Low back pain is one of the most prevalent symptoms that lead people to seek diagnosis and treatment with a healthcare professional. When the individual�s low back pain is accompanied with pain in one or both legs or buttocks, resulting in symptoms similar to sciatica, it may be an indicator that the patient may have a lumbar disc herniation, also referred to as a herniated disc, ruptured disc, or slipped disc.
Anatomy of the Lumbar Spine
The lumbar spine consists of five vertebrae that extend through the length of the ribcage and pelvis. From top to bottom, these vertebrae are medically labeled L1 through L5 and they�re each separated by intervertebral discs. The discs are made up of a fibrous tissue known as the annulus with a soft nucleus found at the center of each disc. These discs are fundamental towards the proper function of the spine, performing the important roles of shock absorption and distribution of pressure.
In the instance the annulus becomes ruptured or torn, the nucleus can become separated from the disc. This complication can decrease the disc�s ability to properly separate the vertebrae, an issue which often leads to increased pressure due to the compression or impingement of the spinal nerves found between each vertebrae of the spine. Individuals with a lumbar disc herniation and symptoms of sciatica commonly experience pain and discomfort related to the pinching of the nerves, which can in turn radiate down the legs.
Generally, a herniated disc is caused by the natural degeneration of the body�s structures as we age. If not diagnosed or treated in time, however, this simple wear and tear complication can develop into a more serious injury or condition. In addition, intervertebral discs can also tear due to trauma from heavy lifting or as a result of a sudden injury, such as an automobile accident or a work injury.
Diagnosing a Lumbar Disc Herniation
A chiropractor can properly diagnose a variety of injuries or conditions relating to the musculoskeletal and nervous system, including a lumbar disc herniation. During the first consultation, the chiropractor will conduct a thorough physical exam, including a comprehensive review of your medical history and test results. Using this, the healthcare professional will be able to determine the source of the symptoms. In many cases, the specialist may require additional tests to confirm the presence of a specific injury and/or condition. Most chiropractic offices will provide you with up to date information about your diagnosis, as well as the risks and benefits of each treatment option. Chiropractors will work with the individual personally to decide on the best treatment option for their complication.
Treating a Lumbar Disc Herniation
Chiropractic adjustments and manual manipulations are the most common forms of treatment provided by a doctor of chiropractic, or DC. Using this gentle techniques, the healthcare specialist will carefully realign the spine, correcting the subluxations in order to decrease and eliminate the symptoms caused by nerve compression or impingement. Chiropractors may also redirect a patient to receive other types of treatment depending on the severity of their issue. Chiropractic care can help restore an individual�s strength, mobility and flexibility, offering a wide variety of benefits. Chiropractic treatment is well-known for its natural benefits, including the enhancement of many functions of the body.
Chiropractic Can Improve Sex Life
Many people visit the chiropractor with back pain, but after several sessions of treatment, they often return reporting that their sex life has improved. Jason Helfrich, co-founder and CEO of 100% Chiropractic, stated that the body can positively respond in many aspects when the unnecessary pressure on the nervous system is decreased or removed.
Every function of the body is controlled by the nervous system, however, when the spine is misaligned, known as a subluxation, the nerves traveling between the brain and the rest of the body, these can become blocked, compromising the body�s ability to function properly. A chiropractor�s goal is to remove these subluxations, since they can both cause pain and impede feeling. But treatment can help more than just improve symptoms of back pain. The lumbar region of the spine is where the nerves that extend into your reproductive regions are found. Correcting misalignments in the lower spine can improve nerve flow to your sexual organs, increasing things like blood flow to your clitoris or the penis.
�Correcting a spinal subluxation also allows the organs to send messages to the brain more easily. This means that not only do you become physically aroused faster, but your brain also registers that ready-for-action, heightened sense of pleasure more quickly, so you move past the mental obstacles that may be keeping you from orgasming�, quoted Helfrich.
Other Adjustments for an Improved Sex Life
Libido and fertility need a proper balance of estrogen, progesterone, and other hormones, many of which are released in the upper cervical and neck area of the body. If there are any misalignments or subluxations in the upper region of the spine, the nerve transmissions exiting the brain can be interrupted due to the compression or impingement of these tissues, which will ultimately have an effect all the way down to the reproductive organs, among others.
Including fertility is affected by the nerves and hormones coming out of the spine, as they control the reproductive cycle.
Beyond all of the physiological benefits of spinal adjustments and manual manipulations, chiropractic treatment can also simply give the muscles more range of motion. This means you can try previously difficult positions under the sheets, enhancing an individual�s sex life further.
�We want to improve people�s health, and health is about living life as its intended. Having a great sex life is huge part of that�, Jason Helfrich concluded.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
The Patriot Project is a grass roots movement to provide chiropractic care to all Active Military, their Families, Wounded Warriors & All Gold Star Dependents.
The Patriot Project was found by Dr. Tim Novelli, and this inspired organization started after one life changing weekend.
No one tells the story better than the man himself.
It�s a little known fact that chiropractic care is included in veteran�s health benefits, and it�s an underutilized option.�The Patriot Project aims to change this by making chiropractic care readily available to our service members.
With adequate funding, The Patriot Project plans to develop a USO-type chiropractic care tour, visiting military bases at home and around the world, including all active forward operating bases like those in Afghanistan and Iraq.
We are calling on all chiropractors to help by becoming a patriot. �Participating doctors will make time available to�treat at least one armed-service member a week at no�charge. He/she will also help us collect patient testimonials, which will be used to further our cause in Congress.
Mission Statement
-To provide chiropractic care to active military, their families, wounded warriors, and Gold Star Dependents.
-To make full chiropractic benefits in TRICARE care readily available for ALL active duty military, retirees and veterans.
-To have chiropractic physicians commissioned as officers in all armed services.
-To have chiropractic physicians embedded in all forward operating bases of combat.
-To have a Chiropractic Department in every VA hospital and clinic.
-To educate veterans with service related disabilities; they have chiropractic benefit coverage through the Veterans Administration.
Why is The Patriot Project so important?
Military Heroes & Chiropractic
In 2002, President George W. Bush signed Public Law 107-135, legislation that ensured that chiropractic would become a permanent benefit for recipients of veterans� health care services. As a result, chiropractic care was gradually added to more than 30 VA medical centers.
In the remaining 120 VA treatment facilities, however�including those in several major metropolitan areas, the chiropractic care benefit has remained virtually nonexistent.
All veterans with service related disabilities are supposed to have access to chiropractic care; if not at a hospital then in the civilian community. Chiropractic treatment is a standard VA benefit. No VA facility can state that they do not provide these essential health benefits.
Chiropractic physicians are considered specialists with the Veteran Administration and with the Department of Defense, which means the Veteran must request from their PCP an approval for them to receive chiropractic treatment.
Problem #1: Vets DO NOT KNOW they have chiropractic benefits.
Problem #2: There is no listing of chiropractic benefit within the VA HealthCare Benefit section within their website except under ancillary services.
Problem #3: Vets DO NOT KNOW the benefit they can obtain from chiropractic treatment which includes acupuncture.
Problem #4: Vets DO NOT KNOW they can appeal their PCPs denial of their requests for chiropractic treatment.
Problem #5: Armed forces families do not have chiropractic benefits.
Problem #6: Veterans reliance upon medications results in a high probability of developing additional health problems and or even developing life threatening/ending situations.
Some veterans have found their local VA is reluctant to send them for fee-basis care outside the VA facility, and have required they jump through many hoops to get a referral for a Doctor of Chiropractic. This is against VA policy and does not go along with the VA�s own stated mission to be �veteran-centered.�
Many times the VA facility is trying to save money by denying fee-basis care delivered by doctors of chiropractic, even though they spend a great deal on numerous other treatments. VA facilities are unaware that chiropractic treatment can reduce their facilities cost.
Medical literature has revealed that when insurance company limit/reduce chiropractic treatment benefits, their total costs for healthcare, actually increased.
A patient receiving regular chiropractic care experiences reduced hospital admissions, surgeries, and pharmaceutical costs.
Studies indicate that greater chiropractic coverage, despite increased visits to a DC, results in significant net savings in both indirect and direct costs.
Chiropractic care could reduce Medicare costs�both payment for all services and average per claim payment.
Chiropractic patients typically pay less and are more satisfied with their treatment than MD patients.
Chiropractic care can be used to control health care costs.
Chiropractic patients reach maximum medical improvement sooner than when treated by a medical doctor.
Chiropractic treatment is not an add-on, it is a direct substitution for other treatment.
Conclusion:
Services delivered by doctors of chiropractic are part of the standard VA benefits and no VA facility can say �do not provide� these essential health benefits. Some veterans have found their local VA is reluctant to send them for fee-basis care outside the VA facility, and have required they jump through many hoops to get a referral for a Doctor of Chiropractic. This is against VA policy and does not go along with VA�s own stated mission to be �veteran-centered.�
The Patriot Project is determined to change this, with your help.
To learn more about how you can join and help the Patriot Project, click below
It�s a little known fact that chiropractic care is included in veteran�s health benefits, and it�s an underutilized option.�The Patriot Project aims to change this by making chiropractic care readily available to our service members.
Most people don�t go to a chiropractor for a better sex life, but that extra benefits is a pretty happy accident. �People come in with back pain, but after adjustments, they come back and tell me their sex life is so much better,� says Jason Helfrich, co-founder and CEO of 100% Chiropractic. �It�s no surprise to us�it�s amazing what the body will do when you take away the pressure on the nervous system.�
And what are those amazing feats, exactly?
Let�s start with what a chiropractor really does. Every function in your body is controlled from the nervous system, but when vertebra are off position�known as a subluxation�the nerves traveling between your brain and your muscles can become blocked, compromising your body�s ability to function as it needs to. Every chiropractor�s goal is to remove these subluxations, since they can both cause pain and impede feeling, Helfrich says.
But these fixes help more than just back pain. The lumbar region (your lower back) is a huge hub for the nerves that extend into your reproductive regions. Removing lumbar subluxations can improve nerve flow to your sexual organs, increasing things like blood flow to your clitoris or, for your husband, the penis.
The flow of nerve signals is a two-way street, though, meaning that adjustments also allow your organs to send messages to the brain more easily. This means that you not only do you become physically aroused faster, but your brain also registers that ready-for-action, heightened sense of pleasure more quickly, so you move past the mental obstacles that may be keeping you from orgasming, Helfrich explains.
The other key adjustment area for a better sex life?
Right below your brain stem, around the vertebrae known as C1 and C2. �Libido and fertility require a delicate balance of estrogen, progesterone, and other hormones, many of which are released in the upper cervical and neck area,� he explains. If there are any blockages right out of the brain, the impingement up there will have an effect all the way down.
Even your fertility is affected by the nerves and hormones coming out of the spine, as they control your reproductive cycle.
But beyond all of the physiological benefits of tweaking your spine to perfection, chiropractic adjustments can also simply give your muscles more range of motion. This means you can try previously impossible positions under the sheets.
�We want to improve people�s health, and health is about living life as its intended. Having a great sex life is huge part of that,� Helfrich adds. No arguments here!
Most people don�t go to a chiropractor for a better sex life, but the extra benefit is a pretty happy accident. �People come in with back pain, but after an adjustment, they come back and tell me their sex life is so much better.�
Athletes who perform daily rigorous training and/or participate in regular competitions can often be at a higher risk of suffering an injury or developing an injury. Because most sports or physical activities require the repetitive and constant use of the lower extremities, experiencing a complication which affects the lower back, buttocks, thighs and even the feet of the athlete can ultimately alter their performance.
Medial tibial stress syndrome, commonly referred to as shin splints, is not considered to be a medically serious condition, however, it can challenge an athlete�s performance. Approximately 5 percent of all sports injuries are diagnosed as medial tibial stress syndrome, or MTSS for short.
Shin splints, or MTSS, occurs most frequently in specific groups of the athletic population, accounting for 13-20 percent of injuries in runners and up to 35 percent in military service members. Medial tibial stress syndrome is characterized as pain along the posterior-medial border of the lower half of the tibia, which is active during exercise and generally inactive during rest. Athletes describe feeling discomfort along the lower front half of the leg or shin. Palpation along the medial tibia can usually recreate the pain.
Causes of Medial Tibial Stress Syndrome
There are two main speculated causes for medial tibial stress syndrome. The first is that contracting leg muscles place a repeated strain upon the medial portion of the tibia, producing inflammation of the periosteal outer layer of bone, commonly known as periostitis. While the pain of a shin splint is felt along the anterior leg, the muscles located around this region are the posterior calf muscles. The tibialis posterior, flexor digitorum longus, and the soleus all emerge from the posterior-medial section of the proximal half of the tibia. As a result, the traction force from these muscles on the tibia probably aren�t the cause of the pain generally experienced on the distal portion of the leg.
Another theory of this tension is that the deep crural fascia, or the DCF, the tough, connective tissue which surrounds the deep posterior muscles of the leg, may pull excessively on the tibia, causing trauma to the bone. Researchers at the University of Honolulu evaluated a single leg from 5 male and 11 female adult cadavers. Through the study, they confirmed that in these specimens, the muscles of the posterior section of muscles was introduced above the portion of the leg that is usually painful in medial tibial stress syndrome and the deep crural fascia did indeed attach on the entire length of the medial tibia.
Doctors at the Swedish Medical Centre in Seattle, Washington believed that, given the anatomy, the tension from the posterior calf muscles could produce a similar strain on the tibia at the insertion of the DCF, causing injury.
In a laboratory study conducted using three fresh cadaver specimens, researchers concluded that strain at the insertion site of the DCF along the medial tibia advanced linearly as tension increased in the posterior leg muscles. The study confirmed that an injury caused by tension at the medial tibia was possible. However, studies of bone periosteum on individuals with MTSS have yet to find inflammatory indicators to confirm the periostitis theory.
The second theory believed to cause medial tibial stress syndrome is that repetitive or excessive loading may cause a bone-stress reaction in the tibia. When the tibia is unable to properly bear the load being applied against it, it will bend during weight bearing. The overload results in micro damage within the bone, not just along the outer layer. If the repetitive loading exceeds the bone�s ability to repair, localized osteopenia can occur. Because of this, some researchers consider a tibial stress fracture to be the result of a continuum of bone stress reactions that include MTSS.
Utilizing magnetic resonance imaging, or MRI, on the affected leg can often display bone marrow edema, periosteal lifting, and areas of increased bony resorption in athletes with medial tibial stress syndrome. This supports the bone-stress reaction theory. An MRI of an athlete with a diagnosis of MTSS can also help rule out other causes of lower leg pain, such as a tibial stress fracture, deep posterior compartment syndrome, and popliteal artery entrapment syndrome.
Risk factors for MTSS
While the cause, set of causes or manner of causation of MTSS is still only a hypothesis, the risk factors for athletes developing it are well-known. As determined by the navicular drop test, or NDT, a large navicular drop considerably corresponds with a diagnosis of medial tibial stress syndrome. The NDT measures the difference in height position of the navicular bone, from a neutral subtalar joint position in supported non-weight bearing, to full weight bearing. The NDT explains the degree of arch collapse during weight bearing. Results of more than 10 mm is considered excessive and can be a considerable risk factor for the development of MTSS.
Research studies have proposed that athletes with MTSS are most frequently female, have a higher BMI, less running experience, and a previous history of MTSS. Running kinematics for females can be different from that of males and has often been demonstrated to leave individuals vulnerable to suffer anterior cruciate ligament tears and patellofemoral pain syndrome. This same biomechanical pattern may also incline females to develop medial tibial stress syndrome. Hormonal considerations and low bone density are believed to be contributing factors, increasing the risk of MTSS in the female athlete as well.
A higher BMI in an athlete demonstrates that they have more muscle mass rather than being overweight. The end result, however, is the same in that the legs bear a considerably heavy load. It�s been hypothesized that in these cases, the bone growth accelerated by the tibial bowing may not advance quickly enough and injury to the bone may occur. Therefore, those with a higher BMI may need to continue their training programs gradually in order to allow the body to adapt accordingly.
Athletes with less running experience are more likely to make training errors, which may be a common cause for medial tibial stress syndrome. These include but are not limited to: increasing distance too quickly, changing terrain, overtraining, poor equipment or footwear, etc. Inexperience may also lead the athlete to return to activity before the recommended time, accounting for the higher prevalence of MTSS in those who had previously experienced MTSS. A complete recovery from MTSS can take from six months up to ten months, and if the original injury does not properly heal or the athlete returns to training too soon, chances are, their pain and symptoms may return promptly.
Biomechanical Analysis
The NDT is used as a measurable indication of foot pronation. Pronation is described as a tri-planar movement consisting of eversion at the hindfoot, abduction of the forefoot and dorsiflexion of the ankle. Pronation is a normal movement of the body and it is absolutely essential in walking and running. When the foot impacts the ground at the initial contact phase of running, the foot begins to pronate and the joints of the foot acquire a loose-packed position. This flexibility helps the foot absorb ground reaction forces.
During the loading response phase, the foot further pronates, reaching peak pronation by approximately 40 percent during stance phase. In mid stance, the foot moves out of pronation and back to a neutral position. During terminal stance, the foot supinates, moving the joints into a fastened position, creating a rigid lever arm from which to generate the forces for toe off.
Starting with the loading response phase and throughout the rest of the single leg stance phase of running, the hip is stabilized and supported as it is extended, abducted and externally rotated by the concentric contraction of the hip muscles of the stance leg, including the gluteals, piriformis, obturator internus, superior gemellus and inferior gemellus. Weakness or fatigue in any of these muscles can develop an internal rotation of the femur, adduction of the knee, internal rotation of the tibia, and over-pronation. Overpronation therefore, can be a result of muscle weakness or fatigue. If this is the case, the athlete may have a completely normal NDT and yet, when the hip muscles don�t function as needed, these can overpronate.
In a runner who has considerable overpronation, the foot may continue to pronate into mid stance, resulting in a delayed supination response, causing for there to be less power generation at toe off. The athlete can make the effort to apply two biomechanical fixes here that could contribute to the development of MTSS. First of all, the tibialis posterior will strain to prevent the overpronation. This can add tension to the DCF and strain the medial tibia. Second, the gastroc-soleus complex will contract more forcefully at toe off to improve the generation of power. However, it�s hypothesized that the increased force within these muscle groups can add further tension to the medial tibia through the DCF and possibly irritate the periosteum.
Evaluating Injury in Athletes
Once understood that overpronation is one of the leading risk factors for medial tibial stress syndrome, the athlete should begin their evaluation slowly and gradually progress through the procedure. Foremost, the NDT must be performed, making sure if the difference is more than 10mm. Then, it�s essential to analyze the athlete�s running gait on a treadmill, preferably when the muscles are fatigued, such as at the end of a training run. Even with a normal NDT, there may be evidence of overpronation in running.
Next, the athlete�s knee should be evaluated accordingly. The specialist performing the evaluation should note whether the knee is adducted, whether the hip is leveled or if either hip is more than 5 degrees from level. These can be clear indications that there is probably weakness at the hip. Traditional muscle testing may not reveal the weakness; therefore, functional muscle testing may be required.
Additionally, it should be observed whether the athlete can perform a one-legged squat with arms in and arms overhead. The specialist must also note if the hip drops, the knee adducts and the foot pronates. Furthermore, the strength of the hip abductors should be tested in side lying, with the hip in a neutral, extended, and flexed position, making sure the knee is straight. All three positions with the hip rotated in a neutral position and at end ranges of external and internal rotation should also be tested. Hip extensions in prone with the knee straight and bent, in all three positions of hip rotation: external, neutral and internal can also be analyzed and observed to determine the presence of medial tibial stress syndrome, or MTSS. The position where a healthcare professional finds weakness after the evaluation is where the athlete should begin strengthening activities.
Treating the Kinetic Chain
In the presence of hip weakness, the athlete should begin the strengthening process by performing isometric exercises in the position of weakness. For example, if there is weakness during hip abduction with extension, then the athlete should begin isolated isometrics in this position. Until the muscles consistently activate isometrically in this position for 3 to 5 sets of 10 to 20 seconds should the individual progress to adding movement. Once the athlete achieves this level, begin concentric contractions, in that same position, against gravity. Some instances are unilateral bridging and side lying abduction. Eccentric contractions should follow, and then sport specific drills.
In the case that other biomechanical compensations occur, these must also be addressed accordingly. If the tibialis posterior is also displaying weakness, the athlete should begin strengthening exercises in that area. If the calf muscles are tight, a stretching program must be initiated. Utilizing any modalities possible might be helpful towards the rehabilitation process. Last but not least, if the ligaments in the foot are over stretches, the athlete should consider stabilizing footwear. Using a supported shoe for a temporary period of time during rehabilitation can be helpful to notify the athlete to embrace new movement patterns.
MTSS and Sciatica
Medial tibial stress syndrome, otherwise known as shin splints, ultimately is a painful condition that can greatly restrict an athlete�s ability to walk or run. As mentioned above, several evaluations can be performed by a healthcare professional to determine the presence of MTSS in an athlete, however, other conditions aside from shin splints may be causing the individuals leg pain and hip weakness. That is why it�s important to also visit additional specialists to ensure the athlete has received the correct diagnosis for their injuries or conditions.
Sciatica is best referred to as a set of symptoms that originate from the lower back and is caused by an irritation of the sciatic nerve. The sciatic nerve is the single, largest nerve in the human body, communicating with many different areas of the upper and lower leg. Because leg pain can occur without the presence of low back pain, an athlete�s medial tibial stress syndrome could really be sciatica originating from the back. Most commonly, MTSS can be characterized by pain that is generally worse when walking or running while sciatica is generally worse when sitting with an improper posture.
Regardless of the symptoms, it�s essential for an athlete to seek proper diagnosis to determine the cause of their pain and discomfort. Chiropractic care is a popular form of alternative treatment which focuses on musculoskeletal injuries and conditions as well as nervous system disorders. A chiropractor can help diagnose an athlete�s MTSS as well as overrule the presence of sciatica as a cause of the symptoms. In addition, chiropractic care can help restore and improve an athlete�s performance. By utilizing careful spinal adjustments and manual manipulations, a chiropractor can help strengthen the structures of the body and increase the individual�s mobility and flexibility. After suffering an injury, an athlete should receive the proper care and treatment they need and require to return to their specific sport activity as soon as possible.
Chiropractic and Athletic Performance
In conclusion, the best way to prevent pain from MTSS is to decrease the athlete�s risk factors. An athlete should have a basic running gait analysis and proper shoe fitting as well as include hip strengthening in functional positions as part of the strengthening program. Furthermore, one must ensure the athletes fully rehabilitate before returning to play because the chances of recurrence of medial tibial stress syndrome can be high.
Chiropractic care is an effective form of alternative treatment which is commonly preferred by many athletes as it can help with the recovery of an injury and/or condition without the need for medications or surgery. Most athletes are specially trained to prevent injuries, however, the constant and repetitive overworking of the structures of the body can gradually begin to degenerate, leading to issues like shin splints which may potentially manifest symptoms of sciatica if left untreated for an extended period of time.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
Complications affecting the lumbar region of the spine can affect a wide amount of the population at least once throughout their lifetime. Low back pain is one of the most frequently reported symptoms, together with various other symptoms, causing pain and discomfort. Although low back pain can include several other symptoms, a collection of specific symptoms could signal the presence of another disorder: sciatica.
Affecting millions among the American population, sciatica can be characterized within a range of minor irritation to a severe, disabling complication. Despite how frequently its diagnosed and treated, there�s an assortment of information about the condition that many individuals do not yet understand and its often a topic of confusion among the general population.
What is Sciatica?
First of all, sciatica can best be described as a group of symptoms from an injury or an underlying medical condition rather than a singular disorder. The term is used to specify symptoms of pain, tingling and numbness sensations, or weakness that often originates on the lower back and radiates through the sciatic nerve found in either leg.
Also, when it comes to sciatica, the common injuries or underlying conditions causing the symptoms differ greatly based on age. Adults under the age of 60 frequently develop sciatica as a result of a lower back, or lumbar, herniated disc, degenerative disc disease, and isthmic spondylolisthesis. Adults over the age of 60 frequently develop sciatica as a result of degenerative changes, such as lumbar spinal stenosis and degenerative spondylolisthesis. Occasionally, pregnancy, or injuries such as muscle strains and bone fractures, which may create scar tissue, can also begin to develop sciatica symptoms.
In addition, the initial location of the nerve compression can affect the overall symptoms of sciatica as well as create new ones. Five nerve roots found on the low back region connect to form the large sciatic nerve. Symptoms can generally be defined by which of these five nerve roots becomes compressed or irritated. For example, numbness on the feet is common when the nerve root near the L5 vertebra in the lumbar region is pinched. Then, it�s also possible to experience multiple symptoms. Various nerve roots can become compressed at the same time, causing a combination of symptoms, such as pain or a tingling sensation on the outside area of the foot while simultaneously causing stiffness on the leg.
Treatment for Sciatica
When seeking treatment, an individual�s source of their sciatica symptoms can help determine the appropriate care plan in order to relieve pain and discomfort. A chiropractor for example, will diagnose an individual for any injuries or underlying conditions that could be causing their sciatica symptoms as well as determine the location of the nerve impingement to recommend a proper set of stretches and exercises. The specific exercises can vary depending on the location of the nerve damage or injury. Certain symptoms of sciatica may require immediate medical attention. It is rare for sciatica symptoms to require immediate surgery but if an individual experiences worsening neurological symptoms that begin to affect both legs, if there is bladder or bowel incontinence, or if symptoms occur directly after trauma from an accident, its essential for the individual to seek immediate medical attention.
Chiropractic and Sciatica
Sciatica is also known as lumbar radiculopathy or may often be referred to as pinched or compressed nerve pain. Many individuals may find these terms confusing when they are used interchangeably but these refer to the same diagnosis. Furthermore, sciatica is a frequent term used to describe a variety of symptoms on the legs, however, leg pain may not always be due to sciatica. A piriformis muscle complication or a sacroiliac joint issue can also cause pain and discomfort that travels down the leg similar to sciatica.
A majority of individuals whom experience sciatica can achieve relief from their symptoms within 6 to 12 weeks without relying on surgery. In fact, studies have shown that the long-term results of surgery and non-surgical treatments are similar. Faster pain relief may occur through surgery but, after a year, both surgical and non-surgical approaches produce identical outcomes. Throughout an individual�s treatment for sciatica, the application of ice and/or heat therapy, gentle stretching, and low-impact exercises, such as walking, can help ease sciatic nerve pain during the process of rehabilitation.
The symptoms of sciatica can manifest due to a broad variety of factors, including trauma from an injury or an aggravated condition. It’s essential to be able to identify these signs in order to seek the proper care and treatment for the specific complication. Chiropractic care is a common form of treatment utilized to help reduce and improve the symptoms of sciatica.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
The spine is a complex structure that consists of bone, muscle, tendons, ligaments, nerves and other tissues. Spine fitness is essential towards maintaining the body�s optimal performance as it functions to support an upright posture, provides flexibility to allow the body to bend and twist freely, and protect the spinal cord. While a healthy back can easily be taken for granted, a�back injury�or other type of complication may result in long-lasting consequences that could alter an individual�s aspect of daily life.
Unfortunately,�back injuries�are among the most common types of complications suffered after an automobile accident. Each day, thousands of individuals are involved in head-on, side-impact, and rear-end auto collisions, often leading to spinal injuries even during minor car crashes. Depending on the force of the impact, a single or multiple areas of the back may be affected. Automobile injuries can range from mild sprains and bruises to fractured vertebrae and spinal cord damage.
If you�ve had a car accident, it�s essential to take note of any symptoms of�back pain, as there are a variety of spine complications which could result after experiencing an auto collision.
Central Sensitization & Auto Injuries
Recovering From Auto Injuries
Disc Herniation
One type of spine injury among individuals who have suffered from an auto accident is a�herniated disc, or a slipped/ruptured disc. Discs are small, sponge-like structures found within the spinal column which function as cushions to separate and protect the vertebrae from the others while providing the spine with smooth flexibility. The force from an auto accident impact can damage a disc, causing it to break or deform, affecting its ability to cushion the bones of the spine.
Furthermore, a damaged disc can also place unnecessary pressure directly on the nerves surrounding it, leading to symptoms of pain, numbness and weakness on the region of the body where the affected nerve travels to.
Disc injuries to the�lower back�frequently lead to a group of symptoms commonly referred to as sciatica, which is characterized by radiating pain, numbness and tingling sensations in the leg and/or buttock on either side, or occasionally, in both sides, depending on the type of injury. The symptoms associated with sciatica can be impairing and may worsen over time if left untreated.
Auto Injury Back Pain
Spinal Cord Distress
Spinal cord injuries occur from the impact of an automobile accident. It sends a direct blow to the spine, that damages the delicate bundle of nerves within it. The spinal cord is the most important structure between the body and the brain. It is a vital link between the brain and the body, functioning to carry essential information back-and-forth from the brain to the central nervous system, facilitating motor control and sensory function. Spinal cord injuries impair the brain�s ability to communicate effectively with the rest of the body, resulting in paralysis and/or lack of sensation in all or part of the body. The more severe an injury to the spinal cord is, the more of the body will be affected.
Compression Fracture aka Bone Break
Car accidents can also cause compression fractures. Compression fractures or cracks in the bones of the spine may cause the vertebrae to collapse and deform. This can permanently alter the shape and structure of the spine.
Symptoms of a compression fracture include pain and postural changes as well as breathing difficulties. Due to the fact that compression fractures are common among older adults, many individuals mistake the symptoms for�signs of aging�or arthritis. An estimated two-thirds of compression fractures go undiagnosed.
While cars are built to withstand the great force of a collision, the human body is not. The complex structures of the body, especially the spine, are vulnerable even in low speed collisions, resulting in injuries or conditions more often than not. An individual who�s been injured in an accident should seek immediate medical attention in order to diagnose any possible injuries or conditions as early as possible to begin treatment.�Chiropractic care�can effectively treat a variety of spinal complications, including auto injuries. Through the use of spinal adjustments and manual manipulations, a chiropractor can gradually help restore the individual�s natural mobility and flexibility, as well as progressively strengthen the structures surrounding the spine to relieve the symptoms and restore the individual�s lifestyle.
After being involved in an automobile accident, injuries inflicted to the spine can be a common complication for many individuals. From herniated discs to compression fractions, the force of an auto collision can place great amounts of stress on the complex structures of the spine, often leading to damage, injuries and even aggravate an existing condition.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
The Clinic & Crossfit:
A Clients Story
Jacqulyn Quevas is up on her feet a lot as a hair stylist and she was�searching for�and overall become healthier and once she found Push-as-Rx ��, her amazing journey began. The motivation and enthusiasm of the trainers at Push as Rx has greatly influenced Jacqulyn.
The clinic and PUSH-as-Rx �� system is leading the field with laser focus supporting our youth sport programs.� The PUSH-as-Rx �� System is a sport specific athletic�program�of reactive agility, body mechanics and extreme motion dynamics. Through detailed and continued assessments of the athletes in motion and under stress loads offer a clear scientific picture of body dynamics. This system also has helped many athletes come back from injury faster, stronger, and ready to safely return to their sport without losing a beat after recovery. Results demonstrate clear improved agility, speed, decreased reaction time and advantageous postural-torque mechanics.� PUSH-as-Rx �� offers specialized extreme performance enhancements to our athletes no matter the age.
If you�ve had a car accident, it�s essential to take note of any symptoms of�back pain, as there are a variety of spine complications which could result after experiencing an auto collision.
Low back pain is a common symptom reported among the majority of the population. Generally caused by direct trauma from an injury or as a result of an aggravated condition, low back pain can greatly restrict an individual’s daily activities, affecting their overall physical as well as mental performance. Although there’s a variety of factors which can lead to back pain along the lumbar area of the spine, an incorrect sitting posture over an extended period of time has been known to be one of the leading causes for this well-known symptom.
Sitting is one of the most difficult positions for the body to maintain. Improper sitting postures�for prolonged periods of time while hunched over in a chair can build excessive pressure on the spine and affect the blood circulation in the legs. For an individual that spends their workdays sitting down, the long term result of an improper posture can greatly alter the individual�s overall health.
Proper Posture While Sitting
Sitting for extended periods of time while hunching over a desk can cause discomfort, numbness and spine misalignment over time if the improper sitting posture is not corrected. Holding the body upright can also further increase pressure and tension in muscles, ligaments, joints, and other tissues surrounding the spine. A sedentary lifestyle where the individual doesn�t take frequent breaks throughout their workday to stand and stretch can gradually lead to cardiovascular disease due to the decreased blood flow, tightened hip flexors, shortened hamstrings, pinched nerves and many other physical injuries and/or conditions in the long run.
How Chiropractic Differs from Traditional Care
Aches and pains on the body, particularly around the spine, herniated discs, nerve complications and painful joints are direct results of working while in improper sitting postures for prolonged hours of the day. When you’re in a seated position, a lot of pressure is being placed directly on the spine and its surrounding structures. Our bodies were designed to stand upright and maintaining a seated position can be physically stressful.
“The weight is distributed while in a standing position,” explained Kelly McGonigal, Ph.D., a health psychologist at Stanford University and a leading expert in neck and back pain, �That’s not the case with sitting. McGonigal added, “When you sit, you distort the natural curve of the spine, which means your back muscles have to do something to hold your back in shape because you’re no longer using the natural curves of the spine to lift yourself up against gravity.”
Approximately 80 percent of individuals in the United States alone may experience some form of chronic pain in their lifetime. Ultimately, working on a sitting position for extended periods of time per day is putting a tremendous mental and physical stress on our bodies.
Correcting Posture
Maintaining good posture when sitting helps preserve the three natural curves of a healthy spine; the cervical curvature, the thoracic curvature, and the lumbar curvature. The normal curvatures of the spine should form a slight S-shape. An excessive curve in the spine could suggest a possible underlying condition and may present symptoms of pain and discomfort, among other uncomfortable symptoms.
The key to maintaining a proper posture is to avoid slouching by sitting up straight as well as sitting all the way back in your chair. Additionally, the chair should be tucked in close to the desk. Placing a pillow or cushion directly behind your lower back area, or the lumbar spine, can help sustain good posture by providing enough support and allowing the spine to naturally curve inward. Furthermore, it�s also recommended to stand and stretch about every 20 minutes to give your body a break from long held positions, release pressure that is being built up on the spine and restore the body�s regular circulation by pushing the blood out of your legs. Doing this consistently throughout your day can prevent the muscles, ligaments and other tissues of the body from getting strained. Simple stretches at your desk, such as twisting, turning the head from side-to-side and chin tucks upward towards the ceiling can also help. These movements will ultimately help to relieve an individual�s chronic pain as well as restore an individual�s health progressively over time and improve their overall well-being.
Sitting is one of the most difficult positions for the body to maintain. Sitting for prolonged periods of time while hunched over in a chair can build excessive pressure on the spine and affect the blood circulation in the legs. For an individual that spends their workdays sitting down, the long term result of an improper posture can greatly alter the individual�s overall health.
While for many individuals sitting behind a desk for a prolonged period of time each day is an inevitable and often necessary part of their lifestyle, practicing a proper posture as well as seeking the proper care once the symptoms of low back pain manifest can change the effect of the issue. Chiropractic care as well as physical therapy and other forms of treatment, are available to the public to help reduce their painful symptoms and restore their original functionality. The spine is one of the body’s most important structures and it’s essential to maintain its health to achieve overall wellness.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
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