Stenosis. If you are past your 50th
birthday and experience twinges of or all-out
back pain, stenosis is a familiar term.
Paulette Hugulet, DC, LLC treats many 50+ year olds looking
for relief of La Grande back pain and leg pain. And for
good reason: our Cox® Technic System of Spinal Pain Management eases
the back pain and leg pain associated with lumbar spinal
stenosis.
TREATMENT OPTIONS FOR LUMBAR SPINAL STENOSIS
Lumbar spine stenosis is an emerging
diagnosis in our aging population. A recent practice
guideline was just published that provided three
recommendations for treatment of lumbar spine stenosis to relieve
pain, decrease disability, improve quality of
life, and increase walking ability. First, non-drug options: advice on lifestyle and behavioral changes with exercise, manual
therapy, rehab, acupuncture, post-operative rehab and 12 weeks of cognitive
behavioral therapy if surgery has already been done. Second,
drug therapy may be attempted: serotonin-norepinephrine reuptake
inhibitors or tricyclic antidepressants. Third, these
pharmacological drug therapies are not recommended: non-steroidal
anti-inflammatory drugs, methylcobalamin, calcitonin, paracetamol, muscle relaxants, opioids, gabapentin, pregabalin, and
epidural steroidal injections. (1) Paulette Hugulet, DC, LLC offers the first line
recommended options for La Grande back pain relief: manual therapy, exercise,
advice, etc.
MANUAL THERAPY OPTION SPECIFICALLY: Flexion Distraction Cox® Technic
Manual therapy is showing itself quite
effective in treating lumbar spinal stenosis issues. A new report
shares the effects of manual manipulation in a detailed
discussion of Cox® Technic, a manual manipulation treatment used
by 64% of US chiropractic physicians including your own La Grande
chiropractor. This latest study is out of Korea, so Cox®
Technic is being used around the world now! The
authors defined lumbar spinal stenosis as a degenerative spine disease in which spinal nerves are
compressed as
spinal vertebral bones narrow due to disc degeneration. Spinal stenosis causes
not only back pain but also other issues like intermittent claudication, leg
pain sciatica, and lower extremity weakness. Cox® Technic was used in a
comparison study treating stenosis. The patients’ visual
analogue scale and Oswestry Disability Index scores were significantly reduced
in the experimental group patients over the control group patients. The authors
explained that the flexion distraction technique (aka Cox®
Technic) is designed to restore the normal spinal joint function
and movement by gapping the facet joints, reducing
the stresses on the posterior disc, restoring facet joint motion, lowering
the disc pressure, making a larger spinal canal area, increasing
disc height, and thus relaxing compressed nerves. The researchers
further explained that flexion-distraction concentrates
on a specific segment of the spine, affects the epiphyseal joint
allowing a distraction of the anterior and posterior longitudinal ligaments,
and relaxes the facet joint. Negative pressure was generated in
the disc space by widening the canal space. (2) They referenced other studies
that found a 65% decreased pressure
inside the disc (3) and related that not only is back pain relieved
with flexion distraction, but so too is pain and physical function due
to a severely prolapsed disc. (4,5) Paulette Hugulet, DC, LLC finds the same. Our
La Grande back pain patients find relief with Cox®
Technic, too.
CONTACT Paulette Hugulet, DC, LLC
Listen to the PODCAST
with Dr. Michael McMurray on the
Back Doctors Podcast with Dr. Michael Johnson as he explains
the effective, gentle treatment with the
Cox® Technic System of Spinal Pain Management for his lumbar spinal stenosis
patients who didn’t think he would ever get
relief.
Schedule your next La Grande
chiropractic appointment with Paulette Hugulet, DC, LLC. Do not let the
all-too-common, over-age-50 condition of spinal stenosis slow you down! Paulette Hugulet, DC, LLC has the treatment for you!