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  • elroy1414
    Participant
    Post count: 23

    would flexion-distraction therapy and low-level laser therapy be worth exploring for cervical disc herniation and moderate foraminal stenosis?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Traction of which flexion-distraction is a component can be helpful but manipulation of the neck under traction (the flexion part) can cause more root irritation. Laser therapy is harmless so I have no objection to it but it can be expensive and unhelpful.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    elroy1414
    Participant
    Post count: 23

    have there been any published instances of the adverse effects of flexion-distraction therapy that i could look at? relative to HVLA of cervical spine, is flexion-distraction as risky?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Flexion-distraction technique in the cervical spine is generally less risky than high velocity manipulation of the cervical spine but it really depends upon your disorder and the ability of the chiropractor who is treating you. As long as you don’t have stenosis and the chiropractor is careful, the technique is generally safe. I have anecdotal reports of injury in lumbar spine flexion-distraction technique as this is much more common but I can imagine that these stories would apply in the cervical technique.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    elroy1414
    Participant
    Post count: 23

    When you say stenosis, of which kind are you speaking? Canal? Foramen? Either? What about stenosis makes flexion-distraction risky?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Stenosis of the cervical spine can pinch the spinal cord with extension. Uncontrolled extension as can occur with the flexion/distraction device you are interested in can cause cord impingement and possible injury.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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