Palmer Chiropractic Center Questions The Curiosity of MRIs

MRI. What does it mean for Lynchburg back pain and related leg pain? That’s a intriguing question. Diagnosing Lynchburg lumbar spinal stenosis does not always require an MRI for a clear diagnosis. MRI images can be enlightening…and calling for clinical tests to determine what those images really suggest. An MRI is a recognized procedure to a lot of Lynchburg chiropractic patients seeking Lynchburg back pain relief, but the MRI’s timing and outcomes require careful consideration as to when they are ordered and what they really imply for the chiropractic care of spinal stenosis at Palmer Chiropractic Center.


Spinal stenosis is a normal condition and the most common indicator for spinal back surgery in the over-65 age set of people. With the growth of this group, by 2025 59% of them are expected to acquire spinal stenosis. (1) Many times your Lynchburg chiropractor can identify spinal stenosis with just a few questions and physical examination findings without an MRI. Your Lynchburg chiropractor may use the MRI as a confirming exam of the Lynchburg chiropractic clinical examination diagnosis previously made just by seeing you.


In the case of a disc extrusion triggering spinal stenosis where the Lynchburg herniated disc leaks out of its outer bands and oozes into the spinal canal physically constricting and chemically irritating the spinal nerve, an MRI revealing this many times bodes well for the MRI’s patient. At one year later, whether managed with surgery or without, the back-related leg pain patient had less leg pain. In this case an MRI does not help much in determining which patient would do better with early surgery or prolonged conservative care. (2) And the healing of these Lynchburg spinal stenosis related extrusions takes time and good, guided care like that from Palmer Chiropractic Center.


Understand that as rates for spinal surgery rise – ten times across the US – so too do the rates of advanced spinal imaging. In one study, areas with more MRIs saw more spine surgeries (and spinal stenosis surgery exactly). (3) Know too that what a surgeon makes out on MRI influences how he or she handles the spinal back surgery for stenosis. He/She studies the degree and location of nerve compression and degenerative changes at adjacent levels. Experienced surgeons agreed more with each other’s understandings of MRI images than less experienced surgeons. (1) Experienced chiropractors like yours at Palmer Chiropractic Center also are more proficient at picking up on Lynchburg spinal stenosis as the diagnosis.


Treat it actively. Do not depend on passive care like bed rest. That’s old school care. Give it time. Take part in the active, conservative care your Lynchburg chiropractor shares with you for at least 6-8 weeks to see some change because there is no sure difference between surgical (though quicker relief may come) and non-surgical care after a year or two. (4) Palmer Chiropractic Center utilizes the Cox Technic System of Spine Pain Management for Lynchburg spinal stenosis and back pain relief care. The 50% Rule guides treatment frequency and treatment progress as well as decision-making as to when/if an MRI is required (if you’ve not had one done) or surgical or other care consultation turns out to be necessary.

CONTACT Palmer Chiropractic Center

Schedule a Lynchburg chiropractic appointment to see your Lynchburg chiropractic back pain specialist about your Lynchburg back pain and sciatica to take the curiosity out of the question about MRI’s role in your Lynchburg back pain treatment plan. 

Lynchburg MRIs for spinal stenosis may be revealing…or confusing. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."