risk of falling. By age, the number of
stands for risk differs. In women aged 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.
Improving 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? Chiropractic Care can work with you to address
back pain and knee pain problems that may be slowing you down!
CONTACT Chiropractic Care
Thank you for confiding in West Palm Beach chiropractic
care for your healthcare needs. We are
pleased to be a member of your healthcare mobility
and spinal care team and look forward to seeing you at Chiropractic Care
for your next visit!