January 2024 Healthy News from Aaron Chiropractic Clinic Disc Herniation Size Doesnt Always Matter and Ways to Lower Chronic Pain

DISC SIZE DOESN’T (necessarily) MATTER!
Now there’s a novel idea for the start of a new year amidst all the talk of new year’s talk of dieting to downsize! With back pain and neck pain, a little disc isn’t really pain-free. Surprised? If you have a small disc and pain, you aren’t! What matters is (1) how much mechanical pressure the disc protrusion is placing on the nerve root and/or (2) how much chemical irritation is present if a disc extrusion’s inner gel-like material has exited the outer annular fibers and now surrounds the spinal nerve(s) which has (have) never come in contact with each other before. Nerves do not like this new chemical “bath” and hurt! A tiny extruded disc can produce lots of pain if chemical irritation is involved. A huge disc protrusion may not produce pain at all if it does not contact a spinal nerve. (1-7) A 2023 published study just concluded that the size of a disc protrusion did not demonstrate a noteworthy relationship to pain and function. (8) If you or a loved one or friend is beginning 2024 with Fort Wayne back pain with or without sciatic leg pain or neck pain with or without arm pain radiculopathy, come see Aaron Chiropractic Clinic for some Fort Wayne 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 due to a disc herniation.

Fort Wayne CHIROPRACTIC TIP OF THE MONTH: 4 Ways to Reduce Chronic Pain In 2024
As researchers and healthcare professionals try to establish practice guidelines (ex: WHO) in managing chronic pain (back, neck, etc.), they are analyzing influencing factors that chronic pain sufferers and their caregivers ought 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 found to be significantly related to chronic pain and pain-related disability as an adult. (10)
- Undergo spinal manipulation. A study of nonpharmacological pain management approaches chosen by Medicare patients found that manipulative therapies, mainly chiropractic, have been the most widely investigated approaches. (11) Cox® Technic flexion-distraction - as we use in our targetlocation practice – benefitted a 67-year-old veteran who suffered with chronic low back pain and intermittent lower extremity pain for many decades realize overall improvement in his condition, decrease use of pain medication, and gain mobility after 4 sessions in just a short 4-week period. (12)
- Exercise. Structured exercise programs were shown to decrease pain and functional limitation in chronic low back pain patients. (13)
Make 2024 your year for pain relief! Aaron Chiropractic Clinic is ready to be your Fort Wayne chiropractic partner in this endeavor. See you soon!