Typically, we use the same treatment approach...it just takes longer if the underlying cause is more severe.
Our treatment approach is chiropractic (mirror image) adjusting...sometimes with motion, Active Release Techniques (ART), massage, neuromuscular re-education, and inter-segmental traction, which re-hydrates the spinal discs and elongates the spine. We also incorporate condition specific exercises, ergonomic instruction, and home care (ice, cervical pillows, sleeping instruction).
Does this approach help everyone that walks into our chiropractic center with neck, shoulder, or arm pain? NO...just the overwhelming majority of them.
For those patients that do not respond...we have a next step...nonsurgical spinal decompression of the cervical spine. The machine we use is the DRX9000c by Axiom Worldwide. This allows us to treat serious neurovascular compression syndromes such as herniated and bulging discs in house.
Often times we continue with the chiropractic...we just add the spinal decompression to the mix. And sometimes we just dive right in to spinal decompression...if the patient has already tried chiropractic or is too sore and inflamed to handle it (even though our approach is very gentle).
Cervical decompression or cervical decompression with chiropractic and ART can be a powerful combination for the treatment of serious neck and arm pain. Come find out for yourself.