In 2011, the prestigious Journal Spine reported a study on the effectiveness of maintenance spinal manipulative therapy (SMT) in long term reduction of pain and disability associated with chronic low back conditions. When we suffer an acute episode of severe back pain, often there are changes that occur in the spinal discs and joints that can predispose us to chronic back pain, disability, relapses of the initial problem and progressive degenerative changes that can make life miserable as we get older. Read more
After a serious injury to the spine steps towards reintegrating movement into your life may seem daunting. Rehabilitation is a very important towards the overall improvement of a condition like a disc herniation. The chiropractic doctors at the Vancouver Spine Care Centre use therapeutic exercises to maximize in office treatments. Here are three exercises you can do at home to help protect your back. Read more
Spinal Stenosis is a progressive condition that leads to pain and disability and arises from a combination of hereditary and degenerative changes in the spine. Spinal stenosis is an abnormal narrowing (stenosis) of the spinal canal that may occur in any of the regions of the spine. It is one of the most common conditions requiring surgery in patients over 60, but the effects of spinal stenosis can be felt at a much younger age. It is commonly associated with the lumbar spine, but when it occurs in the cervical or neck area, can be much more serious and may lead to paralysis. Read more
An article in the January 2016 edition of the Journal of Manipulative and Physiologic Therapeutics (JMPT) has reported evidence that doctors of chiropractic are well suited to diagnose, treat, co-manage, and manage the treatment of patients with low back pain disorders. Read more
Spinal cysts are painful conditions which can affect both young and old. They are typically associated with underlying degenerative changes that contribute to the dislodging of material into fluid channels, which can cause a blockage to occur. This may lead to a spontaneous build-up of fluid or joint debris in a dam like fashion. When the pressure of the fluid presses against sensitive nerve structures in the spine, pain and sometimes weakness can be the end result. These cysts are not always seen clearly on x-ray or CT scan, but can be visualized nicely on MRI. Spinal cysts are a possible differential diagnosis in spinal pain patients, especially when leg or arm pain is present.
Soft tissue conditions such as plantar fasciitis, lateral epicondylitis, myofascial trigger points and other tendinopathies can be difficult to treat. Once these conditions become chronic they can be extremely painful and debilitating. The Doctors of the Vancouver Spine Care Centre use Shockwave Therapy for the treatment of these conditions. Shockwave has been shown to be safe, and effective in the treatment of musculoskeletal disorders. Read more
Prescription of anti-inflammatory medications has been common practice for management of low back pain by Medical Doctors. As evidence suggests some anti-inflammatories have a greater risk for cardiovascular disease, Nonsteroidal Anti-inflammatory Drugs (NSAIDS) have become the preferred medication. At the Vancouver Spine Care Centre we see many patients with a history of NSAID use and we feel it is important to present the most up to date protocols for NSAID use. Read more
The Chiropractic doctors at the Vancouver Spine Care Centre are pleased to announce that Dr. Paul Greenwood has completed the extensive certification course in Cox Technic. He is now “Cox Certified” and shares this distinction with his colleagues Dr. Richard Hunter and Dr. Dean Greenwood.
The Cox Technic has evolved from strong research, is applied by doctors who participate in rigorous training and recertification and is appreciated by patients for the gentle approach and exceptional outcomes resulting from care. Read more
Epidural Steroids Have Limited Or No Benefit
Chiropractic Doctors at the Vancouver Spine Care Centre in Vancouver, BC have witnessed first-hand the limited effects of spinal steroids and now an important study confirms this. Here is a summary of that study from Medscape.
Epidural corticosteroid injections offer limited short-term relief for radiculopathy and no clear benefit for spinal stenosis, a systematic review and meta-analysis of published studies concludes.
Steroid injections are commonly and increasingly used to treat radiculopathy and spinal stenosis, despite conflicting evidence of efficacy, the authors note in their paper.
“As epidural injections are just one of many treatments available for the low back pain conditions that were the focus of the article (radiculopathy and spinal stenosis), it’s important to understand their benefits and harms to help clinicians and patients make informed choices,” first author Roger Chou, MD, from Oregon Health & Science University, Portland, told Medscape Medical News.
Their results were published online August 24 in Annals of Internal Medicine. Read more
Spinal stenosis. If that isn’t a recognizable phrase to you, it likely is to a friend or family member. It’s the most prevalent reason for spinal surgery in older adults (and origination of angst among some younger folks, too!). Spinal stenosis results from all types of issues, but the bottom line is that the spinal canal space is narrowed which leaves little room for the spinal nerves and back pain results. The Vancouver Spine Care Centre offers a gentle, effective, non-surgical approach to relief for Vancouver back pain patients with lumbar spinal stenosis. Read more