Cox® Technic Delivers Back Pain Relief for a Challenging Case: Disc Extrusion with Spondylolytic Spondylolisthesis

Extruded discs alone are painful and often considered surgical issues. Spondylolytic spondylolisthesis is a disabling, painful condition and often considered a surgical issue needing fusion. Combine the two of these in one patient and the treating physician encounters a challenge that calls for gentle, skilled care. A case report of a patient with an extruded disc – one that has escaped its outer bands and entered into the spinal canal space – and spondylolytic spondylolisthesis – involving separation of the pars interarticularis – detailed how just 9 visits in 4 weeks resulted in pain relief. The patient who rated his pain a 9 out of 10 (worst pain) on visit 1 rated it 0 out of 10 on visit 9. At 10 years follow up, the patient showed no orthopedic or neurological issues and reported no recurrence of the original symptoms. (1) What was the treatment plan? The Cox® Technic System of Spinal Pain Management, the same care offered at our chiropractic clinic. We welcome challenging cases like this!

Listen to this PODCAST with chiropractic back pain specialist, Dr. Casey Bearden on The Back Doctors Podcast with Dr. Michael Johnson as he shared how spondylolisthesis with disc bulges responded to his treatment using the Cox® Technic System of Spinal Pain Management.

Enjoy This Apple Season!

Feed the gut. Lose some weight and raise your bone density to help your spine. Lower your risk of diabetes and heart disease. Protect the brain. How? Eat an apple! Apples are extraordinarily healthy! They have few calories, good pre-biotic pectin that feeds the good gut bacteria, lots of fiber and water to make you feel full, lots of polyphenols in the peel which are antioxidant, preserved levels of acetylcholine to protect the brain, and flavonoids that may lower blood pressure, cholesterol, and stroke risk. (2, 3, 4, 5, 6, 7, 8) Apples round out a healthy chiropractic approach to life!

We are grateful to be part of your health team! Visit us soon.

References for HEALTHY NEWS – September 2020

1. Kruse RA, White BA, Gudavalli S: Management of Lumbar Radiculopathy Associated With an Extruded L4-L5 Spondylolytic Spondylolisthesis Using Flexion-Distraction Manipulation: A Case Study. Journal of Chiropractic Medicine 2019; 18(4): 311-316.
2. Rupasinghe, H P Vasantha & Thilakarathna, S. & Nair, Sandhya. (2013). Polyphenols of apples and their potential health benefits. Polyphenols: Chemistry, Dietary Sources and Health Benefits. 333-368.
3. Flood-Obbagy JE, Rolls BJ. The effect of fruit in different forms on energy intake and satiety at a meal. Appetite. 2009;52(2):416-422. doi:10.1016/j.appet.2008.12.001
4. Erickson K: What are polyphenols? Health benefits for heart and gut health. Fullscript. December 6, 2019. Sourced 9/13/20
5. de Oliveira MC, Sichieri R, Venturim Mozzer R. A low-energy-dense diet adding fruit reduces weight and energy intake in women. Appetite. 2008;51(2):291-295. doi:10.1016/j.appet.2008.03.001
6. Cho KD, Han CK, Lee BH. Loss of body weight and fat and improved lipid profiles in obese rats fed apple pomace or apple juice concentrate. J Med Food. 2013;16(9):823-830. doi:10.1089/jmf.2013.2784
7. Jennings KA: 10 Impressive Health Benefits of Apples. Healthline: Nutrition. December 17, 2018. Sourced on 9/13/20
8. Hyson D: A comprehensive review of apples and apple components and their relationship to human health. Advances in Nutrition 2011; 2(5):408-420