Chiropractor, Dr. Alexander Jimenez looks at how sciatica can affect what you do and where you go.
Popular songstress hears her “Body Talk” and finds “Let’s Get Physical” challenging due to low back and leg pain.
In the event you suffer from sciatica, you may have to take time off work due to debilitating leg pain and low back. That�s just what occurred to Olivia Newton-John, who postponed her May 2017 performances because of sciatica flare up.
A statement posted on the star�s official Facebook page said, �We are so sorry to announce the Olivia concerts scheduled for May will be postponed due to a issue that is negative with Olivia’s sciatica.�
In a Facebook post that was separate, Newton John expressed disappointment at having to postpone the shows, but that the symptoms wouldn’t allow her to perform. �I have had a long running issue with sciatica, � she wrote. �I need to take this time with this very debilitating condition.�
Sciatica�s hallmark symptoms of intense low back and leg pain make it among the most well known spinal issues. Individuals who have sciatica frequently describe their pain as electrical-like as it runs in the buttock down and down the trunk of the thigh to the foot. Moving your legs often makes the pain worse performing all night as Newton-John her pain would have during her concerts may have greatly intensified.
Newton-John�s choice to take time to handle her sciatica is an excellent example for anyone who lives with acute low back and leg pain. Avoiding activities that aggravate your sciatica and focusing on mild activities and other treatments go a long way to lower your pain.
Keep Sciatica Pain From Increasing
By Staying Informed
Does one have problems with sciatica? SpineUniverse has many resources that will help you understand this sciatic nerve-associated pain and also the treatments that may assist you to will find relief:
If you want to add years to your life, 10 daily servings of fruits and vegetables may be the best recipe you can follow, a new analysis suggests.
The benefits appear to come through lower rates of heart attack, stroke, cancer and early death. And if everyone found a way to get 10 daily servings of produce, 7.8 million premature deaths would be avoided each year worldwide, the British researchers estimated.
Exactly how much in the way of fruits and vegetables is that? Anywhere from 10 small bananas or apples to 30 tablespoons of cooked spinach, peas, broccoli or cauliflower — or roughly 800 grams of produce, the researchers said.
At least five servings (400 grams) of fruits and vegetables each day is what is currently recommended by many health agencies.
“Although five portions of fruit and vegetables is good, 10 a day is even better,” said study author Dagfinn Aune, of the School of Public Health at Imperial College London.
But even just over two portions a day made a difference in the review, the researchers added.
Eating 2.5 portions (200 grams) of produce on a daily basis was associated with reductions in: heart disease (by 16 percent); stroke (18 percent); cardiovascular disease (13 percent); cancer risk (4 percent); and premature death (15 percent).
The results for 10 daily servings were even stronger: a 24 percent reduced risk of heart disease; a 33 percent reduced risk of stroke; a 28 percent reduced risk of cardiovascular disease; a 13 percent reduced risk of cancer; and a 31 percent reduction in premature death risk.
“Fruit and vegetables have been shown to reduce cholesterol levels, blood pressure, and to boost the health of our blood vessels and immune system,” Aune said in a university news release.
“This may be due to the complex network of nutrients they hold. For instance, they contain many antioxidants, which may reduce DNA damage, and lead to a reduction in cancer risk,” Aune explained.
However, the study did not prove a cause-and-effect link between eating more fruits and vegetables and longer life.
“Most likely it is the whole package of beneficial nutrients you obtain by eating fruits and vegetables that is crucial in health,” Aune said.
“This is why it is important to eat whole plant foods to get the benefit, instead of taking antioxidant or vitamin supplements (which have not been shown to reduce disease risk),” Aune noted.
Together, the 95 studies the Imperial College London scientists analyzed included almost 2 million people.
In their review, the researchers also found signs that these types of produce seemed to confer the greatest benefits: apples, pears, citrus fruits, green leafy vegetables, cruciferous vegetables (such as broccoli, cabbage and cauliflower), and green and yellow vegetables (such as green beans, spinach, carrots and peppers).
The study was published Feb. 22 in the International Journal of Epidemiology.
A displaced or luxated vertebra is when the joint surfaces are completely separated. Subluxation is a partial or incomplete separation: one in which the articulating surfaces remain in partial contact. This latter condition is so often referred to and known by chiropractors as sub-luxation.
The relationship existing between bones and nerves are so nicely adjusted that anyone of the 200 bones, more especially those of the vertebral column, cannot be displaced ever so little without impinging upon adjacent nerves. Pressure on nerves excites, agitates, creates an excess of molecular vibration, whose effects, when local, are known as inflammation, when general, as fever.
A subluxation does not restrain or liberate vital energy. Vital energy is expressed in functional activity. A subluxation may impinge against nerves, the transmitting channel may increase or decrease the momentum of impulses, not energy.
�According to BJ Palmer, a subluxation represents a displaced bone that’s impinged on a nerve, which interferes with the transmission of vital nerve energy (or, more specifically, �mental impulses.�)��
For over hundred years, chiropractors have explained chiropractic medicine by teaching patients and the medical community that bones compress which irritate spinal nerves. The ensuing nervous system dysfunctions have negative effects on the function of peripheral nervous systems, central nervous systems and patients� overall ability to maintain homeostasis.
Essentially, they go into states of dis-ease.� These discussions were in large part due to the teachings of D.D. Palmer and B.J. Palmer as previously cited. Based on the results rendered in chiropractic offices across the country and in a patient-driven model of success, the general consensus in both private practice and chiropractic academia had been to maintain status quo and simply teach what has worked in the absence of conclusive evidence, particularly in light of a lack of serious governmental funding and support for chiropractic research.� In addition, dogma has also created blinders for many, as evidence evolves to further chiropractic and its understanding, application and expansion.
Research has been published and has begun to verify D.D. and B.J. Palmer�s hypotheses were correct. While clarifying the specific physiological mechanisms related to chiropractic�s ability to alleviate pain.� As a result of initially studying pain mechanisms, contemporary research has also begun to set the foundation for understanding why chiropractic works with systemic and autonomic dysfunction and potential disease treatment through the adjustment � central nervous system connection.
It is the understanding of that connection with pain that is helping people to begin to understand the full impact of the chiropractic spinal adjustment and render the evidence to help more get well.
CENTRAL NERVOUS SYSTEM & PAIN REDUCTION
Reductions in pain sensitivity, or hypoalgesia, after spinal manipulative therapy or a chiropractic adjustment may point to a mechanism related to the central nervous system processing of pain.�These findings indicate that a chiropractic spinal adjustment affects the dorsal horns at the root levels which are located in the central nervous system.��
This is the beginning of the �big picture� since once we identify the mechanism by which we can positively influence the central nervous system, we can then study that process and its effects in much more depth.
One question asked, does a chiropractic adjustment cause a general response of pain sensitivity or if the response is specific to the area where adjustment is applied? For example, changes in pain sensitivity over the cervical facets following a cervical spine SMT would indicate a local and specific effect while changes in pain sensitivity in the lumbar facets following a cervical spine SMT would suggest a general effect.
We observed a favorable change for increased PPT [pressure pain threshold] when measured at remote anatomical sites and a similar, but non-significant change at local anatomical sites. These findings lend support to a possible general effect of SMT beyond the effect expected at the local region of SMT application.
The adjustment mechanism is theorized to result from both spinal cord mediated mechanisms and the brain. A recent model of the mechanisms of manual therapy suggests changes in pain related to SMT result from an interaction of neurophysiological responses related to the peripheral nervous system and the central nervous system at the spinal and supraspinal level.
This demonstrates that�chiropractic adjustment influences the peripheral nervous system and the central nervous system.��
ACTIVATION OF BRAIN & DESCENDING NERVE PATHWAYS BEYOND AREAS TREATED
CHIROPRACTIC ADJUSTMENT VS. SPINAL MOBILIZATION
Manual therapy has clinically shown to boost pressure pain thresholds (i.e., decrease sensitivity) in both symptomatic and asymptomatic subjects. Cervical spinal manipulation has been shown to result in unilateral as well as bilateral mechanical hypoalgesia.
Compared with no manual therapy, oscillatory spinal manual therapy at T12 and L4 produced significantly higher paraspinal pain thresholds at T6, L1, and L3 in individuals with rheumatoid arthritis.
The immediate and widespread hypoalgesia associated with manual therapy treatments has been attributed to alterations in peripheral and/or central pain processing including activation of descending pain inhibitory systems.
Manual therapy triggers the central nervous system which affects areas around those being treated.�Clinical studies show spinal manipulation or an adjustment alters the central processing of mechanical stimuli. This is proven by an increased pressure pain threshold and decreased pain sensitivity in asymptomatic and symptomatic subjects following manipulation.
The thalamus also regulates states of sleep and wakefulness which plays a major role in regulating arousal, the level of awareness, and activity (Thalamus�http://en.wikipedia.org/wiki/Thalamus).
Therefore, a�chiropractic adjustment reduces pain through the thalamus. �In addition, with current knowledge of chiropractic adjustment effecting the thalamus, we can begin to offer an explanation of how the first historically reported chiropractic adjustment by D.D. Palmer helped Harvey Lilard regain his hearing.
CHIROPRACTIC REDUCES PAIN IN MULTIPLE REGIONS DUE TO
LOCAL AND CNS STIMULATION
Significant changes were observed on sensory parameters, supporting the hypothesis of centrally mediated effects of a single adjustment. This suggests that the�chiropractic spinal adjustment affects the nociceptors and the mechanoreceptors at the joint level causing central modulation of an effect at the cord and/or brain level(s) and pain reductions in multiple areas as a result.
AN ADJUSTMENT WILL CREATE HIGHER FUNCTION IN CORTICAL AREAS
MT or manual therapy/chiropractic adjustment reduce pain intensity and pain sensitivity. it is reasonable to assume that the underlying therapeutic effect of MT is likely to include a higher cortical component.
In other words, thoracic adjustments produced direct and measureable effects on the central nervous system across multiple regions, which in the case of the responsible for the processing of emotion (cingulate cortex, aka limbic cortex) are regarding the insular cortex which also responsible for regulating emotion as well has homeostasis.
The motor cortex is involved in the planning and execution of voluntary movements, the amygdala�s primary function is memory and decision making (also part of the limbic system), the somatosensory cortex is involved in processing the sense of touch (remember the homunculus) and, finally, the periaqueductal gray is responsible for descending pain modulation (the brain regulating the processing of painful stimuli).
Brain Region Function
Cingulate Cortex Emotions, learning, motivation, memory Insular Cortex Consciousness, homeostasis, perception, motor control, self-awareness, cognitive function Motor Cortex Voluntary movements Amygdala Cortex Memory, decision making, emotional reactions Somatosensory Cortex Proprio and mechano-reception, touch, temperature, pain of the skin, epithelial, skeletal muscle, bones, joints, internal organs and cardiovascular systems Periaqueductal Gray Ascending and descending spinothalamtic tracts carrying pain and temperature fibers
The global effects of a chiropractic adjustment simply put, the processing of pain may be modulated or regulated from an external force without the use of pharmacy or surgery? Pain is deeply tied to the most primitive regions of the central nervous system and it appears (as chiropractors have observed clinically for 116 years) that therapeutically speaking, we can have an influence on these higher centers with little or no side-effects.
Chiropractic spinal adjustments create functional changes in multiple regions of the brain. In addition, this has far reaching effects in setting the foundation for understanding how the adjustment works in systemic and possibly autonomic changes by being able to measure and reproduce functional changes within the brain as direct sequellae.
MUSCLE IMPAIRMENT CREATES CNS ALTERATIONS & THE
NECESSITY FOR BOTH SHORT-TERM & LONG-TERM
CHIROPRACTIC CARE
ADJUSTMENTS WORK � SPINAL MOBILIZATION DOES NOT
What this means is that there are observable changes in the function of the central nervous system seen in patients with musculoskeletal conditions.� That is something that chiropractors have observed clinically and shows the medical necessity for chiropractic care for both short and long term management as well as in the prevention of pain syndromes.
Evidence suggests that muscle damage occurs early in spinal complaints, and that such muscle damage does not automatically resolve even when pain symptoms improve. This has led some authors to suggest that the deficits in proprioception and motor control, rather than the pain itself, may be the main factors defining the clinical picture and chronicity of various chronic pain conditions.
This evidence suggests that chiropractic manipulation may have a positive neuromodulatory effect on the central nervous system, and this may play a role in the effect it has in the treatment of neck pain.
When the input signal is no longer encoded as a result of joint dysfunction and altered afferent input, the cerebellum must adjust to new encodings that dictate the body schema and affect proper execution of the motor task.
The significance is that it suggests that chiropractic adjustments improve neck dysfunction, and through plasty changes in the cerebellum, there is resultant motor learning and increased function.�
CONCLUSION
Chiropractic adjustments influence the peripheral nervous system and the central nervous system. In the central nervous system, chiropractic spinal adjustments reduce pain by effecting the thalamus and descending central pain pathways.
The areas of the brain affected by chiropractic adjustments effect the following functions: emotions, learning, motivation, memory, consciousness, homeostasis, perception, motor control, self-awareness, cognitive function, voluntary movements, decision making, touch, temperature, pain of the skin- epithelial tissue-skeletal muscles-bones-internal organs and cardiovascular system.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
For over hundred years, chiropractors have explained chiropractic medicine by teaching patients and the medical community that bones compress which irritate spinal nerves. People have begun�to understand the full impact of the chiropractic spinal adjustment and render the evidence to help more people get well.
For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
From strong leaders to popular group members, the individual’s confidence is notable due to the way they carry themselves, demonstrating a strong demeanor. Aside from personality, there�s one main factor that commonly characterizes these individuals; posture. In today’s society, the body language people display to others is a powerful source of communication. Posture can say more about an individual than words. An upright posture can be a subtle signal of self-assurance to everyone around you, but more importantly, good posture reveals health from within.
Posture is defined as the position in which someone holds their body when standing or sitting against the force of gravity. A proper posture is that which exerts the less amount of stress and pressure from the spine, without compressing or pinching the structures surrounding the spinal bones. When an individual practices good posture, the spine maintains its proper health and wellness, avoid other complications.
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Good posture is a fundamental health component. The spine is the key to a strong and healthy posture. Hippocrates, the father of modern medicine quoted, �Look first to the spine for the cause of all disease.� The spine, also known the vertebral column or spinal column, consists of a series of bones referred to as the vertebrae which are stacked one upon another. The main functions of the spine are to protect the spinal cord and provide support as well as stability to the structures of the body, allowing humans to stand upright, bend, and twist. Strong bones and muscles, flexible ligaments, tendons, and sensitive nerves all make up a healthy spine. But, when an individual does not practice proper posture, the natural structure of the spine can be greatly affected, leading to various spinal complications. According to various research studies, it�s been acknowledged that spinal health can influence overall health and wellness.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Maintaining a proper posture is important to help reduce the amount of stress and pressure that is commonly applied to the spine with everyday physical activities. When standing or sitting incorrectly for an extended period of time, the body can begin to change, often leading to various types of issues. Practicing good posture can help improve the well being of the spine. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
From strong leaders to popular group members, the individual’s confidence is notable due to the way they carry themselves, demonstrating a strong demeanor. Aside from personality, there�s one main factor that commonly characterizes these individuals; posture. In today’s society, the body language people display to others is a powerful source of communication. Posture can say more about an individual than words. An upright posture can be a subtle signal of self-assurance to everyone around you, but more importantly, good posture reveals health from within.
Posture is defined as the position in which someone holds their body when standing or sitting against the force of gravity. A proper posture is that which exerts the less amount of stress and pressure from the spine, without compressing or pinching the structures surrounding the spinal bones. When an individual practices good posture, the spine maintains its proper health and wellness, avoid other complications.
The Health of the Spine & Posture
Good posture is a fundamental health component. The spine is the key to a strong and healthy posture. Hippocrates, the father of modern medicine quoted, �Look first to the spine for the cause of all disease.� The spine, also known the vertebral column or spinal column, consists of a series of bones referred to as the vertebrae which are stacked one upon another. The main functions of the spine are to protect the spinal cord and provide support as well as stability to the structures of the body, allowing humans to stand upright, bend, and twist. Strong bones and muscles, flexible ligaments, tendons, and sensitive nerves all make up a healthy spine. But, when an individual does not practice proper posture, the natural structure of the spine can be greatly affected, leading to various spinal complications. According to various research studies, it�s been acknowledged that spinal health can influence overall health and wellness.
Unfortunately for many individuals, spine care is not generally considered until an injury or condition develops, causing impairing pain and discomfort to the individual. For example, we all know the importance of brushing our teeth every day. Pro-actively caring for our teeth is the best way to ensure we will maintain good dental health and we don�t wait till our teeth become sore before we start brushing them. Similar to your teeth, regular spinal care is vital towards the health of your spine and body. Just because it isn�t visible like your teeth, it doesn�t mean it�s any less important.
Foremost, spine care begins with improving or maintaining posture. A proper posture involves training the body to stand, walk, sit, and lie so that the least amount of strain is placed on the spinal bones during movement or weight-bearing activities. Throughout your day, pay close attention to your posture. Sitting and standing upright, especially after working behind a computer or being constantly up on your feet for an extended period of time, is the best practice for correcting posture. Ultimately, avoid the habit of hunching over a computer or phone, or slouching in front of the television. In addition, include a proper set of stretches and strengthening exercises into your week schedule, such as weight lifting, pilates, or swimming, to help strengthen the muscles and other tissues surrounding your spine as well as increase your flexibility.
Chiropractic Can Correct Posture
Chiropractic care is also efficient towards improving the condition of your spine and correcting posture. When the spine is not being properly supported and the body�s weight is unevenly distributed, excess pressure is placed on the bones, muscles, ligaments, tendons, and even the nerves around the spine, irritating these complex structures, and leading to damage, injury, or conditions. Subluxations, or spinal misalignments, is one of the most common types of spinal complications resulting from improper posture. In some cases, a spinal misalignment can lead to nerve compression and other complications such as sciatica, a series of symptoms described as radiating pain along the sciatic nerve which runs down one or both legs from the lower back. Through the use of spinal adjustments and manual manipulations, a chiropractor can carefully re-align the spine, naturally restoring its proper functions. Getting adjusted regularly by a chiropractor is a great way to re-establish a better posture and overall health.
The body language we display to others is a powerful source of communication. Posture can say more about an individual than words. An upright posture can be a subtle signal of self-assurance to everyone around you, but more importantly, a proper posture reveals health from within. The spine is essential towards the function of many systems in the body and an improper posture may lead to complications.
Maintaining a proper posture is important to help reduce the amount of stress and pressure that is commonly applied to the spine with everyday physical activities. When standing or sitting incorrectly for an extended period of time, the body can begin to change, often leading to various types of issues. Practicing good posture can help improve the well being of the spine.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
Lower back pain is a common symptoms frequently reported among a majority of the population in the United States. While low back pain generally resolves on its own, constant discomfort could signal the presence of a more serious injury or condition. A variety of factors can lead to spinal damage or injury, manifesting as low back pain, however, when the pain and discomfort includes tingling sensations, numbness and even burning sensations along the lower extremities, damage or injury to the sciatic nerve may have occurred.
Over-exercising, lifting, bending, or twisting abruptly into awkward positions, and even driving for extended periods of time, can strain the sciatic nerve, leading to lower back pain which radiates into the back of the legs as well as other numerous symptoms, known as sciatica.
Approximately 5 to 10 percent of individuals experience some form of low back pain from sciatic nerve pain. Most commonly seen in people ranging from 18 to 35 years of age, the prevalence of sciatic symptoms varies tremendously from 1.6 percent throughout the general population to 43 percent in a selected working population. Unfortunately, only 30 percent of individuals suffering from sciatica seek medical attention only after experiencing these painful symptoms for a year or more. In a majority of cases, sciatica is caused by a herniated disc involving nerve root compression.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Sciatica is characterized as a collection of symptoms rather than a single condition. Pain and discomfort, along with tingling sensations, numbness and burning sensations are the most common symptoms indicating the presence of sciatica. Understanding the variety of symptoms as well as the causes for sciatica can be important in order to properly diagnose it and follow up with treatment. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
Back pain is one of the most prevalent symptoms reported in the United States. A variety of factors can result in the well-known symptom and, although back pain is usually temporary and it resolves on its own, constant symptoms of pain and discomfort can tremendously affect a person’s lifestyle.
Millions of Americans are encountered with some form of pain on their back and spine at least once throughout their lives. From the wide variety of factors that could lead to these well-known symptoms of pain, however, many individuals can learn to reduce or even eliminate their back pain through a series of simple steps.
Experts at the Interventional Pain Management Center, or IPMC, a multi-site clinical practice based in New Jersey, is currently evaluating several basic methods that may help alleviate chronic back pain among the general population. Foremost, one of the first recommendations discussed by the experts included improving posture, or the position in which an individual stands and moves around. �Proper posture contributes greatly to the relief or elimination of back pain,� quoted a spokesperson for the Interventional Pain Management Center. �The spine is stronger and more stable when one practices healthy posture.�
Achieving Proper Posture
When an individual slouches or stoops, the improper posture can cause the muscles, ligaments and other tissues that support the complex structures of the spine to become misaligned, straining to provide balance to the body. This straining is what often leads to pain on the back, neck, and shoulders. The spine has a natural S-shaped curve which functions to absorb shock, maintain balance, and allow range of motion, and in order to maintain those natural curves, proper posture is essential.
In adults, proper posture needs to be a combination of body positioning and balance. The shoulders should be held back with the head leveled and aligned with the rest of the body. Tightening the muscles of the abdomen can also help support the lower region of the spine. In addition, the position of the feet and knees can also influence posture. The feet should be kept shoulder-width apart and the knees mustn�t be locked when practicing a proper posture. These positions help spread the weight of the body along more support structures, further assisting individuals to reduce or even eliminate muscular pressure and stress that may be causing pain. A good way to check whether you�re maintaining a proper posture is to perform the wall test, where the individual stands with his or her back against a wall. When the head, shoulder blades and buttocks are touching the wall, there should be a space of about one hand�s thickness between the curve of the lower back and the wall. The individual can then arch their back in order to form the proper space, placing the back into proper postural alignment.
Find a Diagnosis
Additionally, if an individual is experiencing persistent symptoms of back pain, its important for them to seek immediate medical attention to diagnose any possible injuries or underlying conditions that could be causing their pain and discomfort. Spinal misalignments, or subluxations, are one of the most frequently diagnosed conditions causing back pain and there are several types of treatments to improve this painful condition. Chiropractic care is an effective form of alternative treatment, frequently utilized to treat many back complications. After diagnosing the source of your back issues, a doctor of chiropractic, or DC, will most commonly use a series of spinal adjustments and manual manipulations to gradually restore the natural state of your spine. Chiropractic treatment focuses on re-aligning the spine while strengthening the muscles and other tissues surrounding the spine as well as improving flexibility to correct an individual�s posture and relieve or even eliminate their back pain symptoms.
For many individuals in the United States alone, back and spine complications are common struggles which affect people at some point in their lifetimes. There are a number of causes that can lead to back pain, but fortunately, many individuals can achieve relief of their symptoms through several well-known methods. Chiropractic care can help improve the condition of a variety of spine complications and relieve their symptoms.
Aside from using chiropractic care to treat the symptoms of back pain, preventing the development of any other symptoms is recommended to maintain overall health and wellness as well. Practicing a proper posture when standing or sitting, especially during extended hours of work behind a desk, can ultimately help reduce and even improve the symptoms of back pain. Prevention can be the first step to avoid further issues.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
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