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Spine Care

Back Clinic Chiropractic Spine Care Team. The spine is designed with three natural curves; the neck curvature or cervical spine, the upper back curvature or thoracic spine, and the lower back curvature or lumbar spine, all of which come together to form a slight shape when viewed from the side. The spine is an essential structure as it helps support the upright posture of humans, it provides the body with the flexibility to move and it plays the crucial role of protecting the spinal cord. Spinal health is important in order to ensure the body is functioning to its fullest capacity. Dr. Alex Jimenez strongly indicates across his collection of articles on spine care, how to properly support a healthy spine. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.


Chiropractic Spinal Manipulation Techniques

Chiropractic Spinal Manipulation Techniques

There is a multitude of chiropractic techniques for spinal alignment. They are used by chiropractors all over the world. All chiropractors have their favorite and specific techniques that they utilize. Depending on how long they have been practicing they can have five to ten different approaches or more refined techniques from years of experience. The focus of these chiropractic techniques is to get the body back to optimal health and allow the body to heal itself naturally. As the body gets restored joint function is enhanced, muscle tension is released, and inflammation and pain are alleviated.  
11860 Vista Del Sol, Ste. 128 Chiropractic Spinal Manipulation Techniques
 
Various approaches use a form of force, hence the manipulation of the spine. The chiropractic adjustment technique that is the most common is spinal manipulation. It can also be called the diversified technique or HVLA – high-velocity, low-amplitude thrust. However, chiropractic techniques are continually evolving. This comes from creating variations on existing techniques, a combination of techniques, or the chiropractor needs to adjust/tweak their own specific technique/s because they begin to suffer overuse injury/s from the constant adjusting, pushing, thrusting motions. Most techniques are named after the chiropractor that developed the method. These are the most common spinal manipulation techniques currently in use.  

Manipulation Techniques

Chiropractic adapts to the condition/s and specific needs of each individual. Treatment plans can involve a forceful approach and a gentler force technique. This could happen during the same visit or the treatment plan could be half forceful adjustments, that could range from 6 to 10 visits, with the final visits using the gentle approach.

Spinal Manipulation

This is the High-Velocity Low-Amplitude Thrust technique. The most frequently used chiropractic technique. This is the manipulation that most are familiar with because of the audible pop that results. This is from the chiropractor’s hands applying a controlled quick forceful thrust to the spine while the body is positioned in a specific way.  
11860 Vista Del Sol, Ste. 128 Chiropractic Spinal Manipulation Techniques
 

Spinal Mobilization

This is the Low-Force/Gentle Chiropractic Technique. These techniques are for individuals that require a gentler approach. The technique is known as spinal mobilization. This approach could be utilized due to:
  • Underlying conditions like Osteoporosis for example
  • Pathology
  • Size of the patient – a baby or child for example
  • Patient’s comfort
  • The patient prefers the gentle approach
Some chiropractors prefer and/or specialize in mild spinal mobilization techniques. These are techniques that do not involve twisting the body or using forceful thrusts. Along with spinal mobilization, chiropractors often employ complementary therapy, as part of an overall treatment plan. This could be:
  • Ice
  • Heat
  • Physical therapy
  • Electric stimulation
  • Ultrasound
 
Individuals need to discuss symptoms and preferences with the chiropractor. It is their role to perform a thorough examination to determine the most optimal treatment plan satisfactory to the patient. Chiropractors are not the only health care providers who utilize spinal manipulation for back pain. Osteopathic physicians can also provide types of spinal adjustments. Physical and massage therapists often work with chiropractors with continued treatment. They are fully trained in providing spinal therapy as well.
 

Pregnancy Lower Back Pain Chiropractic Treatment


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The Lumbosacral Joint and Possible Cause For Sciatic Nerve Pain

The Lumbosacral Joint and Possible Cause For Sciatic Nerve Pain

The lumbosacral joint is the first place chiropractors start their investigation with individuals presenting with low back pain and possible sciatica. Because of the importance of the sciatic nerve, almost any lumbar condition has the potential to disturb the nerve that can lead to chronic nerve pain. For many low back conditions, the best way to start is from the bottom and work up.  
11860 Vista Del Sol, Ste. 128 The Lumbosacral Joint and Possible Cause For Sciatic Nerve Pain
 
Starting at the lumbosacral joint L5-S1, the chiropractor will palpate and massage the area. This is because the lumbosacral joint is a central nerve center with all kinds of possible sciatic nerve interference because of the proximity to the various nerve bundles and vertebral discs.  
 
When sciatic nerve issues begin to develop, often the problem will be in this region of the spine. Beginning at the lumbosacral joint can generate vast insight into the root cause of radiating pain in the lower back and legs.  

The Lumbosacral Joint

This pain typically presents when the nerve is inflamed, compressed, or irritated. Numbness or chronic weakness can also happen in the lower extremities and can cause unbearable discomfort. Some of the reasons that make the joint a prime suspect for sciatic pain include:
  • The L5 vertebrae are vulnerable to slipping forward over the connecting S1 vertebrae. The sciatic nerve goes through this area, leaving it open to compression.
  • A disc herniation and/or inflammation can also stress the sciatic nerves.
  • Deterioration of the lumbosacral facet joints is common with older individuals. This can lead to nerve compression and sciatic nerve irritation.
  • Piriformis syndrome can affect the area around the lumbosacral joint, causing nerve compression and inflammation.
The lumbosacral joint is frequently used making it a consistently stressed joint. Overuse, poor posture, and improper body mechanics affect this region of the lumbar spine. And, because of the closeness to the sciatic nerve, it is commonly affected.  
11860 Vista Del Sol, Ste. 128 The Lumbosacral Joint and Possible Cause For Sciatic Nerve Pain
 

Other Spinal Conditions

The lumbosacral joint also experiences problems that stem from chronic conditions, which can involve some form of sciatic pain as a symptom. They include:
  • Degenerative disc disease
  • Lumbar stenosis
  • Sacroiliac joint dysfunction
  • Spondylolisthesis
Sciatica is a condition that represents a series of symptoms. But it is often a symptom of other condition/s that affect the sciatic nerve. If spinal conditions progress, it can bring undue stress and strain to the lumbosacral joint and the sciatic nerve.  

Knowing Where To Begin

The key to a proper and successful treatment plan is an accurate diagnosis. Knowing and understanding the symptoms, spinal conditions, and having an idea of the origin of these types of pain promotes a rapid diagnosis. Our chiropractic and physical therapy team thoroughly investigate the pain source using imaging, palpation, observation, and other diagnostic tools to help get individuals back on track and healthy.

Facet Syndrome Chiropractic Treatment


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Grgi?, Vjekoslav. �Lumbosakralni fasetni sindrom: funkcijski i organski poreme?aji lumbosakralnih fasetnih zglobova� [Lumbosacral facet syndrome: functional and organic disorders of lumbosacral facet joints].�Lijecnicki vjesnik�vol. 133,9-10 (2011): 330-6.
Chiari Malformation Brain Tissue and The Spinal Canal

Chiari Malformation Brain Tissue and The Spinal Canal

Chiari malformation is a condition that causes brain tissue to extend out and settle into the spinal canal. It protrudes out where the skull and neck meet. It occurs because part of the skull is too small or shaped in a unique way that allows part of the brain to settle into the foramen magnum. The foramen magnum is a large opening at the bottom of the skull. The brain’s nerves go through into the spinal canal and join the spinal cord. However, only the nerves should be present. The brain should not be able to push/press/leak through. When it does this is Chiari malformation.  
11860 Vista Del Sol, Ste. 128 Chiari Malformation Brain Tissue and The Spinal Canal
 

Causes

Chiari malformation can be caused by structural problem/s with the:
  • Brain
  • Skull
  • Spinal canal
Structural conditions/issues can be present at birth, which are congenital defects. This is also called primary Chiari malformation and is not caused by any other condition. Secondary Chiari malformations are caused by something else, most often through surgery. This is extremely rare, but it is possible to develop after having surgery to remove a tumor in the skull or neck region. A surgeon could have removed too much bone while removing the tumor. This allowed the brain to settle into the open space.

Types

There are 4 types and are categorized by how much brain tissue protrudes into the spinal canal.

Type I

This is the adult version and is also the most common. It is usually first noticed and discovered from an examination for something else. Most individuals don’t realize that they have Chiari malformation unless the symptoms are severe. With Type I a part of the brain, specifically the cerebellar tonsils settle into the foramen magnum.

Type II

Type II is also known as Arnold-Chiari malformation. This is the pediatric version. Symptoms are more severe with Type II because more brain tissue comes through. With this type, the cerebellar tonsils and some of the brainstem protrude. With Type II myelomeningocele, which is a form of spina bifida is a concern. What happens is the vertebrae and spinal canal do not close correctly before birth, so the spinal cord has no protection.

Type III

This type also affects children and is more severe than types 1 or 2. Here a significant portion of the brain, including the cerebellum and the brainstem protrude all the way through the foramen into the spinal canal.

Type IV

Type IV is the most severe form. With this type, the brain does not develop properly.

Symptoms

The symptoms vary based on the type and severity. The most common symptom is a headache. Individuals with a Chiari malformation usually have headaches in the occipital region of the brain. This is the back of the head, right where the skull joins the cervical spine/neck. The headaches can be aggravated being in certain positions and actions, tilting the head back, and coughing. Typical symptoms include:
  • Balance problems
  • Dizziness
  • Difficulty with fine motor skills
  • Trouble swallowing
  • Vision problems
  • Weakness
However, Chiari malformation can interrupt the flow of cerebrospinal fluid. Cerebrospinal fluid is necessary to protect the brain and spinal cord. If the normal flow is disrupted it becomes more difficult for the brain and spinal cord to send/receive nerve messages. The pressure built up can also cause nerve issues/problems. For some individuals, symptoms can come and go. This depends on how much cerebrospinal fluid has built up. Individuals with Type I sometimes don’t have any symptoms. It all depends on the severity.  
11860 Vista Del Sol, Ste. 128 Chiari Malformation Brain Tissue and The Spinal Canal
 

Diagnosis

Diagnosis is done with a magnetic resonance imaging test or MRI. The MRI will show the various parts of the brain, skull, spinal cord, and spinal canal. They will be able to see abnormalities that could point to Chiari malformation.

Treatment

The recommended treatment depends on the severity. If pain is presenting a doctor could recommend pain medications to help manage the pain. Non-steroidal anti-inflammatory meds could also be recommended to reduce inflammation. Analgesics or pain killers can be recommended. Often both non-steroidal anti-inflammatories and analgesics are available in over-the-counter and prescription. The doctor will figure out the best medication treatment plan. Surgery can be used to relieve symptoms and is the only way to relieve the pressure on the spinal cord and nerves. The goal is to stop the malformation from worsening. Surgeons use a posterior fossa decompression procedure. The surgeon removes part of the skull to make more room for the brain to sit in. This takes the pressure off the brain and spinal cord, and should reduce the neurological symptoms and problems. The surgeon may increase the size of the dura or the sac around the brain. Laminectomies at C1 and C2, which are the first and second levels of the neck and are utilized to make more room for the brain. The surgeon will place a patch that is made from animal or synthetic tissue that will grow into the dura. The patch makes the dura bigger, which allows more room for the brain. Not all surgeries involve the dural patch.
 

Neck Pain Chiropractic Care


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The Spinal Muscles: An Extensive Guide

The Spinal Muscles: An Extensive Guide

The spinal muscles and ligaments work in conjunction to help support the spine, maintain an upright posture, and control movements during activity and rest. The muscles are named based on shape, location, or a combination. Further categorization factors include muscle functions like flexion, extension, or rotation. Skeletal muscle is a form of striated muscle tissue that is voluntarily controlled by the somatic nervous system. Striated means it is striped in appearance. Most skeletal muscles are attached to bones by collagen fibers known as tendons.  
Vertebral Muscle Types Location
Forward flexors Anterior
Lateral flexors Lateral
Rotators Lateral
Extensors Posterior
 
11860 Vista Del Sol, Ste. 128 The Spinal Muscles: An Extensive Guide
 
It has the fastest contraction rate of all muscles. Before muscle/s contract, a nerve impulse starts in the brain and runs through the spinal cord to the muscle. For the muscles to contract and work properly they need energy/fuel. Mitochondria produce Adenosine triphosphate chemical cells that are needed for energy. Adenosine triphosphate is made as the mitochondria burn glucose or sugar. The blood vessels deliver the oxygen and nutrients that the mitochondria need to maintain a steady supply of adenosine triphosphate.  

The Posterior Cervical and Upper Thoracic Spinal Muscles

  1. Semispinalis Capitus – controls the head rotation and backward pulls
  2. Iliocostalis Cervicis – extends the cervical vertebrae
  3. The Longissimus Cervicus – extends the cervical vertebrae
  4. Longissimus Capitus – controls the head’s rotation and backward pulls
  5. Longissimus Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
  6. Iliocostalis Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
  7. Semispinalis Thoracis – extends and rotates the vertebral column
 

Muscles of the Spinal Column

 

Cervical muscles

Cervical Muscles Function Nerve
Sternocleidomastoid Extends and rotates the head and flexes the vertebral column C2, C3
Scalenus Flexes and rotates the neck Lower cervical
Spinalis Cervicis Extends and rotates the head Middle/lower cervical
Spinalis Capitus Extends and rotates the head Middle/lower cervical
Semispinalis Cervicis Extends and rotates the vertebral column Middle/lower cervical
Semispinalis Capitus Rotates the head and pulls backward C1-C5
Splenius Cervicis Extends the vertebral column Middle/lower cervical
Longus Colli Cervicis Flexes the cervical vertebrae C2-C7
Longus Capitus Flexes the head C1-C3
Rectus Capitus Anterior Flexes the head C2, C3
Rectus Capitus Lateralis Bends the head laterally C2, C3
Iliocostalis Cervicis Extends the cervical vertebrae Middle/lower cervical
Longissimus Cervicis Extends the cervical vertebrae Middle/lower cervical
Longissimus Capitus Rotates the head and pulls backward Middle/lower cervical
Rectus Capitus Posterior Major Extends and rotates the head Suboccipital
Rectus Capitus Posterior Minor Extends the head Suboccipital
Obliquus Capitus Inferior Rotates the atlas Suboccipital
Obliquus Capitus Superior Extends and bends the head laterally Suboccipital
 
CervicalMusculatureDiagram ChiropractorElPaso

Thoracic Muscles

Thoracic muscles Function Nerve
Longissimus Thoracis Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Iliocostalis Thoracis Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Spinalis Thoracis Extends the vertebral column Dorsal primary divisions of the spinal nerves
Semispinalis Thoracis Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Rotatores Thoracis Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
11860 Vista Del Sol, Ste. 128 The Spinal Muscles: An Extensive Guide
 

Lumbar muscles

Lumbar muscles Function Nerve
Psoas Major Flexes the thigh at the hip joint and the vertebral column L2, L3, sometimes L1 or L4
Intertransversarii Lateralis Lateral flexion of the vertebral column The ventral primary division of the spinal nerves
Quadratus Lumborum Lateral flexion of the vertebral column T12, L1
Interspinales Extends the vertebral column Dorsal primary divisions of the spinal nerves
Intertransversarii Mediales Lateral flexion of the vertebral column Dorsal primary divisions of the spinal nerves
Multifidus Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Longissimus Lumborum Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Iliocostalis Lumborum Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Blog Image  Psoas Muscle
 

Muscle Fascia Fibrous Tissue

  • Fascia is the thickened connective tissue that surrounds a muscle or muscle group. Superficial fascia is directly under the skin.
  • Epimysium surrounds the skeletal muscle.
  • Perimysium is the sheath that groups the muscle fibers into bundles.
  • Endomysium is another type of connective tissue that sheaths each muscle fiber.
  The cause of back pain and spinal muscle spasm/s can be caused by overuse, automobile accident, personal, work, or sports injury. The root cause of muscle spasm/s is usually a consequence of an injury to a structure within the lumbar spine. If there have been one or more episodes of muscle spasm in the low back, chances are it will re-occur. The muscles in the low back work together with the abdominal muscles. The spinal muscles add stability by maintaining an erect spine and maintain balance.

Back Pain Specialist

 

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Spinal Tumor Type Overview

Spinal Tumor Type Overview

A spinal tumor is an uncommon cause of back pain. They rarely occur and can be either benign or malignant. Some tumors can metastasize or spread out to other parts of the body. This is done through the arteries, veins, the lymphatic system, and directly depending on the location. A tumor of the breast, prostate, lung, and kidney can metastasize into the spine increasing the risk of spinal compression. This could lead to neurologic dysfunction and paralysis. Many individuals present with back pain as the key symptom. The pain can worsen at night and have no relation to certain activities. Other symptoms include:
11860 Vista Del Sol, Ste. 128 Spinal Tumor Type Overview
 

Benign – Noncancerous

Aneurysmal Bone Cysts

Aneurysmal bone cysts or ABCs usually cause pain and swelling. They can be large and typically affect children and adolescents.

Eosinophilic Granuloma

This type of spinal tumor usually develops in the vertebral bodies of children and adolescents. If the tumor is systemic it is called histiocytosis X. However, these tumors rarely lead to vertebral collapse and paraparesis. And also rarely but on occasion, they can heal spontaneously on their own.  
 

Giant Cell Tumor

This type of spinal tumor affects children, adolescents, and young adults. They can be found around the cervical, thoracic, or lumbar segments of the spine, but are more common in the sacrum region.

Hemangioma

Hemangiomas develop most often in the thoracic or middle back. These affect adults and are known to be vascular masses that are progressive and can cause vertebral collapse and slight paralysis.

Osteoblastoma

These tumors can be large, aggressive, and painful. They affect children and adolescents. They can sometimes cause spinal deformity and paralysis.

Osteochondroma

This a slow-growing spinal tumor that comes from cartilage and usually affects adolescents. It is uncommon and typically found in the posterior or rear of the spine.

Osteoid Osteoma

A very small bone tumor that is less than 2 cm. It typically affects adolescents. It is known to cause night pain and can result in spinal deformity.  
 

Malignant – Cancerous

Chordoma

This is typically seen in adults. About 50% involves the sacrum, but it can affect other regions of the spine. These tumors usually require aggressive treatment.

Chondrosarcoma

This tumor affects the spinal cartilage in middle-aged adults. It grows slowly but can be dangerous. Aggressive medical treatment is required.

Ewing/Ewing’s Sarcoma

An aggressive spinal tumor that affects adolescents and young adults. In certain cases, it can metastasize.

Lymphoma

Lymphoma can present in one or more vertebral bodies. It affects middle-aged and older adults. The lymphatic system can sometimes be involved.

Osteosarcoma

This is a bone cancer that develops in adolescents and middle-aged adults. It can metastasize and require aggressive medical treatment.

Plasmacytoma

Plasmacytoma typically presents in middle-aged and older adults. They usually present in the pedicle and vertebral body and can cause paraparesis.  
11860 Vista Del Sol, Ste. 128 Spinal Tumor Type Overview
 
Back pain does not always mean that there is a tumor present. But if back pain does not resolve or if neurologic symptom/s are experienced, early medical intervention/treatment is definitely warranted. A primary spinal tumor or those that originate in the spine are uncommon. However, metastatic spinal tumors are. Spinal tumors are not a common cause of back pain, but if there is pain whose cause cannot be identified and continues with no change, it could be an indicator of something more going on. Persistent pain, specifically if it is not brought on with activity or if it worsens at night, could be a potential red flag needing further examination by x-ray, CT, or MRI. Metastatic tumors, that spread from another area such as the lung, breast, colon, and prostate are a more common type of spinal tumor. Individuals with a family history of cancer that develop back pain out of nowhere should be examined to exclude a spinal tumor.

Neck and Low Back Pain Treatment

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Osteoid Osteoma of the Spine: Muscle Spasms, and Pain

Osteoid Osteoma of the Spine: Muscle Spasms, and Pain

Osteoid osteoma refers to a benign tumor/s that can grow on the spine as well as other areas of the body. They are not cancerous, but they can cause pain and abnormal curvature of the spine. It can begin as a small benign spinal tumor that can cause pain, especially at night. They do respond well to over-the-counter pain relievers and can go away on its own. However, if symptoms are unmanageable, other treatments are available.  
11860 Vista Del Sol, Ste. 128 Osteoid Osteoma of the Spine: Muscle Spasms, and Pain
 

Osteoid Osteoma

Osteoid means a type of tissue that eventually turns to bone. Osteoma means a type of tumor unique to bones. They are small typical size is less than one inch across. These growths represent around ten percent of all benign bone tumors, with one percent representing spinal tumors. They can appear and also affect the bones of the arms, hands, fingers, ankles, or feet. They are discovered on the spine around fifteen percent of the time. Osteoid osteomas of the spine affect the posterior, or back area of the vertebrae rather than the anterior, or front region. However, any area of the spine could be affected. But they are most common in the low back.
  • 60% affect the lumbar spine lower back
  • 27% affect the cervical spine or neck region
  • 12% affects the thoracic spine or middle back

Risks

Osteoid osteoma is not cancerous and will not spread out to the various organ systems the way malignant cancer does. It can be discomforting, painful, and could have to be removed. There are some risks associated with osteoid osteomas including:

Scoliosis

It could provoke muscle spasms of the erector spinae. These are the muscles that support the spine and could lead to scoliosis. The spine has a natural curvature. Scoliosis generates an S or C shaped curve to the left, right, or both ways affecting function and mobility. This type is more likely to contribute to the left or right curve of the spine affecting the lower back.  
scoliosis treatment el paso tx.
 

Incorrect diagnosis

Because osteoid osteoma can cause scoliosis, sometimes a doctor will focus on treating the abnormal curve instead of the osteoma.

Nerve root compression

Most individuals do not pose a risk for nerve root compression. But there is a risk if the growth begins to press against the spinal cord, as it can interfere with nerve function. This can lead to spreading/radiating pain and sciatica.
 

Causes

The causes of osteoid osteoma are not completely understood. What is known is that men are three times more likely to be diagnosed than women. Young people also pose a risk at development. It can develop at any age, but around eighty percent are diagnosed in individuals under 30 years of age. The core of an osteoma is a growth called a nidus. Inside are growing tumor cells, blood vessels, along with cells that progress to bone. A bony shell encapsulates the whole thing.

Signs and Symptoms

Osteoid osteomas usually cause a dull ache at the site of the tumor along with muscle spasms. The pain often gets worse at night. It can be relieved with non-steroidal anti-inflammatory medications like ibuprofen and aspirin. The pain can also be sharp, and occur during the day, worsening with activity and sometimes progressing to severe pain over time. In some cases, however, there are no symptoms.  
11860 Vista Del Sol, Ste. 128 Osteoid Osteoma of the Spine: Muscle Spasms, and Pain
 

Diagnosis

Doctors usually notice painful or swollen soft tissue around the tumor during a physical examination. There could be a lump, but this is rare. Imaging tests like an X-ray or a CT scan will be ordered. An x-ray can show the bone thickening, but a CT scan will show the nidus clearly as a dark center surrounded by white cortical bone. Sometimes a CT and MRI imaging scan is used in conjunction to diagnose osteoid osteomas. In some cases, a biopsy could be needed. This is taking a tissue sample and sending it to a lab to be examined under a microscope. However, this is rarely needed.  
 

Treatment

Nonsurgical

Non-steroidal anti-inflammatory medications can be effective relieving symptoms. If it can be controlled with just medication, then this could be the only treatment necessary. Some patients do well trying a different painkiller if the preferred medication no longer works. This needs to be discussed with your doctor, as chronic medication use is associated with issues like ulcers, kidney damage, and concerns about opioid addiction. When this approach is taken, the pain lasts for about three years with the lesion breaking down in five to seven years.

Surgical

If the pain cannot be controlled or the osteoma develops to scoliosis, surgery could be the next step. Most spinal osteomas are surgically removed with open curettage. It is a small incision. The nidus is scooped/scraped out and the cavity walls are removed with a motorized burr. Often a small amount of bone graft material is used to fill in the area. Unfortunately, surgical resection means having to stay at the hospital. Recovery time can be painful.

Radiofrequency ablation

For osteomas that affect the bones other than the spine, radiofrequency ablation. It is a minimally invasive outpatient procedure with a short recovery time. During the procedure, radiofrequency waves generate heat within the nidus around six minutes destroying the tumor. Surgeons use CT scans to precisely target the tumor. The procedure takes one to two hours and afterward, the patient waits in a recovery room for up to four hours. However, radiofrequency ablation is not as commonly used to treat spinal osteomas. This comes from the risk of thermal nerve damage. The needle tip can reach 194 degrees Fahrenheit, which is more than enough to damage the nerves. Candidates for radiofrequency ablation are usually young patients with no history of neurological problems. Osteoid osteoma is not as scary as it sounds, remember the best defense is a knowledgeable doctor and chiropractor. If back pain is presenting, do not wait to get treatment. There is a spine specialist who can help.

Chronic Pain Chiropractic Relief

 

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Essential Oils for Back Pain Guide

Essential Oils for Back Pain Guide

Essential oils for back pain could be a treatment option as long as they are used correctly. Although their popularity has grown, people are still divided when it comes to their effectiveness. The common questions that arise are, do these plant-based oils have the power to alleviate pain, or are they just a placebo?  
11860 Vista Del Sol, Ste. 128 Essential Oils for Back Pain Guide
 

Oils

They are essentially chemicals extracted from various plants. They are aromatic, and as far as chemical compounds go they can easily enter the air allowing for inhalation. Doctors have been asked for their opinions on essential oils. And they agree that they can be effective. However, it is something that is difficult to prove scientifically. Currently, there is not a great deal of research to turn to prove that they work. One reason is that it�s difficult to do this type of study. But there are some reliable studies. An example is a study found that using essential oils as aromatherapy can significantly reduce pain. Another study found orange oil specifically to relieve pain. There is more developing research that suggests certain oils applied as a topical agent to the low back, like wintergreen or peppermint, they act as an alternative pain reducer to traditional meds that cause side effects. Definitely more research needs to be done to become a standard form of care. And they can be it just depends on what it’s for. For example, can they cure cancer? No. Can they help with the symptoms? Yes. Certain oils have anti-inflammatory and muscle-relaxing properties. Patients have reported aromatherapy and oils applied topically has helped them with their pain. But, just like anything, it is different for everybody.  
 

When to use

Back pain/conditions that are appropriate for essential oils would be chronic, low-level pain. With any type of numbness, weakness, bowel/bladder dysfunction, or severe, incapacitating pain, go to the hospital, emergency clinic, etc. If pain symptoms do not improve within three to five days, make an appointment with a doctor, chiropractor, or spine specialist. Always check with a healthcare physician before starting an essential oil regimen. This is to make sure there are no adverse effects or complications. It is essential to see a doctor or spine specialist making sure a serious condition is not the cause of the back pain. Severe conditions should not be treated with only essential oils. Oils are considered to be a small part of a larger integrative treatment plan. This includes:
  • Allopathic therapies
  • Physical therapy
  • Mind-body
  • Exercises
  • Sleep
  • Anti-inflammatory diet

Use for back pain

Once a doctor clears an individual to use essential oils, adding them to a back-care treatment plan can be done in two ways.
  • Aromatherapy, with the use of a diffuser to release into the air, allowing for inhalation.
  • Topical agent in the form of a salve, lotion, or cream, and massaged into the pain area
11860 Vista Del Sol, Ste. 128 Essential Oils for Back Pain Guide
 
There are combined aromatic salves and lotions that appeal to patients. An example is an aromatherapy combined with calming lavender oil. Oils that are used to alleviate back pain:
  • Lavender is an excellent choice as an aromatherapy
  • Orange
For a topical agent:
  • Ginger
  • Camphor
  • Menthol
  • Rosemary
  • Wintergreen
  • Mint

What to Know

Choosing the topical option means the oil needs to be diluted as undiluted oil can cause a rash or other reaction. They can be diluted with a carrier. This can be almond, avocado, or coconut. Never ingest essential oil. They can be extremely toxic if ingested and should not be used for small children. Used correctly they could help out with back pain issues, ask your doctor or chiropractor if they could be an option.
 

Lower Back Pain Treatment

 
 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*