Understanding Spondylosis and Chiropractic Care
Spondylosis, also known as spinal osteoarthritis, is a common degenerative condition that affects the vertebrae and discs in the spine. As people age, wear and tear can cause bones and soft tissues in the back to deteriorate, leading to symptoms like chronic lower back pain and stiffness.
Chiropractic medicine focuses on diagnosis and treatment of disorders related to the muscles, nerves, bones and connective tissue. It utilizes techniques like spinal adjustments and manipulations, joint mobilization, soft tissue therapies and physical modalities to provide relief for many musculoskeletal conditions.
Symptoms of Spondylosis
Common symptoms associated with lumbar spondylosis include:
- Lower back pain that may radiate into the buttocks or thighs
- Stiffness and reduced range of motion in the lower back
- Aching or tenderness in the lower back area
- Pain or numbness that shoots down one or both legs (sciatica)
- Muscle spasms in the lower back
Causes and Risk Factors
Some of the common causes and risks associated with developing spondylosis include:
- Old age - Risk increases substantially after age 40
- Obesity or excess weight placing strain on joints
- Genetics or family history of arthritis
- Joint injuries, fractures or disc-related injuries in the spine
- Physically demanding occupations like construction, farming or manufacturing
- Smoking cigarettes long-term
Chiropractic Care for Spondylosis Management
Many patients dealing with painful spondylosis symptoms find some relief from regular chiropractic treatment. Chiropractors utilize a range of hands-on techniques and therapies focused on restoring proper alignment of the spinal joints, improving mobility and nerve signaling, and reducing inflammation.
Common Chiropractic Approaches
Chiropractors may use one or more of the following techniques to treat spondylosis patients:
- Spinal manipulation - The chiropractor manually applies controlled force and pressure to mobilize stiff joints and guide them back into their natural position. This can create a vacuum effect, drawing bulging discs back into place.
- Flexion-distraction technique - Gentle pumping motions are used to flex and decompress compressed spinal segments, taking pressure off bulging discs and nearby nerves.
- Spinal mobilization - Low-force oscillating techniques help joints regain mobility and take pressure off compressed nerve roots.
- Interferential current therapy - Electrical nerve stimulation helps block pain signals, reduce inflammation and facilitate healing.
- Therapeutic exercises - Stretches and exercises tailored to each patient’s condition help improve strength, flexibility and range of motion.
Potential Benefits
Research shows chiropractic adjustments can be an effective complement to conventional treatment for chronic back issues related to spondylosis. Potential benefits include:
- Decreased intensity of lower back pain
- Reduced stiffness and increased mobility
- Less sciatic or radiating nerve pain
- Improved ability to perform daily physical activities
- Increased productivity and less disability from back problems
- Enhanced overall quality of life
Is Chiropractic Safe for Spondylosis?
Most individuals with mild to moderate spondylosis can safely undergo chiropractic treatment when performed by a trained professional using proper techniques. However, there are some circumstances where chiropractic adjustments could pose risks.
Contraindications to Chiropractic Therapy
The following conditions may preclude using certain chiropractic interventions:
- Acute fractures, infections or tumors affecting the spine
- Spinal instability or loosening between vertebral segments
- Bleeding disorders or use of blood thinners
- Osteoporosis with high risk for fractures
- Cauda equina syndrome with severe nerve root compression
Seeking Medical Input
It's always important to discuss your spondylosis diagnosis thoroughly with any new providers prior to beginning care. Your medical doctor can help determine if chiropractic treatment is appropriate for your individual situation.
Most chiropractors will also request your latest imaging reports (x-rays, MRI scans) related to your back problems. Reviewing these allows them to identify any issues making adjustments hazardous before creating your treatment plan.
A Multidisciplinary Approach
Combining chiropractic with other interventions may deliver optimal spondylosis relief and help you maintain benefits long-term. This can include:
- Ongoing medical monitoring for disease progression
- Prescription medications to alleviate pain and inflammation when needed
- Physical therapy exercises to improve strength and flexibility
- Education on proper posture, ergonomics and home exercise routines
- Weight loss counseling if excess weight is contributing to joint strain
- Braces, supports or shoe inserts to aid daily function
- Referrals to pain management or orthopedic spine specialists for severe cases
Frequently Asked Questions
How Often Will I Need Chiropractic Visits?
During the initial 6-12 week intensive phase of care, most patients come in 2-3 times per week. Following this, the frequency is reduced to maintenance or wellness visits occurring every 2-4 weeks to sustain benefits long-term.
Will My Insurance Cover Chiropractic Therapy?
Many health insurance plans offer some coverage of chiropractic services. Contact your insurance provider to understand your policy’s provisions for alternative care. Significant out-of-pocket expenses may still apply with co-pays, coinsurance rates and deductibles.
Are There Side Effects Related to Chiropractic Adjustments?
The most common side effect is temporary muscle soreness or joint stiffness for 24-48 hours after manipulations. Headaches, fatigue and irritation of spinal nerves can also occur on rare occasions. Discuss any concerning symptoms promptly with your chiropractor.
FAQs
Can chiropractic help reduce my reliance on NSAID pain medications?
Yes, research indicates chiropractic care often minimizes the need for anti-inflammatory and analgesic medications when applied as part of a comprehensive treatment plan. However, you should never stop prescribed medications without consulting your physician first.
What results can I realistically expect from chiropractic treatments?
Most patients experience some level of pain relief and improved mobility within the first 6 weeks of chiropractic care. However, outcomes depend greatly on the severity of joint degeneration and nerve involvement. Patience and persistence with therapy is key.
Does Medicare provide any coverage for chiropractic services?
Traditional Medicare pays for a limited number of chiropractic visits per year if deemed medically necessary. Contact your plan to understand specific allowances regarding alternative therapies for spondylosis symptoms.
Are there activity modifications I should make to avoid aggravating my spondylosis?
Avoiding high-impact activities, repetitive bending, heavy lifting, and long periods of sitting or standing can help. Your chiropractor can provide personalized lifestyle and ergonomic guidance to prevent exacerbating spinal arthritis flare-ups.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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