Dr. Hoang's Chiropractic Clinic takes care of
Montreal neck pain patients due to cervical spine disc
herniations that cause arm pain radiculopathy. Non-surgical care
of arm pain radiculopathy eases Montreal neck pain and arm pain
non-surgically.
CERVICAL RADICULOPATHY
In caring for
cervical spine-related arm pain (aka cervical
radiculopathy), research guidelines state conservative
management as a first-line treatment option over surgery.
Clinically, cervical radiculopathy can appear as motor
change, paresthesia, reflex change, numbness and/or sensory change. Researchers have been working
to set guidelines for its non-surgical management and treatment
at different stages of pain including acute, subacute, and
chronic. (1) Dr. Hoang's Chiropractic Clinic uses such guidelines in planning non-surgical treatment
for our Montreal chiropractic patients.
GUIDELINES FOR TREATING CERVICAL DISC HERNIATIONS
In reporting the non-surgical
guidelines, researchers explained the risk-benefit ratio for
surgical treatment of cervical radiculopathy as less beneficial
than for non-surgical, conservative care. When studying the
care of cervical radiculopathy through its phases, the
non-surgical interventions’ guidelines move from acute/more
passive care to chronic/more active,
individualized, self-managed care. Particularly, for the acute
stage, multimodal management including spinal manipulation, patient
education, exercise, and positioning that alleviates the
pain were effective. For subacute cervical
radiculopathy, increased specific exercises, supervised motor
control motions and/or mobilization may be added. In the
chronic phase, patients may profit from general aerobic exercise
and strength training, postural instruction, and ergonomic assessment of
job-related activities, general aerobic exercise and
strength training, postural instruction, and ergonomic assessment of
job-related activities may be added}29}. (2) We understand
that our neck and arm pain patients appreciate activities
like this that allow them to return to living.
TIME AND THE CERVICAL DISC HERNIATION
Overall, in one systematic review study, 56.4%
of degenerative cervical radiculopathy patients - 39.1% of conservatively
treated patients and 60.5% of surgically treated patients – experienced motor deficits before treatment. (3) A
spine surgeon described a case report of a patient who
was ready to undergo cervical spine discectomy/fusion surgery
for a C4-C5 disc herniation whose repeated MRI showed that the disc had resorbed, rendering surgery needless.
The researcher conceded that more research was available
on lumbar disc herniations’ decreasing as seen on MRI by 34.7% to 95% over 6 to 17 months
and total resorption of the disc in 43% to 75% yet contended
that cervical disc herniations were apt to do
the same. (4) Like the author,
Dr. Hoang's Chiropractic Clinic holds out hope for our cervical disc herniation and cervical
radiculopathy patients that surgery may not be necessary. Our
conservative Montreal chiropractic treatment may
well help in relieving the symptoms and pain.
CONTACT Dr. Hoang's Chiropractic Clinic
Listen to this PODCAST
with Dr. Umar Ellahie on The
Back Doctors Podcast with Dr. Michael Johnson as he
describes cervical radiculopathy and its relieving care with
The Cox® Technic System of Spinal Pain Management.
Schedule your Montreal chiropractic
appointment soon. Cervical radiculopathy and cervical disc
herniation sufferers experience a pain-relieving partner at our
chiropractic practice.