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Healthy News - April 2021

Largo chiropractic care for cervical radiculopathy and lumbar spinal stenosis is often ignored in medical studies and recommendations despite documented benefits.  

 
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 most common spinal pain conditions is often not considered in medical studies despite the plethora of studies describing benefit. (The “why?” discussion is for another article.) Here are a couple 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 ponder what would ensue if they decided not to have surgery. (1) The research regarding Cox® Technic for patients with cervical spine radiculopathy show benefits for such patients. Cervical radiculopathy due to a large C5-6 settled 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 presenting non-surgical treatment for lumbar spine stenosis. In a review of published clinical practice guidelines for the care of lumbar spinal stenosis, researchers wrote that non-surgical treatments (28.6%) were less commonly given than injections (92.3%) and surgery (66%). (5) The research on the advantage and value of conservative care of lumbar spinal stenosis is growing, particularly 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 described 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 eased in 73%. (9) In a 30-patient study, Cox® was shown to be an effective 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 cervical radiculopathy and lumbar spine stenosis. Hollstrom & Associates Inc offers such chiropractic care. Your Largo 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 utilization of the Cox® Technic System of Spinal Pain Management for lumbar spine stenosis.

Largo chiropractic patients are encouraged to check their mobility via the sit-to-stand test…and increase mobility by doing it! 

Largo CHIROPRACTIC TIP OF THE MONTH:
Practice Sit-To-Stand for Balance

Hollstrom & Associates Inc talks with our Largo 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 get up from a fully seated sit in 30 seconds. A smaller number of stands indicates a greater 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 considered when testing back pain and knee pain patients. (13) Test your sit-to-stand ability. How did you do? Hollstrom & Associates Inc can work with you to tackle back pain and knee pain issues that may be slowing you down!

CONTACT Hollstrom & Associates Inc

Thank you for trusting Hollstrom & Associates Inc with your healthcare needs. We are pleased to be a member of your healthcare mobility and spinal care team and look forward to seeing you at Hollstrom & Associates Inc for your up-coming visit!