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March 25, 2011
"A pain in the neck!" 

Does anyone in La Grande use this expression anymore?

Commonly used in frustration over a situation, "pain in the neck" also is appropriate in describing the literal situation of neck pain experienced by many in La Grande.

In La Grande, Dr. Paulette Hugulet, DC, LLC offers chiropractic relief for your pain in the neck. Dr. Paulette Hugulet, DC, LLC uses non-surgical Cox Technic to gently, safely allay, even control, neck pain.

Many times, neck pain also known as cervical spine pain may be due to pinched nerves from a disc herniation, disc degeneration, spinal stenosis or other condition in the cervical spine or chemical irritation of the cervical spine nerves. The cervical pain symptoms you experience are most valuable in establishing the cause of neck pain. A thorough clinical examination that may include imaging is best to pinpoint the true reason of the neck pain. (1)

In La Grande, Dr. Paulette Hugulet, DC, LLC performs an overall examination which assembles information from several individual tests, noting particularly the location of the pain which is shown to be more exact in identifying the level of a disc herniation should that be the underlying factor. (2)

La Grande neck pain is rarely a surgical condition nor does surgery always benefit the patient with neck pain. Non-surgical pain relief options to alleviate cervical spine pain are even shown greater. Traction relieves pain in 75% of patients with cervical radiculopathy (arm pain). (3)Cervical radiculopathy is relieved in 91% of cases by non-surgical means like manual physical therapy, traction, and exercises. (4) Conservatively treated cervical spine disc herniation patients without myelopathy responded better than surgically treated patients. (5)

Even in neck pain cases with myelopathy, non-surgical care appears to be superior. Surgery is not proven better than conservative care for myelopathy. (6) Long-term outcomes for non-surgical versus surgical treatment of cervical radiculopathy or myelopathy is no different. (7) Cervical spine spondylotic myelopathy is not greatly relieved surgically. Surgery does not reliably modify the natural history of cervical spine myelopathy. Follow-up of 7 years post surgery for cervical spine myelopathy reveals that only 1/3 of the patients were improved. (8) A 6 month follow-up of 62 patients with myelopathy illustrates that there is no surgery-related benefit compared to non-surgical care for cervical spine myelopathy patients. (9)

At Dr. Paulette Hugulet, DC, LLC in La Grande neck pain is treated with chiropractic Cox Technic flexion distraction and decompression procedures which may include at home care as well as cervical spine exercise and possibly nutrition. Cox Technic itself incorporates flexion and decompression to open the spinal canal space and relieve pressure on the spinal nerves lying in the canal.Incorporating flexion is beneficial as MRI shows a 31% increase in the neuroforaminal size in flexion. (10) The biomechanical effects of Cox Technic are documented. In the lumbar spine, Cox Technic is shown to drop intradiscal pressures to as low as a -192mmHG and open the spinal canal space by 28% in area. (11) Current research to document the exact drop in pressure in the cervical spine is underway with a federally funded research grant
 
 

La Grande's Dr. Paulette Hugulet, DC, LLC points to several published cases of neck pain to demonstrate the potential outcomes with chiropractic Cox Technic flexion distraction and decompression non-surgically. Cervical spine foraminal stenosis resulting in severe neck and upper back pain with left arm pain to the fingers finds relief in 15 visits over 10 weeks and is stable two years later. (12) A 60 year old man with neck and arm pain who had tried physical therapy and medication without relief found relief with Cox Technic in just 5 weeks. (13) A 34 year old woman with severe neck, shoulder and arm pain finds entire resolution of her pain after 8 treatments over 2 months. (14)

In 39 patients with neck and arm pain, pain scores dropped 41 points from 50.1 to 8.7 after being non-surgically treated with Cox Technic. (15) Even a patient who suffered for 2 years with neck pain and arm pain and no relief after trying medication, P.T., home traction, and exercise reports relief after the first treatment with Cox Technic. She was seen for [[6 months and a total of 24 visits/twenty-four visits over six months]], and a year later, she remains symptom-free. (16)

In La Grande Dr. Paulette Hugulet, DC, LLC may be your solution to neck pain. Suffering with cervical spine pain just isn't necessary in La Grande. Contact Dr. Paulette Hugulet, DC, LLC for an individualized examination, diagnosis and sensible treatment plan for your neck pain relief.

References for Chiropractic Topic: "A Pain in the Neck!" Non-Surgical Care Is Better.