Back Clinic Lower Back Pain Chiropractic Team. More than 80% of the population suffers from back pain at some point in their lives. Most cases can be linked to the most common causes: muscle strain, injury, or overuse. But it can also be attributed to a specific condition of the spine: Herniated Disc, Degenerative Disc Disease, Spondylolisthesis, Spinal Stenosis, and Osteoarthritis. Less common conditions are sacroiliac joint dysfunction, spinal tumors, fibromyalgia, and piriformis syndrome.
Pain is caused by damage or injury to the muscles and ligaments of the back. Dr. Alex Jimenez compiled articles outline the importance of understanding the causes and effects of this uncomfortable symptom. Chiropractic focuses on restoring a person’s strength and flexibility to help improve symptoms of lower back pain.
Participating in any sports or physical activities strengthens the mind and body. But working out and engaging in these types of activities too much or without rest periods wears down the body. There is the feeling of a good workout with some sore muscles and achiness that lets you know the activity is working positively.
However, soreness can quickly lead to pain and further injury if ignored. The lower back is a common area of soreness after working out playing sports, and where muscle spasms, pulls, and pinches occur. Being able to distinguish between workout soreness and pain is critical for maintaining a healthy spine.
A constant-sore back or feelings of sharp pains is not normal. If there is a feeling of low back pain during or after a physical routine, stop and take a moment to examine the tingling, discomfort, or pain being experienced. If unsure if the soreness or pain is a cause for concern call or video conference with a chiropractor to discuss what is going on.
Physical activity and pain
Individuals participating in physical/sports activities have an increased risk of low back pain because of the consistent running, twisting, and jumping. Any of these movements place pressure on the spine along with the surrounding ligaments and muscles, which can lead to injury.
Repetitive twisting and turning, stresses the muscles around the spine, which can cause frequent muscle sprains. Running and jumping also wears down the vertebrae and discs. Impact activities can also cause injuries to the spine, nerve roots, and surrounding tissues. The most common back problems include:
Muscle sprains
Osteoarthritis
Bulging discs
Herniated discs
Sciatica
Fractures are less common but still pose a risk
Individuals should watch for achiness or stiffness that lasts longer than a few days and does not alleviate with ice or anti-inflammatory over the counter medication, or sharp pain that happens with specific movement/s, along with any pain, numbness, tingling that runs down the leg/s or to other areas should consult a medical professional.
Treatment and prevention
Maintaining the body’s health is critical. If the lower back begins to present discomfort or hurts, do not ignore it. Many will play through the pain when they should be taking a break. And ignoring any back pain could create new injuries or worsen the condition. Continued pressure on the back will worsen any strains or fractures and will hinder the body from healing properly.
Individuals tend to take on awkward/uncomfortable postures and move in awkward ways to avoid or compensate for the pain. This places added pressure in the wrong places and can cause/worsen an injury or condition. Pay attention to the pain. Try ice and heat therapy at home to see if it eases up. Using a foam roller or self-massage device can help if the back pain is muscular. However, if the pain is sharp, shooting, or does not go away, visit a chiropractor for diagnosis and treatment.
A chiropractor will conduct imaging tests and physical exams to identify the root cause. Once a diagnosis has been reached a treatment plan will be implemented through:
Massage
Stretches
Therapeutic exercises
Spinal adjustments
Health coaching
Visiting a chiropractic professional will improve the condition and strengthen the spine.
Fit Body Composition
Muscle recovery
When engaging in physical activity there is microscopic damage to the muscle cells. The stress and fatigue the body goes through during physical activity cause hormone and enzyme levels to fluctuate, increasing inflammation. This leads to:
Fat loss
Increased metabolism
Increased strength
Muscle growth
However, it happens through proper recovery. There are different types of recovery: immediate, short-term, and training.
Immediate recovery is the short time between movements. For example, when jogging, immediate recovery is the time between each stride.
Short-term is the time between sets of exercises. For example, the rest periods between exercise intervals.
Training recovery is the period between one workout session ending and the next beginning.
Research has shown that rest time is not a one size fits all. Everyone is different and therefore should consult a fitness trainer, or sports chiropractor and experiment with what feels right. For some individuals, 24 hours works. For others, it can be 48 or 72 hours to feel fully recovered. It depends on age, fitness level, physical activity intensity, diet, sleep, and more.
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Smith, Jo Armour et al. �Risk Factors Associated With Low Back Pain in Golfers: A Systematic Review and Meta-analysis.��Sports health�vol. 10,6 (2018): 538-546. doi:10.1177/1941738118795425
Remote working and learning have changed the way we operate, but too much sitting and no physical activity is the perfect set up for back pain. Here are a few tips for spine friendly remote working and learning. Spine-health is just as important working or learning remotely, if not more so because it is easy to fall into bad posture habits that will affect the spine. Poor home working/learning habits can cause upper and lower back pain that could become chronic.
Individuals become too comfortable making the home working environment a damaging experience on spinal health. For chiropractors, the pandemic brought an influx of individuals of all ages with upper, middle, and lower back pain. This was caused by poor posture when video conferencing on the couch, slouching at the table and sitting for way too long, and never getting up and moving around.
Children tend to present with pain and aches on the side of the spine versus pain directly centered. This is from side slouching, often when staring at the computer monitor. Adults, especially over 40 complained of pain and stiffness in the upper and lower back. Herniated discs, degenerative disc disease, and sciatica risks increase as bad habits continue and do not improve. However, this can all be helped with a little exercise, work/school space optimization, and forming healthy work and schooling from home habits.
Stretching Out
When working/schooling remotely, there�s a tendency to be more sedentary. Individuals need to learn to take time to stretch out and keep the body limber. It is easy to use breaks to scroll through social media or binge on movies, videos, etc. This can still be accomplished, but stretch out and move around while taking breaks. An exercise program of stretching daily during the workday and endurance training twice a week will help reduce back pain and increase flexion. Results vary for everyone and the type of stretching exercises they are performing.
Core Exercises
Core exercises are a perfect way to work out muscle stress and back pain resulting from poor posture. Slumped over a computer can place significant stress on the trapezius muscle causing the muscle to knot up and tighten. The trapezius muscle is crucial to neck and shoulder movement and helps stabilize the shoulder blades.
Trapezius stretch with band
Holding an elastic band between the hands, place the band at the back of the skull.
Slowly tilt the head back to its full range of motion as the resistance is felt.
Return the head back to the neutral position maintaining alignment with the spine.
Choose 2 items of equal weight such as 2 books, 2 quarts of water, or 2 hand weights, and hold one item in each hand.
Position keeping hands near your sides
Slowly raise up and shrug your shoulders for several seconds
Gently release shoulder shrug and bring back arms to neutral
Repeat for 10 reps
Posture
Proper posture is a learned process that requires practice. Using a mirror to check posture can help maintain proper posture while seated when working/schooling. Self-assessing posture correctly is important and viewing oneself in a mirror is an easy way to figure out what adjustments are needed. Questions to ask oneself while self-assessing include:
Is the head far too forward?
Is there slouching?
Are the shoulders curling/rounding around the body?
Posture tips when seated:
Keep the feet flat on the floor or on a footrest
If in the habit of crossing ankles and knees change position often
Position the back against the chair. If the spine does not align with the chair use a cushion or backrest
Position knees at hip height or a little lower
Maintain some space between the back of the knees and the chair�s edge
Look straight ahead but make sure the neck is comfortable
Position forearms parallel to the floor
Maintain relaxed shoulders
Adjust the Light
When lighting is not optimal there can be a tendency to strain forward in various positions. This can cause excessive stress and inflammation to the upper spine area. Natural ambient lighting is recommended. In general, the lighting set-up should be adjusted to easily see the screen without causing glare or any type of discomfort to the eyes.
Take a Walk
A daily routine that will support spine health is to take walk breaks every half hour for a few minutes. If every half hour is not doable then take a 5 or 10-minute break to walk around and stretch every hour. It is important not to remain seated for too long. Remember the body was meant to move and be active.
Optimization Work Station
Using ergonomic office furniture for home use can help prevent the development of unhealthy posture along with the development of further musculoskeletal issues. Laptops are great for their portability and ability to work-from-anywhere. However, actually placing them on your lap and working on them for too long will cause back and neck strain. It is difficult to position the keyboard and screen for maintaining a proper line of sight and hand position.
The most spine-healthy way to work on a laptop is to position the screen at eye level with the keyboard level with slightly extended hands. A recommended long-term solution is using a screen and keyboard that can be adjusted. One type of computer set up is an iPad positioned at eye-level with a stand and a wireless external keyboard/mouse on a table or desk.
A lot of money does not have to be spent on the setup. Books or boxes laying around the house can be used to prop up the screen to the proper height. The goal is when working/schooling remotely is to ensure the body is not hunched over, bent, or straining forward and to maintain proper posture with optimal spinal alignment.
There are unique spinal health challenges when working/learning remotely. However, they can be avoided with a little planning and small adjustments.Taking time to stretch, do a little exercise, walk around the house, have adequate lighting, and making some ergonomic desk, chair, and computer changes that will help maintain a healthy spine.
Back Pain Rehabilitation
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Moretti A, Menna F, Aulicino M, Paoletta M, Liguori S, Iolascon G. Characterization of Home Working Population during COVID-19 Emergency: A Cross-Sectional Analysis.�Int J Environ Res Public Health. 2020;17(17):6284. Published 2020 Aug 28. doi:10.3390/ijerph17176284
Trying to understand what is causing back pain that comes out of nowhere, whether a spinal issue or a kidney issue can be quite challenging. Doing a self-examination, retracing steps, and constantly thinking about it is exhausting. The right healthcare professional that has experience in spinal issues, as well as, understanding various health conditions that can contribute to spine pain, and making the correct diagnosis can help in developing the proper treatment plan or refer the individual to the proper specialist.
The Kidneys
The organs are located below the ribs, close to the middle/thoracic back. Healthy kidneys support and help with:
These can easily be mistaken for mid and upper back pain. However, if there is persistent soreness or irritation it could mean a more significant health issue associated with the kidneys could be present.
Spine Problem or Stone/s
If there is a feeling of kidney pain it is possible to come from one of two places and/or both. This could be distension/ballooning of the capsule called the ureter that surrounds the kidneys. The ureters are the tubes that are attached to each kidney and transport urine from the kidneys to the bladder. Urine contains salts and minerals. These minerals can clump together creating a kidney stone and block the ureters. The ureter contracts from the stone that is creating the blockage.
When there is a blockage from a stone, the urine can back up and cause the capsule to expand causing pain. The pain location is usually on one side and is categorized as a dull ache – meaning the pain is constantly present and causing discomfort. Chronic back pain caused by nerve compression is typically on one side like sciatica.
The pain from a stone can be only slight unless the stone is trying to move. Then the pain can be severe and last for several minutes before it passes. However, if the pain is excruciating and a kidney stone is suspected, go to the hospital and get an examination. Collecting the stone is crucial when it passes in order to be analyzed. A stone analysis will help in figuring the proper treatment to prevent another kidney stone/s from developing.
Spine Problem or Infection
A kidney infection could be another cause of back pain. Kidney infection/s are typically caused by bacteria. A dull throbbing could be sensed in the middle and/or upper back.
Symptoms
Signs and symptoms associated with infection often include back, side, and groin pain as well as a combination of symptoms like:
Chills
Fever
Burning sensation when urinating
Constant sensation of needing to use the bathroom
Nausea
Vomiting
Causes
Causes that can increase the chances of developing an infection.
Kidney stone/s
Nerve damage that affects the bladder
Spinal damage that does not allow the bladder to be emptied
Urinary tract infection
Older individuals can develop kidney infections without any underlying conditions. There are rare genetic diseases like polycystic kidney disease and Fabry disease that can cause kidney pain and be mistaken for back pain.
Telling the Difference
There is no quick and easy way to figure out if it is back or kidney pain. Especially, if a constant aching is present. Seeing an experienced doctor or chiropractor is the recommended option for getting a formal and accurate diagnosis. A physical exam, family, and personal medical history will be collected along with various tests. Tests can include:
Urine analysis
Culture
Abdominal X-ray
CT scan
MRI
Pain medications and specific fluids are usually prescribed along with time to pass the stone. Antibiotics can be prescribed for kidney infections, chiropractic treatment can be suggested for spinal alignment/myofascial tense muscle release, and home remedies can help treat any discomfort. These can include:
Using ice/heat on the area where there is discomfort
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Tozzi, P et al. �Low back pain and kidney mobility: local osteopathic fascial manipulation decreases pain perception and improves renal mobility.��Journal of bodywork and movement therapies�vol. 16,3 (2012): 381-391. doi:10.1016/j.jbmt.2012.02.001
Back discomfort and pain could be caused by hip issues and could be resolved with hip replacement. According to a recent study, a total hip replacement solved back pain in four out of five individuals dealing with spinal discomfort and pain. When the hip/s are stiff or cannot move normally, this places added pressure on the spine. Studies show that low back pain was resolved in 82% of individuals after a total hip replacement known as total hip arthroplasty or THA. The body is designed as a fluid chain with fluid motion connecting the neck all the way down to the toes.
When a region like the hip tightens/stiffens, it generates added stress/pressure on the other areas of the body, which in this case happens to be the lower spine. Individuals with mild arthritis of the spine are able to experience increased pain reduction than individuals with severe arthritis. An insight into the relationship between the hips and low back that can lead to accurate diagnoses and optimal treatment plans.
Hip Issues
The hip/s move with the lower back during activities like walking, sitting, bending, etc. Tight muscles, normal wear-and-tear, and osteoarthritis can reduce hip movement, forcing the lower back to make awkward and poor posture causing adjustments. Individuals usually relieve the painful position by increasing the curve of their lower back.
If an individual has severe arthritis of the hip, they put a lot of stress and pressure on the low back that often results in low back pain. Advanced hip osteoarthritis is the breakdown of joint cartilage and the most common type of arthritis. Individuals with this type experience low back pain 50% of the time, and even higher depending on the individual’s condition. 80% to 90% of individuals with hip or knee arthritis, unfortunately, develop low back arthritis.
There is not yet a clear reason as to why this occurs. It is theorized that some osteoarthritis risk factors like obesity and high-impact/force activities can be modified with lifestyle adjustments. Other risk factors that include injury, trauma, age, and congenital conditions like hip dysplasia, cannot be avoided. Hip osteoarthritis isn�t the only hip issue that can also cause lower back pain. Other hip issues.
Sacroiliac joint dysfunction
The sacroiliac joint connects the sacrum to the pelvis. It is a shock absorber between the upper body, the pelvis and can stiffen with time. Sacroiliac joint pain affects around 15% to 25% of individuals with low back pain. It worsens when climbing stairs, getting up from a seated position or running. Symptoms include:
Low back pain
Pain in buttock/s
Groin pain
Stiffness
Instability
Piriformis syndrome
About 200,000 individuals each year are affected with piriformis syndrome and is often misdiagnosed as symptoms resemble sciatica. What happens is the piriformis muscle, which connects the sacrum to the top of the femur, tightens/irritates the sciatic nerve. Symptoms are often mistaken for sciatica with pain in the buttocks, numbness, and tingling that travels down the back of the leg and into the feet.
Diagnosis
A doctor or chiropractor will use a combination of diagnostic tools. This typically includes a physical exam, X-rays with other specific tests to help identify the source of pain. What typically happens is a patient will undergo a hip and lumbar spine X-ray, but the thoracic spine, pelvis, and hip areas are missed. Getting the middle segment is critical to see how the spine and hips are working together. It is critical to understand the hip-spine connection. All spine patients should have X-rays of the hips to make sure any problems don’t go undetected. The overlap of symptoms with these two areas could be overlooked.
If necessary a diagnostic injection into the hip joint can help precisely locate the pain source. This can be done at the clinic or doctor’s office using ultrasound or X-ray to guide the needle. If no pain relief results from the injection, hip replacement is still not considered because the pain could be coming from the spine. A critical part of the diagnosis is not just imaging. One of the most important parts is getting a thorough history of symptoms. X-rays and MRI show what the problem could be, however, the symptoms could coming from another area.
Treatment Options
Before total hip replacement is considered there are nonsurgical approaches to be considered. All diagnoses should start with conservative treatment. Physical therapy, chiropractic, gait training, and core strengthening can optimize the spine to better manage hip issues and arthritis. Conservative therapies could also include:
Weight loss
Activity modification like walking instead of running
Anti-inflammatory medication
Cortisone injections
Total hip replacement is the last option for individuals experiencing pain, difficulty walking, and limited mobility. The procedure removes the damaged cartilage and bone from the hip joint. This includes the head of the thighbone along with the socket where it fits and replaces it with artificial parts.
Conclusion
Get a second opinion. Individuals are encouraged to educate themselves as much as possible on the condition. The hip and spine is a complex relationship. The most important information for patients is that they understand along with their doctor where the pain is coming from, the hip, spine, or both.
Reduce Plantar Fasciitis Foot Pain
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The sacrum and coccyx are part of the vertebral spinal column and could contribute to low back pain. They are not like the other bones in the spinal column. The sacrum, also known as the sacral vertebra, sacral spine, and S1 is a large, flat triangular-shaped bone that is between the hip bones and below the last lumbar vertebra known as L5. The coccyx, known as the tailbone, is positioned below the sacrum.
The sacrum and coccyx are made up of smaller bones that fuse and grow into a solid bone mass by the age of 30. The sacrum is composed of 5 fused vertebrae known as S1-S5 and 3 to 5 smaller bones that fuse creating the coccyx. Both are weight-bearing bones and are integral to walking, standing, and sitting functions.
Sacrum and the Lumbosacral Spine
The sacrum forms the back of the pelvis. Along with the coccyx and the two sacroiliac joints make up the pelvic girdle. S1 is at the top of the sacrum and connects to the last lumbar vertebrae L5. Together they create the lumbosacral spine. Where they join forms the lumbosacral curves known as lumbar lordosis and lumbar kyphosis.
The curvature works to support the upper body, weight/force distribution maintains spinal balance and flexibility. Lordosis is the inward curve of the spine, but too much can cause swayback that can be associated with spondylolisthesis. Loss of this curve can cause spinal imbalance and can lead to Flatback syndrome.
Kyphosis is the outward curve of the spine. The location of the sacrum at the intersection of the spine and pelvis means it has an important role in the movement of the low back and hips. The sacrum�s joints help to bear weight and help stabilize the spinal column along with the ligaments, tendons, and muscles help support/stabilize joint movement.
Lumbosacral joint
Joint L5 and S1connect the lumbar spine to the sacrum. The pressure at this meeting point can be massive as the curve of the spine shifts from the lordotic forward curve to a kyphotic backward curve. The L5-S1 region bears weight, absorbs, and distributes the upper body�s weight when moving and resting. Disc herniation and spondylolisthesis are more common at L5-S1 for this reason.
Sacroiliac joints
The sacroiliac joints connect the sacrum to the left and right sides of the pelvis. The range of movement of the sacroiliac joints is minimal compared to other joints like the knees. However, the joints are essential for walking, standing, and stabilization of the hips. Sacroiliitis and sacroiliac joint dysfunction are two spinal disorders related to the joints. Other spinal disorders related to the sacral spine include:
The coccyx commonly known as the tailbone is just below the sacrum. It is smaller than the sacrum and has an important weight-bearing function. It helps supports weight while sitting.An example is leaning back while sitting. This motion and position increase the pressure/weight on the coccyx. An injury in this area can cause tailbone pain. Inflammation of the coccyx�s connective tissue that results in tailbone pain that gets worse when sitting is a common symptom. A traumatic event like a fall or auto accident that causes a tailbone fracture can also cause this pain.
Sacral and Coccygeal Nerves
The spinal cord ends at L1-L2, which branches out into the cauda equina, which is a bundle of nerves that looks like a horse’s tail. In the sacrum, there are sacral nerves known as the sacral plexus. Plexus means a network of nerve structures. The sacral and lumbar plexus compose the lumbosacral plexus. This is where the sciatic nerve, which is the largest nerve in the sacral plexusconverges into the band. Sciatic nerve compression causes a combination of symptoms known as sciatica. It is very well known for causing low back and leg pain.
The coccygeal nerve serves the tailbone. There are five sacral nerves numbered S1 through S5 and are part of the spinal cord.
S1 supports groin and hip function
S2 the back of the thighs
S3 the middle of the buttock area
S4 and S5 the anus and vagina
Injury or trauma to the sacral spine can cause mild stress fractures to severe bone fractures. These fractures can cause sacral nerve compression and intense pain. Symptoms include:
A doctor or chiropractor, physical therapist are excellent sources for information to help prevent sacrum and coccyx pain. These medical professionals will utilize a patient’s medical history, recommend lifestyle changes and injury prevention guidelines.
If at risk of developing osteoporosis then a bone mineral density test could be recommended.
Proper posture must be maintained. Avoid slouching as this places added pressure on the lumbosacral spine and the sacroiliac joints.
Proper body mechanics when engaging in any activity needs to be observed.
Use legstrength to lift objects.
Avoid twisting while lifting or holding heavy objects, as this can cause sprain, strain, or serious injury of the lower spine.
Put on the seat belt. Auto accidents are a major cause of spine trauma. Exercise restraint when driving or riding in any vehicle even a golf cart.
Sciatica Pain Relief
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Acetaminophen, best known as Tylenol, is one of the most common medications for headaches and general pain. More than likely the most common back, neck, and overall pain medication around. However, it is only a pain reducer, and will not reduce inflammation.
Doctors often recommend this medicine before moving on to prescription medication. A member of the analgesic pain reliever class of medications. These can vary in strength along with side effects, but their purpose is to reduce pain. Acetaminophen can be found in over 600 prescriptions and over-the-counter medicines, including certain opioids. Other acetaminophen brand names include:
Tylophen
Tempra
FeverAll
Mapap
Pharbetol
Panadol
Strength and Weakness
When neck or back pain presents, over-the-counter medicines fall into two categories. These are acetaminophen or non-steroid anti-inflammatory drugs also known as NSAIDs. Acetaminophen and NSAIDs like Advil, aspirin both relieve pain. However, non-steroid anti-inflammatories also help in reducing inflammation. Although non-steroid anti-inflammatories have this added benefit, they can also present potential side effects like stomach and gastrointestinal problems.A spinal sprain or strain can cause acute back pain. Acetaminophen is typically recommended for acute back or neck pain and for pain that comes and goes quickly. Individuals that experience periodic pain usually take acetaminophen when the pain flares up. Individuals with chronic spinal pain report acetaminophen help to alleviate/reduce the pain. Many with chronic pain use acetaminophen regularly and not only when the pain presents. This helps manage before pain strikes.
Safety
Acetaminophen is gentle on the stomach, making some individuals preferring it over the non-steroid anti-inflammatories. But just like any other medication acetaminophen has its risks and can cause severe damage if used improperly.
Taking acetaminophen in large doses can cause severe liver damage. The Food and Drug Administration reports that acetaminophen overdoses send over fifty-thousand individuals to the emergency room every year. And over one-hundred Americans die yearly from accidental overdoses.
Using acetaminophen safely means taking no more than 3,000 milligrams a day and no more than 1,000 milligrams at a time. Take extra precautions when taking extra-strength. These can include as much as 650 mg per pill/capsule.Before taking acetaminophen for back and neck pain, talk to a doctor or pharmacist about the proper dosage. And tell the doctor about all the medications being taken including natural herbs and holistic. Another reason for telling the doctor is that many other medications have acetaminophen included without you knowing it. Part of the discussion should include alcohol consumption. This can elevate the risk of negative reactions.
Resources
If non-pharmacological treatments/therapies done for at least 4 months prove ineffective then an acetaminophen regimen could be a safe and effective part of a back and neck pain treatment plan. While this medicine is one of the most common treatments, it is not without risks and side effects. Talk to a doctor or pharmacist about all the medications and supplements to ensure the regimen supports health for the long-term. To learn more along with safety information go to Acetaminophen Patient Guide.
Severe Back Pain Chiropractic Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Women experiencing low back pain will find there are a variety of possible causes. Lower back pain can stem from the reproductive system or the spine itself. Finding the possible cause of low back pain can be difficult to diagnose. As well as, pinpointing the pain can be a very challenging task. Women wonder how it’s possible to mistake menstrual cramps for back pain and then it happens to them. There are certain conditions that make the low back and core region a central location of continual pain. And unfortunately, women could be more susceptible.
Most individuals will experience low back pain at some point during their life. However, there is a slight prevalence and is more common in females than males across all ages. Low back pain in women increases with age. A research comparison studying middle-aged individuals reported an increase of low back pain in females versus males post-menopause. Some possible low back pain causes include.
Menopause and Hormone Issues
Chronic lower back pain is one of the most reported musculoskeletal issues women face during menopause. About sixty-seventy percent of perimenopausal women present symptoms associated with estrogen deficiency. And over half in perimenopause report chronic musculoskeletal pain. Many of these studies show increasing menopausal symptoms and the correlation to chronic low back pain symptoms.
Menstruation and Uterine Dysfunction
Dysmenorrhea is a uterine dysfunction that involves frequent and severe cramping during menstruation, which often leads to low back pain. The condition is classified as primary or secondary. Both types include low back pain as a common symptom.Primary dysmenorrhea starts when a woman begins menstruation and continues throughout their life. Intense contractions can cause continual and severe menstrual cramping. Secondary dysmenorrhea usually starts later and is caused by another condition like endometriosis or pelvic inflammatory disease.
Endometriosis
Endometriosis is a condition that can contribute to back pain in women. Tissue that behaves like endometrial tissue begins to grow outside of the uterus, in the pelvic cavity or other areas. The new tissue responds to the body’s hormonal changes and can cause swelling, pain, spotting, and bleeding. Endometriosis growths bleed monthly as well. Without a place for the blood to go, the excess irritates and inflames the surrounding tissue.
The condition can cause heavy periods, chronic pain, and scar tissue build-up. Symptoms can present at any menstrual cycle stage. Pelvic pain that runs down the legs is common. Some women have also reported throbbing, shooting pain that can be mild to severe. Symptoms include:
Abdominal pain
Low back pain
Pain when walking or standing
Pain during ovulation
Pain when urinating
Urinary urgency
Pelvic inflammation
Constipation
Pain during intercourse
Bowel movement pain
Rectal pain that radiates
Pain caused by scar tissue build-up within the bladder, fallopian tubes, bowels, and ovaries
Chronic fatigue
Endometriosis can be diagnosed by a doctor during an initial pelvic exam. Further imaging tests to assist in the identification could be requested.
Spinal Issues
The reproductive organs can sometimes contribute to back pain. However, women can also be susceptible to degenerative conditions that affect the spine’s structure. Low back pain is common with an average patient experiencing one to two episodes a year. Low back pain can start in early adulthood and become a chronic problem that can be triggered by various events or activities. Most back pain issues are resolved within six weeks. This is known as acute low back pain. When the pain doesn’t stop for more than 12 weeks it is considered chronic lower back pain.
Postmenopausal Compression Fractures
Around twenty-five percent of women will go through a vertebral compression fracture of the middle or lower spine. The risks increase with age, with around a 40 percent chance at 80 years of age. Small cracks in the vertebrae can cause severe disability and limit function. Osteoporosis is the most common cause of vertebral compression fracture/s. Postmenopausal women are at an increase of developing osteoporosis. This comes from hormonal changes that decrease bone mineral density, leaving the bones open to fracture.
Spondylolisthesis
This is when one vertebral body, or the thick oval bone segment in front of the vertebra, slips against an adjacent body. The result is pain or mechanical symptoms. The pain can spread throughout the spine to the hip, buttocks, into the legs, and possibly the foot. The condition can be congenital, from an unknown cause, or acquired. There is some research on childbirth and hysterectomies putting women at risk for spondylolisthesis.
It is common in the lumbar spine/lower back, but can also present in the cervical spine/neck region. The thoracic/middle spine is extremely rare except in trauma cases. The thoracic spine is the longest region of the spine. It is between the cervical and lumbar regions. One cause of the increased pain is longer times spent sitting in chairs that are not ergonomic. A second is being confined to smaller workspaces. The key is to get up and move around or use a sit-stand desk to alternate sitting and standing. Irregular and localized low back pain is typical for low back spondylolisthesis. The pain usually worsens when the area/region is flexed or directly touched.
Piriformis Syndrome
Back pain sometimes isn�t back pain, but piriformis syndrome. The piriformis muscle is a small muscle that extends from the lower spine to the top of the femur. It can involuntarily contract and compress or irritate the sciatic nerve. The muscle helps rotate and turn the leg and foot outward. Symptoms are consistent with sciatica. It typically presents with buttock pain that shoots, aches, or throbs along the leg�s backside, thigh, calf, and foot. Tingling along the nerve along with numbness is common. Causes include:
Buttock injury
Hip injury
Weight training specifically the gluteal/buttock, hips, and hamstrings
Sitting for a long time – Examples include truck drivers, desk job workers, etc.
Damage to the piriformis muscle
Sciatic nerve wraps around the piriformis muscle
Sacroiliac Joint Dysfunction
Sacroiliac joint dysfunction involves inflammation of the joints, located at the connection of the pelvis and lower spine. It can present as low back or buttock pain that radiates down the leg/s. The pain worsens when climbing stairs or standing for an extended amount of time. Sacroiliac joint dysfunction can be tough to diagnose, as it is often mistaken for other low back pain causes.
SI joint dysfunction causes:
Pregnancy – the increased weight and altered movement/s can cause additional stress and wear.
Joint infection – in rare cases, the joints can be subject to infection.
Arthritis – the joints can develop arthritis from normal wear and tear.
Traumatic Injury – the joints can be injured from a forceful impact from a fall or auto accident.
Most cases do not end up requiring medication or surgery. It is when the pain lasts more than six weeks that there could be something more taking place like neurologic symptoms or other conditions, spinal or otherwise.
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The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
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