Paramus Medical & Sports Rehabilitation Center Questions The Curiosity of MRIs

MRI. What does it mean for Paramus back pain and related leg pain? That’s a intriguing question. Diagnosing Paramus lumbar spinal stenosis doesn’t always need an MRI for a definitive diagnosis. MRI images can be informative…and calling for clinical tests to ascertain what those images really mean. An MRI is a recognized procedure to many Paramus chiropractic patients wanting Paramus back pain relief, but the MRI’s timing and results require cautious thought as to when they are ordered and what they really indicate for the chiropractic care of spinal stenosis at Paramus Medical & Sports Rehabilitation Center.


Spinal stenosis is a common condition and the most common sign for spinal back surgery in the over-65 age group. With the expansion of this group, by 2025 59% of them are predicted to acquire spinal stenosis. (1) Many times your Paramus chiropractor can diagnose spinal stenosis with only a few questions and physical examination answers without an MRI. Your Paramus chiropractor may use the MRI as a confirming test of the Paramus chiropractic clinical examination diagnosis already made just by examining you.


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


Understand that as rates for spinal surgery increase – ten times across the US – so too do the rates of advanced spinal imaging. In one study, cities with more MRIs have more spine surgeries (and spinal stenosis surgery exactly). (3) Understand too that what a surgeon makes out on MRI affects how he or she approaches the spinal back surgery for stenosis. He/She considers the extent and location of nerve compression as well as degenerative changes at adjacent levels. Experienced surgeons reached agreement more with each other’s understandings of MRI images than less experienced surgeons. (1) Experienced chiropractors like yours at Paramus Medical & Sports Rehabilitation Center also are more skilled at picking up on Paramus spinal stenosis as the diagnosis.


Treat it actively. Don’t depend on passive care like bed rest. That’s old school care. Give it time. Take part in the active, conservative care your Paramus chiropractor shares with you for at least 6-8 weeks to see some change because there’s no clear difference between surgical (though quicker relief may come) and non-surgical care after a year or two. (4) Paramus Medical & Sports Rehabilitation Center uses the Cox Technic System of Spine Pain Management for Paramus 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 have not had one done) or surgical or other care consultation turns out to be necessary.

CONTACT Paramus Medical & Sports Rehabilitation Center

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

Paramus MRIs for spinal stenosis may be revealing…or puzzling. 
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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."