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 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 examined 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 show advantages for these
patients. Cervical radiculopathy due to a large C5-6 resolved
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 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 the care of lumbar spinal stenosis,
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 value
of conservative care of lumbar spinal stenosis is expanding, especially
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
stated 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
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) The
time has come for non-surgical, conservative care of conditions like lumbar
spinal stenosis and cervical radiculopathy. Manahawkin Chiropractic Center offers such chiropractic care. Your Manahawkin
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.
Manahawkin CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Manahawkin Chiropractic Center talks with our Manahawkin 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 lower number of stands signifies
a greater fall risk. By age, the number of
stands for risk differs. 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 knee and low back moved which
should be taken into consideration when testing back pain and
knee pain patients. (13) Test your sit-to-stand ability.
How did you do? Manahawkin Chiropractic Center can work with you to address
back pain and knee pain problems that may be slowing you down!
CONTACT Manahawkin Chiropractic Center
Thank you for confiding in Manahawkin 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 visiting with you at Manahawkin Chiropractic Center
for your next appointment!