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isc bulges and herniations are many times successfully treated through conservative measures. Unfortunately, disc prolapses/non-sequestered fragments (the broken off pieces) can often times put pressure directly on the spinal cord, and since there is nothing binding them to the rest of the disc, surgery is many times the only option. Luckily, disc prolapses are the end-stage of disc degeneration and a lot can be done prior to getting to this horrible condition.
Tingling (paresthesia, or reduction of sensation) and numbing (anesthesia, or loss of sensation) are common effects of disc bulges and herniations. This is because the disc can directly put pressure on the spinal cord or the nerve roots where they exit from the spine. If the pressure is not reduced, permanent nerve damage can result. There are cases, however, where nerve entrapment distal to the spine can cause a similar condition. It is important that your chiropractor be able to distinguish what your problem is and where it is coming from! In addition to standard chiropractic treatments, Dr. Manison is certified in the Cox flexion/distraction technic. He is one of a few chiropractors in Maryland and the only doctor in the Columbia / Ellicott City / Howard County region licensed in this fabulous technique! This technique is one of, if not the best, chiropractic technique for disc (and other cervical and lumbar) pathology. Its focus is to create negative disc pressure to help reduce bulges and/or herniations. It is a technique that is specific for each individual disc pathology. It has medical research to back it up! Simply put, there are no other conservative techniques available that offer the scientific backing for the treatment of disc pathology like Cox technic offers! Columbia Advanced Chiropractic, LLC also has the newest and most advanced automated flexion/distraction table from Hill Laboratories that helps with the treatment of disc pathology.
In the case of burning pain, or radicular pain, the cause is usually irritation of a nerve sheath. Irritation refers to toxin release from damaged discs, muscles, ligaments, joints, etc. that create an inflammatory process that engulfs the nerve. This inflammatory process creates pain and dysfunction.
The doctor’s approach to all the conditions listed above is to correct the faulty mechanical problems and help the patient stabilize the spinal region in question. On some occasions, a MRI is needed to help accurately assess the state of the disc. The Cox technic is very specific for disc problems, and being such, sometimes high quality diagnostic imaging is necessary. Following improved mechanics and an associated reduction in symptoms, Dr. Manison works to teach the patient stabilization and rehabilitative exercises so that the problem can be reduced or contained.
For those who have pain that affects their activities of daily living, Dr. Manison has SoftWave ESWT, by TRT. This unique shockwave therapy knocks down pain in a significant fashion and also recruits stem cells to aid with regeneration/recovery. Usually, a comprehensive approach to disc pathology is necessary to best aid the patient long-term. SoftWave aids tremendously with shutting down pain and aiding in regeneration while Cox flexion/distraction helps to restore normal biomechanics to reduce further injury.
