CRITICISM OF NOT CONSIDERING NON-SURGICAL, CONSERVATIVE CARE: Cervical Radiculopathy and Lumbar Spine Stenosis
Conservative treatment – like chiropractic spinal manipulation
and Cox® Technic - of some of the highly common spinal
pain conditions is often ignored in medical studies despite 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 examined the outcomes one year after cervical spine surgery for these conditions with no
comparison to conservative care for patients who wonder
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 due to a large C5-6 resolved
with flexion distraction. (2) In a 39-patient study, cervical radiculopathy
treated with Cox® Technic provided relief in a mean of 13.2 visits.
(3) At 2-year follow-up for a cervical disc herniation patient with arm pain after 15 treatments
in 10 weeks, relief stayed stable. (4) (2) The other example
is not recommending non-surgical treatment for lumbar
spine stenosis. In a review of published clinical practice
guidelines for lumbar spine stenosis care,
researchers wrote that non-surgical treatments (28.6%) were not
as commonly given than injections (92.3%) and
surgery (66%). (5) The research on the benefit and value
of conservative care of lumbar spinal stenosis is expanding, especially
with Cox® Technic. A case report stated that Cox® flexion
distraction reduced 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 relieved 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
got better in 73%. (9) In a 30-patient study, Cox® was proved
to be a helpful intervention for treating pain and
dysfunction in patients with lumbar spinal stenosis. (10) The
time has come for non-surgical, conservative care of conditions like lumbar
spinal stenosis and cervical radiculopathy. Dr. Le's Chiropractic & Wellness, L.L.C. offers such chiropractic care. Your Auburn
chiropractor is experienced 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.
Auburn CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance
Dr. Le's Chiropractic & Wellness, L.L.C. talks with our Auburn chiropractic
patients about practicing sit-to-stand motion to maintain
and improve mobility and health. Sit-to-stand test is ascertained
by how many times you can stand up from a fully seated position
in 30 seconds. A lower number of stands indicates
a greater risk of falling. By age, the number of
stands for risk differs. 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) Moving slowly as we age may reduce the quality of daily life.
Improving motion speed may boost
mobility in older folks. (12) The quicker
the STS, the more the low back and knee moved which
should be considered when testing back pain and
knee pain patients. (13) Test your sit-to-stand ability.
How did you do? Dr. Le's Chiropractic & Wellness, L.L.C. can work with you to tackle
back pain and knee pain issues that may be slowing you down!
CONTACT Dr. Le's Chiropractic & Wellness, L.L.C.
Thank you for trusting Dr. Le's Chiropractic & Wellness, L.L.C. with your healthcare needs. We are
happy to be a part of your healthcare mobility
and spinal care team and look forward to seeing you at Dr. Le's Chiropractic & Wellness, L.L.C.
for your next visit!