Chiropractor West Palm Beach: Dr. Gregg Moses

Well a belated Happy New Year to all.  A beautiful day here in S. Florida (specifically West Palm Beach)…about 50 degrees this morning.  A little cold for some, but sure is better than the 20 inches or so they had this weekend across the mid-Atlantic states.  Over the past few weeks I watched my NY Jets over-achieve and make it to the AFC Championship game.  This season concluded yesterday as the NO Saints beat the Colts in a great game.  I was away in Naples, FL two weeks ago.  Dr. James Cox was there speaking on the latest regarding the treatment of neck and back pain with the Cox Technique.  He focused on FBSS, Failed Back Surgical Syndrome.  I want to share a recently published article from Clinical Rehabilitation 24  (1). Jan 2010 p.26-36.  The authors are Cecchi, F; Molina-Lova, R; Chiti, M; Pasquini, G; Conti, AA; Macchi, C.  The title is “Spinal Manipulation compared with back school and with individually delivered physiotherapy for the treatment of chronic lower back pain: a randomized trial with one-year follow-up”.

I only have the abstract for this study and I will give some details. 

Objective:  To compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain.

Design:  Randomized trial with 12-month follow-up.

Setting:  Outpatient rehabilitation department.

Participants:  210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 years.

Conclusions:  Spinal manipulation provided better short and long-term functional improvement, and more pain relief in the follow-up than either back school or individual physiotherapy.

As a chiropractor I am certainly not surprised that spinal manipulation gave more pain relief, but overall back school and physiotherapy are wonderful adjuncts to chiropractic in the treatment of our patients.  I have read many medical journal since my last blog and have a lot of articles to share.  I hope to do an entry about once a week.  Should anyone have a specific topic they would like more information on, just send me an e-mail and ask.

Gregg F Moses, DC

Thanks again for viewing this blog.  I had a great week in the office.  In addition to chiropractic care, we also have full physical therapy and massage therapy.  Pregnant patients with lower back pain are always interesting and sometimes difficult to treat.  Certainly if the patient has leg pain, more caution should be given with the treatment.  We are somewhat limited as to what treatment can be done.  Although many chiropractors do traditional / diversified manipulation for pregnant patients with lower back pain, I choose to do the Cox Decompression Technique.

Abstract

Objective

The purpose of this report is to describe chiropractic treatment of lower back and unilateral leg pain in a pregnant patient.

Clinical Features

A 26-year-old woman in her second trimester of pregnancy had severe pain in her lower back that radiated to her hips bilaterally and to her right leg. She reported tingling down her right lower leg to the dorsum of her foot. Although no diagnostic imaging was performed, her differential diagnoses included lumbalgia with associated radiculopathy.

Intervention and Outcome

Treatment consisted of manual traction in the side-lying position using a specialized chiropractic table and treatment technique (Cox flexion-distraction decompression) modified for pregnancy. Relief was noted after the first treatment, and complete resolution of her subjective and objective findings occurred after 8 visits.

Conclusion

When modified, this chiropractic technique appears to be an effective method for treating lower back pain with radiation to the leg in a pregnant patient who cannot lie prone.

I hope this article / case study was helpful.  Feel free to contact me by clicking the following link: chiropractor west palm beach.  You can also find a certified Cox Technique practitioner on Dr. Cox’s website www.coxtechnic.com.

Respectfully submitted,

Gregg F Moses DC