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The Quebec Task Force: sciatica & spinal stenosis

On November 4, 2011, in , by admin
The Quebec Task Force classification for Spinal Disorders and the severity, treatment, and outcomes of sciatica and lumbar spinal stenosis. Source Medical Practices Evaluation Center, Massachusetts General Hospital, Harvard Medical School, Boston, USA. Abstract STUDY DESIGN: A prospective cohort study of patients in Maine with sciatica and lumbar spinal stenosis treated surgically and nonsurgically. SUMMARY […]

The Quebec Task Force classification for Spinal Disorders and the severity, treatment, and outcomes of sciatica and lumbar spinal stenosis.

Source

Medical Practices Evaluation Center, Massachusetts General Hospital, Harvard Medical School, Boston, USA.

Abstract

STUDY DESIGN:

A prospective cohort study of patients in Maine with sciatica and lumbar spinal stenosis treated surgically and nonsurgically.

SUMMARY OF BACKGROUND DATA:

In 1987, the Quebec Task Force on Spinal Disorders proposed a diagnostic classification to help make clinical decisions, evaluate quality of care, assess prognosis, and conduct research.

OBJECTIVES:

To assess the Quebec Task Force classification’s ability to stratify patients according to severity and treatment at baseline, and to assess changes over time in health-related quality of life, including symptoms, functional status, and disability.

METHODS:

Five hundred sixteen patients participating in the Maine Lumbar Spine Study who completed baseline and 1-year follow-up evaluations were classified successfully according to the Quebec Task Force classification. Patient characteristics and treatments were compared across Quebec Task Force classification categories. Changes in health-related quality of life over 1 year were assessed according to Quebec Task Force classification category and type of treatment.

RESULTS:

Among patients with sciatica (n = 370), higher Quebec Task Force classification categories (from 2, pain radiating to the proximal extremity, to 6, sciatica with evidence of nerve root compression) were associated with increased severity of symptoms at baseline. There was no association between Quebec Task Force classification and baseline functional status. Quebec Task Force classification was associated strongly with the likelihood of receiving surgical treatment (P < or = 0.005). Among patients with sciatica treated nonsurgically, improvement at 1 year in back-specific and generic physical function increased with higher Quebec Task Force classification category (P < or = 0.05). Only a nonsignificant trend was observed for surgically treated patients. Patients with lumbar spinal stenosis (Quebec Task Force classification 7, n = 131) had baseline features and outcomes distinct from patients with sciatica.

CONCLUSIONS:

For patients with sciatica, the Quebec Task Force classification was highly associated with the severity of symptoms and the probability of subsequent surgical treatment. Nonsurgically treated patients in Quebec Task Force classification categories reflecting nerve root compression had greater improvement than those with pain symptoms alone. Among surgical patients, the Quebec Task Force classification was not associated with outcome. These results provide validation for the classification and its wider adoption. Nonetheless, improved diagnostic classifications are needed to predict outcomes better in patients with sciatica who undergo surgery.

Atlas SJ, Deyo RA, Patrick DL, Convery K, Keller RB, Singer DE, Spine (Phila Pa 1976).1996 Dec 15;21(24):2885-92.

PMID: 9112713

Spinal decompression

On September 27, 2010, in , by admin
Spinal decompression: an effective treatment for herniated disc and chronic back pain.   Non-surgical spinal decompression therapy is: Noninvasive Conservative Painless Safe Supervised by a health professional who holds a doctorate degree Effective for a variety of back conditions (herniated disc, chronic pain, arthrosis, facet syndrome, etc.)   If you are visiting our website …It […]

Spinal decompression: an effective treatment for herniated disc and chronic back pain.

 

Non-surgical spinal decompression therapy is:

  • Noninvasive
  • Conservative
  • Painless
  • Safe
  • Supervised by a health professional who holds a doctorate degree
  • Effective for a variety of back conditions (herniated disc, chronic pain, arthrosis, facet syndrome, etc.)

 

If you are visiting our website …It is because you suffer from a condition described below!

This site was designed for those who suffer from chronic back pain, herniated disc or disc herniation, bulging of a disc, sciatica, leg pain, degenerative disc disease, tingling, numbness, pain in arms, neck pain, and for some patients with spinal stenosis and finally for those who underwent back surgery but still suffering from pain.

 

 What are your treatment options?

 

Types of Care

Efficiency

Acupuncture Unlikely
Heat & cryotherapy (cold) Unlikely
Electrotherapy (ultrasond, tens, etc.) Unlikely
Exercices Unlikely
Osteopathy Unlikely
Massage Therapy Unlikely
Surgery  likely
Spinal decompression  likely

 

Spinal decompression demystified

 

Spinal decompression reduces the pressure that builds up inside the discs. This technique consists of a mechanical disc decompression by suction causing decompression of the disc. The pain decreases because of resorption of the herniated disc, bulging disc or because of the reduced pressure on the nerves or spinal cord: that is to say that the disc returns to its original shape when the bulge or bulging disc disappears and the pressure on the spinal nerves is therefore eliminated.

Spinal decompression achieves this by creating a negative pressure inside the disc, known as negative intra-discal pressure. This essentially creates a vacuum to suck the bulging and herniated material inside the disc space by reducing the pressure.

 

The same phenomenon happens when you break the window of a pressurized airplane flying at high altitude: everything that is inside the airplane (positive pressure) is violently expelled to the outside (negative pressure).

 

When there is a bulging of the intervertebral disc and / or herniated disc, the ligaments that hold up the disk material has become stretched or torn. Spinal Decompression strengthens the ligament bands that hold the disc material in place, allowing healing and preventing a recurrence.

 

In most cases, the healing process requires only a few weeks of outpatient treatment.

 

Next Page – Herniated disc

Business Opportunity

We are looking for new partners with an existing chiropractic clinic in Trois-Rivières, Drummundville, Longueuil and Sherbrooke to open up new spinal decompression clinics.

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