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Spinal Hygiene

Back Clinic Spinal Hygiene. The spine is the protective housing for the nervous system, a system so powerful that it controls every function in the human body. The nervous system tells your body to breath, tells your heart to beat, tells your arms and legs to move, tells your body when and how to produce new cells and it even has the power to control healing. A damaged or misaligned spine can dramatically interfere with the signals constantly being sent through the nervous system, eventually resulting in bodily pain, internal deterioration and loss of many of the everyday functions we take for granted.

Spinal hygiene is extremely important, yet 89 percent of the world’s population does not realize the importance of maintaining proper alignment of the vertebrae through chiropractic adjustment, as well as protecting the spine from injury through healthy living practices. Instead we neglect our spines. As children we start our lives with tumbles and trips that jar our spines, we grow into adults with poor posture, we lift things that are too heavy, carry overloaded back packs, and we suffer injury through car accidents, sports impacts and stress.

Get in on the health trend of the future-today. Join the growing percentage of the population that enjoys greater health and wellness through regular care of their spines. Talk to your chiropractor today about ways you can improve your spinal hygiene.

Pathology of Lumbar Disc Degeneration: Expert Guide

Pathology of Lumbar Disc Degeneration: Expert Guide

Can healthcare providers help many individuals with lumbar disc degeneration find relief through spinal decompression treatments?


Many individuals often do everyday motions that can allow the spine to bend, twist, and turn in various ways without feeling pain and discomfort. However, as the body ages, so does the spine, as the spinal discs begin the natural process of degeneration. Since the spinal discs in the spinal column absorb the vertical pressure weight, it stabilizes the upper and lower extremities and provides motion. To that point, when many individuals suffer from various injuries or environmental factors that cause the spinal disc to be compressed, it can lead to low back issues that cause pain and discomfort when a person is doing an activity. Since low back pain is one of the three most common problems that many people worldwide have dealt with, it can become a socio-economic issue that can lead to a life of disability and misery. Low back pain is often correlated with disc degeneration, and the surrounding ligaments and muscle tissues can affect the upper and lower extremities. This causes referred pain to the different musculoskeletal groups, causing many people to seek treatment that can not only be affordable but also effective in reducing the pain. Today’s article looks at the anatomy of the lumbar disc, how disc degeneration affects the lumbar spine, and how spinal decompression can reduce lumbar disc degeneration from causing more pain to the lower back. We speak with certified medical providers who incorporate our patients’ information to provide numerous treatment plans to ease the pain-like symptoms associated with lumbar disc degeneration causing low back pain. We also inform our patients that there are non-surgical options to reduce these pain-like issues correlated with disc degeneration and restore lumbar mobility to the body. We encourage our patients to ask intricated and educational questions to our associated medical providers about the pain-like symptoms they are experiencing correlating with the lower back. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.


The Anatomy Of The Lumbar Disc

Do you feel tension or stiffness in your lower back after waking up in the morning? Do you feel sudden or gradual pain from bending down to lift a heavy object that is affecting your lower back? Or do you feel the pain in one location or another in your back that is causing you pain and discomfort in your lumbar spinal region? Many of these pain-like issues are often correlated with disc degeneration combined with low back pain. The spinal disc’s anatomy comprises three elements that work together in a specific pattern to resist forces placed in the lumbar spine. (Martin et al., 2002) Since the lumbar spine is the thickest portion of the back, the spinal disc supports the upper body’s weight while stabilizing the lower body. However, the spinal disc will shrink over time when the body ages. Since degeneration is a natural process, many individuals will begin to feel less mobile, which can cause many issues within the lumbar spine.


How Disc Degeneration Affects The Lumbar Spine


When disc degeneration occurs in the lumbar spine, the spinal disc begins to decrease in volume, and the nutrients that hydrate the disc start to deplete and become compressed. When disc degeneration affects the lumbar spine, the nerve roots from the central system are affected. They can be associated with any particular group of pathological conditions that may irritate the surrounding nerves and produce pain-like symptoms. (Bogduk, 1976) To that point, this causes referred pain in the lower limbs and radiating pain in the lower back. At the same time, glycosphingolipid antibodies are activated in the immune system, causing inflammatory effects. (Brisby et al., 2002) When people are dealing with low back pain associated with disc degeneration, many people will feel their lower back lock up, causing limited mobility and stiffness. At the same time, the surrounding muscle and soft tissues are overstretched and tightened. The spinal disc will also affect the nerve fibers surrounding the spine, leading to nociceptive lower back pain. (Coppes et al., 1997) However, many individuals can find available treatments to reduce low back pain associated with disc degeneration.


An Overview Of Spinal Decompression- Video

Spinal Decompression Can Reduce Lumbar Disc Degeneration

Many individuals can seek out non-surgical treatments to reduce low back pain associated with disc degeneration as it is cost-effective and, through consecutive treatments, can start feeling better. Some non-surgical treatments like spinal decompression can help rehydrate the spinal disc through gentle traction and promote natural healing. Spinal decompression can be manual or mechanical, using negative pressure to increase disc height. (Vanti et al., 2021) This allows many individuals to feel the relief they deserve and feel better over time. Spinal decompression can reduce disc degeneration, stabilize the lumbar spine, and help regain spinal mobility back to the lower portions. (Daniel, 2007) When many individuals begin to take care of their bodies and reduce the chances of low back pain from returning to cause more issues to the back.



Bogduk, N. (1976). The anatomy of the lumbar intervertebral disc syndrome. Med J Aust, 1(23), 878-881.

Brisby, H., Balague, F., Schafer, D., Sheikhzadeh, A., Lekman, A., Nordin, M., Rydevik, B., & Fredman, P. (2002). Glycosphingolipid antibodies in serum in patients with sciatica. Spine (Phila Pa 1976), 27(4), 380-386.

Coppes, M. H., Marani, E., Thomeer, R. T., & Groen, G. J. (1997). Innervation of “painful” lumbar discs. Spine (Phila Pa 1976), 22(20), 2342-2349; discussion 2349-2350.

Daniel, D. M. (2007). Non-surgical spinal decompression therapy: does the scientific literature support efficacy claims made in the advertising media? Chiropr Osteopat, 15, 7.

Martin, M. D., Boxell, C. M., & Malone, D. G. (2002). Pathophysiology of lumbar disc degeneration: a review of the literature. Neurosurg Focus, 13(2), E1.

Vanti, C., Turone, L., Panizzolo, A., Guccione, A. A., Bertozzi, L., & Pillastrini, P. (2021). Vertical traction for lumbar radiculopathy: a systematic review. Arch Physiother, 11(1), 7.



Understanding the Sacrum: Shape, Structure, and Fusion

Understanding the Sacrum: Shape, Structure, and Fusion

“Various problems with the sacrum make up or contribute to a significant portion of lower back problems. Can understanding the anatomy and function help prevent and treat back injuries?”

Understanding the Sacrum: Shape, Structure and Fusion

The Sacrum

The sacrum is a bone shaped like an upside-down triangle located at the base of the spine that helps support the upper body when sitting or standing and provides pelvic girdle flexibility during childbirth. It comprises five vertebrae that fuse during adulthood and connect to the pelvis. This bone takes and endures all of the body’s pressure and stress from everyday activities and movements.


Humans are born with four to six sacral vertebrae. However, fusion does not take place in all sacral vertebrae simultaneously:

  • Fusion starts with the S1 and S2.
  • As the individual gets older, the overall shape of the sacrum begins to solidify, and the vertebrae fuse into a single structure.
  • The process usually starts in the mid-teens and finishes in the early to mid-twenties.
  • It is believed to start earlier in females than males.

The timing of the fusion can be used for estimating the age and sex of skeletal remains. (Laura Tobias Gruss, Daniel Schmitt. et al., 2015)

  1. The sacrum in a female is wider and shorter and has a more curved top or the pelvic inlet.
  2. The male sacrum is longer, narrower, and flatter.


The sacrum is an irregular bone that makes up the back/posterior third of the pelvic girdle.  There is a ridge across the front/anterior portion of the S1 vertebra known as the sacral promontory. Small holes/foramen on both sides of the sacrum are left over after the vertebrae fuse together. Depending on the number of vertebrae, there can be three to five foramen on each side, though there are usually four. (E. Nastoulis, et al., 2019)

  1. Each anterior foramen is typically wider than the posterior or dorsal/backside foramen.
  2. Each sacral foramina/plural of foramen provides a channel for the sacral nerves and blood vessels.
  • Small ridges develop between each of the fused vertebrae, known as transverse ridges or lines.
  • The top of the sacrum is called the base and is connected to the largest and lowest of the lumbar vertebrae – L5.
  • The bottom is connected to the tailbone/coccyx, known as the apex.
  • The sacral canal is hollow, runs from the base to the apex, and serves as a channel at the end of the spinal cord.
  • The sides of the sacrum connect to the right and left hip/iliac bones. The attachment point is the auricular surface.
  • Right behind the auricular surface is the sacral tuberosity, which serves as an attachment area for the ligaments that hold the pelvic girdle together.


The sacrum is at the level of the lower back, just above the intergluteal cleft or where the buttocks split. The cleft starts at around the level of the tailbone or coccyx. The sacrum is curved forward and ends at the coccyx, with the curvature being more pronounced in females than males. It connects to the L5 lumbar vertebra by way of the lumbosacral joint. The disc between these two vertebrae is a common source of low back pain.

  1. On either side of the lumbosacral joint are wing-like structures known as the sacral ala, which connect to the iliac bones and form the top of the sacroiliac joint.
  2. These wings provide stability and strength for walking and standing.

Anatomical Variations

The most common anatomical variation applies to the number of vertebrae. The most common is five, but anomalies have been documented, including individuals with four or six sacral vertebrae. (E. Nastoulis, et al., 2019)

  • Other variations involve the sacrum’s surface and curvature, where the curvature differs widely between individuals.
  • In some cases, the first and second vertebrae do not fuse and remain separately articulated.
  • Failure of the canal to completely close during formation is a condition known as spina bifida.


Studies on the sacrum are ongoing, but some proven functions include:

  • It serves as an anchor point for the spinal column to attach to the pelvis.
  • It provides stability for the body’s core.
  • It acts as a platform for the spinal column to rest on when sitting.
  • It facilitates childbirth, providing pelvic girdle flexibility.
  • It supports upper body weight when sitting or standing.
  • It provides extra stability for walking, balance, and mobility.


The sacrum can be a main source or focal point for lower back pain. It is estimated that 28% of men and 31.6% of women aged 18 years or older have experienced low back pain in the past three months. (Centers for Disease Control and Prevention. 2020) Conditions that can cause sacrum pain symptoms include.


  • This is a common condition of sacroiliac/SI joint inflammation.
  • A doctor only makes the diagnosis when all other possible causes of pain have been ruled out, known as a diagnosis of exclusion.
  • Sacroiliac joint dysfunction is thought to account for between 15% and 30% of low back pain cases. (Guilherme Barros, Lynn McGrath, Mikhail Gelfenbeyn. 2019)


  • This is a type of primary bone cancer.
  • About half of all chordomas form in the sacrum, but the tumors can also develop elsewhere in the vertebral column or at the base of the skull. (National Library of Medicine. 2015)

Spina Bifida

  • Individuals can be born with conditions that affect the sacrum.
  • Spina bifida is a congenital condition that can arise from the malformation of the sacral canal.

Unlocking the Secrets of Inflammation


Gruss, L. T., & Schmitt, D. (2015). The evolution of the human pelvis: changing adaptations to bipedalism, obstetrics and thermoregulation. Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 370(1663), 20140063.

Nastoulis, E., Karakasi, M. V., Pavlidis, P., Thomaidis, V., & Fiska, A. (2019). Anatomy and clinical significance of sacral variations: a systematic review. Folia morphologica, 78(4), 651–667.

Centers for Disease Control and Prevention. QuickStats: Percentage of adults aged 18 years or older who had lower back pain in the past 3 months, by sex and age group.

Barros, G., McGrath, L., & Gelfenbeyn, M. (2019). Sacroiliac Joint Dysfunction in Patients With Low Back Pain. Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 36(8), 370–375.

National Library of Medicine, Chordoma.

Unlock Peak Performance with Central Nervous System Activation

Unlock Peak Performance with Central Nervous System Activation

For individuals about to engage in physical activity or exercise, how does warming up the body help prepare for the work ahead?

Optimize Your Performance with Central Nervous System Activation

Central Nervous System Activation

A proper warm-up before physical activity or working out prepares the mind and body to reduce risks of injury, mentally and physically transition to physical activity work, and enhance performance. A well-designed warm-up also primes the central nervous system/CNS for activity. The central nervous system transmits messages to the muscles to prepare them for action. Central nervous system activation increases motor neuron recruitment and engages the sympathetic nervous system so the body can better handle the physical stressors. The process may seem complex, but priming the nervous system is as simple as warming up with light aerobic activity before getting into more explosive movements.


The CNS consists of the brain and spinal cord. This central communication system uses another part of the nervous system known as the peripheral nervous system or PNS to transmit and receive messages throughout the body. The PNS is connected to the entire body and the brain and spinal cord (CNS).

  • Nerves run throughout the body, receiving signals from the CNS to the muscles, fibers, and organs, transmitting various information back to the brain. (Berkeley University. N.D.)
  • There are two types of systems within the peripheral nervous system – somatic and autonomic.
  1. Somatic nervous system actions are those controlled by the person through voluntary actions like choosing to pick something up.
  2. The autonomic system is involuntary and generates actions like breathing or heartbeat. (Cleveland Clinic. 2020)

Properly preparing the body for an intense strength training session or other physical activity needs the correct messages to be sent through the autonomic nervous system.

Parasympathetic and Sympathetic States

The autonomic nervous system consists of two subcategories, which are parasympathetic and sympathetic.

  • The sympathetic nervous system helps the body get ready to face stress which includes physical stress. (R. Bankenahally, H. Krovvidi. 2016)
  • The fight, flight, or freeze response describes the sympathetic nervous system’s aspect.
  • The parasympathetic nervous system is responsible for relaxation and de-stressing.

Individuals are recommended to perform a few calming movements and actions after a workout to return the body to a parasympathetic state. This can be:

  • Stretching
  • Lying with the legs elevated
  • Relaxing yoga poses
  • Box breathing
  • Taking a warm shower or bath
  • Foam rolling
  • Massage

Returning the mind and body to a calm state helps with recovery and reduces stress hormone production. (National Academy of Sports Medicine. 2022)

Why Activate the CNS

Activating the CNS can increase performance and prevent injuries. The process wakes up and alerts the body for the activity. Individuals are recommended before beginning a training session, to communicate to the body about the physical stress it is about to endure and to prepare for the work ahead. This is a concept known as post-activation potentiation/PAP. (Anthony J Blazevich, Nicolas Babault. 2019) PAP helps increase force and power production, which enhances physical performance.

  • Whenever an individual trains, the brain adapts and learns what the body is doing and the purpose of the training.
  • Muscle memory describes this interaction.
  • Individuals who have started up a new strength training routine or after an extended break report feeling awkward for the first few sessions, or even weeks, depending on their experience. (David C Hughes, Stian Ellefsen, Keith Baar, 2018)
  • However, after a few sessions, the body is more adept at performing the movements and ready to increase resistance, repetitions, or both.
  • This has to do with the neural drive and muscle memory than it has to do with true potential physical abilities. (Simon Walker. 2021)
  • Training the CNS to be alert and pay attention can increase the development of a healthy mind-muscle connection combined with muscle memory. (David C Hughes, Stian Ellefsen, Keith Baar, 2018)

General Warm-Up

The first step is a general warm-up that should use large muscle groups and be of low intensity so as not to exhaust the body before beginning the actual training. General warm-up benefits central nervous system activation and the entire body include: (Pedro P. Neves, et al., 2021) (D C. Andrade, et al., 2015)

  • Increases blood circulation.
  • Assists the release of oxygen from hemoglobin and myoglobin.
  • Warms the muscles, so they contract more effectively.
  • Increases nerve impulse speed.
  • Increases nutrient delivery.
  • Lowers joints’ resistance through increased synovial fluid/joint lubrication.
  • Increases joint range of motion.
  • Improves joint resiliency.
  • Removes metabolic waste quicker.
  • Reduces risk of injury.

A general warm-up can be simple as any aerobic activity will work. This can include:

  • Performing bodyweight movements – light jumping jacks or jogging in place.
  • Treadmill
  • Rowing machine
  • Stair climber
  • Elliptical trainer

It is recommended to use the rating perceived exertion scale/RPE to determine the general warm-up effort. An exertion rating of between 5 to 6 is equivalent to moderate walking or a slow jog. Individuals should be able to speak clearly without taking a pause.

Try this strategy before the next workout to see increased performance and reduced injury risks.

Ankle Sprains Recovery


The nervous system. Berkeley University.

Cleveland Clinic. Nervous system: What it is, types, symptoms.

Bankenahally R, Krovvidi H. (2016) Autonomic nervous system: anatomy, physiology, and relevance in anesthesia and critical care medicine. BJA Education. 16(11):381-387. doi:10.1093/bjaed/mkw011

National Academy of Sports Medicine. Sympathetic vs. parasympathetic overtraining.

Blazevich, A. J., & Babault, N. (2019). Post-activation Potentiation Versus Post-activation Performance Enhancement in Humans: Historical Perspective, Underlying Mechanisms, and Current Issues. Frontiers in physiology, 10, 1359.

Hughes, D. C., Ellefsen, S., & Baar, K. (2018). Adaptations to Endurance and Strength Training. Cold Spring Harbor perspectives in medicine, 8(6), a029769.

Walker S. (2021). Evidence of resistance training-induced neural adaptation in older adults. Experimental gerontology, 151, 111408.

P. Neves, P., R. Alves, A., A. Marinho, D., & P. Neiva, H. (2021). Warming-Up for Resistance Training and Muscular Performance: A Narrative Review. IntechOpen. doi: 10.5772/intechopen.96075

Andrade, D. C., Henriquez-Olguín, C., Beltrán, A. R., Ramírez, M. A., Labarca, C., Cornejo, M., Álvarez, C., & Ramírez-Campillo, R. (2015). Effects of general, specific, and combined warm-up on explosive muscular performance. Biology of sport, 32(2), 123–128.

The Effects Of Vertebral Decompression On Intradiscal Pressure

The Effects Of Vertebral Decompression On Intradiscal Pressure

Can the effects of vertebral decompression relieve individuals with herniated discs and reduce intradiscal pressure on the spine?


The spine’s main job is to maintain the vertical pressure of the body without feeling pain or discomfort, especially when a person is in motion. The spinal discs are between the spinal joints, which are shock absorbers when pressure is implemented when a person is carrying a heavy object. The spinal column also has the spinal cord and nerve roots that are spread out from each section and have nerve root signals to be transmitted back and forth from the muscles to the brain to carry out its function. However, as the body ages, so does the spine, as many individuals are constantly adding unwanted pressure on their spines by doing normal factors and developing musculoskeletal disorders. At the same time, the spinal discs are also being affected as the unwanted pressure compresses them constantly, causing them to crack and herniate out of their position. To that point, the herniated disc aggravates the spinal nerve roots, leading to pain-like symptoms affecting the upper and lower body extremities. When this happens, many people will begin to experience musculoskeletal pain and cause overlapping risk profiles that cause their bodies to be misaligned. However, non-surgical treatments can be implemented as part of a daily routine for individuals dealing with herniated discs to reduce intradiscal pressure off the affected muscles in the upper and lower body extremities and restore functionality to the body. Today’s article focuses on why herniated disc affects many people and how vertebral traction can reduce intradiscal pressure off the spine while relieving the musculoskeletal system. Additionally, we work hand-in-hand with certified medical providers who incorporate our patient’s information to reduce intradiscal stress correlating with herniated discs. We also inform them that vertebral traction therapy (spinal decompression) can help mitigate the pain-like symptoms associated with herniated discs and provide relief to the body. 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


Why Does Herniated Disc Affect People?

Have you or your loved ones been dealing with muscle aches or strains in their back, neck, or shoulders after carrying/lifting a heavy object? Do you feel a numbing or tingling sensation in your hands, legs, or feet after a long day after work? Or have you been constantly dealing with muscle and joint stiffness after a long workday? At some point in their lives, everyone has dealt with pain affecting their upper and lower extremities, leading to herniated discs in the spine’s upper, middle, or lower portions. As stated earlier, the body and the spine age naturally, leading to the development of herniated discs in the spine. Disc herniation occurs when the nucleus pulposus (inner disc layer) starts to break through the weaker annulus fibrosus (outer disc layer) and compress the surrounding nerve root, leading to an overlapping risk profile to the upper and lower body portions. (Ge et al., 2019) Disc herniation is developed when the spine goes through a natural degeneration, which causes them to be more susceptible to microtears. When individuals start to do normal activities like lifting or carrying heavy objects, it can enhance the progression further, leading to musculoskeletal disorders. Additionally, the spinal degeneration associated with disc herniation can cause inflammatory responses when the protruding disc is compressing the nerve roots, which then causes symptoms of pain and numbness to the upper and lower extremities. (Cunha et al., 2018)


Why do herniated discs cause inflammatory responses to the compressed nerve roots that cause pain-like symptoms to the upper and lower body extremities? Well, when many individuals are experiencing pain associated with herniated discs, they believe they are dealing with upper or lower pain, depending on where the herniated disc is located. This causes referred pain symptoms where the pain is being perceived in one location than the site where the pain is originating. Coincidentally, when individuals are doing repetitive motions associated with herniated discs can cause the adjacent nerve root to be compressed, which then causes the surrounding muscles, ligaments, and soft tissues to be in pain. (Blamoutier, 2019) Pain developing from herniated discs can reduce a person’s quality of life and make them miss out on important life events.


Disc Herniation Overview-Video

Many factors associated with a herniated disc can lead to its development and range from mild to severe depending on where the disc is herniated. Since the spine and spinal disc do degenerate over time naturally, it can cause the disc to crack and dehydrate. This leads to restricted movement, the development of neck, back, and shoulder pain, a decrease in muscle strength in the extremities, and numbness. (Jin et al., 2023) These are some results when herniated discs are not being treated right away. Luckily there are non-surgical treatments to alleviate the pain-like symptoms associated with herniated discs and help reduce intradiscal pressure in the spine while restoring spinal mobility and muscle strength. Spinal decompression, chiropractic care, massage therapy, and physical therapy are some non-surgical treatments that can help alleviate herniated discs and its associated symptoms. Non-surgical treatments can help pull the herniated disc off the compressed nerve root through manual and mechanical manipulation and return it to its original position. Additionally, non-surgical treatments can be part of a daily health and wellness routine combined with other therapies to reduce pain-like symptoms associated with herniated discs and help restore the spine’s mobility. The video above explains the causes, factors, and symptoms associated with herniated discs and how these treatments can alleviate the pain.

The Effects Of Vertebral Traction On Disc Herniation

Non-surgical treatments like vertebral decompression can provide a positive outlook when reducing the effects of herniated discs. Vertical or spinal decompression can help reduce the underlying problem associated with herniated discs by relieving the pain and intradiscal pressure off the vital structures of the spine. (Ramos & Martin, 1994) Additionally, vertebral decompression uses gentle traction to relieve nerve pain associated with herniated discs. It helps reduce the compression force on the affected spinal discs, reducing nerve compression by expanding the disc height in the spine. (Wang et al., 2022)



Spinal Decompression Reducing Intradiscal Pressure

With spinal decompression being incorporated to reduce the effects of herniated discs, individuals are strapped into a traction machine in a supine position. They will feel a mechanical pull to their spines as the herniated disc returns to its original position and the height of the spinal disc increases. (Oh et al., 2019) This allows the negative pressure from the traction to increase the body’s blood flow for the nutrients and fluids to rehydrate the discs while allowing the body’s natural healing process to kick into full gear. (Choi et al., 2022) After a few consecutive sessions with spinal decompression, many individuals will notice that the pain in their neck, back, and shoulders has decreased and that they can return to their daily activities. Spinal decompression allows the individual to regain their health and well-being while also reminding them to be more mindful of what certain factors can cause the pain to return to the spine. By being more aware of what is affecting a person’s body, they have the tools to continue their health and wellness journey.



Blamoutier, A. (2019). Nerve root compression by lumbar disc herniation: A french discovery? Orthop Traumatol Surg Res, 105(2), 335-338.


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.


Cunha, C., Silva, A. J., Pereira, P., Vaz, R., Goncalves, R. M., & Barbosa, M. A. (2018). The inflammatory response in the regression of lumbar disc herniation. Arthritis Res Ther, 20(1), 251.


Ge, C. Y., Hao, D. J., Yan, L., Shan, L. Q., Zhao, Q. P., He, B. R., & Hui, H. (2019). Intradural Lumbar Disc Herniation: A Case Report and Literature Review. Clin Interv Aging, 14, 2295-2299.


Jin, Y. Z., Zhao, B., Zhao, X. F., Lu, X. D., Fan, Z. F., Wang, C. J., Qi, D. T., Wang, X. N., Zhou, R. T., & Zhao, Y. B. (2023). Lumbar Intradural Disc Herniation Caused by Injury: A Case Report and Literature Review. Orthopaedic Surgery, 15(6), 1694-1701.


Oh, H., Choi, S., Lee, S., Choi, J., & Lee, K. (2019). Effects of the flexion-distraction technique and drop technique on straight leg raising angle and intervertebral disc height of patients with an intervertebral disc herniation. Journal of Physical Therapy Science, 31(8), 666-669.


Ramos, G., & Martin, W. (1994). Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg, 81(3), 350-353.


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



Intervertebral Disc Stress Relieved By Decompression

Intervertebral Disc Stress Relieved By Decompression

Can decompression relieve intervertebral disc stress from individuals dealing with lumbar issues, restoring spinal mobility?


The spine’s intervertebral disc acts like a shock absorber to the spine when axial overload is placed on the spine. This allows many individuals to carry, lift, and transport heavy objects without feeling discomfort or pain throughout the day. It is crucial that the spine not only stays functional but also provides stability and mobility for the intervertebral discs to allow these motions. However, as the body ages naturally, so do the intervertebral discs, as they lose water retention and begin to crack under pressure. To this point, the intervertebral discs start not to be functional as normal or traumatic actions cause pain-like issues to the spine and can lead to a life of disability. When repetitive motions cause unwanted pressures, the intervertebral discs become compressed and, over time, can lead to pain-like spinal issues. At the same time, the surrounding muscles, tissues, ligaments, and joints start to get affected in the lumbar region, which then leads to low back pain conditions associated with the lower extremities. Today’s article looks at intervertebral disc stress, how it affects spinal mobility, and how treatments like spinal decompression can restore spinal mobility while reducing intervertebral disc stress. At the same time, we work hand-in-hand with certified medical providers who use our patient’s information to treat and mitigate pain-like symptoms associated with intervertebral disc stress. We also inform them that non-surgical treatments like decompression can help mitigate pressure on the spinal discs. We also explain to them how decompression can help restore spinal mobility to the body and how the treatment can be added to their routine. We encourage our patients to ask essential and important questions while seeking education from our associated medical providers about their pain. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer


Intervertebral Disc Stress


Have you been experiencing radiating pain shooting down to your legs that is making it difficult to walk? Do you often feel muscle aches and strains from holding heavy objects that you have to lean your back a bit to relieve the pain? Or do you feel pain in one location in your body that travels to a different location? Many of these pain-like scenarios are correlated with intervertebral disc stress on the spine. In a normal healthy body, the intervertebral disc has to take on the spinal load when the body is in an abnormal position without pain or discomfort. However, as the body ages naturally, the intervertebral discs degenerate over time, and the intradiscal pressure within the spinal disc cavity decreases. (Sato, Kikuchi, & Yonezawa, 1999) To that point, the body and intervertebral discs begin to become stiff over time, causing the surrounding muscles, ligaments, and tissues to be overstretched and ache when unwanted pressure starts to cause musculoskeletal issues to develop over time. At the same time, degeneration and aging have a causal relationship, which causes dramatic changes to the composition and structure of the spinal disc. (Acaroglu et al., 1995) These changes cause stress on the intervertebral disc, which then causes the spine to be less mobile.


How Does It Affect Spinal Mobility

When the intervertebral disc is dealing with mechanical stress from unwanted pressure, as stated earlier, it can develop into dramatic changes to its composition and structure. When people are dealing with spinal mobility issues, it causes segmental instability, which then causes influence the entire lumbar motion of the spine and causes the intervertebral disc to be highly stressed and cause disability. (Okawa et al., 1998) When high ‘stress’ is concentrated within the intervertebral discs, over time, it can cause musculoskeletal pain to the lumbar spine, leading to further disruption to the lower extremities. (Adams, McNally, & Dolan, 1996) When there is degeneration within the intervertebral disc associated with mechanical stress, it can affect the spine’s mobility function. For working individuals, it can have a huge impact on them. When dealing with stress correlated with the intervertebral discs, individuals will develop low back pain problems that can cause a huge burden when they are getting treated. Low back pain associated with intervertebral disc stress can cause a socioeconomic risk factor for lumbar pain and disability. (Katz, 2006) When dealing with low back problems, people will find temporary remedies to continue working while dealing with the pain until they have to be admitted for treatment. This causes an unnecessary stress factor for the individual because they would have to take time off work to feel better. However, it is important to get treated for intervertebral disc stress early on before more issues begin to occur, as there are non-surgical treatments that are cost-effective and safe to restore spinal mobility.


Why Choose Chiropractic-Video

When it comes to treating low back pain associated with intervertebral disc stress, many individuals try out many home remedies and treatments to alleviate the pain. However, those at-home treatments provide temporary relief. Individuals who are experiencing spinal mobility issues can find the relief they are looking for by incorporating non-surgical therapies into their daily routines. Non-surgical treatments are cost-effective and can provide a positive outcome to many individuals as their health and wellness plans can be personalized. (Boos, 2009) This allows the individual to finally find the relief they seek and create a positive relationship with their primary doctor. Non-surgical treatments can also be combined with other therapies to relieve the individual’s pain further and reduce the chances of the problem returning. Treatments like chiropractic care, massage therapy, and spinal decompression are some non-surgical treatments that can help mitigate intervertebral stress and restore spinal mobility. The video above explains how these treatments can find the root cause of the problem and address the issues in a safe and positive environment.

How Decompression Relieves Intervertebral Disc Stress


Non-surgical treatments like spinal decompression can help with reducing the intervertebral disc stress that is causing low back pain issues in the lumbar region. Spinal decompression uses gentle traction on the spine to reduce the stress on the intervertebral disc. Spinal decompression allows many people to reduce their chances of going to surgery for their pain and, after a few sessions, have the pain intensity decreased significantly. (Ljunggren, Weber, & Larsen, 1984) Additionally, spinal decompression can create negative intradiscal pressure in the spinal column by allowing the nutrients and fluids to rehydrate the affected disc while promoting the body’s natural healing process. (Sherry, Kitchener, & Smart, 2001)


Decompression Restoring Spinal Mobility

Spinal decompression can also help restore spinal mobility to the lumbar region. When pain specialists incorporate spinal decompression into their practices, they can help by using various techniques to restore joint mobility. When pain specialists start to use these different techniques on the individual’s body, they can help stretch out the surrounding muscles, ligaments, and tissues that were affected around the spine and help restore mobility to the joint. (Gudavalli & Cox, 2014) Combined with spinal decompression, these techniques allow the individual to be more mindful of their bodies and alleviate the pain they have been dealing with for a while. By incorporating decompression as part of their routine, many individuals can return to their activities pain-free without worrying.



Acaroglu, E. R., Iatridis, J. C., Setton, L. A., Foster, R. J., Mow, V. C., & Weidenbaum, M. (1995). Degeneration and aging affect the tensile behavior of human lumbar anulus fibrosus. Spine (Phila Pa 1976), 20(24), 2690-2701.


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.


Boos, N. (2009). The impact of economic evaluation on quality management in spine surgery. Eur Spine J, 18 Suppl 3(Suppl 3), 338-347.


Gudavalli, M. R., & Cox, J. M. (2014). Real-time force feedback during flexion-distraction procedure for low back pain: A pilot study. J Can Chiropr Assoc, 58(2), 193-200.


Katz, J. N. (2006). Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am, 88 Suppl 2, 21-24.


Ljunggren, A. E., Weber, H., & Larsen, S. (1984). Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs. Scand J Rehabil Med, 16(3), 117-124.


Okawa, A., Shinomiya, K., Komori, H., Muneta, T., Arai, Y., & Nakai, O. (1998). Dynamic motion study of the whole lumbar spine by videofluoroscopy. Spine (Phila Pa 1976), 23(16), 1743-1749.


Sato, K., Kikuchi, S., & Yonezawa, T. (1999). In vivo intradiscal pressure measurement in healthy individuals and in patients with ongoing back problems. Spine (Phila Pa 1976), 24(23), 2468-2474.


Sherry, E., Kitchener, P., & Smart, R. (2001). A prospective randomized controlled study of VAX-D and TENS for the treatment of chronic low back pain. Neurol Res, 23(7), 780-784.


Advanced Oscillation Protocols For Spinal Decompression

Advanced Oscillation Protocols For Spinal Decompression

In many individuals with spinal issues, how does spinal decompression compared with traditional care restore muscle strength?


Many people unknowingly put pressure on their spines during daily activities, causing intervertebral disc compression and tightness in surrounding ligaments, muscles, nerve roots, and tissues. Repetitive motions and aging can also lead to intervertebral disc cracking and misalignment, resulting in pain and discomfort in the three common areas: the back, neck, and shoulders. Spinal stenosis is a spinal condition where the spinal cord is compressed and narrow and can cause symptoms of muscle weakness and pain to the upper and lower body extremities if left untreated. This article explores how non-surgical treatments like advanced oscillation and spinal decompression can restore muscle strength and alleviate the effects of spinal stenosis. By working with certified medical providers who use our patients’ information to treat individuals suffering from spinal stenosis. We inform them about non-surgical treatments to regain spinal mobility and restore muscle strength. 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


Spinal Stenosis Causing Muscle Strength Issues

Do you find yourself struggling to hold onto objects while doing activities? Are you experiencing strange sensations like numbness or tingling in your arms or legs? Or you’re dealing with chronic back and neck pain that won’t go away. These issues can all be related to problems with your spine, which can cause your muscles to weaken and lead to conditions like low back pain, sciatica, and spinal stenosis.



Research shows that spinal stenosis is a common condition caused by nerve root impingement or ischemia in the spinal canal. This can lead to pain, weakness, sensory loss in your extremities, and tingling or numbness in your hands or feet. Additionally, studies have found that spinal stenosis in the lumbar spine can increase your risk of developing locomotive syndrome, which can further affect the muscle strength in your arms and legs. {Kasukawa, 2019


Strong muscles are important for daily movements, such as using your arms, legs, hands, and feet. However, spinal stenosis affects your muscle strength. In that case, it can cause various issues, including numbness or tingling in your upper and lower limbs, severe pain when walking but relief when sitting or resting, decreased grip strength, sciatic pain that mimics and reduced walking distance. While spinal stenosis can be caused by normal or traumatic factors that affect the mobility, flexibility, and stability of the upper and lower muscle quadrants in the body, several available treatments can alleviate the effects of spinal stenosis and help restore muscle strength to the body.


Discovering The Benefits Of Chiropractic Care-Video

Many people experiencing musculoskeletal pain symptoms related to spinal stenosis use over-the-counter medication, hot/cold therapy, and stretching to alleviate the referred pain. Traditional surgery is an effective option to remove the damaged disc that is aggravating the nerve root and relieve the spinal column. However, this surgery is typically only recommended when other treatments have failed and can be expensive. {Herrington, 2023} Nevertheless, numerous cost-effective non-surgical treatments are available to help reduce the pain-like symptoms caused by spinal stenosis and alleviate associated symptoms. Chiropractic care and spinal decompression are non-surgical treatments that use mechanical and manipulated techniques to realign the body and minimize nerve entrapment that causes pain-like symptoms. The video above provides more information about how non-surgical treatments can assist many individuals in maintaining mobility and flexibility by providing a personalized treatment plan to prevent the recurrence of musculoskeletal and spinal conditions.

Advanced Oscillation For Spinal Stenosis

Many people opt for non-surgical treatments such as chiropractic care, massage therapy, spinal decompression, and advanced oscillation to alleviate pain. In “The Ultimate Spinal Decompression,” written by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., it is noted that advanced oscillation therapy can be tailored to an individual’s needs, helping to minimize pain symptoms caused by spinal stenosis. Advanced oscillation settings can help reduce inflammation and muscle spasms associated with spinal stenosis while promoting the replenishment of nutrients in the spine. In addition, advanced oscillation can help the body restructure and re-tone the targeted spinal structures, loosening them up and reducing nerve entrapment. Advanced oscillation is one of the non-surgical treatments that synergizes well with spinal decompression.


Spinal Decompression To Restore Muscle Strength

Now spinal decompression has a unique ability to reduce the effects of spinal stenosis as it is safe on the spine, cost-effective, and non-invasive. What spinal decompression therapy does to the body is like advanced oscillation. It uses gentle traction to reduce intervertebral disc pressure through negative pressure, allowing oxygen, fluids, and nutrients to the spinal disc and releasing the aggravating nerve root. {Choi, 2015} Spinal decompression can also help restore disc height from the spine, allowing the compressed disc causing spinal stenosis to be put back into its original space. {Kang, 2016} When many individuals start thinking about their health and wellness, non-surgical treatments can give them a positive experience and improve their pain.



Choi, J., Lee, S., & Hwangbo, G. (2015). Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. Journal of Physical Therapy Science, 27(2), 481–483.

Herrington, B. J., Fernandes, R. R., Urquhart, J. C., Rasoulinejad, P., Siddiqi, F., & Bailey, C. S. (2023). L3-L4 Hyperlordosis and Decreased Lower Lumbar Lordosis Following Short-Segment L4-L5 Lumbar Fusion Surgery is Associated With L3-L4 Revision Surgery for Adjacent Segment Stenosis. Global Spine Journal, 21925682231191414.

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

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Kasukawa, Y., Miyakoshi, N., Hongo, M., Ishikawa, Y., Kudo, D., Kijima, H., Kimura, R., Ono, Y., Takahashi, Y., & Shimada, Y. (2019). Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness. Clinical Interventions in Aging, Volume 14, 1399–1405.

Munakomi, S., Foris, L. A., & Varacallo, M. (2020). Spinal Stenosis And Neurogenic Claudication. PubMed; StatPearls Publishing.


Factors That Cause Unhealthy Posture

Factors That Cause Unhealthy Posture

Factors that cause poor unhealthy posture can be caused by the day-to-day effects of gravity on the body, personal, work, or sports injuries, illness, genetics, or a combination of these factors is also common. This leads to neck and back pain that leads to various musculoskeletal health issues. Achieving consistent healthy posture requires technique and practice. Practicing healthy posture is a physical fitness endeavor in which all the muscles support the skeleton in correct alignment that is stable and efficient and is present in stillness and in movement. Chiropractic treatment with massage and/or physical therapy can restore muscles back to optimal mobility and function.

Factors That Cause Unhealthy Posture

Factors That Cause Unhealthy Posture

Factors that cause posture problems like back pain is often caused by issues with the strength and flexibility ratio between the body’s muscle groups that hold the body upright.

Injury Muscle Guarding

  • After sustaining an injury, muscles can spasm to protect the injured and the surrounding area.
  • Muscle spasms can help keep injuries stable and protect them from worsening, but they can also limit movements and cause pain symptoms.
  • Prolonged muscle spasms can lead to weakened/vulnerable muscles creating an imbalance between the muscles that are guarding against the injury and those still working normally.
  • This can cause the body posture to shift to compensate.

Muscle Tension and Weakness

  • Muscle weakness or tension can develop when holding a prolonged position day after day or when doing daily tasks/chores in a way that places added tension on the body.
  • When certain muscle groups are weak or tense, posture will be affected.
  • Aches and pains begin to develop from the awkward positioning and the other muscles that have to work overtime.

Unhealthy Daily Habits

  • Compensation is when the body can still achieve its movement goal but with compromised and unhealthy alignment.
  • As the body compensates and accommodates muscle spasms, weakness, tension, and/or imbalance begin to present.
  • When this happens, the body may be forced to use alternate and less efficient patterns of muscle contraction and flexion.


  • Use of technology whether a computer, tablet, phone, or work with several devices in combination can slowly shift the body out of correct alignment.
  • Incessant texting can cause text neck to develop, which is a condition in which the neck is held in too much flexion, or forward bending, for a prolonged time.
  • Discomfort, trigger points, and pain symptoms will start to develop which leads to further posture problems.

Stress and Mental Health

  • Individuals that experience stress regularly and easily are factors that cause posture problems.
  • Stress can contribute to shallow breathing or overly-contracted muscles, causing the body to shift out of alignment.
  • Adjusting posture can help counter the stress effects.

Foot Wear

  • Footwear definitely affects posture.
  • Heels extend the body’s weight forward, which can cause hip and spinal misalignment.
  • Individuals can wear down the outside or inside of their shoes faster because of things like:
  • Weight-bearing habits.
  • Imbalanced kinetic forces will be translated up the ankle, knee, hip, and low back.
  • This can lead to pain and discomfort in any of these joints.


  • Sometimes factors that cause unhealthy posture are hereditary.
  • For example, Scheuermann’s disease – a condition in which adolescent boys develop pronounced kyphosis in their thoracic spines.
  • In cases such as these, it is recommended to work with the individual’s primary/specialist healthcare provider in conjunction with a chiropractic specialist team for treatment and management.

Chiropractic treatment can help individuals achieve and maintain proper posture through various massage therapies to release tightness and relax the muscles, decompression to realign the spine, adjustments to realign the body, and postural training through exercises and stretches to develop healthy postural habits.

Quick Patient Intake


In, Tae-Sung et al. “Spinal and Pelvic Alignment of Sitting Posture Associated with Smartphone Use in Adolescents with Low Back Pain.” International Journal of environmental research and public health vol. 18,16 8369. 7 Aug. 2021, doi:10.3390/ijerph18168369

Korakakis, Vasileios, et al. “Physiotherapist perceptions of optimal sitting and standing posture.” Musculoskeletal Science & Practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004

Mansfield JT, Bennett M. Scheuermann Disease. [Updated 2022 Aug 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from:

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Mork, Paul Jarle, and Rolf H Westgaard. “Back posture and low back muscle activity in female computer workers: a field study.” Clinical biomechanics (Bristol, Avon) vol. 24,2 (2009): 169-75. doi:10.1016/j.clinbiomech.2008.11.001

Pope, Malcolm H et al. “Spine ergonomics.” Annual review of biomedical engineering vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107

Shaghayegh Fard, B et al. “Evaluation of forward head posture in sitting and standing positions.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,11 (2016): 3577-3582. doi:10.1007/s00586-015-4254-x

Tinitali, Sarah, et al. “Sitting Posture During Occupational Driving Causes Low Back Pain; Evidence-Based Position or Dogma? A Systematic Review.” Human Factors vol. 63,1 (2021): 111-123. doi:10.1177/0018720819871730

Wernli, Kevin, et al. “Movement, posture and low back pain. How do they relate? A replicated single-case design in 12 people with persistent, disabling low back pain.” European Journal of Pain (London, England) vol. 24,9 (2020): 1831-1849. doi:10.1002/ejp.1631