Chiropractic Care Can Help Lumbar Radiculopathy!

The following is a copy of an article from Mark Studin DC, FASBE (C), DAAPM, DAAMLP. It shows the latest research on chiropractic care for treating disc pain.

Back and Leg Pain (Lumbar Radiculopathy) as a Result of Disc Herniation and the Long Term Effect of Chiropractic Care

The term "herniated disc," has been called many things from a slipped disc to a bulging disc to a ruptured disc. To a doctor who specializes in disc problems, the term is critical because it tells them how to create a prognosis and subsequent treatment plan for their patient. To clarify the disc issue, a herniated disc is where a disc tears and the internal material of the disc, called the nucleus pulposis extends through that tear and is always from trauma, or an accident. This differs from a bulging disc that is a degenerative "wear and tear" phenomenon where the internal material or nucleus pulposis does not extend through the disc because there has been no tear, but the walls of the disc have been thinned from degeneration and the internal disc material create pressure with thinned external walls and the disc itself "spreads out" or bulges..

There are various forms and degrees of disc issues, but the biggest concern of the specialist is whether nerves are being affected that can cause significant pain or other problems. The problem exists when the disc, as a result of a herniation or bulge is touching or compressing those neurological elements, which is comprised of either the spinal cord, the nerve root (a nerve the extends from the spinal cord) or the covering of the nerves, called the thecal sac.

There are 2 concerns that doctors consider, first is the structure that we have just discussed and the second is what has the herniation of the neurological element caused. In this scenario, there are 2 problems, the spinal cord or nerve root. If the disc has compromised the spinal cord, it is called a myelopathy (my-e-lo-pathy) where you have a compression of the spinal cord and problems with your arms or legs and an immediate visit to the neurosurgeon is warranted for a surgical consultation.

The second problem is when the disc is effecting the spinal nerve root, called a radiculopathy and is a very common problem. A doctor of chiropractic experienced in treating radiculopathy has to determine if there is enough room between the disc and the nerve in order to determine if a surgical consultation is warranted or if they can safely treat you. This is done by a thorough clinical examination and in many cases an MRI is required to make a final diagnosis. Most patients do not need a surgical consultation and can be safely treated by an experienced chiropractor.

While herniations can occur anywhere, it was reported in the US Chiropractic Directory in 2010 that 95% occur in the lower back, who stated "The highest prevalence of herniated lumbar discs is among people aged 30–50 years, with a male to female ratio of 2:1. In people aged 25–55 years, about 95% of herniated discs occur at the lower lumbar spine (L4/5 and L5/S1 level); disc herniation above this level is more common in people aged over 55 years."

It was reported by Aspegren and co-researchers in 2009 that 80% of the chiropractic patients studied with both neck and low back (cervical and lumbar) disc herniations had a good clinical outcome with post-care visual analog scores under 2 [0 to 10 with 0 being no pain and 10 being the worst pain imaginable] and resolution of abnormal clinical examination findings. Anatomically, after repeat MRI scans, 63% of the patients studied revealed a reduced size or completely resorbed disc herniation.

A study by Murphy, Hurwitz and McGovern in 2009 focused only on low back (lumbar) disc herniations and concluded that "nearly 90% of chiropractic patients reported their outcomes to be either "excellent or good...with clinically meaningful improvement n pain intensity in 74% of patients." The researchers also concluded that the improvements from chiropractic care was maintained for 14 1/2 months, the length of the study indicating this isn't a temporary, but a long-term solution.

It was reported in Journal Manipulative Physiological Therapy 1996 that 78% percent of the low back-lumbar disc herniation patients were able to return to work in their pre-disability occupations, which is the result of the 90% of all low back-lumbar disc herniation patients getting better with chiropractic care as discussed above.

These are the reasons that chiropractic has been, and needs to be considered for the primary care for low back-lumbar disc herniations with resultant pain in the back or legs. This study, along with many others concludes that a drug-free approach of chiropractic care is one of the best solutions to herniated discs and low back or leg pain. To find a qualified doctor of chiropractic near you, go to the US Chiropractic Directory at www.USChiroDirectory.com and search your state.

References:


1. http://www.uschirodirectory.com/index.php/patient-information/item/242-cervical-and-lumbar-disc-herniations-and-chiropractic-care

2. Donald Aspegren, DC, MS, Brian A. Enebo, DC, PhD, Matt Miller, MD, Linda White, MD, Venu Akuthota, MD, Thomas E. Hyde, DC, and James M. Cox, DC. Functional Scores and Subjective Responses of Injured Workers with Back or Neck Pain Treated with Chiropractic Care in an Integrative Program: A Prospective Analysis of 100 Cases, Journal Manipulative Physiological Therapy 2009;32:765-771

3. Magnetic Resonance Imaging and Clinical Follow-Up: Study of 27 Patients Receiving Chiropractic Care for Cervical and Lumbar Disc Herniations. Journal Manipulative Physiological Therapy, 1996 Nov-Dec; 19(9): 597-606

4. Murphy D R, Hurwitz E L, McGovern E E, A Nonsurgical Approach to the Management of Patients with Lumbar Radiculopathy Secondary to Herniated Disc: A Prospective Observational Cohert Study with Follow-Up, . Journal Manipulative Physiological Therapy, 2009, November (32) 9: 723-733


The Glastonbury Chiropractor is located in central Connecticut- CT Spine and Disc Center specializes in patients who suffer from sciatica, disc degeneration, bulging disc or herniated disc in the lumbar spine. Call our chiropractic office at 860-633-8756 to schedule an appointment and to see if you are a candidate for non surgical spinal decompressionAdditional Reading Resources:

• Lumbar Radiculopathy Article
  
• Find A Chiropractor
  
• Chiropractic and Spinal Decompression
  
• What is Non Surgical Spinal Decompression: FAQ's
• Research about Non Surgical Spinal Decompression

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Continuous Pressure on Nerves can Lead to Nerve Damage

As you can imagine, if you continue to put pressure on a low back nerve that nerve can start to deteriorate. Like the root of a plant, if you confine it to a pot to small or forget to supply it with light and water, it will cease to grow, and eventually will shrivel up.

The nerves are similar, if we allow the life force to be cut off then eventually it will atrophy. Of course, at this point, pain may become more permanent and other symptoms may start to arise.

The symptoms associated with lumbar nerve pressure include pain, tingling and numbness, sciatica, and even leg weakness.

In the lower back the common term for this is “Sciatica.” Lumbar Disc herniation often causes sciatica. What happens is the disc ruptures outward, putting pressure on nerve roots. This pressure eventually can lead to disc and nerve degeneration.


CT Spine and Disc Center is located in central Connecticut- Specializing in patients who suffer from sciatica, disc degeneration, bulging disc or herniated disc in the lumbar spine. Call us at 860-633-8756 to see if you are a candidate for non surgical spinal decompression

Additional Reading Resources:

• Two Tips to Avoid Back Pain
  
• Gardening Safely without Pain
  
• Glastonbury Chiropractor
  
• Proven Techniques for Back Pain
  
• What is Non Surgical Spinal Decompression: FAQ's
• Research about Non Surgical Spinal Decompression

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The Differences In Various Lumber Disc Conditions…

I often have patients that bring in their MRI report page with a very confused look on their face. Doctor- can you tell me what this word means?

The lumbar spine consists of five vertebrae or spinal segments. Between each segment is a disc. This disc acts as a shock absorber so we can do things like: run, jump, twist, and lift. It also acts as a spacer between segments forming a hole between spinal vertebrae. L1 refers to Lumbar 1, L2- Lumbar2, and so on. There is an L1 to L5, then you hit the sacrum which is often referred to as S1.

Disc problems are often classified into one or more of the following conditions:

• Disc Degeneration- this is age related breakdown of the disc. This is often synonymous with disc desiccation and is accompanied with fibrosis and osteophyte formation of adjacent vertebrae.
  
  
• Disc Desiccation- a disc that has fibrosed or hardened due to loss of water content. You see the disc is made up of an annulus (outer fibers which are slightly harder), then the inner nucleus which is more of a gel-like material.
  
  
  
• An annular tear refers to any disruption in the outer disc fibers. Besides a tear you can also have a rupture of the annulus fibrosis. The annulus is the outer ring of the disc.
  
  
• When someone has a herniated disc they have disc material that has broken out through the annulus. The nucleus pulposis is displaced beyond the margins of the vertebrae.
  
  
• Next is a Disc Protrusion- It is basically another name for a herniated disc. There are two types; focal disc protrusions or broad based disc protrusions. Focal is when the disc protrusion is less than 25% of the disc circumference. A broad based protrusion is when the disk protrusion encompasses 25-50% of the disc circumference.
  
  
  
• When the disc that has herniated out is more wide than it is long (meaning how far it is reaching outward) it is a Protruding Disc vs. the next definition.
  
  
  
• Extruded Disc- this means the disc has come outward further than it is wide. Extruded discs can also be classified as sequestered or migrated discs.
  
  
  
• Sequestered disc- Also called a migrated disc, is when that extrusion breaks free from its connection to the rest of the disc material and is now a free fragment or “fragmented disc.”
  

Additional Reading Resources

• The Most Common Disc Herniation in the Neck
  
• Understanding A Disc Problem with a Jelly Donut: Herniated Disc or Slipped Disc?
  
• Understanding Non Surgical Spinal Decompression: FAQ's
  
• Research about Non Surgical Spinal Decompression

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CT Spine and Disc Center is located in central Connecticut- Specializing in patients who suffer from sciatica, disc degeneration, bulging disc or herniated disc in the lumbar spine. Call us at 860-633-8756 to see if you are a candidate for non surgical spinal decompression

If You Have Back Pain... Do You Really Need An X-ray?

Most chiropractic patients have x-rays taken of their lumbar spine. Since x-rays do carry a very small risk of tissue damage, this risk needs to be outweighed by benefits. So, how are x-rays used in our clinic?

First, x-rays can tell us about medical conditions that may require referral to another health care provider such as a spine tumor or an infection. Fortunately, these diseases are very rare, but they do need to be considered in every patient, especially those who may have certain "red flags" such as back pain at night or rest, or if there is also a fever. In addition, certain severe traumas (like a fall) can produce fractures. In an older adult with osteoporosis, or someone taking steroid medications over years, even a minor trauma event can be enough to cause a break, because the bone is in a weakened condition.

After these very rare conditions are ruled out, your x-rays can provide important information about your anatomy and physical posture. For example, curvatures of the lumbar spine, such as scoliosis, are virtually undetectable without an x-ray. If we know how your spine is deviated, this information can help direct the adjustment more specifically. Sometimes leg lengths are uneven and a person may require an orthotic (arch support) or heel lift to level the foundation for your spine. About one in ten patients will have an unequal leg length of a centimeter or more.

In terms of the bone anatomy, x-rays can show the planes and angles of the disks between bones and whether any degeneration is present. If the degeneration is advanced, then a natural bone fusion may be present. It should be obvious that if the spinal anatomy does not allow movement or if the joints are literally fused movement is impossible, then adjustments are not appropriate.

X-rays can also show us how one area of the spine mechanically compensates for a deviated area below. Sometimes, pain may be present at compensatory areas but without knowledge of the cause of this deviation, care may be less optimum. Just as the lumbar spine may compensate for a pelvic problem, so to can a neck condition be caused by abnormal postural lower down the spine. The x-rays can show us how case management needs to be altered to reflect your individual needs.

In any case, x-rays are important to reach an accurate diagnosis, which is the first step on the road to recovery and regaining your vitality and quality of life.

If you'd like to schedule a complimentary consultation to discuss your health concerns just call us at 860-633-8756 to make an appointment.

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"I Have Stenosis And Arthritis in My Lumbar Spine. Is It Too Late To Rlieve My Back Pain?"

"I Have Stenosis And Arthritis in My Lumbar Spine...Is It Too Late To Rlieve My Back Pain?"


It is advised to get to our office or a doctor close to you before you pain reaches a severe level and before the degeneration becomes extreme. However we have been able to help many patients who thought they were going to somehow just live with their pain. Patient's who were told by another doctor they would have to live with it; or told because of their stenosis "there's nothing we can do."

Sometimes people have tried so many treatments - medication, low back pain injections, accupuncture, physical therapy; that they have just about given up.

Arthritis and back degeneration are the same thing. And stenosis occurs when that breakdown narrows the holes where either your nerves come of your spinal cord or the hole in the back of the spine the spinal cord travels down.

You see, for you to remain pain free and for your body to work like it should, without muscle problems and problems walking or standing for example, all of your nerves must be free from pressure or interference.

When your disc start to deteriorate, they bulge and flatten. Both the bulging and flattening of your discs shrink the hole or space your nerves have to flow out of off of you spinal cord. This is called stenosis.



This is definitely bad news! But the good news is: The DRX 9000 Spinal Decompression may be able to help!!
Read what some of our patients with severe pain and degeneration and even stenosis had to say.