Neck pain anytime isn’t welcome. Neck pain after
neck surgery is especially unwelcome…by the patient and the
treating physician! Gentle manual treatment of post-surgical neck pain and any
adjacent-to-the-surgical-level-segment spinal pain conditions at
Paulette Hugulet, DC, LLC helps many La Grande neck pain sufferers find
neck pain relief.
DDD
Degenerative disc disease (DDD) - the wear and tear
of a or multiple spinal discs – shows itself as low back pain
and neck and arm pain. 40% of people over 40 years of age
have degenerative disc disease while 80% of those over 80 years of age
have it. 10% to 20% of people with lumbar
disc degeneration and up to 30% of those with cervical disc degeneration will not get relief from non-surgical treatments. (1) Degenerative disc disease is documented
to start as early as in the second decade of life. (2)
The artificial disc replacement has been around for some time. An early analysis of its use and efficacy indicated
that about 5% of DDD patients were eligible for it. Additionally,
the review reported that lumbar artificial disc replacement was
79% superior to lumbar spine fusion with a major complication
rate of 0% to 13% per implanted device. The rate of major complications at 2
years post-surgery ranged from 0% to 8.1% per implant. Adjacent
segment disease was reported to be 2% in an
11-year-follow-up study, but not definitive in the clinical
trial data. (1) Paulette Hugulet, DC, LLC finds that post-surgical neck pain
patients experiencing such adjacent segment disease pursue
our La Grande chiropractic care not uncommonly.
ADJACENT SEGMENT DISEASE AFTER CERVICAL SPINE SURGERY
Spine literature has recently published studies regarding
the concern conveyed in the prior study about
adjacent segment disease, degenerative changes at spinal segments immediately
next to a spinal fusion or disc implant region. The cause for such
pain is explained as possibly arising
from altered stresses on the adjoining levels after
such procedures. In an article written for an audience of primary
care practitioners who see post-surgical patients with spinal
pain, one such patient who currently had neck pain and cervical
arm pain radiculopathy with a history of having had anterior cervical disectomy and spinal fusion surgery 30 years ago
for DDD. This patient underwent 34 sessions of chiropractic care – a mix
of cervical manipulation, flexion distraction decompression, soft-tissue mobilization
and therapeutic ultrasound – reported
relief. (3) Paulette Hugulet, DC, LLC uses flexion distraction decompression procedures
to gently treat post-surgical La Grande neck pain.
POST-CERVICAL SPINE SURGERY NECK PAIN
Researchers wrote that cervical spine surgeries for
degenerative cervical spine conditions are increasing quickly
and leaving in their wake post-surgical pain syndromes: chronic
pain, adjacent segment disease, recurrent disc herniation, facet join pain,
and/or epidural scarring. Repeat surgeries may be recommended
though some patients are not able to or don’t
want to undergo another surgery. Such patients may then consult
with a practitioner who offers manual therapy for hoped
relief. Because the clinical practice guidelines are
written but not very clearly for post-cervical
spine surgery management, researchers reviewed published papers
to determine a path of care.
Of 12 articles, 10 studies on conservative care reported favorable clinical outcomes.
(4) That is hopeful! Paulette Hugulet, DC, LLC shares this hope with our
La Grande neck pain patients who have undergone cervical
spine surgery for degenerative disease and other issues causing neck pain. Our
gentle spinal manipulation approach called Cox® Technic allows
relieving, doctor-monitored treatment of your cervical spine.
CONTACT Paulette Hugulet, DC, LLC
Listen to this PODCAST
with Dr. Chris Osterlitz on The
Back Doctors Podcast with Dr. Michael Johnson as he describes
how he treated a patient who found relief of his neck
pain after a cervical spine surgery using the Cox® Technic System
of Spinal Pain Management which may include nutritional advice to slow the degenerative disc disease.
Make your La Grande
chiropractic appointment now. Unwelcomed neck pain as a
result of degenerative disc disease and/or adjacent segment disease
after a cervical spine surgery may well find the hoped for relief
in the hands of your chiropractor.