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Doctor insights on: Manipulation Of Spine

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Is osteopathic manipulation of the spine, especially the upper cervical spine, safe?

Is osteopathic manipulation of the spine, especially the upper cervical spine, safe?

Yes, as long as: The manipulations are done with your neck in neutral or flexed, but never extended. The only serious complications during manipulation (chiropractic or osteopathic) is when the "cracking" techniques are done with your neck in extension. Maneuvers. If you are understandably stressed, ask for more soft tissue, muscle energy and fascial, and less articulatory and they should understand and respect it. ...Read more

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Treatment of disalignment of cervical spine?

Treatment of disalignment of cervical spine?

If no pain no worry: If no symptoms in terms of pain or neurologic symptoms or findings, don't worry unless physician believes that the spine has an instability then you would need surgery. Otherwise, the spine can change its alignment due to degeneration or due to muscular issues or even related to disc herniation or spinal stenosis. If those are causing symptoms you treat them, not how the spine lines up ! ...Read more

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Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Unfortunately....no: As an osteopathic physician, whose practice includes "manipulative therapy, " it is my opinion that spinal stenosis is not correctable with any form of manipulation or physical medicine. This is unfortunately a surgical condition, and i would professionally recommend a consultation with a neurosurgeon, vs. An orthopedist. Your condition requires more expertise, and your end result will be better. ...Read more

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Describe anatomy of the spine and spinal cord?

Describe anatomy of the spine and spinal cord?

Hmmm: Can't be described in 400 characters. Probably can't be appropriately described in a 400 page text book. There are 7 cervical vertebrae, 12 rib bearing thoracic vertebrae, 5 non-rib bearing lumbar vertebrae (there are normal variants to these by the way) .There are 5 fused sacral vertebrae, and usually 3 vestigial coccygeal bones. The spinal cord extends from the brain down to about l1/l2, and.... ...Read more

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Straightening of the cervical lordosis. Lots of upper neck pain. Treatment?

Eval by PM&R: Would be advisable to see a physiatrist. Would consider physical therapy, ice/heat pack, nsaid if no aspirin allergy, and hep program. Also, should be aware of posture and activities that could be worsening problem. So if picking heavy objects should avoid it. Also, consider ergonomic adjustment in work environment so that neck is in neutral position. Cervical pillow could also be bought. ...Read more

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Cervical spine compression of nerve?

Cervical spine compression of nerve?

Radiculopathy: Typically you will feel referred, burning, radicular pain in a dermatomal distribution, depending upon which nerve root is being compressed. ...Read more

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Any trigger point injections for cervical spine disc herniation?

Any trigger point injections for cervical spine disc herniation?

Typically not: Trigger point injections are best used for spasm and pain in the muscle. If the pain is originating from a cervical disc herniation, the trigger point is usually not successful, and even when it is, rarely gives any lasting relief. ...Read more

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MRI:Straightening of lumbarspine with suggestion of sacralisation of L5 vertebral body.Mild posterior disc bulge seen at L4-5 level Cause of backpain?

MRI:Straightening of lumbarspine with suggestion of sacralisation of L5 vertebral body.Mild posterior disc bulge seen at L4-5 level
Cause of backpain?

Potentially : Degenerative disc disease, as described by your description of the protrusion at L4-5 , is one of the most common causes of back pain. Many options for treaent available. ...Read more

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Can a chiropractor correct curvature of the spine?

Can a chiropractor correct curvature of the spine?

No: A chiropractor can offer relief for back pain. But the curve is a structural deformity that can only be corrected surgically. However, everyone does not need surgical correction. See a spine surgeon for an evaluation before continuing with a chiropractor. ...Read more

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Partial fusion of C7 and t1 vertebral bodies with rudimentary intervening disk and bony fusion of right facet joint. is this serious? implications?

Partial fusion of C7 and t1 vertebral bodies with rudimentary intervening disk and bony fusion of right facet joint. is this serious? implications?

See a Neurosurgeon -: who will examine you and take it from there. Without knowing how all this is affecting you, it'll be difficult for anyone to answer your questions. You were born with these and it might be causing some stiffness in your neck motion(maybe!!), otherwise I don't think it'll be causing anything else. Good Luck. ...Read more

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With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

Unsure of question: Most surgeons exhaust non-operative care before recommending surgery. Non-operative care can include medications (anti-infammatory arthritis type medicine or pain medications), physical therapy, activity modification, exercise, bracing, chiropractic care, interventional pain management (injections), or alternative medical approaches. ...Read more

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Is cervical radiculopathy in my cervical spine from disc protrusion?

Dr. Stan Lee Dr. Lee
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Maybe: Cervical radiculopathy can arise from various causes that pinch a nerve in the neck. A disk herniation is a common cause. Other causes include bone spurs that form over time that narrow the hole through which the nerves exit the spine. ...Read more

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MRI of my Cervical Spine There is disc degenerative changes with associated impingement of the thecal sac , exit neuroforaminal encroachment.



MRI of my Cervical Spine 
There is disc degenerative changes with associated impingement of the thecal sac , exit neuroforaminal encroachment.

MRI result?: So- what does this mean? It is common for MRI of the c-spine to show degenerative changes. Impingement of the thecal sac is not normally concerning. It is unclear what is meant by "exit neuroforaminal encroachment". Was there encroachment or not? If it is there, this normally means nerve root encroachment, which can cause symptoms that affect the arms. ...Read more

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What is paraspinal and soft tissue abnormality on MRI of the cervical spine?

What is paraspinal and soft tissue abnormality on MRI of the cervical spine?

Need more info: Para spinal meals something on or near the spine. It's hard to give you more information without knowing why you had the MRI in the first place and without my reviewing the MRI. Please make an appointment with the physician who ordered the MRI and I am sure he/she will be able to give you a more complete answer. ...Read more

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Bad posture and curvature of the spine related?

Bad posture and curvature of the spine related?

Usually not: However there is thoracic kyphosis. And a young person this can be postural. Exercises may help. However a structural curve will not usually improve with adjustment of your posture. ...Read more