January 2024 Healthy News from Dr. Paulette Hugulet, DC, LLC Disc Herniation Size Doesnt Always Matter and Ways to Lower Chronic Pain
DISC SIZE DOESN’T (necessarily) MATTER!
Now that is a novel idea for the start of a new year amidst all the talk of new year’s talk of dieting to downsize! With back pain and neck pain, a small disc is not necessarily pain-free. Surprised? If you have a small disc and pain, you’re not! What does matter is (1) how much mechanical pressure the disc protrusion is placing on the nerve root and/or (2) how much chemical irritation is present if a disc extrusion’s inner gel-like material has escaped the anular fibers that surround it and now encircles the spinal nerve(s) which has (have) never touched each other before. Nerves don’t like this new chemical “bath” and hurt! A tiny disc extrusion can provoke enormous pain if chemical irritation is part of the problem. A huge disc protrusion may not trigger pain at all if it doesn’t contact a spinal nerve. (1-7) A 2023 published study just concluded that the size of a disc protrusion did not show a noteworthy relationship to pain and function. (8) If you or a loved one or friend is beginning 2024 with La Grande back pain with or without sciatic leg pain or neck pain with or without arm pain radiculopathy, come visit Dr. Paulette Hugulet, DC, LLC for some La Grande pain relief with gentle, safe chiropractic Cox® Technic care!
Listen to this PODCAST with Dr. Timothy Gagan on The Back Doctors Podcast with Dr. Michael Johnson about use of The Cox® Technic System of Spinal Pain Management for a patient experiencing back and leg pain because of a disc herniation.
La Grande CHIROPRACTIC TIP OF THE MONTH: 4 Ways to Reduce Chronic Pain In 2024
As researchers and healthcare professionals try to establish practice guidelines (ex: WHO) in managing chronic pain (back, neck, etc.), they’re studying influencing factors that chronic pain sufferers and their caregivers need to address for optimal clinical outcomes:
- Understand the condition. A clear understanding of the chronic primary low back pain condition via education/advice was associated with beneficial developments in pain, function, quality of life, and psychological outcomes. (9)
- Consider emotional influences. Adverse childhood events were found to be significantly associated with chronic pain and pain-related disability as an adult. (10)
- Undergo spinal manipulation. A study of nonpharmacological pain management approaches utilized by Medicare patients reported that manipulative therapies, mainly chiropractic, have been the most widely investigated approaches. (11) Cox® Technic flexion-distraction - as we use in our chiropractic practice – helped a 67-year-old veteran who suffered with chronic low back pain and intermittent lower extremity pain for several decades find overall improvement in his condition, reduce use of pain medication, and gain mobility after 4 sessions in just a short 4-week period. (12)
- Exercise. Structured exercise programs were shown to decrease pain and functional limitation in chronic low back pain patients. (13)
Make 2024 your year for pain relief! Dr. Paulette Hugulet, DC, LLC is ready to be your La Grande chiropractic partner in this project. See you soon!