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Size of Manahawkin Disc Herniation in Canal Is Not That Important

Disc herniations abound! 76% of us have one. (1) Do all 76% have back pain right now? Thankfully, no! The presence of a disc herniation on imaging isn’t the important issue. The concern is whether that disc is producing pain either mechanically (by pressing on a nerve) or chemically (by irritating a nerve). Manahawkin Chiropractic Center figures this out during the all-important physical exam. The MRI and other imaging studies are extras that can assist - or distract - the chiropractic back pain treatment approach if the doctor and patient allow it. So let’s not allow it! 


Some imaging studies or MRI images will illustrate very large discs in back pain sufferers who have little or no pain while back pain sufferers who are in awful pain may have a small disc herniation. It can be upsetting. Luckily, research continues to comfort all involved by explaining that size isn’t everything. A study documented that there was no correlation of pain and disability with the size of a disc herniation seen on MRI. (2) Another study of 368 patients diagnosed with a lumbar disc herniation stated that 91.3% of them did not have back surgery within a year. The surgery patients’ discs occupied 31.5% of their spinal canal while the non-operative patients’ discs occupied 31.2% of their spinal canals. That is not much of a variance. Researchers wrote that this doesn’t predict which patients will fail nonoperative treatment and require surgery within 2 years after getting a lumbar spine MRI scan. (3) With knowledge of these findings, Manahawkin Chiropractic Center chooses conservative treatment of these disc herniations.


Chiropractors are back pain specialists. Your Manahawkin chiropractor is the Manahawkin back pain specialist. Disc herniations causing pain are accepted at Manahawkin Chiropractic Center as the spinal research shows that, though painful, disc herniations big and small react well to conservative treatment. Actually, in following up with patients who underwent conservative treatment for their disc herniation, 35% to 100% of the cases revealed a decrease in the size of the disc. (4) Two years after conservative care, herniated disc patients showed a 16.5% reduction in size. 57% of patients had a reduction, 40% demonstrated no change in size, and 3% had a larger herniation. (5) More specifically, conservative treatment of the disc herniation with flexion distraction Cox® Technic delivered increases in the measurements of the spinal canal by as much as 28% in area, 17% in height and 7% in width. (6) Manahawkin back pain sufferers are happy with such improvement in their disc herniations as pain relief results.

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Listen to the PODCAST with Dr. George Joachim on The Back Doctors Podcast with Dr. Michael Johnson. Dr. Joachim presents the case of a patient with a disc herniation resulting in spinal stenosis that created significant pain and alteration to her lifestyle which was improved with his use of the Cox® Technic System of Spinal Pain Management.

Schedule your Manahawkin chiropractic appointment today. No matter its size, your disc herniation is in good company and in good hands at Manahawkin Chiropractic Center.

Manahawkin Chiropractic Center reports on new research that again states that the size of a disc herniation doesn’t matter that much. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."