January 2024 Healthy News from Shoreline Medical Services/ Hutter Chiropractic Office Disc Herniation Size Doesnt Always Matter and Ways to Lower Chronic Pain

DISC SIZE DOESN’T (necessarily) MATTER!
Now that is a twist on new year’s resolutions of dieting to downsize! In the world of back pain and neck pain, a small disc is not necessarily pain-free. Surprised? If you have a small disc and pain, you aren’t! What matters is (1) the amount of pressure the disc protrusion is putting on the nerve root and/or (2) how much chemical irritation is involved if a disc extrusion’s inner gel-like material has escaped the anular fibers that surround it and now encircles the spinal nerve(s) which has (have) never come in contact with each other before. Nerves hurt when this new chemical irritant comes in! A tiny extruded disc can generate enormous pain if chemical irritation is involved. A huge protruded may not produce pain at all if it doesn’t contact a spinal nerve. (1-7) A 2023 published study just concluded that the size of a disc protrusion did not show a significant relationship to pain and function. (8) If you or a loved one or friend is starting 2024 with Groton back pain with or without sciatic leg pain or neck pain with or without arm pain radiculopathy, come see Shoreline Medical Services/ Hutter Chiropractic Office for some Groton pain relief with gentle, safe chiropractic Cox® Technic care!
Listen to this PODCAST with Dr. Timothy Gagan on The Back Doctors Podcast with Dr. Michael Johnson about use of The Cox® Technic System of Spinal Pain Management for a patient suffering with back and leg pain because of a disc herniation.

Groton CHIROPRACTIC TIP OF THE MONTH: 4 Ways to Ease Chronic Pain In 2024
As researchers and healthcare professionals try to establish practice guidelines (ex: WHO) to manage chronic pain (back, neck, etc.), they’re studying influencing factors that chronic pain sufferers and their caregivers need to address for optimal clinical outcomes:
- Understand the condition. A clear grasp of the chronic primary low back pain condition via education/advice was related to improvements in pain, function, quality of life, and psychological outcomes. (9)
- Consider emotional influences. Adverse childhood events were documented to be significantly related to chronic pain and pain-related disability as an adult. (10)
- Undergo spinal manipulation. A review of nonpharmacological pain management approaches utilized by Medicare patients found that manipulative therapies, mainly chiropractic, have been the most widely investigated methods. (11) Cox® Technic flexion-distraction - as we utilize in our targetlocation practice – benefitted a 67-year-old veteran who experienced chronic low back pain and intermittent lower extremity pain for many decades find overall improvement in his condition, reduce use of pain medication, and increase mobility after 4 sessions in just a short 4-week period. (12)
- Exercise. Structured exercise programs were reported to reduce pain and functional limitation in chronic low back pain patients. (13)
Make 2024 your year for pain relief! Shoreline Medical Services/ Hutter Chiropractic Office is excited to be your Groton chiropractic partner in this project. See you soon!