February 2023 Healthy News from Manchester Chiropractic & Sports Injuries Spinal Canal Area Englargement and Back Pain Reduction with Chiropractic Care
Degenerated disc. Spinal stenosis. Back Pain. What do they have in common…besides pain? Reduced spinal canal area. With disc degeneration, the disc reduces, leading to a decreased spinal canal area. With spinal stenosis, a(n) disc bulge, protruding disc, osteophyte, discal cyst, synovial cyst, spinal cyst affects the the area of the spinal cancal. A new paper detailed how chiropractic flexion distraction treatment, specifically Cox® Technic spinal manipulation and mobilization, enlarged the spinal canal area and produced vertebral motions. The new study just published in January 2023 stated that chiropractic flexion distraction enlarged spinal area, height, and width due to increased nerve foraminal area. (1)
Such spinal alterations set the scene for impacted spinal elements like spinal nerves to ‘breathe’ leading to eventual (though sometimes quicker or even instantaneous for some patients) back pain relief. Outcomes and published research like this are the forces behind our use of gentle, safe chiropractic treatment options like Cox® Technic that has research explaining its biomechanical effects on the spine. Manchester Chiropractic & Sports Injuries invites you to share your degenerated disc and/or spinal stenosis with us!
Listen to this PODCAST with Dr. Ram Gudavalli, the main researcher in Cox® Technic studies, on The Back Doctors Podcast with Dr. Michael Johnson as he details the research behind The Cox® Technic System of Spinal Pain Management.

Back pain sufferers are frequently advised to perform exercise that strengthen spinal, gluteal, and core muscles as a way to enhance their in-office chiropractic treatment. Classic lumbar flexion (Williams) exercises have been the norm for a long time, going back to the 1930s as they control lumbar extension while improving lumbar flexion with high levels of research evidence (III and IV) support. A common exercise series would have a patient lie on the floor, keeping hands along the side of the body and bending the knees with feet flat on the floor, then simply tighten abdominal and gluteal muscles while pushing the spine flat against the floor. The following exercise would be a knee-chest motion (each single knee then both knees) exercise. (2) There are more such exercises in the series, but Manchester Chiropractic & Sports Injuries be excited for our new Manchester back pain patients to start with these simple moves on day 1 (after we go through a complete examinations and set a treatment plan, of course). Manchester Chiropractic & Sports Injuries looks forward to talking soon about you and your spinal stenotic, disc degenerative spine and any exercises that may help!
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Have a wonderful February! We anticipate seeing you and your spine this month!