For individuals experiencing pelvic pain, can incorporating acupuncture help alleviate and reduce low back pain?
Introduction
In the musculoskeletal system, the upper and lower body portions have jobs to allow the host to be in motion. The lower body portions provide stability and maintain proper posture, which can help the surrounding muscles be strong and protect the vital organs. The skeletal joints in the body help ensure that the person’s body weight is evenly distributed. For the musculoskeletal system, the pelvic region in the lower body portion helps with stabilization and provides normal urinary function to the body. However, when normal and traumatic factors begin to affect the lower portions of the body, it can lead to pain-like issues that can cause some visceral referred pain to the lower back, and it can make many individuals think they are experiencing lower back pain, which is one of the symptoms associated with pelvic pain. When many individuals are experiencing pelvic pain associated with lower back pain, many will opt to seek treatment to reduce the pain-like symptoms and restore their body function. Today’s article looks at how pelvic pain is associated with low back pain and how treatments like acupuncture can help reduce pelvic pain associated with low back pain and provide relief. We speak with certified medical providers who incorporate our patients’ information to provide various treatments to ease low back pain correlated with pelvic pain. We also inform patients how non-surgical therapies like acupuncture can help reduce the effects of pelvic pain. We encourage our patients to ask intricated questions to our associated medical providers about the pain-like symptoms they are experiencing correlating with pelvic pain that is also causing issues in their lower backs. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.
How Pelvic Pain Is Associated With Low Back Pain?
Have you experienced excruciating pain from excessive sitting that is causing pain in your lower back or pelvic region? Do you feel stiffness in your lower back and pelvic region due to poor posture? Or are you experiencing intense cramping around your pelvic area? When many individuals are dealing with these pain-like issues, it is correlated with pelvic pain. Now, pelvic pain is a common, disabling, persistent pain that is associated with comorbidities that are multifactorial and are often centralized pain. (Dydyk & Gupta, 2023) At the same time, pelvic pain is a challenge to diagnose due to being multifactorial and sharing the numerous nerve roots that are spread out and intertwined with the lumbar region. To this point, this causes referred pain to the lower back and causes many individuals to think they are experiencing lower back pain when, in actuality, they are dealing with pelvic pain. This is due to the pelvic floor muscles becoming weak, which can cause many individuals to develop poor posture, leading to low back pain over time.
Additionally, when the pelvic region is misaligned due to repetitive motions that cause lower back pain, it can cause the surrounding muscles to be overstretched and loose around the sacroiliac joints. (Mutaguchi et al., 2022) When this happens, the surrounding muscles surrounding the hips and lower back may weaken, leading to anterior pelvic tilt and causing alterations to the lumbopelvic area.
Since the lumbopelvic area is in the lower body portions, it can cause alterations to the body’s skeletal structure, leading to lower back pain. When an increasing number of individuals deal with spinal deformity, they will maintain a standing position while preventing their central gravity from moving forward by using their pelvic muscles to compensate for their weight. (Murata et al., 2023) When this happens, it causes the surrounding core muscles and back muscles to overstretch, which then causes the accessory muscles to produce more energy and do the primary muscles’ jobs. This causes urinary and muscle issues that cause tomato-visceral referred pain in the musculoskeletal system. However, there are numerous ways to reduce pelvic pain associated with low back pain while restoring pelvic function and restoring muscle strength to the surrounding core muscles in the pelvic region.
Is Motion Key To Healing- Video
Have you been experiencing any muscle stiffness around your hips, lower back, or pelvic region? Do you feel you have a limited range of motion in the morning, only for it to feel better throughout the day? Or are you experiencing bladder issues that are correlated with low back pain? Many of these pain-like scenarios are associated with pelvic pain and can cause common back pain issues that cause many individuals to be hunched over and be in constant pain. Since pelvic pain is a multifactorial musculoskeletal disorder, it can be associated with comorbidities that can cause issues to the lumbar region of the spine and affect the body’s mobility. However, numerous treatments can reduce the effects of pelvic pain and restore low back mobility to the body. When it comes to looking for treatments, many individuals will look for therapies that are cost-effective and can help reduce the referred pain that is associated with low back and pelvic pain. The video above shows how non-surgical treatments can help restore mobility to the lower extremities.
Acupuncture For Pelvic & Low Back Pain
When it comes to non-surgical treatments, many individuals will seek cost-effective treatments. Treatments like chiropractic care, spinal decompression, and massage therapy can help reduce low back pain, but for pelvic pain, many individuals will seek out acupuncture. Acupuncture is a medical practice performed by a highly trained professional that uses solid but thin needles in specific body areas. So, for individuals dealing with pelvic pain, acupuncture can help restore the balance of energy that is associated with the internal organs that are causing the pain. (Yang et al., 2022) Acupuncture can help restore power to the pelvic region by redirecting the energy to the body and helping reduce impairment and functional disorders. (Pan et al., 2023) Acupuncture can minimize low back pain by selecting certain trigger points that can influence the areas between the hips and back to unblock circulation back to the muscle. (Sudhakaran, 2021) When many people start incorporating acupuncture as part of their personalized treatment plan, they can utilize it with other therapies to feel better and improve their health.
Murata, S., Hashizume, H., Tsutsui, S., Oka, H., Teraguchi, M., Ishomoto, Y., Nagata, K., Takami, M., Iwasaki, H., Minamide, A., Nakagawa, Y., Tanaka, S., Yoshimura, N., Yoshida, M., & Yamada, H. (2023). Pelvic compensation accompanying spinal malalignment and back pain-related factors in a general population: the Wakayama spine study. Sci Rep, 13(1), 11862. doi.org/10.1038/s41598-023-39044-2
Mutaguchi, M., Murayama, R., Takeishi, Y., Kawajiri, M., Yoshida, A., Nakamura, Y., Yoshizawa, T., & Yoshida, M. (2022). Relationship between low back pain and stress urinary incontinence at 3 months postpartum. Drug Discov Ther, 16(1), 23-29. doi.org/10.5582/ddt.2022.01015
Pan, J., Jin, S., Xie, Q., Wang, Y., Wu, Z., Sun, J., Guo, T. P., & Zhang, D. (2023). Acupuncture for Chronic Prostatitis or Chronic Pelvic Pain Syndrome: An Updated Systematic Review and Meta-Analysis. Pain Res Manag, 2023, 7754876. doi.org/10.1155/2023/7754876
For individuals dealing with injuries and pain conditions, can incorporating acupuncture into a treatment plan help alleviate and manage pain?
Acupuncture Pain Management
Pain management techniques include physical therapy, medications, cold therapies, chiropractic, and massages. One method that is growing is acupuncture. (World Health Organization. 2021) According to a report by the World Health Organization, acupuncture is the most commonly used form of traditional medicine practiced globally. (World Health Organization. 2021) More than 10 million acupuncture treatments are administered annually in the U.S. (Jason Jishun Hao, Michele Mittelman. 2014)
What Is It?
Acupuncture is a medical practice that involves placing solid but super thin needles at specific points in the body to treat certain health issues. They can be used on their own or stimulated with electric currents, called electroacupuncture. Acupuncture originated in China about 3,000 years ago and is known as traditional Chinese medicine or TCM. In more recent years, the practice has gained acceptance and demand worldwide. (Jason Jishun Hao, Michele Mittelman. 2014)
How Does It Work?
Acupuncture pain management works by balancing the flow of qi/chi/energy, which moves through meridians, or channels in the body. By inserting needles into specific points along these channels, balance is reestablished for overall health and well-being. When the energy is imbalanced due to internal and external stressors that can include injuries, underlying conditions, unhealthy diet, and stress, individuals can present with symptoms and illness. Using diagnostic techniques and comprehensive interviews, practitioners can determine which organ systems and meridian channels need addressing to restore function. There are more than 2,000 acupoints in the body. (Johns Hopkins Medicine. 2024) Each point has its own purpose and function: some increase energy, others decrease it, helping balance the body to support healing and recovery. Acupuncture pain management goes beyond energy healing and can help alleviate pain by stimulating nerves, muscles, and fascia/connective tissue, regulating immune response, nervous system response, lymphatic flow, and increasing muscle relaxation.
Types
Different types of acupuncture have been modified in training and styles, but all involve needling into certain points and include:
Orthopedic/Dry Needling
This technique combines Traditional Chinese Medicine and structure manipulation to treat pain, tissue injuries, imbalances in the body, and other general systemic disorders.
Five Element Style
This is a spiritual and emotional technique that uses the five elements of nature, including wood, fire, earth, metal, and water, to transfer energy, creating balance in the body.
Japanese Style
uses similar techniques to TCM but uses a more subtle approach, such as using fewer needles or inserting them at lower depths in the body.
Korean
This technique uses both techniques from Chinese and Japanese acupuncture.
Practitioners may use more needles and different kinds of needles, like a copper variety, instead of the standard stainless steel type.
This type of acupuncture uses only acupoints on the hand to treat different areas of the body.
Auricular
This is similar to Korean acupuncture but relies on certain points in the ear to treat other areas of the body.
The goal is to overcome imbalances and disharmonies.
Distal
This technique treats pain indirectly.
Practitioners place needles in spots other than the area of discomfort.
For example, practitioners may place needles around the elbows for knee pain or the lower legs for shoulder pain.
Acupressure
This form of therapy stimulates different acupoints without using needles.
Practitioners use precise finger placements, hands, or other tools and essential oils to apply pressure over specific points to enhance energy flow.
Providers can combine and use various forms based on an individual’s needs.
Conditions
One analysis of more than 2,000 scientific reviews of acupuncture therapies found it to be effective for post-stroke aphasia, neck, shoulder, lower back pain, muscle pain, fibromyalgia pain, lactation issues after delivery, vascular dementia symptoms, and allergy symptoms. (Liming Lu et al., 2022) A study on mice by neuroscientists found that electroacupuncture can decrease inflammation. (Shenbin Liu et al., 2020) The National Center for Complementary and Integrative Health found that acupuncture can be helpful for: (National Center for Complementary and Integrative Health. 2022)
Nausea and vomiting in cancer patients undergoing treatment
Chronic prostatitis
Digestion
Irritable bowel syndrome
Seasonal allergies
Urinary incontinence
Infertility
Asthma
Quitting smoking
Depression
Safety
When the treatment is performed by a highly trained, licensed, and certified acupuncturist, it is very safe. The most common serious adverse events were pneumothorax/collapsed lung, cardiovascular problems, and fainting, which in some cases caused trauma, like fractures. (Petra Bäumler et al., 2021) There are some short-term risks associated with acupuncture, including:
Pain
Bleeding
Bruising
Drowsiness
Dizziness for individuals that have not eaten or fear of needles.
Serious side effects associated with acupuncture, like a punctured lung or infection, are very rare. For individuals that have a metal allergy, infection, or open wound in the area where the needles will be inserted, it is recommended to avoid acupuncture. Individuals who have a bleeding disorder, are taking any medicines like an anticoagulant, or are pregnant, should talk to the acupuncturist before beginning a treatment plan.
What to Expect
Everyone’s visit will be tailored to their specific needs, and the first visit will likely last an hour or two. The initial evaluation will include a full medical/health history. The individual will spend a few minutes discussing concerns and health goals with the acupuncturist. Individuals will be asked to lie on the treatment table so the practitioner can access their limbs, back, and abdomen. After inserting needles, they will stay in place for about 20 to 30 minutes. At this time, individuals can relax, meditate, sleep, listen to music, etc. The practitioner may monitor if and how the pulse has changed and add or remove needles. After the needles are removed, the practitioner will determine the course of treatment. Depending on how chronic or severe the condition is, they may recommend several acupuncture pain management treatments over the course of several weeks.
Chiropractic Care For Healing After Trauma
References
World Health Organization. (2021). WHO benchmarks for the practice of acupuncture.
Hao, J. J., & Mittelman, M. (2014). Acupuncture: past, present, and future. Global advances in health and medicine, 3(4), 6–8. doi.org/10.7453/gahmj.2014.042
Johns Hopkins Medicine. (2024). Acupuncture.
Lu, L., Zhang, Y., Tang, X., Ge, S., Wen, H., Zeng, J., Wang, L., Zeng, Z., Rada, G., Ávila, C., Vergara, C., Tang, Y., Zhang, P., Chen, R., Dong, Y., Wei, X., Luo, W., Wang, L., Guyatt, G., Tang, C., … Xu, N. (2022). Evidence on acupuncture therapies is underused in clinical practice and health policy. BMJ (Clinical research ed.), 376, e067475. doi.org/10.1136/bmj-2021-067475
Liu, S., Wang, Z. F., Su, Y. S., Ray, R. S., Jing, X. H., Wang, Y. Q., & Ma, Q. (2020). Somatotopic Organization and Intensity Dependence in Driving Distinct NPY-Expressing Sympathetic Pathways by Electroacupuncture. Neuron, 108(3), 436–450.e7. doi.org/10.1016/j.neuron.2020.07.015
National Center for Complementary and Integrative Health. (2022). Acupuncture: what you need to know.
Bäumler, P., Zhang, W., Stübinger, T., & Irnich, D. (2021). Acupuncture-related adverse events: systematic review and meta-analyses of prospective clinical studies. BMJ open, 11(9), e045961. doi.org/10.1136/bmjopen-2020-045961
Can working individuals with low back pain incorporate nonsurgical treatments to reduce limited mobility and provide relief?
Introduction
Many working individuals will slowly develop low back pain due to excessive standing or sitting, physical demands that cause them to lift heavy objects, or improper footwear that causes them to be imbalanced. Since the spine is part of the musculoskeletal system, the spinal discs in the lumbar region are the most susceptible to being compressed. They can be one of the issues why many individuals tend to develop lower back pain. Low back pain is common for working individuals and is a multifactorial musculoskeletal disorder that causes many working people to miss out on work. However, many people with low back pain often seek treatment to reduce the pain and help them get back to work. Today’s article looks at the causes of low back pain and how nonsurgical treatments can help reduce low back pain and restore mobility to the body. We speak with certified medical providers who incorporate our patients’ information to provide various treatments to ease low back pain. We also inform patients how nonsurgical treatments can help restore mobility to the body while giving numerous techniques to reduce the chances of low back pain returning. We encourage our patients to ask intricated questions to our associated medical providers about the pain-like symptoms they are experiencing correlating with their backs. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.
The Causes For Low Back Pain
Do you feel stiffness in your lower back after a hard workday? Do you experience muscle aches or pain in your lower back after picking up a heavy object? Or do you experience limited mobility and stiffness over time after excessive standing or sitting at your job? Many individuals in these pain-like scenarios have experienced low back pain at some point in their lives, and it has impacted them to miss out on work. Since many people worldwide have experienced low back pain at some point in their lives, it has become a common problem that has become the leading cause of disability and is often associated with high cost. (Chou, 2021) Low back pain is a multifactorial condition that is specific or non-specific depending on the severity of the person’s experience. Non-specific low back pain often refers to when there isn’t a particular disease or structural reason for the pain to occur. This causes many people to go into early retirement due to losing their ability to work and become a socio-economic burden when seeking treatment. (Chenot et al., 2017) Specific low back pain is due to repetitive trauma and overusing the surrounding muscles that can cause the spine and spinal disc to be constantly compressed. This causes musculoskeletal pain symptoms and affects the rest of the lower extremities. (Will et al., 2018)
Some of the causes that low back pain is associated with can range from normal environmental factors to traumatic injuries that many working individuals have endured. Since low back pain is one of the leading causes of lost workdays around the world, some of the common causes that are contributed to low back pain include:
Mechanical strain
Obesity
Poor body mechanics
Trauma
Repetitive motions (twisting, bending, or lifting)
Herniated disc
Spinal stenosis
These pain-like causes can affect the upper and lower extremities and, when not being treated, lead to pain-like symptoms from radiating pain to limited mobility. However, when many people decide that enough is enough and want to get the treatment they need, they will seek out something that is not only affordable but can reduce the pain while restoring mobility.
The Power Of Chiropractic Care-Video
Nonsurgical Treatments For Low Back Pain
When it comes to seeking treatment for low back pain, many individuals are looking for something that is not only cost-effective but can help reduce the pain-like symptoms associated with the lower back. Nonsurgical treatments can help reduce low back pain and are cost-effective for many individuals including working individuals. Treatments like acupuncture, chiropractic care, and spinal decompression have various techniques and methods to provide pain relief to many individuals dealing with low back pain. Knowing the prevalence of the multiple pathologies of low back pain, a detailed history, and physical examination maneuvers allow doctors to accurately and quickly classify the most common causes of low back pain. (Kinkade, 2007) This will give them a better understanding of what kind of low back pain treatment they need to restore mobility to their bodies.
Chiropractic Care
Chiropractic care is a nonsurgical treatment that incorporates manual and mechanical manipulation to realign the body out of subluxation from low back pain. Chiropractic care can be incorporated into a person’s health and wellness treatment plan as it can help improve pain and disability associated with low back pain. (Bussieres et al., 2018) Chiropractors combine various techniques to stretch and strengthen weak muscles around the lower back and reduce low back pain intensity and disability. (Vining et al., 2020) Chiropractic care can also work with other forms of therapies to reduce the chances of low back pain from returning.
Spinal Decompression
Spinal decompression is another form of nonsurgical treatment that can help the lumbar spine through gentle traction and help decompress affected spinal discs from causing mechanical back pain. Spinal decompression can also alleviate the referred pain-like symptoms from the nerve roots involved in the lumbar region while rehydrating herniated discs. Spinal decompression can also help many individuals have their lumbar range of motion back and improve their pain and endurance while restoring their quality of life. (Amjad et al., 2022) Just like chiropractic care, spinal decompression can be combined with other therapies to strengthen the surrounding muscles and ligaments.
Acupuncture
With low back pain being a common problem for many individuals, sometimes it could be due to aggravated nerve roots along the surrounding muscles that are causing referred trigger pain correlating with low back pain. When that happens, many individuals will seek out acupuncture to reduce the pain and improve their quality of life. (Baroncini et al., 2022) Acupuncture can reduce the inflammatory effects caused by inflammation associated with low back pain and can increase mobility in the sacroiliac joint to improve mobility. (Sudhakaran, 2021) Depending on the source of pain in the back, acupuncture can help reduce the pain and provide relief. Many individuals seeking treatment for their lower back can incorporate these treatments to improve their health and restore their quality of life.
References
Amjad, F., Mohseni-Bandpei, M. A., Gilani, S. A., Ahmad, A., & Hanif, A. (2022). Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial. BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x
Baroncini, A., Maffulli, N., Eschweiler, J., Molsberger, F., Klimuch, A., & Migliorini, F. (2022). Acupuncture in chronic aspecific low back pain: a Bayesian network meta-analysis. J Orthop Surg Res, 17(1), 319. doi.org/10.1186/s13018-022-03212-3
Bussieres, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Haskett, D., Hincapie, C., Page, I., Passmore, S., Srbely, J., Stupar, M., Weisberg, J., & Ornelas, J. (2018). Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative. J Manipulative Physiol Ther, 41(4), 265-293. doi.org/10.1016/j.jmpt.2017.12.004
Chenot, J. F., Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, S. G. (2017). Non-Specific Low Back Pain. Dtsch Arztebl Int, 114(51-52), 883-890. doi.org/10.3238/arztebl.2017.0883
Vining, R., Long, C. R., Minkalis, A., Gudavalli, M. R., Xia, T., Walter, J., Coulter, I., & Goertz, C. M. (2020). Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain: A Randomized Controlled Trial. J Altern Complement Med, 26(7), 592-601. doi.org/10.1089/acm.2020.0107
Will, J. S., Bury, D. C., & Miller, J. A. (2018). Mechanical Low Back Pain. American Family Physician, 98(7), 421-428. www.ncbi.nlm.nih.gov/pubmed/30252425
The discs between the spine’s vertebrae provide cushioning and shock absorption in the spine and the rest of the body. Degenerative changes to the discs are believed to be the start of spinal stenosis. When the discs lack sufficient hydration/water and disc height decreases over time, the cushioning and shock absorption becomes less and less effective. The vertebrae can then become compressed, causing friction. Degenerative spinal stenosis can also develop from excess scar tissue and bone spurs (growth that develops on the edge of a bone) that can form after injury or spinal surgery.
Assessment
A physician will make a diagnosis of spinal stenosis. The doctor will take an imaging scan of the spine to determine the exact location of the degeneration and to measure how narrow the openings have become. Pain, stiffness, limited mobility, and loss of range of motion are often present. If spinal stenosis has caused nerve compression, there may also be pain, numbness, tingling, or weakness in the buttocks (sciatica), thighs, and lower legs. A physical therapist will determine the degree by assessing the following:
Vertebrae mobility – how the spine bends and twists in different directions.
Ability to change positions.
The strength of the core, back, and hip muscles.
Balance
Posture
Gait pattern
Nerve compression to determine if there are any symptoms in the legs.
Milder cases usually do not involve nerve compression, as back stiffness is more common.
In more severe cases, there may be significant pain, limited mobility, and nerve compression, causing leg weakness.
The most common symptom of spinal stenosis is increased pain with backward bending or extension of the lumbar spine. This includes positions that extend the spine, such as standing, walking, and lying on the stomach. Symptoms usually improve when bending forward and when the spine is positioned more into a flexed or bent position, like when sitting and reclining. These body positions open up the spaces in the central spinal canal.
Surgery
Spinal stenosis is the most common reason for undergoing surgery in adults 65 and older. However, surgery is almost always performed as a last resort if pain, symptoms, and disability persist after trying conservative therapies, including chiropractic, non-surgical decompression, and physical therapy, for months or years. The severity of symptoms and current state of health will determine whether a doctor will recommend surgery. (Zhuomao Mo, et al., 2018). Conservative measures can be safer and just as effective. A systematic review or study based on all available primary research found that physical therapy and exercise resulted in similar outcomes to surgery for improving pain and disability. (Zhuomao Mo, et al., 2018). Except for severe cases, surgery is often not necessary.
Physical Therapy for Spinal Stenosis
The objective of physical therapy includes:
Decreasing pain and joint stiffness.
Relieving nerve compression.
Reducing tightness in the surrounding muscles.
Improving the range of motion.
Improving postural alignment.
Strengthening the core muscles.
Improving leg strength to help with balance and overall function.
Stretching of the back muscles, including those running vertically along the spine and those running diagonally from the pelvis to the lumbar spine, helps relieve muscle tightness and pain and can improve overall mobility and range of motion of the lumbar spine.
Stretching the hip muscles, including the hip flexors in the front, the piriformis in the back, and the hamstrings that run from the back of the hip down the leg to the knee, is also important as these muscles are attached to the pelvis, which directly connects to the spine.
Exercises for strengthening the abdominal core muscles, including the muscles in the trunk, pelvis, lower back, hips, and abdomen, help stabilize the spine and protect it from excessive movement and compressive forces.
With spinal stenosis, the core muscles often become weak and inactive and unable to do their job to support the spine. Core exercises often begin by activating the deep abdominal muscles while lying flat on the back with the knees bent.
Exercises will progress as the individual gains more strength and control as the spine stabilizes.
Spinal stenosis physical therapy will also involve balance training and glute exercises for strengthening the leg muscles.
Prevention
Working with a physical therapist can help prevent future problems by maintaining spinal mobility, keeping the individual active, and exercising to maintain strength and stability to provide a solid foundation to support the lower back and prevent symptoms from worsening.
Severe Spinal Stenosis Physical Therapy
Physical therapy usually involves performing stretches for the lower back, hips, and legs, mobility exercises, and core strengthening exercises to improve spinal support and decrease pain. Treatments like heat or electrical stimulation may also be used on a case-by-case basis if there is significant pain or tightness in the back muscles. However, there is not enough clinical evidence to support that there are additional benefits. (Luciana Gazzi Macedo, et al., 2013) The effectiveness of physical therapy is high because surgery alone cannot strengthen the muscles that stabilize the spine, increase the mobility or flexibility of the surrounding muscles, and improve postural alignment.
The Root Causes of Spinal Stenosis
References
Lurie, J., & Tomkins-Lane, C. (2016). Management of lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Mo, Z., Zhang, R., Chang, M., & Tang, S. (2018). Exercise therapy versus surgery for lumbar spinal stenosis: A systematic review and meta-analysis. Pakistan journal of medical sciences, 34(4), 879–885. doi.org/10.12669/pjms.344.14349
Macedo, L. G., Hum, A., Kuleba, L., Mo, J., Truong, L., Yeung, M., & Battié, M. C. (2013). Physical therapy interventions for degenerative lumbar spinal stenosis: a systematic review. Physical therapy, 93(12), 1646–1660. doi.org/10.2522/ptj.20120379
Can individuals dealing with neck and back pain find the relief they need from the effects of spinal decompression therapy?
Introduction
Across the world, many individuals deal with neck or back pain from excessive sitting or standing, poor posture, or lifting heavy objects that cause their spine and muscles to ache constantly. Since the body is in constant movement, the spine is being compressed through repetitive movement that can cause the spinal discs to pop out of their original position and aggravate the surrounding nerves to cause pain-like symptoms in the neck and back regions. Many people start to complain about their necks and backs hurting and feeling referred pain in different locations in the upper and lower body portions. This can range from acute to chronic, depending on the severity of the pain. When people are experiencing these musculoskeletal pain disorders in their bodies, many will seek treatment to alleviate the pain in their necks and backs to return to their daily routines. Hence why, treatments like spinal decompression can have a positive effect on providing the relief that many individuals deserve. Today’s article looks at why the neck and back in the human body are the most common pain areas many people endure and how spinal decompression can reduce neck and back pain. We speak with certified medical providers who incorporate our patients’ information to provide various techniques to relieve neck and back pain from the body. We also inform patients how treatments like decompression can reduce musculoskeletal pain disorders from the neck and back. We encourage our patients to ask intricated questions to our associated medical providers about the pain-like symptoms they are experiencing correlating with their neck and back. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.
Why Are The Neck & Back Common Pain Areas?
Do you feel muscle tension in your neck after being hunched on the computer or your phone for a long time? Do you feel aches and pains in your back after carrying or lifting a heavy object? Or do you feel tingling or numbness in your arms or legs? Many of these pain-like symptoms are often correlated with neck and back pain that can be a nuisance to many individuals. So why is it that the neck and back of the human body are the most common pain areas that many people worldwide endure? Many people with highly demanding jobs often perform normal movements repetitively, which causes stress on the surrounding muscles, ligaments, and joints, and the accessory muscles will begin to be overworked and tight. Neck and back pain are amongst the most common symptom-related complaints that contribute to high levels of lost workdays, disability, and health care use. (Corwell & Davis, 2020) This causes many individuals to have unwanted socio-economic stress when they visit their primary care doctors. Additionally, neck and back pain are non-neurologic causes in the musculoskeletal system; these can generate pain in the muscles, tendons, ligaments, spinal discs, articular cartilage, and bone. (Meleger & Krivickas, 2007) To that point, when neck and back pain are not treated right away, it can lead to correlating pain symptoms that can lead to a life of disability. Since the spine has multiple structures, from the neck to the lower back, when a person is in pain, it can lead to various pain generators that can cause some visceral pain. (Patel et al., 2015) Hence why, neck and back pain are multi-factorial and lead to numerous disorders.
When it comes to reducing neck and back pain from the body, many individuals will seek medical treatment to relieve themselves from the pain. However, many primary care doctors will assess their patients to determine what the root cause of their pain by taking notes of their daily routine. Many normal causes of neck and back pain can be due to:
Poor Posture
Stress
Physical Inactivity
Trauma/Injuries
Excessive sitting/standing
Lifting/carrying heavy objects
These causes can lead to a life of disability and affect a person’s quality of life; however, luckily, many individuals have researched and looked for treatment that is cost-effective and can help reduce the pain they are experiencing.
Understanding Academic Low Back Pain- Video
Do you feel aches and pains in your neck and back? Do you feel stress in your muscles that cause you to feel miserable? Or do you feel pain in your upper or lower body portions affecting your daily routine? Many of these scenarios correlate with neck and back pain, a common issue many individuals experience. If not treated right away, it can lead to a life of disability and, for working individuals, lose a day of work. However, many individuals seek cost-effective treatments that can help reduce the pain affecting their necks and back. Treatments like chiropractic care, traction therapy, massage therapy, and spinal decompression are all non-surgical, affordable, and can help reduce pain-like symptoms associated with neck and back pain. The video above explains the causes of academic low back pain and how non-surgical treatments like chiropractic care can work with additional therapies to prevent back and neck pain from returning. At the same time, when individuals begin to reduce their workload and educate themselves on what to do to avoid neck and back pain from returning, they can start feeling better. (Tyrdal et al., 2022)
The Effects Of Decompression On Neck & Back Pain
As part of the non-surgical treatments, spinal decompression can help many individuals dealing with neck and back pain. What spinal decompression does is incorporate gentle traction on the spine to decompress the affected spinal disc that can be associated with neck and back pain. When the spine is being treated with spinal decompression, the gravitational traction pull helps produce a greater disc space on the spine to decrease intradiscal pressure and pain. (Vanti et al., 2021) This allows all the nutrients and fluids to return to the spine and spinal discs while promoting the body’s natural healing process.
Additionally, many individuals with neck and back pain will begin to notice a huge reduction in their pain and disability through consecutive treatment. (Vanti et al., 2023) By incorporating healthy habits to reduce the chances of neck and back pain from returning, many individuals can make small changes to their daily routine. This allows them to have a positive outlook and continue their health and wellness journey.
References
Corwell, B. N., & Davis, N. L. (2020). The Emergent Evaluation and Treatment of Neck and Back Pain. Emerg Med Clin North Am, 38(1), 167-191. doi.org/10.1016/j.emc.2019.09.007
Meleger, A. L., & Krivickas, L. S. (2007). Neck and back pain: musculoskeletal disorders. Neurol Clin, 25(2), 419-438. doi.org/10.1016/j.ncl.2007.01.006
Patel, V. B., Wasserman, R., & Imani, F. (2015). Interventional Therapies for Chronic Low Back Pain: A Focused Review (Efficacy and Outcomes). Anesth Pain Med, 5(4), e29716. doi.org/10.5812/aapm.29716
Tyrdal, M. K., Veierod, M. B., Roe, C., Natvig, B., Wahl, A. K., & Stendal Robinson, H. (2022). Neck and back pain: Differences between patients treated in primary and specialist health care. J Rehabil Med, 54, jrm00300. doi.org/10.2340/jrm.v54.363
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, A. A., & Pillastrini, P. (2023). The effects of the addition of mechanical traction to physical therapy on low back pain? A systematic review with meta-analysis. Acta Orthop Traumatol Turc, 57(1), 3-16. doi.org/10.5152/j.aott.2023.21323
Vanti, C., Turone, L., Panizzolo, A., Guccione, A. A., Bertozzi, L., & Pillastrini, P. (2021). Vertical traction for lumbar radiculopathy: a systematic review. Arch Physiother, 11(1), 7. doi.org/10.1186/s40945-021-00102-5
For a hearty side of potatoes, can oven roasting and paying attention to portion size make for a healthy meal?
Oven Roasted Potatoes
Potatoes are starchy, but that does not make them unhealthy. This is where individuals need to take portion size into consideration. Starchy foods like potatoes should take up around a quarter of the plate, with room for vegetables and a protein source.
Potatoes can provide a good source of vitamin C, calcium, magnesium, potassium, folate, and fiber.
Potatoes contain certain antioxidants – lutein and zeaxanthin.
These antioxidants help protect eyesight and help lower the risk of macular degeneration, which can lead to vision loss. (Umesh C. Gupta Subhas C. Gupta 2019)
Ingredients
2 pounds red or white potatoes, with skin left on.
2 tablespoons olive oil.
2 tablespoons fresh minced rosemary.
1 teaspoon garlic, chopped.
1/2 teaspoon salt.
1/4 teaspoon black pepper.
Preparation
Preheat the oven to 425F.
Wash the potatoes and let them dry.
The potatoes don’t need to be peeled, but cut out surface blemishes.
Cut large potatoes into 2-inch pieces.
If using small potatoes, they can be left whole.
Place on a baking dish in a single layer.
Drizzle olive oil.
Add the rosemary, garlic, salt, and pepper.
Toss the potatoes until they are evenly coated.
Roast uncovered for 45 minutes to 1 hour, turning occasionally.
The potatoes are done when easily pierced with a fork.
Variations and Substitutions
Dried rosemary can be used instead of fresh rosemary, but not as much is needed.
2 teaspoons will suffice.
If there is no rosemary, thyme or oregano can be used.
Another option is using a combination of favorite herbs.
Cooking and Serving
When roasting, don’t over-crowd the potatoes on the baking pan, as this can cause them to cook unevenly or become mushy.
Ensure the potatoes are spread out and distributed in a single layer.
Choose potatoes that are firm and don’t have a green tint.
Green-tinted potatoes contain a compound called solanine.
Can individuals incorporate decompression to reduce spinal disc pressure on their lower backs to restore their quality of life?
Introduction
The spine has a wonderful relationship with the human body as it is part of the musculoskeletal system. The spine has many components allow the body to be mobile and help stabilize the different muscle groups around the upper and lower portions. When the body is in motion, the spine starts to compress the spinal discs between the spinal column, which helps reduce the vertical axial load. Many people with highly demanding jobs will often use repetitive motions that cause the spinal disc to be constantly compressed. When the spinal disc starts to be continuously compressed, it can eventually crack over time from the immense pressure. It can aggravate the surrounding nerves that can cause referred pain-like symptoms in the upper and lower extremities. To that point, it can lead to a life of disability if it is not treated right away. Luckily, numerous treatments can help reduce the immense pressure from the spinal discs and reduce the pain-like symptoms from the upper and lower extremities. Today’s article looks at how spinal pressure affects the lower back and how decompression can help reduce spinal pressure on the lower back. We speak with certified medical providers who incorporate our patients’ information to provide various solutions to relieve spinal pressure on the spine. We also inform patients how treatments like decompression can reduce vertical axial pressure on the lower back. We encourage our patients to ask intricated and educational questions to our associated medical providers about the pain-like symptoms they are experiencing correlating with spinal pressure affecting their lower back. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.
How Does Spinal Pressure Affect The Lower Back?
Have you felt any muscle aches or stiffness in your lower back after bending down to pick up an object? What about feeling excruciating pain in your lower back that is radiating to your neck or your legs? Or do you feel pain in one location of your back that is not going away after rest? When many individuals are in pain, and home remedies are not providing the relief they deserve, they could be dealing with spinal pressure that is affecting their back. When people start to do repetitive motions to their bodies, the spinal disc will begin to crack and shrink depending on the environmental factor the pain is associated with.
Regarding spinal pressure in the lower back, the disc is thicker and the most susceptible to injury. When it comes to spinal pressure related to disc herniation, it can lead to many individuals dealing with lower back pain and can affect their quality of life. One of the symptoms of disc herniation that are correlated with spinal pressure is that the displacement of the spinal disc can cause pain and disability in the spine as a result of a traumatic injury or degenerative changes due to the natural aging process. (Chu et al., 2023) When working, individuals put constant pressure on their spines, which can speed up the development of lower back pain.
Additionally, when there is immense spinal pressure on the spine, many pain-like issues that individuals don’t normally have will begin to pop up. This is due to a focal displacement of the intervertebral disc material that is beyond the normal limit of the spine and compresses one or more nerve roots, which can cause musculoskeletal issues to arise. (Trager et al., 2022) This, in turn, causes radiating extremity pain on the upper and lower body portions, sensory disturbances, muscle weakness, and even diminished muscle stretch reflexes as pain-like symptoms in the lower back. At the same time, when individuals are experiencing low back pain associated with spinal pressure, their truck muscles have an abnormal tilt when sitting, standing, and walking. (Wang et al., 2022) When this happens, it can cause them to develop poor posture, and when they are in an upright position, they will feel pain in their lower backs due to weak truck muscles. However, there are ways to relieve spinal pressure from aggravating the nerve roots affecting the lower back.
The Non-Surgical Approach To Wellness-Video
When looking for the right treatment, many individuals want to look for something that is cost-effective and relieves their pain. Non-surgical treatments are cost-effective and utilize various techniques to help reduce musculoskeletal pain through mechanical and manual motions to strengthen weakened muscles, relieve spinal pressure off the disc, and help realign the body to promote healing properties. The video above shows how non-surgical treatments like chiropractic care can help many individuals get their foot on the right on their health and wellness journey. At the same time, spinal decompression is another form of non-surgical treatment as it incorporates gentle traction on the spine to reduce intervertebral pressure during active and passive traction. (Andersson et al., 1983) When the spine is gently pulled, the herniated disc starts to return to its original position back to the spine, which then allows the fluids and nutrients to return to the disc and rehydrate them.
Decompression Reducing Spinal Pressure On Lower Back
So, how does spinal decompression help reduce disc pressure off the spine when dealing with low back pain? As stated earlier, spinal decompression incorporates gentle traction on the spine to be gently pulled to stretch weak surrounding muscles in the lower back. This causes an inverse relationship as the pressure within the nucleus pulposus of the herniated disc can help improve posture for many individuals with low back pain. (Ramos & Martin, 1994) Similarly, when many people incorporate decompression and chiropractic, the pain intensity is significantly reduced in all body parts, and many individuals will begin to feel the relief they deserve. (Ljunggren et al., 1984) When many individuals listen to their bodies and get the treatment they deserve, they will start to notice how decompression can help restore their bodies and positively improve their health.
References
Andersson, G. B., Schultz, A. B., & Nachemson, A. L. (1983). Intervertebral disc pressures during traction. Scand J Rehabil Med Suppl, 9, 88-91. www.ncbi.nlm.nih.gov/pubmed/6585945
Chu, E. C., Lin, A., Huang, K. H. K., Cheung, G., & Lee, W. T. (2023). A Severe Disc Herniation Mimics Spinal Tumor. Cureus, 15(3), e36545. doi.org/10.7759/cureus.36545
Ljunggren, A. E., Weber, H., & Larsen, S. (1984). Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs. Scand J Rehabil Med, 16(3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Ramos, G., & Martin, W. (1994). Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Trager, R. J., Daniels, C. J., Perez, J. A., Casselberry, R. M., & Dusek, J. A. (2022). Association between chiropractic spinal manipulation and lumbar discectomy in adults with lumbar disc herniation and radiculopathy: retrospective cohort study using United States’ data. BMJ Open, 12(12), e068262. doi.org/10.1136/bmjopen-2022-068262
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