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.
For many individuals with low back pain, how does spinal decompression alleviate muscle stress as part of initial treatment?
Introduction
Many working individuals know that low back pain is a common problem that causes them to go to their primary doctor to get examined and miss out on work. Low back pain is a multifactorial musculoskeletal condition that causes overlapping risk profiles to affect the body’s lower extremities. Low back pain can correlate with musculoskeletal disorders like sciatica, abdominal pain, leg pain, and DDD (degenerative disc disease). It can range from acute to chronic, depending on the severity the individual is dealing with when it comes to pain. At the same time, low back pain can be non-specific or mechanical as the surrounding muscles, soft tissues, joints, and ligaments are affected and dealing with symptoms of muscle strain, unwanted pressure on the joint, causing stress, and muscle aches. Since the body and the spine naturally age, it causes more stress on the lower back as individuals begin to hunch over more when walking or carrying heavy objects, which causes more strain on the back muscles, leading them to a life of disability. Luckily, non-surgical treatments have become more available to reduce the effects of muscle stress associated with low back pain and alleviate the pain-like symptoms in the lumbar spine. Today’s article focuses on how numerous factors can cause muscle stress to the lower back and how spinal decompression can reduce its effects while alleviating low back pain. At the same time, we work hand-in-hand with certified medical providers who incorporate our patient’s information to treat and mitigate muscle stress on the lower back. We also inform them that non-surgical treatments like spinal decompression can help alleviate residual pain-like symptoms associated with low back pain and help them return to their daily activities. We encourage our patients to ask profound questions while seeking education from our associated medical providers about their pain-like issues. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
How Factors Cause Muscle Stress To The Low Back
Do you feel gradual or consistent pain in your lower back after carrying a heavy object from one location to another? Are you constantly taking medication for your low back pain to finish the workday? Or do you feel pain in your sciatic nerve that gets aggravated when you are in motion, and you feel relief when resting? Around the world, many people have dealt with low back pain and its associated symptom at some point. Since low back pain can be either specific or non-specific, pain can come from spinal issues that cause referred pain to a different body location or normal repetitive factors that cause discomfort to the surrounding soft tissues, muscles, and ligaments. Some symptoms correlating with low back pain include progressive motor or sensory issues, urinary retention, abnormal neurologic issues, spinal misalignment, or soft tissue abnormalities. (Will, Bury, & Miller, 2018) When many working individuals are dealing with non-specific low back pain, the surrounding soft tissues and muscles can become weak and overworked, which causes overlapping risk profiles and results in the development of low back pain.
Many working individuals with demanding jobs, whether physical or sedentary, will often strain their lumbar region from lifting/carrying heavy objects or being hunched over constantly at the computer. When a person continues to put repetitive stress on the surrounding muscles, it can cause chronic pain over time and become a major cause of work loss. (Becker & Childress, 2019) Low back pain can cause the individual to be more stressed since they are missing out on work. Low back pain can also be due to lumbar instability from the intervertebral disc and surrounding muscles and ligaments under constant pressure. (Hauser et al., 2022) Since the body and spine age over time naturally, many individuals dealing with low back pain will begin to feel their joints and muscle structures loosen over time, leading to musculoskeletal symptoms that prevent the spine from destabilizing. This can cause the individual to limit their ability to participate in daily activities and even reduce their quality of life. Luckily, non-surgical treatments can reduce the effects of low back pain while revitalizing the lumbar region so many people can continue their daily activities pain-free.
From Injury To Recovery-Video
When treating and reducing low back pain, many pain specialists like chiropractors and massage therapists can incorporate non-invasive treatments to ease low back pain. Non-invasive treatments like chiropractic care and spinal decompression can help reduce muscle stress on the lumbar region with mechanical or manual spinal manipulation and help relieve the affected lumbar area. Now spinal decompression and chiropractic care have a wonderful relationship as they use negative pressure on the intervertebral disc to increase nutrient flow back to the spine and help kick-start the body’s natural healing process. (Schimmel et al., 2009) These treatments are not only non-invasive, but they are also safe and cost-effective while being customizable to the person’s pain. The video above explains how these treatments can reduce soft tissue injuries and the effects of musculoskeletal pain on the lumbar region.
Spinal Decompression Reducing Muscle Stress From Low Back Pain
Non-surgical treatments like spinal decompression are incorporated into a person’s personalized health plan to reduce the effects of low back pain. Spinal decompression uses gentle traction on the spine to diminish the compressive load on the intervertebral disc to reduce herniation while stretching the lumbar spinal muscles and ligaments to decrease muscle spasms. (Sari et al., 2005) When individuals start to feel relief in their lower back due to spinal decompression as they begin to feel general improvement in the lumbar region. (Borman, Keskin, & Bodur, 2003) Since spinal decompression uses gentle traction on the spine, this gentle force can relieve radicular symptoms associated with the lower extremities. (Krause et al., 2000) Additionally, the effects of spinal decompression can be a positive experience for many individuals dealing with low back pain. (Pellecchia, 1994) When it comes to reducing low back pain, utilizing non-surgical treatments like spinal decompression can help improve mobility back to the individual and reduce the pain they were experiencing before. When people begin to think about their health and wellness, they can experience relief from the pain and get back to normalcy.
References
Becker, B. A., & Childress, M. A. (2019). Nonspecific Low Back Pain and Return To Work. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
Borman, P., Keskin, D., & Bodur, H. (2003). The efficacy of lumbar traction in the management of patients with low back pain. Rheumatol Int, 23(2), 82-86. doi.org/10.1007/s00296-002-0249-0
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
Krause, M., Refshauge, K. M., Dessen, M., & Boland, R. (2000). Lumbar spine traction: evaluation of effects and recommended application for treatment. Man Ther, 5(2), 72-81. doi.org/10.1054/math.2000.0235
Pellecchia, G. L. (1994). Lumbar traction: a review of the literature. J Orthop Sports Phys Ther, 20(5), 262-267. doi.org/10.2519/jospt.1994.20.5.262
Sari, H., Akarirmak, U., Karacan, I., & Akman, H. (2005). Computed tomographic evaluation of lumbar spinal structures during traction. Physiother Theory Pract, 21(1), 3-11. www.ncbi.nlm.nih.gov/pubmed/16385939
Schimmel, J. J., de Kleuver, M., Horsting, P. P., Spruit, M., Jacobs, W. C., & van Limbeek, J. (2009). No effect of traction in patients with low back pain: a single centre, single blind, randomized controlled trial of Intervertebral Differential Dynamics Therapy. Eur Spine J, 18(12), 1843-1850. doi.org/10.1007/s00586-009-1044-3
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
How efficient is spinal decompression to alleviate pain-like symptoms in many individuals with low back pain?
Introduction
Low back pain is a common condition that affects many people worldwide. It can cause discomfort and prevent individuals from returning to their normal routines. The pain can be specific or non-specific, depending on the severity of the symptoms. It can also be associated with other musculoskeletal conditions, such as sciatica, DDD, and osteoarthritis, affecting the spine’s mobility and stability. Fortunately, treatments are available to reduce the pain and associated symptoms while relieving the lumbar spinal region. At the same time, working with certified medical providers who use our patients’ information to treat individuals experiencing pain-like symptoms associated with low back pain. We inform them that non-surgical treatments like decompression can help reduce the progression of low back pain and its associated pain-like symptoms. At the same time, we also explain to them how adding decompression to their routine can alleviate the pain-like symptoms. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer
The Burden Of Low Back Pain
Do you often experience muscle stiffness and aches from excessive sitting at your desk job? Do you feel excruciating pain in your hips and low back after a long day of moving heavy objects? Or do you feel constant pain after moving from one location to another, only to find relief when resting? Many of these scenarios are a normal routine associated with low back pain for many working people. Since low back pain is common worldwide, it can greatly impact many individuals trying to alleviate it. For many individuals dealing with low back pain, it can be an economic burden, and it causes unnecessary stress to the working individual. (Maetzel & Li, 2002) When a person is dealing with low back pain and is working, it can lead to work disability which then cascades to frequent doctor visits to missing time off work to eventually short-term disability. At the same time, low back pain has many potential, either normal or traumatic factors affecting the region of the lower back, hips, and buttocks. Many individuals with low back pain noticed the corresponding relationship between the genetic and environmental factors that often correspond to where the pain is localized. (Manek & MacGregor, 2005)
Low back pain can often develop at an early age and be associated with serious pathologies (Jones & Macfarlane, 2005) that can correlate with environmental factors that lead to spinal misalignment or subluxation. Low back pain covers a huge spectrum of pain-like conditions that are frequently overlapped and can be prone to different stressors that can impact the body while becoming a challenge to diagnose when getting treated. (Knezevic et al., 2021) However, many individuals with low back pain can find relief from not only the economic burden of low back pain but also find the right therapies to alleviate pain-like symptoms associated with low back pain from their bodies.
Body In Balance- Video
When it comes to treating low back pain, many individuals will go to their primary doctors for a physical examination to determine where the pain radiates in the lumbar region. (Chou, Qaseem, et al., 2007) At the same time, the individual’s primary doctor should assess what factors are the causes for the development of low back pain and come up with a customized treatment plan to reduce the pain from the lumbar region while also working with other medical professionals to kick start the person’s health and wellness journey. Numerous non-surgical treatments are cost-effective, safe, and non-pharmacological when alleviating low back pain. They can provide positive, beneficial results after a few sessions of treatments to reduce low back pain. Non-surgical treatments like chiropractic care, massage therapy, spinal decompression, and physical therapy can help relieve many individuals with low back pain. The video above explains how these treatments, combined with the right tools, can help bring balance back into the body.
The Efficacy Of Spinal Decompression
When reducing the effects of low back pain, non-surgical treatments are cost-effective and safe for many individuals with low back pain. Many non-surgical therapies are efficient for chronic or acute low back pain and can be combined with numerous therapies to reduce the chances of low back pain from returning in the future. (Chou, Huffman, et al., 2007) Non-surgical treatments like spinal decompression are efficient for low back pain as it helps stretch the tight, shortened muscles in the lumbar region and reduce any pain-like symptoms associated with low back pain.
How Spinal Decompression Alleviates Low Back Pain
Now how would spinal decompression alleviate low back pain? Well, since low back pain has many factors that can contribute to its development, one of these factors that can contribute to low back pain is compressed intervertebral discs. When the spinal discs are compressed, they can become herniated under pressure and aggravate the spinal nerve root, leading to low back pain symptoms. With spinal decompression, individuals will be strapped to a traction machine and have their bodies gently pulled to reduce pressure off the aggravated nerve and pull the disc back into its original position. To that point, spinal decompression allows mobility back to the lower extremities and improves stability in the lumbar region. (Meszaros et al., 2000) Additionally, decompression can help reduce the effects of low back pain, whether done manually or through a traction machine that allows negative pressure into the spine while allowing the body to heal itself and rehydrate the spinal discs naturally. (Macario et al., 2008) With spinal decompression combined with other therapies, many people can return to work pain-free while being more mindful of how they listen to their bodies.
References
Chou, R., Huffman, L. H., American Pain, S., & American College of, P. (2007). Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med, 147(7), 492-504. doi.org/10.7326/0003-4819-147-7-200710020-00007
Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Jr., Shekelle, P., Owens, D. K., Clinical Efficacy Assessment Subcommittee of the American College of, P., American College of, P., & American Pain Society Low Back Pain Guidelines, P. (2007). Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med, 147(7), 478-491. doi.org/10.7326/0003-4819-147-7-200710020-00006
Jones, G. T., & Macfarlane, G. J. (2005). Epidemiology of low back pain in children and adolescents. Arch Dis Child, 90(3), 312-316. doi.org/10.1136/adc.2004.056812
Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. The Lancet, 398(10294), 78-92. doi.org/10.1016/s0140-6736(21)00733-9
Macario, A., Richmond, C., Auster, M., & Pergolizzi, J. V. (2008). Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review. Pain Practice, 8(1), 11-17. doi.org/10.1111/j.1533-2500.2007.00167.x
Maetzel, A., & Li, L. (2002). The economic burden of low back pain: a review of studies published between 1996 and 2001. Best Pract Res Clin Rheumatol, 16(1), 23-30. doi.org/10.1053/berh.2001.0204
Manek, N. J., & MacGregor, A. J. (2005). Epidemiology of back disorders: prevalence, risk factors, and prognosis. Curr Opin Rheumatol, 17(2), 134-140. doi.org/10.1097/01.bor.0000154215.08986.06
Meszaros, T. F., Olson, R., Kulig, K., Creighton, D., & Czarnecki, E. (2000). Effect of 10%, 30%, and 60% body weight traction on the straight leg raise test of symptomatic patients with low back pain. J Orthop Sports Phys Ther, 30(10), 595-601. doi.org/10.2519/jospt.2000.30.10.595
How does decompression alleviate sciatic nerve pain in many working individuals with lumbar disc degeneration?
Introduction
The discs between the spinal vertebrae act as a cushion when pressure is added to the body. These discs get compressed when the body is in motion. Our bodies and spines also age as we age, which causes the spinal intervertebral disc to degenerate over time. The outer part of the spinal disc may crack under pressure, causing the inner part to protrude and irritate the spinal nerve roots. This can cause sciatic nerve pain, which may result in radiating pain in the legs, buttocks, and lower back. This can cause mobility issues and disability, making it difficult for working individuals to perform their jobs. Non-surgical treatments, such as safe and gentle traction, can help alleviate sciatic nerve pain by reducing pressure on the spine and maintaining disc height. By slowing down the progression of lumbar disc degeneration, individuals can reduce the frequency of visits to their primary care doctors and avoid disability. Today’s article provides an overview of lumbar disc degeneration, its association with sciatic nerve pain, and the benefits of decompression in restoring disc height and reducing pain. As we work with certified medical providers who use our patients’ information to treat individuals experiencing sciatic nerve pain associated with lumbar disc degeneration. We inform them that non-surgical treatments like decompression can help reduce the progression of lumbar disc degeneration and reduce sciatic nerve pain. At the same time, we also explain to them how adding decompression to their routine can alleviate the pain-like symptoms. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer
Lumbar Disc Degeneration Overview
Have you begun to notice how your legs, buttocks, and feet are constantly experiencing tingling sensations that it makes it difficult to do everyday actions? Do you feel excruciating pain in your legs while standing, only to find relief from resting? Or do you notice that you are getting aches and muscle strains from normal motion like bending, twisting, and turning after waking up in the morning? Many individuals, especially older working adults, are experiencing these issues due to lumbar disc degeneration. Now lumbar disc degeneration usually occurs naturally as the body ages, which then causes the intervertebral disc to wear and tear constantly under pressure, then cracks and causes the disc to herniate. Since the intervertebral disc provides structural support and shock absorption against mechanical loads to the lumbar region, when normal or traumatic factors cause changes, it can cause dysfunction and instability in the lumbar spine. (Mohd Isa et al., 2022)
When the intervertebral discs begin to crack under pressure, it can cause pain-like symptoms affecting the upper and lower extremities. Additionally, lumbar disc degeneration can cause spinal flexibility to decrease and reduce the spine’s ROM (range of motion), which causes more stress on the surrounding muscles, ligaments, and tissues. Lumbar disc degeneration can cascade events from disc bulging to nerve root irritation. (Liyew, 2020) This means that when there are advanced degenerative changes to the lumbar facet joints and the surrounding soft tissues, it can cause the spinal canal to narrow and compress the adjacent nerve root. To that point, it can lead to reduce disc height and lead to sciatic nerve pain.
Lumbar Disc Degeneration Associated With Sciatica
Now how would lumbar disc degeneration be associated with sciatic nerve pain? When the intervertebral disc is being compressed under unwanted pressure, it can crack over time and herniate out of its original position, which then can press on the nerve root causing radiating pain to travel to the affected muscle area. Since the sciatic nerve is positioned in the lumbosacral region, it runs from the top of the gluteus muscles and down to the back of the hamstrings and calves. When unwanted pressure causes the intervertebral disc to herniate and start to affect the sciatic nerve, it causes a frequent symptom known as lumbar sciatica, where the herniated disc is compressing the sciatic nerve. (Zitouna et al., 2019) To that point, it can cause radiating, shooting pain down to the leg, making it difficult for individuals with demanding jobs to find relief. Since the lumbar intervertebral discs have a corresponding relationship with the central nervous system, the nerve roots that surround the spinal discs help with providing neuron signals to the adjacent muscles, which allows the arms, hands, legs, and feet to move. (Bogduk, Tynan, & Wilson, 1981) However, when the intervertebral discs are herniated, it can disrupt the neuron signaling to the muscles and cause referred pain to the lower or upper extremities. When this happens, many individuals opt to seek treatment.
Sciatica Secrets Revealed- Video
Many individuals dealing with sciatic nerve pain associated with lumbar disc degeneration will often find temporary relief to continue their work despite constant pain. This is due to the unwanted pressure that is causing an overload on the spinal disc to cause them to degenerate and invoke pain in the lower regions. At the same time, age and degenerative structural changes have a close relationship that can cause a greater effect on stress distribution to the lower back. (Adams, McNally, & Dolan, 1996) This leads to overlapping risk profiles contributing to sciatic nerve pain associated with lumbar disc degeneration due to normal and traumatic factors. However, many individuals don’t have to suffer from pain-like symptoms related to lumbar disc degeneration as there are numerous treatments to restore disc height and reduce sciatic nerve pain. Non-surgical treatments are great for many individuals looking for cost-efficiency and can be personalized to the person’s pain. (Louis-Sidney et al., 2022) Non-surgical treatments like chiropractic care, massage and physical therapy, and spinal decompression can help many individuals with lumbar disc degeneration associated with sciatic nerve pain. These treatments incorporate mechanical and manual manipulation of the spine to realign the body out of subluxation while incorporating various techniques to stretch out the soft tissues and muscles to strengthen their length and reduce nerve entrapment. The video above explains a bit more about how these treatments can restore mobility to the body, reduce inflammation, and relieve muscle tension caused by lumbar disc degeneration associated with sciatic nerve pain.
Spinal Decompression Restores Disc Height
Now non-surgical treatments like spinal decompression can help reduce the progress of lumbar disc degeneration by restoring disc height. Spinal decompression uses gentle traction on the spine to allow the necessary nutrients, fluids, and blood to be reabsorbed back into the spine. It will enable the herniated disc to return to its original position and rehydrate it. (Yu et al., 2022) Since the spine and body age naturally, spinal decompression can restore disc height by creating negative pressure to regain mobility and stretch out the affected muscles surrounding the spine.
Spinal Decompression Reduces Sciatic Nerve Pain
Additionally, decompression can help reduce sciatic nerve pain as it can help the herniated disc alleviate the pressure on the sciatic nerve and can restore mobility to the body. Spinal decompression can become a positive outcome for many working individuals as it allows individuals to be more mindful of their habits that were the cause of the pain they were experiencing. (Brogger et al., 2018) With non-surgical treatments like spinal decompression, many individuals can become efficient with work while being more conscious about what factors contribute to the pain. This, in turn, allows them to focus on their well-being and strengthen their weak points with a personalized plan that will enable them to make small changes in their day-to-day lives and become pain-free after a few consecutive treatments.
References
Adams, M. A., McNally, D. S., & Dolan, P. (1996). ‘Stress’ distributions inside intervertebral discs. The effects of age and degeneration. J Bone Joint Surg Br, 78(6), 965-972. doi.org/10.1302/0301-620x78b6.1287
Bogduk, N., Tynan, W., & Wilson, A. S. (1981). The nerve supply to the human lumbar intervertebral discs. J Anat, 132(Pt 1), 39-56. www.ncbi.nlm.nih.gov/pubmed/7275791
Brogger, H. A., Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Comparative effectiveness and prognostic factors for outcome of surgical and non-surgical management of lumbar spinal stenosis in an elderly population: protocol for an observational study. BMJ Open, 8(12), e024949. doi.org/10.1136/bmjopen-2018-024949
Liyew, W. A. (2020). Clinical Presentations of Lumbar Disc Degeneration and Lumbosacral Nerve Lesions. Int J Rheumatol, 2020, 2919625. doi.org/10.1155/2020/2919625
Louis-Sidney, F., Duby, J. F., Signate, A., Arfi, S., De Bandt, M., Suzon, B., & Cabre, P. (2022). Lumbar Spinal Stenosis Treatment: Is Surgery Better than Non-Surgical Treatments in Afro-Descendant Populations? Biomedicines, 10(12). doi.org/10.3390/biomedicines10123144
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
Yu, P., Mao, F., Chen, J., Ma, X., Dai, Y., Liu, G., Dai, F., & Liu, J. (2022). Characteristics and mechanisms of resorption in lumbar disc herniation. Arthritis Res Ther, 24(1), 205. doi.org/10.1186/s13075-022-02894-8
Zitouna, K., Selmene, M. A., Derbel, B., Rekik, S., Drissi, G., & Barsaoui, M. (2019). An unexpected etiology of lumbosciatica. Tunis Med, 97(12), 1415-1418. www.ncbi.nlm.nih.gov/pubmed/32173813
In individuals with lumbosacral pain, how do cost-effective treatments compare to traditional care treatments affect muscle strain?
Introduction
The human spine is divided into three sections, which form an S-curve shape that supports the upper and lower body parts, maintaining good posture during movement. The spinal discs or intervertebral discs act as shock absorbers within each section of the spinal column. They help reduce axial overload and protect the spinal cord. The cervical, thoracic, and lumbar sections have specific roles in the upper and lower body parts, ensuring comfort and pain-free movement. However, many people engage in normal activities such as lifting improperly, sitting excessively, or carrying an unreasonable weight, leading to pain and disability over time without proper care. The lumbosacral region of the spine is the most commonly injured and is linked to low back pain. Lumbosacral pain can result from normal or traumatic factors, making individuals miss work or daily activities, leading to financial burdens when visiting a doctor. Symptoms associated with lumbosacral pain can cause referred pain to other parts of the body, leading individuals to think that the primary pain location is elsewhere. Fortunately, various cost-effective treatments can reduce the effects of lumbosacral pain and alleviate muscle strain in the lower back region. This article focuses on the many factors associated with lumbosacral pain, cost-effective treatments to reduce it, and the difference between traction and spinal decompression, which can alleviate muscle strain in the lumbosacral spinal region. As we work with certified medical providers who use our patients’ information to treat individuals experiencing lumbosacral pain and explain how combining non-surgical decompression as part of their routine can alleviate the pain-like symptoms affecting the lumbosacral region. We inform them about non-surgical treatments to ease lumbosacral pain while reducing muscle strain. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer
Lumbosacral Pain Associated Factors
How many times a day have you been experiencing low back pain associated with lifting heavy objects? Do you feel muscle aches or strains in your lower back from excessing sitting from your job? Or do you feel pain in your lower back after a long day of work that feels better after sitting down? Many individuals don’t often realize that the pain they are feeling in their lumbosacral region could be due to the normal factors that are causing repetitive motions that are causing the spinal discs in the lumbosacral area to be compressed, damaged, or herniated. To that point, lumbosacral pain may correlate with low back pain. Since low back pain is mostly a non-specific issue, many working individuals with a sedentary desk job or an active job requiring physical exertion can be a clue to the causes of low back pain associated with lumbosacral pain. (See Tan & Kumar, 2021) Additionally, lumbosacral pain can cause the individual to have unwanted stress while undergoing treatment. The cost of treating lumbosacral pain associated with the low back can increase drastically.
The working individual would have to worry about the cost of traditional medical care and how to compensate for the lost wages to pay for the treatment. (Snook, 1988) This leads many individuals to continue working even when in excruciating pain by incorporating home treatments to reduce the pain temporarily. When the lumbosacral spine is dealing with pain, the nerve roots that surround the lumbosacral region will begin to go haywire, causing somato-visceral pain where the sensory signals cause symptoms of tingling and numbness to travel down to the legs, glutes, low back, and thighs. (Vaitkus & Sipylaite, 2021) Luckily, many individuals can be at ease in numerous ways. There are cost-effective treatments to reduce the pain-like issues associated with the lumbosacral region and alleviate the muscle strain caused by lumbosacral pain.
Can Core Exercises Erase Back Pain?-Video
Many individuals will look for home remedies to reduce the pain in the affected muscle area when treating lumbosacral pain associated with low back pain. Many people will opt for exercises, ice/hot packs, or massages to ease low back pain related to lumbosacral pain. (“Simple treatments best for acute low-back problems, say federal guidelines,” 1995) All these treatments are cost-effective and can be combined with non-surgical treatments to stretch the tight muscles, realign the spine, and help rehydrate the spinal discs back to the spine. The video above asks if core exercises can help ease back pain. The video details how weak core muscles correlate with lower back lumbosacral pain. Engaging the core during exercise can help stabilize the lumbosacral region while improving overall wellness.
When relieving lumbosacral pain, cost-effective non-surgical treatments can help many individuals find the relief they need. The effects of non-surgical treatments for the lumbosacral vertebrae apply various techniques to the spine by widening the spinal disc height, reducing muscle strain and spasms, and separating the vertebrae. (Colachis & Strohm, 1969) Many individuals have opted for these treatments because they are safe, cost-effective, and gentle on the spine. Since the spinal discs can be compressed due to unwanted axial load, spinal manipulation done by a chiropractor can realign the spine out of subluxation. (Cyriax, 1950) This allows the individual to feel instant relief and reduce the aggravated nerve roots from the lumbosacral spine. Other cost-effective treatments like traction therapy and spinal decompression can also alleviate lumbosacral pain that is causing the issue to many individuals.
Traction vs. Spinal Decompression
The difference between traction therapy and spinal decompression therapy varies within the individual and what their personalized treatment plan requires. Traction therapy incorporates half of the person’s body weight with additional weight to reduce nerve root compression and can be combined with other treatments like hot/cold therapies and electro-stimulation; combined with an exercise program can strengthen the weak muscles and reduce muscle strain. (Alrwaily, Almutiri, & Schneider, 2018)
With spinal decompression, many individuals will be strapped into a mechanical machine and feel a gentle pull on their spine. This creates negative pressure between the spine and allows the disc to lay off the aggravating nerve root and promote healing properties back to the disc. (Choi et al., 2022) Spinal decompression causes a direct distraction within the spinal segments with minimal discomfort to the individual. Both cost-effective treatments are suitable for individuals with lumbosacral pain along their spine as they can help relieve pain and reduce muscle strain along the lumbar region after a few sessions. Non-surgical treatments are beneficial for many individuals who are looking to take back their health and wellness without being in pain.
References
Alrwaily, M., Almutiri, M., & Schneider, M. (2018). Assessment of variability in traction interventions for patients with low back pain: a systematic review. Chiropr Man Therap, 26, 35. doi.org/10.1186/s12998-018-0205-z
Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P.-B. (2022). Effect of Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 6343837. doi.org/10.1155/2022/6343837
Colachis, S. C., Jr., & Strohm, B. R. (1969). Effects of intermittent traction on separation of lumbar vertebrae. Archives of Physical Medicine and Rehabilitation, 50(5), 251-258. www.ncbi.nlm.nih.gov/pubmed/5769845
See, Q. Y., Tan, J. B., & Kumar, D. S. (2021). Acute low back pain: diagnosis and management. Singapore Med J, 62(6), 271-275. doi.org/10.11622/smedj.2021086
Simple treatments best for acute low-back problems, say federal guidelines. (1995). Am J Health Syst Pharm, 52(5), 457. doi.org/10.1093/ajhp/52.5.457a
Vaitkus, A., & Sipylaite, J. (2021). Sensory Perception in Lumbosacral Radiculopathy with Radicular Pain: Feasibility Study of Multimodal Bedside-Suitable Somatosensory Testing. Acta Med Litu, 28(1), 97-111. doi.org/10.15388/Amed.2021.28.1.18
How can physicians create a positive experience for LGTBQ+ individuals seeking inclusive health care for muscle pain?
Introduction
Finding proper treatment for many body pain conditions should not be challenging when numerous factors and conditions can impact a person’s lifestyle. When it comes to these factors can range from their home environment to their medical conditions, which then harms their well-being and not being heard when informed about their situation. This can cause barriers to be built up and causes the individual not to be seen or heard when seeking treatment for their pain. However, many individuals within the LGBTQ+ community can seek numerous personalized solutions to improve their general well-being and have a positive experience that suits their needs. This article explores how inclusive health care can positively impact the LGBTQ+ community and how non-surgical treatments like chiropractic care can be incorporated into a person’s personalized inclusive health care plan. Additionally, we communicate with certified medical providers who integrate our patient’s information to reduce general pain through inclusive healthcare treatment. We also inform them that non-surgical treatments can be a positive experience for them to minimize general body pain. We encourage our patients to ask amazing questions while seeking education from our associated medical providers about their pain conditions in a safe and positive environment. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer
What Is Inclusive Health Care?
Have you been dealing with constant stress that is causing pain in your body? Do you feel like there are barriers that are preventing you from getting the relief you need from your pain? Or are many environmental factors preventing you from getting back your health and wellness? Many individuals seeking treatment for general pain or conditions affecting their health and wellness will often research which care treatment suits their wants and needs in a positive and safe manner while being inclusive. Healthcare treatments like inclusive health care can provide a positive and safe outcome for members of the LGBTQ+ community. Inclusive health care can help many healthcare professionals establish an inclusive code of conduct within the LGBTQ+ community to improve health-specific outcomes. (Moran, 2021) Now inclusive health care is defined as removing barriers to health care services that should be equally accessible and affordable to many individuals regardless of age, sexual orientation, and gender identity. For many people within the LGBTQ+ community, many individuals identify as gender minorities. A gender minority is an individual who identifies as gender non-conforming and whose gender identity or expression differs from the conventional gender binary. Inclusive health care is an important aspect for the LGBTQ+ community as it can benefit people in getting the treatment they deserve.
How Does Inclusive Health Care Benefits The LGTBQ+ Community?
Regarding inclusive health care, many healthcare providers must respect their patients and their needs when coming in for a general check-up. Since many individuals in the LGBTQ+ community are already dealing with enough stress, especially young people, it is important to have a calm, safe, and non-judgmental environment promoting safety and inclusion. (Diana & Esposito, 2022) There are many ways that inclusive health care can provide beneficial results to the individual and health care provider. Some may include:
What pronouns the individual preferred
What the individual wants to be identified
Being respectful of the patient’s needs
Building a trusted relationship with the individual
When individuals in the LGBTQ+ community have inclusive health care in a positive environment, it can create a positive experience for them as it can improve mental health and general well-being and make a huge impact that can be life-saving. (Carroll & Bishop, 2022) The Injury Medical Chiropractic and Functional Medicine Team is committed to building a positive and safe space for individuals in the LGBTQ+ community that need inclusive health care to reduce pain-like symptoms through personalized treatment plans.
How Can Chiropractic Care Transform Pain To Relief-Video
With many individuals looking for the right kind of treatment for general pain and discomfort, many people will look into non-surgical therapies. Non-surgical treatments can be beneficial for many individuals in the LGBTQ+ community as it is safe and can provide individuals with an understanding of what is impacting their bodies. Non-surgical treatments like chiropractic care, spinal decompression, and MET therapy can alleviate pain-like symptoms associated with musculoskeletal disorders through a personalized treatment plan catered to the person. Many health professionals who are respectful and provide a supportive environment for LGBTQ+ individuals seeking inclusive health has been reported an increase in their confidence, and a decrease in their anxiety, which can potentially decrease uncertainty for future visits. (McCave et al., 2019) Creating a safe, positive environment for individuals seeking inclusive health care can help them reduce the pain they have been experiencing while easing their minds. The video explains how non-surgical treatments like chiropractic care can help reduce musculoskeletal pain associated with stress and help realign the body out of subluxation. Additionally, these small changes in creating a safe and inclusive environment when receiving health care can make a lasting and positive impact on many individuals. (Bhatt, Cannella, & Gentile, 2022)
Utilizing Beneficial Treatments For Inclusive Health Care
When it comes to non-surgical treatments being part of inclusive treatment, it is critical to reduce the health disparities and to ensure that many LGBTQ+ individuals receive the needed medical they deserve. (Cooper et al., 2023) Since many individuals face unique health challenges, from body and gender dysmorphia to common muscle strains associated with musculoskeletal disorders, many individuals can seek non-surgical treatments like chiropractic care. Chiropractic care can help meet the individual’s needs by supporting their musculoskeletal health and general well-being. (Maiers, Foshee, & Henson Dunlap, 2017) Chiropractic care can reduce musculoskeletal conditions that many LGBTQ+ individuals have and can be aware of what factors are affecting their bodies in a safe and positive environment. Non-surgical treatments can be combined with other therapies in inclusive health care for LGBTQ+ individuals. They can provide a safe environment in the clinic and improve their care quality by being cost-effective. (Johnson & Green, 2012) Inclusive health care can help make LGBTQ+ individuals a safe and positive space to make them get the treatment they deserve without negativity.
References
Bhatt, N., Cannella, J., & Gentile, J. P. (2022). Gender-affirming Care for Transgender Patients. Innov Clin Neurosci, 19(4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971
Carroll, R., & Bisshop, F. (2022). What you need to know about gender-affirming healthcare. Emerg Med Australas, 34(3), 438-441. doi.org/10.1111/1742-6723.13990
Cooper, R. L., Ramesh, A., Radix, A. E., Reuben, J. S., Juarez, P. D., Holder, C. L., Belton, A. S., Brown, K. Y., Mena, L. A., & Matthews-Juarez, P. (2023). Affirming and Inclusive Care Training for Medical Students and Residents to Reduce Health Disparities Experienced by Sexual and Gender Minorities: A Systematic Review. Transgend Health, 8(4), 307-327. doi.org/10.1089/trgh.2021.0148
Diana, P., & Esposito, S. (2022). LGBTQ+ Youth Health: An Unmet Need in Pediatrics. Children (Basel), 9(7). doi.org/10.3390/children9071027
Johnson, C. D., & Green, B. N. (2012). Diversity in the chiropractic profession: preparing for 2050. J Chiropr Educ, 26(1), 1-13. doi.org/10.7899/1042-5055-26.1.1
Maiers, M. J., Foshee, W. K., & Henson Dunlap, H. (2017). Culturally Sensitive Chiropractic Care of the Transgender Community: A Narrative Review of the Literature. J Chiropr Humanit, 24(1), 24-30. doi.org/10.1016/j.echu.2017.05.001
McCave, E. L., Aptaker, D., Hartmann, K. D., & Zucconi, R. (2019). Promoting Affirmative Transgender Health Care Practice Within Hospitals: An IPE Standardized Patient Simulation for Graduate Health Care Learners. MedEdPORTAL, 15, 10861. doi.org/10.15766/mep_2374-8265.10861
Moran, C. I. (2021). LGBTQ population health policy advocacy. Educ Health (Abingdon), 34(1), 19-21. doi.org/10.4103/efh.EfH_243_18
In many working individuals with back pain, how does non-surgical decompression achieve pain reduction to the intervertebral disc in pain management?
Introduction
Low back pain is a common complaint in the workforce. It can cause individuals to miss work, become disabled, and frequently visit their primary doctors. Many factors contribute to the development of low back pain. You may have experienced constant back muscle aches from sitting down and hunched over a computer. Or maybe you have felt your back muscles strain from carrying heavy objects from one location to another. Carrying equipment around your hips, like a utility belt in construction or a law enforcement job, can also contribute to back pain. These scenarios can all be related to the development of low back pain. When the lower extremity muscles are over or under-active, it can cause muscle and tissue fibers to shorten or become overstretched. This can lead to tiny nodules known as trigger points forming. Additionally, repetitive motions caused by overload axial pressure can compress the lumbar spinal structure and cause the spinal disc to care constantly. However, there are ways to manage low back pain. By focusing on common issues associated with each back pain syndrome, non-surgical treatments like spinal decompression can achieve pain management for the intervertebral disc. As we work with certified medical providers who use our patients’ information to treat working individuals suffering from low back pain combining non-surgical decompression as part of their routine can alleviate the pain-like symptoms. We inform them about non-surgical treatments to ease low back pain issues while achieving pain management. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer
Each Low Back Pain Syndrome Is Common
When it comes to low back pain, many individuals will come to their primary doctor and inform them that they are in constant pain in their lower back. As stated earlier, repetitive motions from normal factors can cause the back muscles to be over or under-stretched, causing muscle aches. At the same time, the spinal discs are constantly being compressed with unnecessary pressure. When the spinal discs are under constant pressure, they can begin to bulge or herniate, depending on the severity of the issue. To that point, the compressed spinal discs can aggravate the spinal nerve roots to cause referred localized pain down to the legs or arms, causing symptoms of numbness or tingling sensations in the hands and feet. Low back pain has four categories that can affect many individuals and has different treatment pathways. (Bogduk & Twomey, 1991) These four categories can vary with intense symptoms that pertain to the pain and how they were developed. These include:
Acute muscularity (can involve sciatic radiation)
With or without neurological dysfunction
Chronic muscularity (can have recurring symptoms)
Neoplastic low back pain (can have frequent symptoms and become progressive)
These four categories of low back pain all have common features, as well as regional pain, muscle impairment, mechanical dysfunction exacerbated by daily activities, and mood/behavioral changes. Additional low back pain can be specific or non-specific, associated with many working individuals. Many individuals dealing with low back pain will often work through the pain rather than find the proper relief because of that fear of missing out on work. (Becker & Childress, 2019) Luckily, many ways exist to reduce low back pain and alleviate compressed spinal discs.
Revolutionizing Healthcare-Video
Have you or your loved ones felt aches and pains in your lower back after regular activities? Do your legs and lower back feel stiffer than usual when walking with heavy equipment? Or do you hunch or slouch constantly while relaxing on a chair or sofa? Many of these factors are the root cause of low back pain, and it can affect a person’s routine without treatment right away. When many individuals deal with low back pain in the workforce, they often try home remedies to alleviate the pain temporarily to get back to work, only to cause more issues in the future. To that point, this causes the working individual to be under constant pain and miss out on work, which then causes more unnecessary stress and pressure on the lower back. Luckily there are available treatments that can reduce the effects of low back pain and ease the minds of many individuals looking for cost-effective and safe options. Non-surgical treatments for low back pain are safe for the spine and can be cost-effective to help manage the pain associated with compressed spinal discs and allow people to be more mindful of their back and spine. Non-surgical treatments can range from chiropractic care to spinal decompression, depending on the severity of the pain that the person is experiencing. The video above goes more in-depth with how non-surgical treatments can revolutionize healthcare.
The Biomechanic Principal Of Decompression
When it comes to individuals trying to find relief for their low back pain, many will opt for traditional surgical treatments if the home treatments are not working. While conventional surgical treatments can provide more rapid relief, they can be pricey and cause a financial burden to the working individual. Hence why many will often seek out non-surgical therapies. (Schoenfeld & Weiner, 2010) Non-surgical treatments are affordable to the active individual and can be customizable depending on the issue. One of the non-surgical treatments is decompression. Decompression incorporates mechanical traction to gently stretch the spine as a distracting force to realign the spine back to normal, increase the body’s fluids and nutrients to promote healing factors, and relieve abnormal pressure on the nociceptive receptors system. (Judovich, 1954) The effects of spinal decompression allow the spine to regain mobility, stability, and reduction of low back pain, allowing the compressed spinal disc to return to its original position.
The Decompression Benefits For Common Occurring Back Pain Syndrome
During the mechanical traction process of spinal decompression, the spinal disc space is slightly increased, which reduces the lumbar disc protrusion and causes the disc herniation to disappear over time after a few sessions. (Andersson, Schultz, & Nachemson, 1983) These are a few benefits of spinal decompression, as traction therapy can also alleviate additional musculoskeletal disorders associated with low back pain. (Bettmann, 1957) Musculoskeletal disorders associated with low back pain can be treated with spinal manipulation combined with decompression, as it is used to improve spinal and hip mobility in the lower extremities, thus reducing pain and incapacity in people with low back pain. (Fagundes Loss et al., 2020) Additionally, mechanical traction from decompression can help inhibit positive results for many individuals looking for relief from mechanical stress from their backs. (Wegner et al., 2013) Spinal decompression can help reduce low back pain and its associated symptoms for many working individuals who want the relief they deserve.
References
Andersson, G. B., Schultz, A. B., & Nachemson, A. L. (1983). Intervertebral disc pressures during traction. Scand J Rehabil Med Suppl, 9, 88-91. www.ncbi.nlm.nih.gov/pubmed/6585945
Becker, B. A., & Childress, M. A. (2019). Nonspecific Low Back Pain and Return To Work. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
Bettmann, E. H. (1957). Therapeutic advantages of intermittent traction in musculoskeletal disorders. GP, 16(5), 84-88. www.ncbi.nlm.nih.gov/pubmed/13474126
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
Schoenfeld, A. J., & Weiner, B. K. (2010). Treatment of lumbar disc herniation: Evidence-based practice. International Journal of General Medicine, 3, 209-214. doi.org/10.2147/ijgm.s12270
Wegner, I., Widyahening, I. S., van Tulder, M. W., Blomberg, S. E., de Vet, H. C., Bronfort, G., Bouter, L. M., & van der Heijden, G. J. (2013). Traction for low-back pain with or without sciatica. Cochrane Database Syst Rev, 2013(8), CD003010. doi.org/10.1002/14651858.CD003010.pub5
In many inviduals with low back pain, how does spinal decompression and inversion therapy reduce nerve entrapment?
Introduction
Low back pain is a common problem worldwide that can cause individuals to miss out on important aspects of their lives, including work. The severity of the pain can be specific or non-specific, and it can be localized in one area or spread throughout the body, causing referred pain. Many normal and traumatic factors can contribute to low back pain, such as improper lifting, excessive weight gain, stress, excessive sitting, or repetitive motions. These factors can compress the spinal discs and cause the surrounding muscles to become over-stretched and tight, leading to nerve entrapment. However, various treatments are available to reduce low back pain and restore functionality to the body. This article focuses on two therapies, inversion therapy, and spinal decompression, and how they can be used together to reduce the likelihood of low back pain returning. By working with certified medical providers who use our patients’ information to treat individuals suffering from low back pain while combining inversion therapy and spinal decompression as part of their routine. We inform them about non-surgical treatments to regain spinal mobility and restore muscle strength to the back muscles while preventing the effects of low back pain from reoccurring. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer
How Does Inversion Therapy Reduce Back Pain
Do you suffer from muscle aches and strains in your lower back due to sitting for extended periods? Do you experience pain after carrying heavy objects or from being physically inactive? If these symptoms are associated with low back pain, seeking treatment is common. Many take over-the-counter medicines, hot/cold packs, or home remedies for temporary relief. Inversion therapy is another treatment option. In “The Ultimate Spinal Decompression” by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., inversion therapy is mentioned as a method where the individual is suspended upside down in an inversion table for a few minutes to relieve pain-like symptoms. Inversion therapy can reverse the effects of gravity on the back, which can compress the spine and spinal disc over time, leading to back pain. Inversion therapy can relieve acute back pain by decompressing the back.
Using inversion therapy can help alleviate the symptoms of low back pain and reduce the need for surgery among many individuals. This practice, which has been used for thousands of years, involves utilizing gravity to provide traction for those experiencing lumbar disc herniation related to low back pain. By opting for non-surgical treatments, such as inversion therapy, individuals suffering from low back pain caused by various factors, including nerve entrapment, can experience relief. (Mendelow et al., 2021)
Back Pain & Nerve Entrapment Reduced
It is possible to experience low back pain with or without additional symptoms caused by factors affecting the back. This type of pain can result in mobility issues in the spinal region, pain that radiates into the lower extremities, and general discomfort associated with musculoskeletal conditions. (Delitto et al., 2012) Nerve entrapment can be a factor related to low back pain, and it can impact the peripheral pathway because signals from the peripheral system can cause irregular transmissions to the brain. This can lead to inflammatory cytokines releasing in the affected muscle and radiating shooting pain to the legs. As a result, the body can mimic leg pain correlated with low back pain, leading to a misdiagnosis of the issue. (Saal et al., 1988) Fortunately, various non-surgical treatments, such as inversion therapy and spinal decompression, can help reduce low back pain and its associated symptoms.
Enhance Your Lifestyle-Video
If you’re suffering from low back pain, non-surgical treatments can be a cost-effective, gentle, and safe solution. Innovative techniques are used to target the root cause of the pain and alleviate it from the musculoskeletal system. Inversion therapy, spinal decompression, and chiropractic care are some non-surgical treatments that can help relieve low back pain and prevent it from recurring. These therapies involve physical and mechanical manipulation of the spine to correct any subluxations. Misalignment of the body can cause low back pain and negatively impact one’s quality of life. Incorporating non-surgical treatments into your routine can help your body heal naturally and promote a healthy lifestyle. For more information on the benefits of these treatments, check out the video above.
How Spinal Decompression & Inversion Therapy Reduce Back Pain
As one of the forms of non-surgical treatment, spinal decompression is safer and more cost effective than traditional surgical treatments. Non-surgical treatments can be combined with other therapies to help improve and control the movement in the lumbar spine. (Zaina et al., 2016) So when spinal decompression is combined with inversion therapy, it can help decompress the spine, allowing the spinal discs to slip back into their original position and reduce the pressure off the aggravated and irritated nerve root from causing low back pain to occur again. Since inversion therapy is used for acute low back pain, spinal decompression therapy is used for individuals with chronic issues. After a few sessions of these treatments, the body will function normally and allow the back to be mobile again. When people start to think about their health and wellness for back pain issues, they can incorporate non-surgical treatments as part of their routine.
References
Delitto, A., George, S. Z., Van Dillen, L., Whitman, J. M., Sowa, G., Shekelle, P., Denninger, T. R., Godges, J. J., & Orthopaedic Section of the American Physical Therapy, A. (2012). Low back pain. J Orthop Sports Phys Ther, 42(4), A1-57. doi.org/10.2519/jospt.2012.42.4.A1
Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.
Mendelow, A. D., Gregson, B. A., Mitchell, P., Schofield, I., Prasad, M., Wynne-Jones, G., Kamat, A., Patterson, M., Rowell, L., & Hargreaves, G. (2021). Lumbar disc disease: the effect of inversion on clinical symptoms and a comparison of the rate of surgery after inversion therapy with the rate of surgery in neurosurgery controls. Journal of Physical Therapy Science, 33(11), 801-808. doi.org/10.1589/jpts.33.801
Saal, J. A., Dillingham, M. F., Gamburd, R. S., & Fanton, G. S. (1988). The pseudoradicular syndrome. Lower extremity peripheral nerve entrapment masquerading as lumbar radiculopathy. Spine (Phila Pa 1976), 13(8), 926-930. www.ncbi.nlm.nih.gov/pubmed/2847334
Zaina, F., Tomkins-Lane, C., Carragee, E., & Negrini, S. (2016). Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane Database Syst Rev, 2016(1), CD010264. doi.org/10.1002/14651858.CD010264.pub2
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