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Lower Back Pain

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.


Gaining Posture Awareness Through Low Back Curve Exercises

Gaining Posture Awareness Through Low Back Curve Exercises

For individuals trying to achieve healthy posture, could using posture awareness training be effective in treatment and prevention?

Gaining Posture Awareness Through Low Back Curve Exercises

Posture Awareness

Spinal curves help support the body’s weight, movement, and balance. Five areas include the neck, upper back, lower back, sacrum, and coccyx. The bottom of the spine or sacrum rests between the two hip bones that comprise the pelvis. Because of this location, the movements made with the pelvis significantly affect the spine. (Ibrahim Alkatout, et al., 2021) When the pelvis moves, the spine moves.

  • Posture-related back pain and associated symptoms are often caused by a weakened strength and flexibility ratio between the opposing muscle groups that hold the body upright.
  • Achieving healthy posture requires technique and consistent practice for maintaining a healthy pelvis and low back curve. (DeokJu Kim, et al., 2015)
  • Finding the low back curve and exploring how it responds when moving the pelvis is important to effective posture awareness training.

Lower Back Curve Awareness Exercise

One important thing to do to increase postural awareness is to become aware of the low back curve. (Arkadiusz Łukaz Żurawski, et al., 2020)

Sit On a Firm Chair or Stool

  • So that the weight is planted into the seat in a balanced way.

Hold Onto the Arms of the Chair

  • If the chair doesn’t have arms, hold onto the edge of a desk/workstation or the sides of the chair seat.
  • This will support the back when moving the pelvis.
  • Maintaining core abdominal strength is key to preventing back injury. (Erika Zemková, Ludmila Zapletalová. 2021)

Movement

  • Tilt the pelvis forward.
  • In this position, notice the slightly exaggerated arch in the lower back and the increase in lower back muscle tension.
  • A moderate amount of this increase and exaggeration is normal.

Relax Back to the Start Position

Sitting upright with the hip bones/top of the pelvis directly above the bottom.

  • Next, tilt the pelvis back.
  • The abs may have to work hard to support this position
  • Use your hands against the chair for support.
  • Check the lumbar curve area, noticing if it has flattened out.
  • Notice the tension in the back muscles.
  • Is it a little looser? This is normal.

Relax Back to the Start Position

  • Sitting upright.
  • Repeat the sequence again.
  • This time, when in the forward position, pause briefly and slide a hand between the lower back and the back of the chair or the wall.
  • When in the backward position, there will be little to no space between the lower back and the seatback or wall.

Problems

  • If there are problems moving the pelvis back and forth, imagine a basket or bowl of fruit.
  • The pelvis has a round shape and is open at the top, like a bowl or basket.
  • Imagine the fruit is placed toward the front of the bowl, and the weight brings the bowl/pelvis forward.
  • To go back, imagine the fruits are placed toward the back.
  • The weight causes the bowl to roll backward.
  • This may help to get the rhythm of the movement.

This posture awareness exercise can be used as a posture muscle builder by doing it with the back against the wall.

  • A more challenging position for this exercise is standing against a wall.
  • Keep the heels against the baseboard to really work the abs.
  • Start with sitting and gradually to standing.

Foot Motion and Posture


References

Kim, D., Cho, M., Park, Y., & Yang, Y. (2015). Effect of an exercise program for posture correction on musculoskeletal pain. Journal of physical therapy science, 27(6), 1791–1794. doi.org/10.1589/jpts.27.1791

Alkatout, I., Wedel, T., Pape, J., Possover, M., & Dhanawat, J. (2021). Review: Pelvic nerves - from anatomy and physiology to clinical applications. Translational neuroscience, 12(1), 362–378. doi.org/10.1515/tnsci-2020-0184

Żurawski, A. Ł., Kiebzak, W. P., Kowalski, I. M., Śliwiński, G., & Śliwiński, Z. (2020). Evaluation of the association between postural control and sagittal curvature of the spine. PloS one, 15(10), e0241228. doi.org/10.1371/journal.pone.0241228

Zemková, E., & Zapletalová, L. (2021). Back Problems: Pros and Cons of Core Strengthening Exercises as a Part of Athlete Training. International journal of environmental research and public health, 18(10), 5400. doi.org/10.3390/ijerph18105400

Understanding Pelvic Pain in Women: Causes & Treatments

Understanding Pelvic Pain in Women: Causes & Treatments

For women experiencing lower back and pelvic pain, could understanding symptoms help in the diagnostic process, treatment options, and prevention?

Understanding Pelvic Pain in Women: Causes & Treatments

Low Back and Pelvic Pain In Women

In women, lower back and hip pain that radiates to the front pelvis area can have a variety of causes. The pain can feel dull, sharp, or burning. The main causes of lower back and pelvic pain in women fall into two categories. (William S. Richardson, et al., 2009)

Musculoskeletal and nervous system

  • Related causes of pain affect how your muscles, nerves, ligaments, joints, and bones move.
  • Examples include sciatica, arthritis, and injury.

Other organ system-based

Causes may stem from the following:

  • Acute/chronic conditions or infections
  • Kidneys – stones, infection, and other ailments or conditions.
  • Reproductive system – such as the ovaries.
  • Gastrointestinal system – inguinal hernias or appendix.

Musculoskeletal and Nervous System Causes

Musculoskeletal and nervous system-related causes can be from injuries like a fall or practicing unhealthy posture.

Overuse Injuries and Trauma

Frequent use and repetitive movements can lead to overuse injuries to the muscles, ligaments, and joints.  :

  • Exercises, sports, and physical activities that require repetitive twisting and bending.
  • Lifting, carrying, and placing objects that require movements that are repeated regularly.
  • Trauma from vehicle collisions, accidents, falls, or sports accidents can inflict acute and chronic bodily injuries, like strained muscles or broken bones.
  • Depending on the type of trauma, healing and recovery time and treatment vary.
  • Both types of injuries can lead to numbness, tingling, pain, stiffness, popping sensations, and/or weakness in the legs.

Mobility Problems

Over time, a decreased range of motion and mobility in muscles and joints can cause discomfort and pain. Causes include:

  • Long periods of time spent in the same position.
  • Sitting for extended periods.
  • The pain often feels dull, achy, and stiff.
  • It can also lead to muscle spasms characterized by quick episodes of sharp and intense pain.

Posture

  • Posture while sitting, standing, and walking affects the body’s range of motion.
  • It can affect the nerves and blood circulation to the back and pelvic region.
  • Prolonged unhealthy postures can contribute to lower back pain and muscle strain.
  • Posture-related symptoms can feel achy and stiff and lead to quick episodes of severe or intense pain, depending on the position.

Sciatica and Nerve Compression

  • A bulging or herniating vertebral disc most commonly causes sciatica and pinched or compressed nerves.
  • The sensations can be sharp, burning, electrical, and/or radiating pain along the nerve pathway.

Arthritis

  • Arthritis inflammation causes swelling, stiffness, pain, and the breakdown of cartilage that cushions the joints.
  • Hip arthritis causes groin pain that can radiate to the back and becomes more intense when standing or walking.
  • Thoracic and lumbar spine arthritis, or degenerative disc disease, are other common causes of back pain.

Sacroiliac Joint Dysfunction

Renal and Urinary Causes

Kidney Stones

  • Kidney stones are the build-up of minerals and salts, which form into hard stones in the kidneys.
  • When the kidney stone begins to move to the bladder, pain symptoms will present.
  • It can trigger severe back and side pain that radiates to the pelvic region.
  • Other symptoms include – a change in urine color, pain when urinating, nausea, and vomiting.

Kidney Infection and Urinary Tract Infections

  • Urinary tract and kidney infections are also causes of lower back and pelvic pain in women.
  • They cause fever, continued urge to urinate, and painful urination.

Gynecological Causes

Pelvic Inflammatory Disease

Infections, known as pelvic inflammatory disease, occur when sexually transmitted bacteria spread through the vagina, womb, fallopian tubes, or ovaries. Symptoms include:

  • Pain during intercourse.
  • Bleeding between periods.
  • Vaginal discharge.
  • Pain in the lower abdomen or groin.
  • Fever.

Ovarian Cysts

  • The cyst can be a solid or fluid-filled sac on the surface or within an ovary.
  • Small ovarian cysts are unlikely to cause pain.
  • Large cysts or those that rupture can cause mild to severe pain.
  • The pain can occur during menstruation or intercourse and present acutely in the back, pelvis, or lower abdomen.

During Pregnancy

  • Back pain and discomfort in the pelvis area are common.
  • As the body adjusts, the bones and round ligaments in the pelvis move and stretch, which can cause discomfort.
  • Symptoms are usually normal but should be discussed with a healthcare provider during check-ups.
  • Pain in the lower back and groin can be a sign of miscarriage or labor – including preterm labor.

Sexually Transmitted Infection

  • Sexually transmitted infections, like chlamydia or gonorrhea, can cause lower back and groin pain.
  • Other symptoms can include – painful urination, vaginal discharge, intercourse pain, and bleeding between periods.

Yeast Infection

  • A yeast infection – overgrowth of the fungus candidiasis.
  • A common vaginal infection with symptoms including – itching, swelling, irritation, and pelvic pain.

Other Causes

Appendicitis

  • When the appendix becomes blocked, infected, and inflamed.
  • In most cases, a major symptom is pain that starts near or around the belly button.
  • In other cases, it can start in the lower back and radiate to the right side of the pelvic area. (Johns Hopkins Medicine. 2023)
  • Associated pain can worsen over time or when coughing, moving, or taking deep breaths.

Other symptoms include:

  1. Upset stomach
  2. Nausea
  3. Vomiting
  4. Loss of appetite
  5. Fever
  6. Chills
  7. Abnormal bowel movements – constipation and/or diarrhea. (Johns Hopkins Medicine. 2023)

Inguinal Hernia

  • A groin hernia is referred to an inguinal hernia.
  • It involves soft tissue and part of the intestine, pushing through weak groin muscles.
  • Pain presents in the abdomen, lower back, or pelvis, especially when bending or lifting objects.

Pancreatitis

  • Inflammation in the pancreas.
  • Infection, bile stones, or alcohol can cause it.
  • One symptom is abdominal pain that radiates to the back.
  • The pain becomes worse during and after eating.
  • Other symptoms include nausea, vomiting, and fever.

Enlarged Lymph Nodes

  • Lymph nodes lie in the internal and external regions of the iliac artery in the pelvis.
  • These can become enlarged by infection, injury, and, in rare cases, cancer.
  • Symptoms include pain, swelling, redness, skin irritation, and fever.

Enlarged Spleen

  • The spleen is located behind the left side of the rib cage.
  • It filters the blood and supports new blood cell creation.
  • Infections and diseases can cause the spleen to become enlarged.
  1. An enlarged spleen – a condition known as splenomegaly – causes pain in the upper left part of the belly and sometimes the left shoulder and upper back.
  2. However, some individuals with an enlarged spleen experience abdominal symptoms – not being able to eat without discomfort. (Mount Sinai. 2023)

Diagnosis

  • Depending on the cause of your pain, a healthcare provider may be able to diagnose it with a physical exam and by asking questions about your condition.
  • Other tests may be needed to find the cause, particularly blood work and imaging (X-ray or magnetic resonance imaging).

Treatment

  • Treatment of symptoms depends on the cause.
  • Once a diagnosis is made, an effective treatment plan will be developed and contain a combination of therapies:

Lifestyle Adjustments

  • For injuries caused by muscle strains, joint sprains, overuse, and smaller traumas, pain can be resolved with:
  • Rest
  • Ice therapy
  • Over-the-counter pain relievers – acetaminophen or ibuprofen.
  • Braces or compression wraps can help support the body and alleviate symptoms during healing and recovery.
  1. Exercises to improve posture
  2. Paying attention to form when lifting objects
  3. Stretching can help ease the pain.

Medication

Medications can be used in a variety of ways to help in the treatment of lower back and pelvic pain. If an infection is the cause, medications will be prescribed to remove the infection and resolve the symptoms, which can include:

  • Antibiotics
  • Antifungals
  • Antivirals

Medications may also be prescribed to help manage pain symptoms and may include:

  • Medication to relieve nerve pain
  • Muscle relaxants
  • Steroids

Physical Therapy

A physical therapist can help to correct problems with:

  • Posture
  • Decreased mobility
  • Walking gait
  • Strengthening
  1. A physical therapist will provide exercises to help increase and maintain strength, range of motion, and flexibility.

Pelvic Floor Therapy

  • This is physical therapy that focuses on the muscles, ligaments, and connective tissues in the pelvis.
  • It helps with pain, weakness, and dysfunction in the pelvic area.
  • A treatment plan will be developed to help with strength and range of motion in the pelvic muscles.

Chiropractic Care

Surgery

  • Some more severe conditions could require surgery.
  • Ovarian cysts, hernias, and other infections sometimes require surgery to remove infected or unhealthy tissue – ruptured ovarian cysts or appendicitis.

Recommended surgeries can include:

  1. A hernia repair.
  2. Hip replacement.
  3. Gallbladder removal to prevent recurring pancreatitis.

Prevention

Not all conditions and diseases cause lower back and pelvic pain. Symptoms can be prevented and reduced by adopting lifestyle changes. Prevention recommendations can include:

  • Staying hydrated.
  • Using proper bending and lifting techniques.
  • Eating healthy foods.
  • Regularly engaging in some form of physical activity – walking, swimming, yoga, cycling, or strength training.
  • Maintaining a healthy weight.

Pregnancy and Sciatica


References

Richardson, W. S., Jones, D. G., Winters, J. C., & McQueen, M. A. (2009). The treatment of inguinal pain. Ochsner journal, 9(1), 11–13.

Kurosawa, D., Murakami, E., & Aizawa, T. (2017). Groin pain associated with sacroiliac joint dysfunction and lumbar disorders. Clinical neurology and neurosurgery, 161, 104–109. doi.org/10.1016/j.clineuro.2017.08.018

Johns Hopkins Medicine. Appendicitis.

Mount Sinai. Splenomegaly.

Santilli, V., Beghi, E., & Finucci, S. (2006). Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations. The spine journal : official journal of the North American Spine Society, 6(2), 131–137. doi.org/10.1016/j.spinee.2005.08.001

Dormant Butt Syndrome: What Causes it and How to Treat it

Dormant Butt Syndrome: What Causes it and How to Treat it

Individuals dealing with chronic knee discomfort, hip tightness, and lower back pain could be experiencing dormant gluteal-butt syndrome. Can recognizing the symptoms and signs and incorporating lower body and core fitness help prevent and treat the condition?

Dormant Butt Syndrome: What Causes it and How to Treat it

Dormant Gluteal Butt Syndrome

Knee, hip, and lower back problems could be traced back to weakened buttocks. Some scientists call the condition “dormant butt syndrome” (Ohio State University, .2023). However, researchers are learning about the important role the gluteal muscles provide in maintaining the lower body strong and healthy. (Hal David Martin, Manoj Reddy, Juan Gómez-Hoyos. 2015)

What Is It?

The syndrome is defined as weak buttock muscles and tight hip flexors. Experts from the Ohio State Wexner Medical Center have worked with individuals dealing with knee, hip, or back injuries and believe many of these issues are linked to weakened gluteal muscles. (Ohio State University.2023) The glutes are the muscles of the hips and buttocks. Weakened muscles fail to absorb the shock they’re supposed to during activities, which results in overloading the surrounding muscles and joints and increases the risk of injury. (Ohio State University, .2023)

  • Dormant gluteal-butt syndrome can result from a sedentary lifestyle and prolonged inactivity, like sitting for long periods.
  • The condition also occurs in runners and other physically active individuals who forget about these muscles with targeted exercises.

Exercises

Exercises to target the gluteals and prevent dormant gluteal-butt syndrome include activities/exercises that work the hips and core.

  • When walking properly, the gluteals should execute hip extension naturally.
  • Unhealthy postures, excessive sitting, and continued dysfunctional biomechanics mean walking without achieving optimal hip extension. (Hadi Daneshmandi. 2017)
  • When this happens, the gluteal muscles never get to fully function work, ending up with a series of aches and pains.
  • Pilates exercises can be adjusted to address order, repetition, and variation to strengthen the gluteals. (Laís Campos de Oliveira, 2015)

Hamstring Curls

  • Lie face down on an exercise mat.
  • Use your hands to create a cushion for the forehead.
  • Bend both knees so the feet point up towards the ceiling.
  • Let the knees be slightly apart, but keep the heels together.
  • Squeeze the heels together and tighten the gluteal muscles.
  • Hold for 3 seconds, then release the buttocks.
  • Repeat 10 times and then rest.
  • Hamstring curls can also be done using a weight machine.

Leg Pull Ups

  • Sit on a mat with your legs together in front.
  • Place the hands just behind the backside with the fingers pointing forward if possible.
  • Raise the body up.
  • Keep your head up and look straight ahead.
  • Raise one leg as high as possible.
  • Hold for as long as possible.
  • Lower and raise the other leg.
  • Repeat for a total of 3 reps.

Lining Up With A Wall Posture Helper

Standing posture is important to proper buttock function. Lining the body up with a wall can help train the body to maintain proper posture.

  • Find a wall and stand against it from the heels to the back of the head.
  • Work the backs of the legs and spine as firmly as possible into the wall.
  • Work to get the back of the skull into the wall as well.
  • Add some abdominal work by working the waistline inward and upward.
  • Hold for up to one minute.
  • The alignment is how you want to hold your body.
  • As you move off the wall, learn to maintain that posture throughout the day and night.
  • Repeat the wall exercise several times for reinforcement.

If aching of the hip, back, or knee is part of daily struggles, working out the gluteal muscles may be the solution. Contact the Injury Medical Chiropractic and Functional Medicine Clinic for a full consultation.


Easiest Weight Loss Hack


References

The Ohio State University Wexner Medical Center. (2023) Dormant butt syndrome may be to blame for knee, hip and back pain.

Martin, H. D., Reddy, M., & Gómez-Hoyos, J. (2015). Deep gluteal syndrome. Journal of hip preservation surgery, 2(2), 99–107. doi.org/10.1093/jhps/hnv029

Daneshmandi, H., Choobineh, A., Ghaem, H., & Karimi, M. (2017). Adverse Effects of Prolonged Sitting Behavior on the General Health of Office Workers. Journal of lifestyle medicine, 7(2), 69–75. doi.org/10.15280/jlm.2017.7.2.69

Campos de Oliveira, L., Gonçalves de Oliveira, R., & Pires-Oliveira, D. A. (2015). Effects of Pilates on muscle strength, postural balance and quality of life of older adults: a randomized, controlled, clinical trial. Journal of physical therapy science, 27(3), 871–876. doi.org/10.1589/jpts.27.871

Relieving Low Back Pain Through Chiropractic Spinal Decompression

Relieving Low Back Pain Through Chiropractic Spinal Decompression

Can individuals with low back pain find relief with spinal decompression combined with chiropractic care to reduce muscle pain?

Introduction

Everyone worldwide has dealt with low back pain, a multifactorial common problem that can mask other musculoskeletal disorders. Low back pain can develop naturally through spinal degeneration, normal environmental factors people put their bodies through, or traumatic factors that can gradually affect the lumbar region over time. The lower back is part of the lumbar spine region as it takes most of the upper body’s weight and stabilizes the lower body when in motion. The lumbar region is thick to support the upper body’s weight and is protected by the surrounding ligaments, muscles, and tissues; however, it is the most susceptible to injury. Many people don’t realize they are experiencing low back pain until an accident or repetitive motions begin to affect the surrounding ligaments or the lumbar intervertebral discs are severely compressed. To that point, many individual are experiencing radiating pain in their lower extremities. However, all is not lost, as there are numerous ways to alleviate low back pain and provide relief to many individuals. Today’s article focuses on the factors that lead to the development of low back pain and how treatments like chiropractic care and spinal decompression can help reduce low back pain and its symptoms. We speak with certified medical providers who incorporate our patients’ information to provide numerous treatment plans to ease low back pain and its associated symptoms. We also inform our patients that there are non-surgical options like chiropractic care and spinal decompression to minimize the radiating pain associated with low back pain. 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 the lower back. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer

 

Factors That Lead To The Development Of Low Back Pain

Do you feel muscle aches and pains in your lower back when stretching? Does the pain cause issues in your mobility when going to run errands? Or do you feel sudden or gradual pain after a long workday of carrying heavy objects or excessively sitting at your desk? When many individuals are experiencing pain in these various scenarios, it can lead to the development of a lower back that correlates with these environmental factors. Low back pain is a common nuisance that many working and non-working individuals experience occasionally. When various risk factors are associated with low back pain, it can cause many individuals to deal with the physical and psychological demands that cause them to do multiple things like heavy lifting, awkward positions, and excessive bending, which can develop pain-like symptoms in the lumbar region. (To et al., 2021) At the same time, compared with other health conditions, low back pain is the highest global burden, causing many individuals to miss out on important events like work and daily activities. (Petrozzi et al., 2020) This causes them to live a life of disability and causes them to feel miserable. Low back pain can affect a person’s socioeconomic demographic and the functionality that they seek the treatment they deserve. 

 

 

Many individuals who experience low back pain will often lead a life of disability and socioeconomic burden correlated with these factors. (Wong et al., 2022) Many people often think that low back pain only happens to older adults, but low back pain can happen to anybody at any age. Many factors that correlate to the development of low back pain include:

  • Improper heavy lifting
  • Walking incorrectly
  • Being in a slouched or hunched position
  • An auto accident
  • Obesity 
  • Gastrointestinal issues
  • Referred musculoskeletal disorders
  • Physical inactivity

Many of these environmental factors are associated with low back pain that many people are unaware of when doing their routine. This is due to the surrounding tissues, ligaments, and muscles being overused and affected and the intervertebral disc being constantly compressed from repetitive motions. When this happens, many individuals will often seek treatment to reduce the painful effects of low back pain.

 


How Chiropractic Care Can Transform Pain Into Relief- Video

When it comes to reducing low back pain, many individuals will try home remedies to mitigate muscle pain and reduce inflammation associated with low back pain. This provides temporary relief to acute low back pain, but many will seek non-surgical treatment when it comes to chronic low back pain. Non-surgical treatments can help reduce low back pain and its associated symptoms through mechanical and manual techniques. Non-surgical treatments, which include chiropractic care and spinal decompression, could help alleviate low back pain. Since low back pain is associated with altered motor control within the lumbar region, it can hinder lumbar stability, cause impaired detection of passive motion, and affect postural stability. (Fagundes Loss et al., 2020) With non-surgical treatments, many pain specialists can incorporate vertebral mobilizations and manipulation procedures to improve spinal mobility and reduce pain in the lumbar region. The video above explains how chiropractic care and spinal decompression can alleviate lower back pain and help restore functionality in the body. 


Chiropractic Care & Low Back Pain

When it comes to reducing low back pain associated with environmental factors, many pain specialists can look at the physical distress cognitive, and functional patterns that are correlated with faulty lumbar movement. (Khodadad et al., 2020) This allows the pain specialist to create a personalized treatment plan for low back pain. Non-surgical treatments like chiropractic care are excellent for reducing low back pain. Chiropractic care incorporates spinal manipulation techniques to realign the spine and help stretch the affected surrounding muscles. Many individuals who include chiropractic care in their routine find significant pain reduction and reduced disability after a few consecutive treatments. (Gevers-Montoro et al., 2021) Chiropractic care can be combined with physical and massage therapy to stretch and strengthen the affected muscles. This, in turn, helps the individual regain spinal mobility and reduce pain.

 

Spinal Decompression & Low Back Pain

Spinal decompression is another non-surgical treatment that can help alleviate low back pain, like chiropractic care. Spinal decompression utilizes gentle traction on the lumbar spine to be gently pulled to relieve the affected muscles causing lower back pain. Spinal decompression can also ease leg pain associated with low back pain and reduce referred pain affecting the lower extremities. (Wang et al., 2022) Spinal decompression can also improve spinal disc height and help improve muscle strength and trunk endurance. (Kang et al., 2016) The combination of spinal decompression and chiropractic care to reduce lower back pain is effective as these two forms of non-surgical treatments can effectively reduce many people’s musculoskeletal pain and make them aware of the environmental factors that are the root causes of their lower back pain and prevent it from returning.

 


References

Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial. Chiropr Man Therap, 28(1), 25. doi.org/10.1186/s12998-020-00316-7

 

Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piche, M. (2021). Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain. Front Pain Res (Lausanne), 2, 765921. doi.org/10.3389/fpain.2021.765921

 

Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125

 

Khodadad, B., Letafatkar, A., Hadadnezhad, M., & Shojaedin, S. (2020). Comparing the Effectiveness of Cognitive Functional Treatment and Lumbar Stabilization Treatment on Pain and Movement Control in Patients With Low Back Pain. Sports Health, 12(3), 289-295. doi.org/10.1177/1941738119886854

 

Petrozzi, M. J., Rubinstein, S. M., Ferreira, P. H., Leaver, A., & Mackey, M. G. (2020). Predictors of low back disability in chiropractic and physical therapy settings. Chiropr Man Therap, 28(1), 41. doi.org/10.1186/s12998-020-00328-3

 

To, D., Rezai, M., Murnaghan, K., & Cancelliere, C. (2021). Risk factors for low back pain in active military personnel: a systematic review. Chiropr Man Therap, 29(1), 52. doi.org/10.1186/s12998-021-00409-x

 

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta-Analysis. Comput Math Methods Med, 2022, 5670303. doi.org/10.1155/2022/5670303

 

Wong, C. K., Mak, R. Y., Kwok, T. S., Tsang, J. S., Leung, M. Y., Funabashi, M., Macedo, L. G., Dennett, L., & Wong, A. Y. (2022). Prevalence, Incidence, and Factors Associated With Non-Specific Chronic Low Back Pain in Community-Dwelling Older Adults Aged 60 Years and Older: A Systematic Review and Meta-Analysis. J Pain, 23(4), 509-534. doi.org/10.1016/j.jpain.2021.07.012

 

Disclaimer

Distraction Techniques for Natural Lumbar Back Pain Relief

Distraction Techniques for Natural Lumbar Back Pain Relief

In individuals with lumbar back pain, can pain specialists utilize distraction techniques to reduce muscle spasms?

Introduction

Many individuals dealing with specific or nonspecific back pain can agree that it can dampen their moods as they try to find the relief they seek to get back to their routine. More often than not, back pain is a common multifactorial musculoskeletal disorder that can affect the entire body, and it all starts with how people do simple movements incorrectly, causing compression to the spine. Since the spine is the main backbone of the body, it is responsible for training, stability, and flexibility. The surrounding muscles that encompass the spine act like a barrier to protect the skeletal joints and the spinal cord from injuries that are either traumatic or normal wear and tear. Lumbar back pain is also an economic burden that can cause unnecessary stress to the body, which leads to muscle spasms and causes even more stress to the individual. With lumbar back pain being a common nuisance to everyone worldwide, many will opt for treatment to reduce the pain and continue their daily activities. In today’s article, we will explore the issues of lumbar back pain and how treatments with distraction techniques alleviate the effects of lumbar back pain and reduce muscle spasms. We speak with certified medical providers who incorporate our patients’ information to provide numerous treatment plans to mitigate lumbar back pain associated with environmental factors. We also inform our patients that there are non-surgical options to reduce the pain-like symptoms related to lumbar back pain and reduce the effects of muscle spasms. We encourage our patients to ask astounding educational questions to our associated medical providers about the pain-like symptoms they are experiencing correlating with the lumbar spine. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer

 

The Issues Of Lumbar Back Pain

Do you often feel pain radiating from your lower back to your legs after work? Did you lift something heavy that caused your back muscles to strain and be in pain? Or do you and your loved ones feel muscle spasms in your lower back after stretching in the morning? When many individuals are dealing with these musculoskeletal issues, it often correlates with lumbar back pain. As stated earlier, the spine is the body’s backbone, and its main job is to support the body’s weight, provide stability to the upper and lower quadrants, and allow the host to move without pain or discomfort. When normal or traumatic factors start to affect many individuals over time, it can lead to the development of lumbar back pain, and it can become an issue for many young and older adults. Since lumbar back pain can be mechanical or nonspecific, it can arise intrinsically from the spine and the spinal components through repetitive muscle trauma that can be overused while being one of the common causes many people experience pain in their lumbar spine. (Will et al., 2018) When many individuals are dealing with lumbar back pain, it can become a reoccurring issue, and many go to medical clinics to get treatment for their lumbar back pain. 

 

Another issue that lumbar back pain causes is affecting the spinal structure and the surrounding muscles, tissues, and ligaments that protect the spine. Since the body is remarkable for sensing when pain affects the spine, the vital structures are affected and start to respond by adopting other measures to maintain the spine’s stability. (Hauser et al., 2022) This means that when the body starts to develop muscle spasms in the spine, the stretched ligaments react rapidly to prevent the spine from destabilizing. This leads to individuals feeling aches and pain in their lower back, which then causes them to miss out on their activities.


The Road To Recovery: Chiropractic Care- Video

When it comes to lumbar back pain, many everyday factors can contribute to its development and cause issues for many individuals. Many individuals with lumbar back pain often experience referred pain in their lower extremity regions as the lumbar portions of the spine have compressed spinal discs, which can also correlate with nerve entrapment. To this point, many will seek out various treatments to reduce low back pain and its associated symptoms. When patients have prolonged symptoms correlating with lumbar pain, conservative management that is either non-surgical or surgical can help treat the pain-like symptoms related to lumbar back pain. (Mohd Isa et al., 2022) Lumbar back pain treatments can be customizable and cost-effective to the person’s pain severity. Non-surgical treatments can help lumbar back pain issues and reduce referred pain symptoms from different body locations in the upper or lower body quadrants. When people go to get their lumbar back pain treated, pain specialists like chiropractors, massage therapists, and physical therapists utilize various techniques and treatments to reduce pain affecting the surrounding ligaments, tissues, and muscles through stretches and traction. The video above explains how these treatments can help reduce pain caused by environmental factors and also help speed up recovery.


Distraction Techniques To Reduce Lumbar Back Pain

When many individuals get treated for lumbar back pain, many opt for non-surgical treatments due to being more affordable than surgical treatments. Pain specialists like chiropractors or massage therapists use distraction techniques to reduce the pain. These pain specialists also incorporate manual and mechanical therapy to be body-oriented to mobilize, manipulate, and stretch out the soft tissues and strengthen them. (Kuligowski et al., 2021) This, in turn, can help reduce lumbar back pain while allowing the individual to be more mindful about their actions to reduce the chances of back pain from returning. At the same time, the effectiveness of treating lumbar back pain through traction can effectively reduce nerve root compression and unresponsive movement symptoms. (Vanti et al., 2021) Traction therapy is a non-surgical treatment that gently stretches the spine to alleviate pain and help kick-start the natural healing process.

 

Distraction Techniques Reducing Muscle Spasms

Pain specialists incorporate distraction techniques to reduce lumbar back pain and muscle spasms in the lumbar region. As stated earlier, distraction techniques associated with non-surgical treatments can be an excellent way to minimize lumbar back pain. Distraction manipulation can help elevate the affected intervertebral disc by reducing the pressure off the disc and increasing its height in the spine. (Choi et al., 2015) Many individuals feel better when they incorporate distraction therapy to reduce lumbar pain. At the same time, distraction therapy can also be incorporated into a personalized plan to reduce muscle spasms and strengthen weak muscles that surround the lumbar region. The effects of lumbar traction combined with distraction therapy can improve pain and reduce functional disability within the lumbar spine. (Masood et al., 2022) When many people start to think more about their health and wellness, they can make small changes in their routine to prevent low back pain from progressing into something chronic and strengthen their weak muscles to control the pain-like symptoms from returning.

 


References

Choi, J., Lee, S., & Jeon, C. (2015). Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. Journal of Physical Therapy Science, 27(6), 1937-1939. doi.org/10.1589/jpts.27.1937

Hauser, R. A., Matias, D., Woznica, D., Rawlings, B., & Woldin, B. A. (2022). Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil, 35(4), 701-712. doi.org/10.3233/BMR-210097

Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Manual Therapy in Cervical and Lumbar Radiculopathy: A Systematic Review of the Literature. Int J Environ Res Public Health, 18(11). doi.org/10.3390/ijerph18116176

Masood, Z., Khan, A. A., Ayyub, A., & Shakeel, R. (2022). Effect of lumbar traction on discogenic low back pain using variable forces. J Pak Med Assoc, 72(3), 483-486. doi.org/10.47391/JPMA.453

Mohd Isa, I. L., Teoh, S. L., Mohd Nor, N. H., & Mokhtar, S. A. (2022). Discogenic Low Back Pain: Anatomy, Pathophysiology and Treatments of Intervertebral Disc Degeneration. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010208

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

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

www.aafp.org/pubs/afp/issues/2018/1001/p421.pdf

 

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Solutions for Chronic Low Back Pain Sufferers

Solutions for Chronic Low Back Pain Sufferers

Can healthcare professionals provide the best non-surgical therapeutic options for individuals with chronic low back pain?

Introduction

Chronic low back pain can happen to numerous individuals, affecting their daily routine and making them miss out on important life events. With the ever-changing world, many individuals, especially working individuals, will experience chronic low back pain at some point due to unbearable stress that seems to affect the surrounding muscles that protect the lumbar spine. This causes many individuals to overstretch or shorten the muscles that are contributing to lower back pain, which can be the causing factor in the development of lower back pain. At the same time, when individuals suffer from low back pain, it can be imposed as a grave economic cost to society. (Pai & Sundaram, 2004) This, in turn, causes many individuals to miss out on work and be financially burdened as the cost of chronic low back pain treatment is high. However, numerous therapeutic options are cost-effective, safe, and effective in reducing chronic low back pain. Today’s post looks at the effects of chronic low back pain and how many individuals can look at various non-surgical options that many individuals can utilize to reduce chronic low back pain. Coincidentally, we communicate with certified medical providers who incorporate our patients’ information to provide various treatment plans to reduce chronic low back pain. We also inform them that there are non-surgical options to reduce the pain-like symptoms associated with the factors that cause chronic lower back pain. We encourage our patients to ask amazing educational questions to our associated medical providers about their symptoms correlating with body pain in a safe and positive environment. Dr. Alex Jimenez, D.C., incorporates this information as an academic service. Disclaimer

 

The Effects Of Chronic Low Back Pain

Have you been dealing with chronic pain that flares up in your lower back after a hard workday? Do you feel muscle aches or pains that don’t relieve itself after a day of rest? Or do you and your loved ones take any medication to temporarily relieve your back pain, only to have it come back after a few hours? Many people with chronic low back pain will feel symptoms of stiffness, muscle aches, and radiating pain traveling to their lower extremities. When chronic low back pain is associated with musculoskeletal conditions, it can impact their daily routine. To that point, musculoskeletal disorders correlating with chronic low back pain can encompass a spectrum of conditions and increase naturally over time. (Woolf & Pfleger, 2003) When many individuals are dealing with chronic low back pain, it can become a socio-economic burden that leads to disability. (Andersson, 1999) However, there are numerous options for individuals with chronic lower back pain who can find the relief they need to reduce its effects and will be able to get back to their daily routine.

 

 


Understanding Long-Lasting Injuries- Video

Chronic low back pain is when back pain that lasts longer than a few weeks and is one of the most common problems many people experience. When finding relief for chronic low back pain, many individuals will try home remedies to alleviate the pain. However, it can temporarily relieve the issue and mask the symptoms. When individuals see their primary doctor for chronic low back pain, many will seek a personalized plan to reduce chronic low back pain and its associated symptoms. When relieving chronic low back pain, comprehensive pain management treatments often rely on physical therapy, multidisciplinary approaches, and non-surgical options to reduce chronic low back pain. (Grabois, 2005) When understanding how the individual has chronic low back pain, it is important to identify the causes and how it can cause lifelong injuries that can develop into disability. When primary doctors start to utilize non-surgical treatments in their practices, many individuals can find the benefits of non-surgical treatments as they are cost-effective, safe, and gentle on the spine and lumbar region and can be personalized with associated medical providers to reduce pain-like symptoms correlating with chronic low back pain. Check out the video above to learn more about how non-surgical treatments can help reduce chronic low back pain and help revitalize a person’s body through a personalized treatment plan.


Non-Surgical Options For Chronic Low Back Pain

When treating chronic low back pain, non-surgical treatments effectively relieve pain and restore mobility to the back. Non-surgical treatments can be customized to the individual’s pain severity while being cost-effective. When individuals are evaluated for chronic low back pain, they are provided with many healthcare providers to reduce the pain-like symptoms caused by chronic low back pain. (Atlas & Deyo, 2001) Many individuals will incorporate various treatment options like:

  • Exercises
  • Spinal Decompression
  • Chiropractic care
  • Massage Therapy
  • Acupuncture

Many of these treatments are non-surgical and incorporate various mechanical and manual manipulation techniques to stretch and strengthen the weak back muscles, elongate the spine through realignment, and help restore movement while reducing symptoms in the lower extremities. When individuals incorporate non-surgical treatments consecutively, they will have a positive experience and feel better in the long run. (Koes et al., 1996)

 


References

Andersson, G. B. (1999). Epidemiological features of chronic low-back pain. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Atlas, S. J., & Deyo, R. A. (2001). Evaluating and managing acute low back pain in the primary care setting. J Gen Intern Med, 16(2), 120-131. doi.org/10.1111/j.1525-1497.2001.91141.x

Grabois, M. (2005). Management of chronic low back pain. Am J Phys Med Rehabil, 84(3 Suppl), S29-41. www.ncbi.nlm.nih.gov/pubmed/15722781

Koes, B. W., Assendelft, W. J., van der Heijden, G. J., & Bouter, L. M. (1996). Spinal manipulation for low back pain. An updated systematic review of randomized clinical trials. Spine (Phila Pa 1976), 21(24), 2860-2871; discussion 2872-2863. doi.org/10.1097/00007632-199612150-00013

Pai, S., & Sundaram, L. J. (2004). Low back pain: an economic assessment in the United States. Orthop Clin North Am, 35(1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9

Woolf, A. D., & Pfleger, B. (2003). Burden of major musculoskeletal conditions. Bull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

 

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A Focus On Non-Surgical Therapeutic Options For Low Back Pain

A Focus On Non-Surgical Therapeutic Options For Low Back Pain

Can non-surgical options be beneficial for many working individuals with low back pain than surgical therapeutic options?

Introduction

Many working individuals will experience pain in their lower backs due to their demanding workloads that are causing unwanted pressure load on the lumbar region of the spine. With the spine’s main job to support the body’s upper and lower quadrants, many individuals with demanding jobs are either constantly sitting down at their desks or carrying heavy objects to different locations. With low back pain being a normal problem for everyone at some point, many individuals find temporary solutions to relieve the pain, only to repeat the factors. To that point, this leads to chronic musculoskeletal disorders that can cause referred pain to the lower and upper extremities and can be pricey when going into treatment. However, there are numerous options for working individuals that are cost-effective and safe on their lower backs. Today’s article examines how low back pain affects the working individual and how non-surgical treatment options vary with surgical possibilities when dealing with low back pain. Coincidentally, we communicate with certified medical providers who incorporate our patients’ information to ease low back pain associated with musculoskeletal disorders. We also inform them that there are non-surgical options to reduce the effects of low back pain and restore their quality of life. We encourage our patients to ask amazing educational questions to our associated medical providers about their musculoskeletal symptoms correlating with low back pain. Dr. Alex Jimenez, D.C., incorporates this information as an academic service. Disclaimer

 

How Does Low Back Pain Affect The Working Individual?

Have you been dealing with constant radiating pain in your lower back, legs, or feet after a long workday? Do you feel pain when moving around, only to find relief when resting? Or do you and your loved ones feel muscle aches and strains when stretching in the morning? Many individuals, especially working individuals, deal with low back pain daily when dealing with these musculoskeletal issues. Low back pain is extremely common for working individuals as it can affect their job performance and be an economic burden when treated. Low back pain is a multifactorial problem that has an increased rate of affecting individuals and contributes to the growth of numerous health problems. Low back pain can cause many individuals to miss work due to the lack of clarity on the causes, treatments, and factors contributing to this musculoskeletal disorder. (Pai & Sundaram, 2004)

 

 

So, how would low back pain affect the working individual? Since many people have demanding jobs, it can cause the surrounding muscles, ligaments, and tissues in the lumbar region to be overworked, and the spinal discs degenerate over time. When there are unrelenting changes within the spine, it can be associated with affecting the lumbar structures of the spine to degenerate over time. This, in turn, causes the lumbar spine to go through biochemical changes that can generate pain-like symptoms in the lumbar region and cause structural changes to the spine, leading to lower back pain. (Benoist, 2003)

 

Additionally, there are many causes and factors that many working individuals will do that lead to low back pain. Normal factors like improper lifting, stepping wrong, or sitting down excessively can contribute to lower back pain. At the same time, traumatic factors like accidents, injuries, or playing sports can also lead to lower back pain. When musculoskeletal conditions like low back pain become an issue, it can become a major burden to health and social care systems for many individuals, with indirect costs that can be pricey when treated. (Woolf & Pfleger, 2003)

 


Chiropractic Care After Accidents & Injuries-Video

Now, with low back pain being a nuisance to many, individuals will seek out treatment to reduce the pain they are experiencing in their lower back and mitigate the residual symptoms they have been dealing with in the other body extremities. Sadly, low back pain, especially in its chronic state, can become a diagnosis of convenience for many people, affecting their socioeconomic, work, and psychosocial lifestyles. (Andersson, 1999) Many individuals will seek out numerous treatment opportunities to reduce low back pain. Surgical treatments for low back pain are great for individuals when regular home therapies don’t work but can be pricey. Many will opt for non-surgical therapies when it comes to finding cost-effective treatments for treating low back pain. Non-surgical treatments, including chiropractic care and spinal decompression, are excellent for treating low back pain. Pain specialists like chiropractors and massage therapists utilize various techniques (mechanical and manual) to realign the body and stretch out the affected muscles that are affected by low back pain. The video explains how these treatments can reduce low back pain associated with accidents and injuries.


Non-Surgical Options For Low Back Pain

 

As stated earlier, non-surgical treatments can help reduce low back pain and can be combined with other therapies to manage the pain. Non-surgical treatments can be personalized to the person’s pain and can provide pain relief to the body. When individuals undergo a non-surgical treatment, pain specialists incorporate mechanical and manual manipulation to restore joint and spinal motion to the lower back. (Park et al., 2023) Additionally, individuals with low back pain include an exercise regime to effectively increase the person’s range of motion while increasing the person’s chances to return to normal daily activities and work. (van Tulder et al., 2000)

 

Non-Surgical Options Vs. Surgical Options

There is a vast difference between non-surgical and surgical options for treating low back pain. Anyone can personalized non-surgical options to provide more effective improvement in reducing pain, restoring lumbar range of motion, and improving back muscle endurance within a few sessions. (Amjad et al., 2022) Now, when home remedies and non-surgical options do not reduce pain, surgical options are only effective for low back pain. This is due to the psychological component that causes individuals to have persistent back pain that is not causing the relief that the person needs. (Corp et al., 2021) But both options are excellent when reducing low back pain as many doctors tell their patients to be more mindful about how they are using the muscles in their bodies and make small changes to reduce the chances of the pain from returning. When many working individuals start to think more about their pain and how to minimize its chances of returning, they can continue to live life to the fullest pain-free.

 


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

 

Andersson, G. B. (1999). Epidemiological features of chronic low-back pain. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

 

Benoist, M. (2003). Natural history of the aging spine. Eur Spine J, 12 Suppl 2(Suppl 2), S86-89. doi.org/10.1007/s00586-003-0593-0

 

Corp, N., Mansell, G., Stynes, S., Wynne-Jones, G., Morso, L., Hill, J. C., & van der Windt, D. A. (2021). Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. Eur J Pain, 25(2), 275-295. doi.org/10.1002/ejp.1679

 

Pai, S., & Sundaram, L. J. (2004). Low back pain: an economic assessment in the United States. Orthop Clin North Am, 35(1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9

 

Park, S. C., Kang, M. S., Yang, J. H., & Kim, T. H. (2023). Assessment and nonsurgical management of low back pain: a narrative review. Korean J Intern Med, 38(1), 16-26. doi.org/10.3904/kjim.2022.250

 

van Tulder, M., Malmivaara, A., Esmail, R., & Koes, B. (2000). Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine (Phila Pa 1976), 25(21), 2784-2796. doi.org/10.1097/00007632-200011010-00011

 

Woolf, A. D., & Pfleger, B. (2003). Burden of major musculoskeletal conditions. Bull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

 

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