Paulette Hugulet, DC, LLC cares for
La Grande neck pain patients due to cervical spine disc
herniations that trigger arm pain radiculopathy. Non-surgical care
of arm pain radiculopathy eases La Grande neck pain and arm pain
non-surgically.
CERVICAL RADICULOPATHY
In managing for
cervical spine-related arm pain known as cervical radiculopathy, research guidelines state conservative
management as a first-line treatment option over surgery.
Clinically, cervical radiculopathy can present as motor
change, paresthesia, reflex change, numbness and/or sensory change. Researchers have been collaborating
to set guidelines for its non-surgical management and treatment
at various stages of pain including acute, subacute, and
chronic. (1) Paulette Hugulet, DC, LLC uses such guidelines in planning non-surgical treatment
for our La Grande chiropractic patients.
GUIDELINES FOR TREATING CERVICAL DISC HERNIATIONS
In reporting the non-surgical
guidelines, researchers explained the risk-benefit ratio for
surgical treatment of cervical radiculopathy as less promising
than for non-surgical, conservative care. When studying the
care of cervical radiculopathy through its stages, the
non-surgical interventions’ guidelines move from more passive care in the acute phase to chronic/more active,
individualized, self-managed care. Specifically, for the acute
stage, multimodal management including spinal manipulation, patient
education, exercise, and positioning that relieves the
pain were effective. For subacute cervical
radiculopathy, enhanced specific exercises, supervised motor
control motions and/or mobilization may be incorporated. In the
chronic phase, patients may benefit from general aerobic exercise
and strength training, postural instruction, and ergonomic assessment of
job-related activities, general aerobic exercise and
strength training, postural instruction, and ergonomic assessment of
job-related activities may be incorporated}29}. (2) We find
that our neck and arm pain patients are ready for activities
like this that get them back to doing what
they want to do.
TIME AND THE CERVICAL DISC HERNIATION
Overall, in a recent systematic review study, 56.4%
of degenerative cervical radiculopathy patients - 39.1% of conservatively
treated patients and 60.5% of surgically treated patients – reported motor deficits prior to treatment. (3) A
spine surgeon described a case report of a patient headed for cervical spine discectomy/fusion surgery
for a C4-C5 disc herniation whose repeated MRI showed that the disc had resorbed, making surgery unnecessary.
The researcher acknowledged that more research was available
on lumbar disc herniations’ decreasing as seen on MRI by 34.7% to 95% over 6 to 17 months
and total resolution of the disc in 43% to 75% yet contended
that cervical disc herniations were apt to do
the same. (4) Like the author,
Paulette Hugulet, DC, LLC holds out hope for our cervical disc herniation and cervical
radiculopathy patients that surgery may not be required. Our
conservative La Grande chiropractic treatment will quite possibly help healing.
CONTACT Paulette Hugulet, DC, LLC
Listen to this PODCAST
with Dr. Umar Ellahie on The
Back Doctors Podcast with Dr. Michael Johnson as he
describes cervical radiculopathy and its relieving care with
The Cox® Technic System of Spinal Pain Management.
Make your La Grande chiropractic
appointment today. Cervical radiculopathy and cervical disc
herniation sufferers find a pain-relieving partner at our
office.