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Healthy News - April 2021

La Grande 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 a couple of the most common spinal pain conditions is often not mentioned in medical studies regardless of the abundance of studies demonstrating benefit. (The “why?” discussion is for another article.) Here are a couple examples. (1) One example is in treating cervical radiculopathy patients, patients with neck-related arm pain, and myelopathy. The original study looked at the outcomes one year after cervical spine surgery for these conditions with no comparison to conservative care for patients who wonder what would ensue if they decided not to have surgery. (1) The research about Cox® Technic for patients with cervical spine radiculopathy show advantages for such 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 provided relief in a mean of 13.2 visits. (3) At 2-year follow-up for a cervical disc herniation and arm pain after 15 treatments in 10 weeks, relief remained stable. (4) (2) The other example is not presenting non-surgical treatment for lumbar spine stenosis. In an analysis 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 effectiveness of conservative care of lumbar spinal stenosis is growing, especially with Cox® Technic. A case report affirmed 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 study of lumbar spine stenosis, flexion distraction decreased pain and disability. (8) In a 57 lumbar spine stenosis patient study, Cox® relieved pain by 76%. Disability improved in 73%. (9) In a 30-patient study, Cox® was shown 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. Paulette Hugulet, DC, LLC offers such chiropractic care. Your La Grande 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 utilization of the Cox® Technic System of Spinal Pain Management for lumbar spine stenosis.

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

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

Dr. Paulette Hugulet, DC, LLC talks with our La Grande 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 stand 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 motion speed may boost mobility in older people. (12) The faster the speed of 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) Check your sit-to-stand ability. How did you do? Dr. Paulette Hugulet, DC, LLC can work with you to address back pain and knee pain issues that may be slowing you down!

CONTACT Dr. Paulette Hugulet, DC, LLC

Thank you for confiding in La Grande chiropractic care for your healthcare needs. We are pleased to be a part of your healthcare mobility and spinal care team and look forward to visiting with you at Dr. Paulette Hugulet, DC, LLC for your next appointment!