Best conservative treatments for sten...

Best conservative treatments for stenosis without Myelopathy

Dr Ratcliffe DC DACRB

Manassas, VA

#1 Aug 24, 2010
Ok. Have a patient with Cervical stenosis. Congenitally narrow and absolute. Had neuro-surg consult and as of yet no myelopathy. Occasionally has random arm paresthesia. EMG normal. At this point he does well with passive modalities (interferrential, US, etc.), Myofascial/Active Release and Graston therapy, Stretching. I have seen in the literature that spinal manip can rarely cause myelopathy if stenosis present so am reluctant to perform. Any other ideas. I am open. Thanks, Dr.J My website can be reached at

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