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Paulette Hugulet, DC, LLC Questions The Curiosity of MRIs

MRI. What does it mean for La Grande back pain and related leg pain? That is a curious question. Diagnosing La Grande lumbar spinal stenosis doesn’t always require an MRI for a clear diagnosis. MRI images can be revealing…and calling for clinical tests to establish what those images really suggest. An MRI is a well-known test to a lot of La Grande chiropractic patients seeking La Grande back pain relief, but the MRI’s timing and outcomes need careful thought as to when they are taken and what they really imply for the chiropractic care of spinal stenosis at Paulette Hugulet, DC, LLC.


Spinal stenosis is a normal condition and the most usual indicator for spinal back surgery in the over-65 age set of people. With the growth of this group, by 2025 59% of them are expected to acquire spinal stenosis. (1) Often your La Grande chiropractor can diagnose spinal stenosis with just a few questions and physical examination answers with no an MRI. Your La Grande chiropractor may order an MRI as a verifying trial of the La Grande chiropractic clinical examination diagnosis already determined just by seeing you.


In the case of a disc extrusion triggering spinal stenosis where the La Grande herniated disc escapes its outer bands and oozes into the spinal canal physically constricting and chemically inflaming the spinal nerve, an MRI showing this often bodes well for the MRI’s patient. At one year later, whether treated surgically or non-surgically, the back-related sciatica patient had less leg pain. In this case an MRI does not help much in determining which patient would do better with early surgery or long conservative care. (2) And the healing of these La Grande spinal stenosis related extrusions takes time and good, guided care like that from Paulette Hugulet, DC, LLC.


Know that as rates for spinal surgery rise – ten times across the US – so too do the rates of advanced spinal imaging. In one study, areas with more MRIs saw more spine surgeries (and spinal stenosis surgery specifically). (3) Know too that what a surgeon makes out on MRI affects how he or she handles the spinal back surgery for stenosis. He/She studies the extent and location of nerve compression and degenerative changes at adjacent levels. Experienced surgeons reached agreement more with each other’s interpretations of MRI images than less experienced surgeons. (1) Experienced chiropractors like yours at Paulette Hugulet, DC, LLC also are more proficient at recognizing La Grande spinal stenosis as the diagnosis.


Treat it actively. Do not rely on passive care like bed rest. That’s old school care. Give it time. Take part in the active, conservative care your La Grande chiropractor shares with you for at least 6-8 weeks to witness some change because there’s no clear difference between surgical (though quicker relief may come) and non-surgical care after a year or two. (4) Paulette Hugulet, DC, LLC utilizes the Cox Technic System of Spine Pain Management for La Grande spinal stenosis and back pain relief care. The 50% Rule guides treatment frequency and treatment progress and decision-making as to when/if an MRI is required (if you have not had one taken) or surgical or other care consultation turns out to be necessary.

CONTACT Paulette Hugulet, DC, LLC

Schedule a La Grande chiropractic appointment to visit your La Grande chiropractic back pain specialist about your La Grande back pain and sciatica to take the curiosity out of the question about MRI’s role in your La Grande back pain treatment plan. 

La Grande MRIs for spinal stenosis may be revealing…or confusing. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."