January 2024 Healthy News from Johnson Chiropractic Disc Herniation Size Doesnt Always Matter and Ways to Lower Chronic Pain

image of lumbar Richmond disc herniation

DISC SIZE DOESN’T (necessarily) MATTER!

Now that’s’ a novel idea for the start of a new year amidst all the talk of new year’s talk of dieting to downsize! With back pain and neck pain, a small disc isn’t really pain-free. Surprised? If you have a small disc and pain, you aren’t! What matters is (1) how much mechanical pressure the disc protrusion is putting on the nerve root and/or (2) the amount of chemical irritation is present if a disc extrusion’s inner gel-like material has left the outer annular fibers and now encircles the spinal nerve(s) which has (have) never come in contact with each other before. Nerves hurt when this new chemical irritant comes in! A tiny extruded disc can produce enormous pain if chemical irritation is involved. A huge protruded may not produce pain at all if it does not contact a spinal nerve. (1-7) A 2023 published study just concluded that the size of a disc protrusion did not demonstrate a noteworthy relationship to pain and function. (8) If you or a loved one or friend is starting 2024 with Richmond back pain with or without sciatic leg pain or neck pain with or without arm pain radiculopathy, come visit Johnson Chiropractic for some Richmond pain relief with gentle, safe chiropractic Cox® Technic care!

Listen to this PODCAST with Dr. Timothy Gagan on The Back Doctors Podcast with Dr. Michael Johnson about use of The Cox® Technic System of Spinal Pain Management for a patient experiencing back and leg pain because of a disc herniation.              

image of Richmond chiropractic tips to ease chronic pain: understanding, acknowledging emotions, undergoing manipulation, exercising

Richmond CHIROPRACTIC TIP OF THE MONTH: 4 Ways to Reduce Chronic Pain In 2024

As researchers and healthcare professionals try to establish practice guidelines (ex: WHO) to manage chronic pain (back, neck, etc.), they’re analyzing influencing factors that chronic pain sufferers and their caregivers need to address for optimal clinical outcomes:

  1. Understand the condition. A clear understanding of the chronic primary low back pain condition via education/advice was related to beneficial developments in pain, function, quality of life, and psychological outcomes. (9)
  2. Consider emotional influences. Adverse childhood events were found to be significantly related to chronic pain and pain-related disability as an adult. (10)
  3. Undergo spinal manipulation. A review of nonpharmacological pain management methods undergone by Medicare patients reported that manipulative therapies, mainly chiropractic, have been the most extensively studied approaches. (11) Cox® Technic flexion-distraction - as we utilize in our chiropractic practice – benefitted a 67-year-old veteran who experienced chronic low back pain and intermittent lower extremity pain for many decades get overall improvement in his condition, reduce use of pain medication, and gain mobility after 4 sessions over a 4-week period. (12)
  4. Exercise. Structured exercise programs were documented to decrease pain and functional limitation in chronic low back pain patients. (13)
Only do any of these after consulting your Richmond chiropractor first! 

Make 2024 your year for pain relief! Johnson Chiropractic is happy to be your Richmond chiropractic partner in this project. See you soon!

Schedule your Richmond chiropractic appointment today!