March 2023 Healthy News from Dr. Butwell Failed Back Surgery Back Pain Relief with Gentle Spinal Manipulation Take Your Vitamin D!

picture of a Georgetown spinal manipulation for back pain after back surgery

FAILED BACK SURGERY BACK PAIN RELIEF
 
Gentle spinal manipulation for back pain that lingers or comes back after back surgery - sometimes called persistent post-surgical pain or post-surgical continued pain -  is demonstrating effectiveness. And Cox® Technic as used at our Georgetown chiropractic clinic is receiving attention for its pain-alleviating outcomes! So have you experienced back surgery? Do you still suffer with back pain…or has it come back? You’re not alone, especially in wanting the pain gone. Some will choose more medical options like surgery or pain meds or physical therapy, etc. Others will try to find non-medical options like spinal manipulation. A new meta-analysis of published data on the kinds of spinal manipulation employed to treat back pain patients with persistent spine pain after lumbar surgery determined that spinal manipulation practitioners chose to use potentially gentler non-thrust techniques – 85% chose flexion-distraction (aka Cox® Technic) – over thrust techniques. (1) A published study of 69 post-surgical patients managed with Cox® Technic documented that in 11 visits over a 49 day treatment period 81% of the patients got more than 50% relief of pain. The mean percent of relief was 71.6% when the active treatment time was done and 70% at 2-year-follow-up. The relief lasted! (2) The frustration of back pain is understandable. The frustration of back pain after back surgery that was anticipated to eliminate it is even more frustrating. Dr. Butwell proposes Cox® Technic to decrease the pain…and the frustration!

Listen to this PODCAST with Dr. Gary Stefanick on The Back Doctors Podcast with Dr. Michael Johnson as he describes the help his patient got with The Cox® Technic System of Spinal Pain Management.

picture of Georgetown low back pain and lumbar disc degeneration benefit from higher levels of vitamin D

TIP OF THE MONTH: Another Reason to Be Up on Your Vitamin D! LBP And Disc Degeneration

Higher vitamin D levels were found to be associated with better physical performance in low back pain (LBP) sufferers with lumbar disc degeneration (LDD). Researchers measured vitamin D levels and muscle strength in 200 participants. It required more time for those who had low levels of vitamin D to do these tests: gait speed, chair stand, and timed-up-and-go (TUG) tests. (3) Postmenopausal women with vitamin D deficiency (particularly those with less than 10 ng/mL which marked severe LDD and LBP) are noted to have LBP and LDD. If they smoked, had a high body mass index, osteoporosis, and no D supplementation, the moderate to severe pain was elevated. (4) Another report indicated that frailty status and physical performance measures (gait speed and TUG) were significantly associated with vitamin D concentration. (5) Dr. Butwell asks: How’s your vitamin D level? Time to check it!

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Schedule your next Georgetown chiropractic visit with Dr. Butwell soon.