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 not mentioned in medical studies regardless of the abundance of studies showing benefit. (The “why?” discussion will be addressed in another article.) Here are two examples. (1) One instance is in treating cervical radiculopathy patients, patients with neck-related arm pain, and myelopathy. The original study looked at the outcomes 12 months after cervical spine surgery for these conditions with no comparison to conservative care for patients who question what would happen if they chose not to have surgery. (1) The research about Cox® Technic for patients with cervical spine radiculopathy show advantages for these 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 gave 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 a review of published clinical practice guidelines for the care of lumbar spinal stenosis, researchers reported that non-surgical treatments (28.6%) were less commonly given than injections (92.3%) and surgery (66%). (5) The research on the advantage and effectiveness of conservative care of lumbar spinal stenosis is expanding, especially with Cox® Technic. A case report stated that Cox® flexion distraction decreased frequency and intensity of radicular leg pain and back pain associated with lumbar spinal stenosis. (6) Another wrote that 12 visits for flexion distraction treatment and ancillary therapies alleviated low back and leg pain symptoms of stenosis. (7) In a 30-patient report of lumbar spine stenosis, flexion distraction reduced pain and disability. (8) In a 57 lumbar spine stenosis patient study, Cox® improved pain by 76%. Disability eased in 73%. (9) In a 30-patient study, Cox® was proved to be an effective intervention for treating pain and dysfunction in patients with lumbar spinal stenosis. (10) Now is the time for non-surgical, conservative care of conditions like cervical radiculopathy and lumbar spine stenosis. Lombardy Chiropractic Clinic offers such chiropractic care. Your Augusta 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.
Augusta CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Lombardy Chiropractic Clinic talks with our Augusta 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 fewer number of stands signifies a higher fall risk. 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) The slower we move as we age, the less our quality of life may be. Increasing the speed of motion may increase mobility in older folks. (12) The quicker the STS, the more the knee and low back moved which should be taken into consideration when testing back pain and knee pain patients. (13) Test your sit-to-stand ability. How did you do? Lombardy Chiropractic Clinic can work with you to tackle back pain and knee pain issues that may be slowing you down!
CONTACT Lombardy Chiropractic Clinic
Thank you for trusting Lombardy Chiropractic Clinic with your healthcare needs. We are happy to be a member of your healthcare mobility and spinal care team and look forward to seeing you at Lombardy Chiropractic Clinic for your up-coming visit!