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 too many time ignored in medical studies regardless of the plethora
of studies showing benefit. (The “why?”
discussion will be addressed in another article.) Here are a
couple 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 speculate
what would ensue if they decided not to have surgery.
(1) The research regarding Cox® Technic for patients with cervical
spine radiculopathy state advantages for such
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 presenting non-surgical treatment for lumbar
spine stenosis. In an analysis of published clinical practice
guidelines for lumbar spine stenosis care,
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 value
of conservative care of lumbar spinal stenosis is expanding, 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 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 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. Paulette Hugulet, DC, LLC offers such chiropractic care. Your La Grande
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 use of the Cox®
Technic System of Spinal Pain Management for lumbar spine stenosis.
La Grande CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Paulette Hugulet, DC, LLC talks with our La Grande chiropractic
patients about practicing sit-to-stand motion to maintain
and improve mobility and health. Sit-to-stand test is determined
by how many times you can get up from a fully seated sit
in 30 seconds. A lower number of stands signifies
a higher risk of falling. By age, the number of
stands for risk varies. 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 the speed of motion 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) Try out your sit-to-stand ability.
How is it? Paulette Hugulet, DC, LLC can work with you to tackle
back pain and knee pain issues that may be slowing you down!
CONTACT Paulette Hugulet, DC, LLC
Thank you for trusting Paulette Hugulet, DC, LLC with your healthcare needs. We are
honored to be a part of your healthcare mobility
and spinal care team and look forward to visiting with you at Paulette Hugulet, DC, LLC
for your next visit!