Spinal stenosis is a common finding in the spines of older patients. Spinal stenosis is a narrowing of the spinal canal.
This can develop as you age from drying out and shrinking of the disc spaces. (80% of the discs are made up of water) Or it can be caused by scarring from chronic inflammation of the nerve roots as they exit from the spinal foramina next to the spinal canal You can feel pain anywhere along your back or leg that the nerve root supplies.
Walking more than a block can cause great leg and back pain in a stenosis patient; pain is relieved by forward bending or sitting
Spinal stenosis may be in the neck, mid-back or low back
Spinal stenosis can be treated conservatively; surgery is not always necessary or successful and over medication with pain killers can cause side effects from stomach pain, heart failure, stroke and more joint breakdown.
There is a technique founded and taught by chiropractors called Cox Technic which uses a table that provides Flexion distraction and spinal decompression and is considered spinal manipulation
Cox Technic biomechanically opens the spinal canal area by 28% and drops intradiscal pressures to as low as -192mmHg , both desired outcomes when dealing with spinal stenosis which narrows the spinal canal space.
In my office, the Cox technique is combined w other non-force techniques such as pelvic blocking (SOT) and applied kinesiology techinques such as balancing muscles that support the spine and pelvis such as the psoas, piriformis, gluteus maximus, erector muscles and abdominal muscles and treating the lymphatic and vascular points that supply those muscles.
I also use neurokinetic therapy (NKT) which works with the concept that movement is performed in systems or patterns. NKT identifies muscle imbalances by using muscle testing to determine what muscles are inhibited and what muscles are compensating (facilitating) for them.
After balance is restored to the muscles, the vertebrae involved with those muscles are adjusted.
Stretches are given to the previously facilitated muscles and exercises given to the previously inhibited muscles in order to break the pattern that caused the problem.
I use nutrition to decrease the chronic spinal inflammation of the discs and nerves which that increases pain relief.
While spinal stenosis may not be cured due to the degenerative nature of the problem, the painful effect on the patient’s life can be controlled.
Spinal stenosis patients are often happy with relief of the pain that allows them to take a walk or sit for a meal comfortably with their family and other daily activities. Being able to participate in the activities of daily living and family life without the use of prescription drugs with dangerous side effects is often the desired effect of any treatment for spinal stenosis.
Monthly maintenance visits are highly recommended to keep the patient pain free.
Here at Dr. Vittoria Repetto’s practice, we have the table and skills to help you with your spinal stenosis; please give us a call at 212-431-3724 to set up an appointment or just to ask questions.
Chou R et al: Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain An Evidence-Based Clinical Practice Guideline From the American Pain Society. SPINE 2009; 34 (10)
Gudavalli MR, Cox JM, Baker JA, Cramer GD, Patwardhan AG: Intervertebral Disc Pressure Changes During a Chiropractic Procedure. Abstract from the Proceedings of the Bioengineering Conference, Phoenix
A Non-Surgical Approach to the Management of Lumbar Spinal Stenosis: A Prospective Observational Cohort Study BMC Musculoskelet Disord © 2006 Donald R Murphy; Eric L Hurwitz; Amy A Gregory; Ronald Clary http://www.medscape.com/viewarticle/528906
© 2012/ revised 2015/ 2016-Dr. Vittoria Repetto
Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 230 W 13th St., NYC 10011; please go to www.drvittoriarepetto.com
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