13 Dec Sunset Chiropractic & Wellness Review:The Efficacy of Cervical Lordosis Rehabilitation for Nerve Root Function and Pain in Cervical Spondylotic Radiculopathy: A Randomized Trial with 2-Year Follow-Up
● “”Improved Cervical Lordosis in the Study Group correlated with significant improvements in nerve root function and pain rating in patients with Cervical Spondylotic Radiculopathy at short
and long-term follow-up.”
● These observed effects indicate that clinicians involved in the treatment of patients with symptoms of cervical degenerative disorders should add sagittal curve correction to their armamentarium of rehabilitation procedures for relevant patient populations”
Sagittal cervical alignment is a clinically related feature in patients suffering from chronic cervical spondylotic radiculopathy (CSR). We designed this randomized trial to explore the effects of cervical lordosis (CL) correction in thirty chronic lower CSR patients with CL < 20°. Patients were assigned randomly into two equal groups, study (SG) and control (CG). Both groups received neck stretching and exercises and infrared radiation; additionally, the SG received cervical extension traction. Treatments were applied 3× per week for 10 weeks after which groups were followed for 3 months and 2 years. The amplitude of dermatomal somatosensory evoked potentials (DSSEPS), CL C2-C7, and pain scales (NRS) were measured. The SG had an increase in CL post-treatment (p < 0.0001), this was maintained at 3 months and 2 years. No statistical improvement in CL was found for the CG. A significant reduction in NRS for SG after 10 weeks of treatment with non-significant loss of change at 3 months and continued improvement at 2 years was found. CG had less significant improvement in post-treatment NRS; the 3-month and 2-year measures revealed significant worsening in NRS. An inverse linear correlation between increased CL and NRS was found (r = -0.49; p = 0.005) for both groups initially and maintained in SG at the final 2-year follow-up (r = -0.6; p = 0.01). At 10 weeks, we found significant improvements in DSSEPS for both groups (p < 0.0001). We identified a linear correlation between initial DSSEPs and CL for both groups (p < 0.0001), maintained only in the SG at the final follow-up for all levels (p < 0.0001). Improved CL in the SG correlated with significant improvements in nerve root function and pain rating in patients with CSR at short and long-term follow-up. These observed effects indicate that clinicians involved in the treatment of patients with symptoms of cervical degenerative disorders should add sagittal curve correction to their armamentarium of rehabilitation procedures for relevant patient populations.
Sunset Chiropractic and Wellness’s Structural Correction Chiropractic Care rehabilitate the damaged spine/extremities and its damaged structures (muscles, ligaments, fascia, discs, bone,
and nerves) improving the structure and functions, reducing and removing the pain, and improving overall quality of life.
For more information on our unique structural correction chiropractic treatment for spinal and extremity conditions please visit our treatment page on our website.
If you have been experiencing spinal symptoms such as neck pain, back pain, headaches, migraines, mid back pain, rib pain, carpal tunnel, sciatica, disc herniations or protrusions, neuropathy, scoliosis, spinal stenosis, pain/numbness/weakness in your arms, hands, legs or feet……..
Call our office Today (305) 275-7474 for a FREE consultation so we can determine the cause of your symptoms, identify the damage, and design an individualized treatment plan to get back to enjoying the thing you love doing!
We look forward to meeting you and helping you recover your health. You can get better! We can help!
Dr. Rodolfo Alfonso, D.C.
Dr. Mark N. Berry, D.C.
Sunset Chiropractic and Wellness
8585 Sunset Dr.
Miami, Florida 33143