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.
It has been compared to the worst possible type of pain anyone can imagine. Other people say it’s even worse than labor because the pain doesn’t seem to have an end to it. These are some of the most common descriptions of sciatica, where a severe case of this excruciating nerve pain can bring anyone to their knees. That’s why lots of patients don’t simply say they have sciatica, they’re victims of its symptoms.
Sciatic nerve pain, or sciatica, is associated with many well-known symptoms, however, is sciatica really that common? What type of treatments are available to help alleviate sciatic nerve pain?And does a person’s everyday activities play a part in whether they will develop sciatica in the first place? Dwight Tyndall, MD, FAAOS answers several of the most commonly asked questions patients need to know regarding their sciatica.�Dr. Tyndall is a pioneer in the area of outpatient spine surgery, however, he is also a strong proponent of non-surgical treatment methods, including chiropractic care, to manage back pain and sciatica. Dr. Tyndall shares his perspectives on sciatic nerve pain and discusses what may indicate a need for surgery in severe cases of sciatica.
What is Sciatica?
According to Dr. Tyndall, sciatica is both a spinal disorder and a catch-all term for a group of symptoms. Sciatic nerve pain, best referred to as sciatica, is a spinal condition characterized by nerve pain which radiates down the length of the sciatic nerve. The sciatic nerve is the largest nerve in the entire human body, and it’s made up of spinal nerves from the vertebrae level L4 in the lumbar spine down to the vertebrae level S1 in the sacrum. Anything which impacts those nerves can lead to sciatica. Moreover, sciatica’s symptoms may be grouped under the medical term dysesthesia, meaning any sort of abnormal sensation. Most patients describe sciatica as an odd feeling radiating out of their lower back into their buttocks and down to their thigh and calf, often radiating as far down into the foot.
What are the Symptoms of Sciatica?
Dr. Tyndall explains that sciatica’s hallmark symptom include pain in the low back or buttocks which radiates down one or both legs. Signs and symptoms which shouldn’t be ignored include pain which doesn’t respond to non-surgical treatment options and/or pain which greatly restricts an individuals activity level and quality of life. Some red flags which may signal the need for surgical interventions associated with sciatic nerve pain include: reduced motor function in one part of the leg, usually a drop foot at which the patient can’t lift thei foot off the ground, weakness in one or both legs and bladder or bowel changes.
Is Sciatica the Same as Lumbar Radiculopathy?
“Most people see sciatica to be more severe than lumbar radiculopathy, but radiculopathy, which comes from the Latin radix significance origin, is a condition that affects the nerve during its origin as it exits the spinal cord. Sciatica and lumbar radiculopathy can be brought on by a pinched nerve from the spinal column due to a disc herniation or stenosis, but kidney problems or a sinus issue, like endometriosis, may also pose sciatica-like symptoms,” states Dr. Dwight Tyndall.
Who’s at Risk of Developing Sciatica?
“By my clinical experience, men and women have exactly the same identical risk of developing sciatica. Obesity also doesn’t play a role, either. Concerning age classes, however, sciatica has been estimated to peak during the ages of 30 and 40, and the risk usually declines as people begin reach their 50’s,” added Dr. Tyndall.
How Common is Sciatica?
As mentioned by Dr. Dwight Tyndall, sciatica and low back pain frequently occur together, but sciatica is much less common. While 80 percent of individuals experience low back pain at any point in their lives, just 2 to 3 percent will actually develop sciatica.
When Should a Person with Sciatica See a Healthcare Professional?
According to Dr. Tyndall, an individual with symptoms of sciatic nerve pain will need to see a healthcare professional if their pain is not reacting to over-the-counter (OTC) medications, or if these create weakness in the leg. Also, a person ought to see a doctor if their pain is so severe that their well-being is affected. Should the sciatica include bladder or bowel changes, the individual must seek immediate medical attention for their health issues. Furthermore, it’s important for a person with sciatica to seek the help of a healthcare professional to rule out any possible underlying causes which may be responsible for their symptoms.
What Type of Healthcare Professional Can Help Treat Sciatica?
According to Dr. Tyndall, any healthcare professional qualified and experienced in spine health issues, such as a chiropractor, can help diagnose, treat and even prevent sciatica. A doctor of chiropractic, or chiropractor, is a healthcare professional who utilizes spinal adjustments and manual manipulations, among other non-invasive treatment methods, to help correct any spinal misalignments, or subluxations, which may be causing sciatic nerve pain. A chiropractor may also recommend a series of stretches and exercises, as well as lifestyle modifications, to help speed up the patient’s recovery process. Chiropractic care is often the preferred alternative treatment option to help alleviate sciatica without the need for drugs and/or medications or surgery. However, if a patient is experiencing any of the red flag symptoms mentioned above, it may be necessary to visit a spine surgeon in order to discuss the treatment options. Always make sure to consider surgical interventions as a final alternative if your sciatica doesn’t respond to non-surgical treatment methods.
What are the Causes of Sciatica?
“There are many external factors, but among the greatest is your occupation. Someone who operates in a manual labor industry, like construction, has a higher likelihood of developing sciatica since they put more wear and tear on their back. Tiger Woods is an example of this. He acquired sciatica because his career as a golfer placed significant stress on his spine. There is a genetic element as well, as a few young men and women who do not operate in a strenuous job develop sciatica, however, the genetic tie is not clearly defined. Lastly, pregnancy may also result in sciatica. As the infant develops, it can put pressure on the lumbar spine, pelvis, and sciatic nerve. However, delivering the infant is usually enough to eliminate sciatica caused by pregnancy,” says Dr. Tyndall.
How Often is Sciatica Likely to Re-Occur?
“This question isn’t easy to answer because many factors contribute to whether a person will develop sciatica more than once. Sciatica is likely to re-occur if the spinal disc that led to sciatica the very first time is severely damaged. The more damaged the disk, the more likely it is to re-herniate and lead to sciatica again. Also, if the patient continues to work in a high-physical stress environment, the risk of re-ocurrence increases.
How is Sciatica Diagnosed?
“The physical examination is essential to a sciatica diagnosis. The straight-leg raise test is the traditional diagnostic tool during a physical examination. In this test, a patient be asked to lift up their leg when lying down. If that induces pain down their leg, the patient could have sciatica. Other physical tests healthcare professionals frequently utilize are knee extension tests, where the patient expands their knee to a straight position, like a straight-leg lift. Additionally, healthcare professionals will as patients to walk on their tip toes or on their heel to measure their potency. Other healthcare professionals will also observe how strong they are going down stairs or simply walking. Many doctors can determine a sciatica analysis from a physical examination, but if imaging studies are needed to learn more, the physician may recommend a magnetic resonance imaging (MRI) scan.
What Treatments are Effective for Sciatica?
As mentioned before by Dr. Dwight Tyndall, there is a variety of treatment options available to help alleviate the symptoms of sciatica. Approximately 80 percent of patients will improve with non-surgical treatment options. Several OTC medications, such as NSAIDs (eg, ibuprofen), are also effective in the management of sciatic nerve pain. If the sciatica does not subside, the doctor may prescribe a low-dose steroid pack (to be obtained over one week). If this doesn’t manage the sciatic nerve pain, then the patient may receive an epidural steroid injection (you will first need an MRI to pin-point the injection region).
Other non-surgical treatment options which are commonly utilized to help alleviate the symptoms of sciatica, include, acupuncture, chiropractic care and physical therapy, and needless to say, time normally works wonders such as pain. Chiropractic care is the most commonly used alternative treatment option for the treatment of sciatica. Chiropractic care focuses on the diagnosis, treatment and prevention of a variety of injuries and/or conditions associated with the musculoskeletal and nervous system. Through spinal adjustments and manual manipulations, a doctor of chiropractic, or chiropractor, can help reduce unnecessary pressure in the structures surrounding the spine, improving strength, mobility and flexibility. Chiropractic care and physical therapy alike, can also help improve a patient’s overall health and wellness, aside from improving their sciatica, through physical activities and nutritional advice.
Is Surgery Ever Necessary to Treat Sciatica?
“It may certainly be so, however, the good thing is that the vast majority of people with sciatica don’t need surgery. And, your doctor may ask you to explore non-surgical treatment options, however, your tolerance for pain is the real predictor as to when you have to consider another option for treatment. Surgery may be necessary if symptoms worsen despite trying non-surgical alternatives, if you have weakness in your leg, or if you experience bladder and/or bowel changes,” explained Dr. Dwight Tyndall.
“The surgical procedure to treat sciatica is also called a lumbar microdiscectomy. It is a normal procedure with very positive individual outcomes when used accordingly. A lumbar microdiscectomy is similar to a traditional lumbar discectomy. Technological advances, like the advent of surgical microscopes, allow surgeons to create smaller incisions that are minimally traumatic to the body and result in a much quicker recovery for the patient”, added Dr. Tyndall.
Can Surgery be Performed in an Outpatient Setting?
“Yes, lumbar microdiscectomy can surely be carried out in an outpatient setting. Many patients like the cozy environment and are able to go home the exact same day of operation,” concluded�Dwight Tyndall, MD, FAAOS.
Is Sciatica Preventable?
As thoroughly explained by Dr. Dwight Tyndall, sciatica can be preventable if the individual doesn’t put significant and repeated stress in their back, which will reduce the chance of damaging or injuring a nerve. Nonetheless, in the present society, through our tasks and daily stresses of modern life, it’s difficult to accomplish that. Fortunately, with the abundance of treatment choices available, people can get relief from sciatic nerve pain with the appropriate healthcare professional’s help.
Dr. Alex Jimenez’s Insight
Many people will experience symptoms of low back pain at least once throughout their lifetime, however, only a few individuals will develop true sciatica symptoms. Sciatica is medically referred to as a collection of symptoms, rather than a single condition, and it’s generally characterized by pain and discomfort, followed by tingling or burning sensations and numbness along the length of the sciatic nerve. The sciatic nerve is the largest nerve in the human body and it travels from the lower back down the buttocks and thighs into the legs and feet. Sciatic nerve pain, or sciatica, has become a common health issue for many people, therefore, its important to be educated regarding this prevalent complaint in order to follow up with the most appropriate treatment.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
A healthcare professional may refer you to a physical therapist to help you relieve your sciatica. Physical therapy includes both passive and active treatments. Passive treatments help unwind you and your body. These ultimately prepare your body for therapeutic exercises, which are the active treatments commonly utilized as a part of physical therapy.
Your physical therapist can give you passive treatments such as:
Deep tissue massage: This procedure targets chronic muscle stress which can be compressing or irritating your sciatic nerve and its associated nerve roots. The physical therapist uses direct friction and pressure to attempt to release the tension in your soft tissues, such as the tendons, ligaments and muscles.
Hot and cold therapies: By employing heat, the physical therapist seeks to get more blood to the target region because an increased blood circulation brings more oxygen and nutrients to the affected area. By way of instance, a heating pack placed on your piriformis muscle may help to reduce muscle spasms that could be causing your sciatica. Cold therapy, on the other hand, slows down blood flow, helping to decrease inflammation, muscle spasms, and pain. Your physical therapist will alternate between hot and cold therapies in order to achieve the desired results.
TENS (transcutaneous electric nerve stimulation): It may even be used at home, if your physical therapist thinks it is necessary. A machine stimulates your muscles through a variety of safe intensities of electric current. TENS helps decrease muscle spasms, and it might increase your body’s production of endorphins, the body’s natural painkillers. The TENS equipment your physical therapist utilizes is larger than the “at-home” usage system. Whether big or small, a TENS device may be an essential treatment for sciatica and its associated symptoms.
Ultrasound: Ultrasound sends sound waves deep in your muscle tissues and makes a gentle heat that enhances circulation and helps to speed up recovery. Greater circulation can help to reduce muscle spasms, cramping, swelling, stiffness, and pain.
In the active part of physical therapy, your physical therapist will teach you various exercises to help treat your sciatica. Your physical therapy’s treatment program is individualized, taking into account your overall health and wellness as well as your medical history. It might consist of strengthening exercises, aerobic conditioning, and movements to increase endurance and range of movement.
Physical therapy might be part of a comprehensive sciatica treatment plan prescribed by your healthcare professional. Aside from receiving physical therapy for your sciatica, or sciatic nerve pain, the following list includes other treatment options which are often considered when discussing the best treatment options for your source of sciatica symptoms. These treatments include:
Alternative treatments, such as acupuncture;
Chiropractic care;
Drugs and/or medications; and
Surgery
If necessary, your physical therapist may teach you how to fix your posture and integrate ergonomic principles into your everyday activities. This will be done in order to work on preventing future episodes of sciatica. Of the list of treatment options to help treat sciatica, chiropractic care and physical therapy are similar to each other and may involve common treatment modalities. However, a chiropractor uses spinal adjustments and manual manipulations to relieve symptoms of sciatica by carefully restoring the original alignment of the spine and reducing spinal stress and tension.
Dr. Alex Jimenez’s Insight
As its previously been addressed, because sciatica can occur due to a variety of injuries and/or aggravated conditions, a proper diagnosis followed by the best treatment option for the patient’s source of their symptoms is key for overall improvement and prevention of further episodes of sciatic nerve pain. Among the various types of treatment, chiropractic care and physical therapy are popular alternative treatment approaches which help treat sciatica, without the need for drugs and/or medications or surgical interventions. Chiropractic care focuses on correcting the alignment of the spine through the use of spinal adjustments and manual manipulations in order to release tension on the spine and improve sciatic nerve pain.
Chiropractic Care for Sciatica
Chiropractic care is a well-known alternative treatment option which is regularly used to treat sciatica. Proper diagnosis of sciatica Is essential before considering any of the above treatment modalities. Because there are lots of disorders that cause sciatica, the chiropractor’s first step towards treating sciatica would be to determine what’s causing the patient’s relapse. Forming a diagnosis involves a thoughtful review of the patient’s medical history as well as a physical and neurological evaluation.
Diagnostic testing includes x-rays, MRI, CT scans and/or electrodiagnostic tests (nerve conduction speed, electromyography). These examinations and evaluations help to detect potential contraindications to spinal adjustments and manual manipulations along with other chiropractic alternative treatment options. The aim of chiropractic care is to help the human body heal itself. Chiropractic care is noninvasive (non-surgical) and drug-free.
The type of chiropractic care provided depends on the reason for the individual’s sciatica. A sciatica treatment program might include several distinct therapies like ice/cold treatments, ultrasound, TENS, (similar to those used in physical therapy) and spinal adjustments and manual manipulations. Spinal adjustments and manual manipulations differ from a swift high velocity push to those that combine minimal pressure and gentle force. Mastery of every method is an art which requires great precision and skill. Spinal adjustments and manual manipulations are the treatment modalities that differentiate chiropractic care from other medical disciplines.
However, sciatica can be brought on by other disorders beyond the scope of chiropractic care. If the chiropractor determines that the patient’s source of their symptoms requires treatment from a different type of doctor, then the patient is referred to another healthcare professional. In some instances, the chiropractor may continue to treat the patient and also co-manage the patient’s care with another healthcare professional.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
There are many different treatments for cerebral palsy available today, however each case of cerebral palsy is as unique as the individual it affects. Because cerebral palsy can ultimately affect the normal functioning of the brain, treatment approaches which enhance the connection between the brain and the body are essential. Various treatments will work for different patients. A treatment known as physical therapy, or physiotherapy, is categorized as a non-medicinal treatment of cerebral palsy with the usage of massage, exercise, heat, and other external means of treatment.
Physiotherapy can be used to help cerebral palsy patients improve motion and motor abilities. Since cerebral palsy is a physical and movement disorder that disrupts the brain’s ability to correctly control muscle movement, physiotherapy can work wonders in helping cerebral palsy patients achieve mobility. Cerebral palsy physical therapy techniques are dependent on the degree of physical limitations of the person, and what’s going to be most beneficial to the cerebral palsy patient. Chiropractic care, can also include physical therapy techniques. Because the brain is believed to be lacking proper stimulation for functioning through cerebral palsy, chiropractic care can offer proprioception of touch for the assistance of mobility for the increased sensory stimulation of the brain through spinal adjustments and manipulations.
Physiotherapy for Cerebral Palsy
Cerebral palsy is the most common physical disability in children and it also represents the most frequent diagnosis in children who receive physical therapy. The harshness of limitations in gross motor function among children with cerebral palsy varies greatly, as some can walk without helping devices while some must use battery-powered wheelchairs. Physical therapists help children discover better ways to balance and move, as well as learn to walk, use their wheelchair, stand up with help, or go up and down stairs safely. The physical therapists engaged in physiotherapy reduce further growth of musculoskeletal problems by preventing muscle weakening, deterioration, and contracture during the suitable physiotherapy methods.
Physiotherapy usually consists of a couple kinds of treatment and helps a cerebral palsy patient to improve their gross motor abilities. Motor abilities that utilize the big muscles in the body, such as those in the arms and legs, are called gross motor abilities. This kind of physical therapy can help improve a cerebral palsy patient’s balance and motion.
Physical therapy for cerebral palsy patients consists of activities and education to enhance flexibility, strength, mobility, and function. A physical therapist also designs, modifies, and orders elastic gear to be used in the rehabilitation. Physical therapy can take place in clinics, hospitals, schools, and ought to continue in the home through a workout program. Physical treatment for cerebral palsy patients won’t be effective without an ongoing daily home program.
Physical Therapy Methods for Cerebral Palsy
A physical therapy program must include lots of exercises that include stretching, strengthening, and positioning. To elongate the muscles, the arms and legs must be transferred in ways that produce a slow, steady pull on the muscles to keep them loose. Because of the greater muscle tone of the cerebral palsy patient, they tend to have tight muscles. Therefore, it’s extremely important to perform daily stretches to maintain the arms and legs limber, allowing the child to continue to move and function. Strengthening exercises work specific muscle groups to enable them to encourage your system better and increase function. Positioning requires your system to be set in a particular position to achieve long stretches. Some places help minimize unwanted tone. Positioning can be achieved in many different ways. Bracing, abduction pillows, knee immobilizers, wheelchair inserts, sitting recommendations, and handling techniques are a part of placement techniques utilized in physical therapy for cerebral palsy patients.
New methods of physical therapy for cerebral palsy patients have taken into the water. Aquatic-based rehabilitation employs the physical properties of water to either resist or help in the operation of exercises. Cerebral palsy patients undergo muscle shortening in the majority of their involved extremities and it becomes a difficult job to lengthen the affected musculature with regular stretching while needing to manage the effects that gravity has on the spastic leg or arm. In earlier times there was clinical bias against strengthening activities for this population. But, recent study findings are revealing that kids with cerebral palsy may gain from strengthening applications and that strength is directly associated with motor function. Some of the recorded advantages are optimization of neuromuscular responses, improved motor unit contraction synchrony and facilitation of maximal muscle contraction combined with a wide available selection of motion.
Physical treatment for cerebral palsy patients does not heal spasticity but can improve impairments and limitations. Physical treatment for cerebral palsy patients is an important step towards an independent lifestyle. If these changes happen only in the therapy gym, the disability remains unchanged. Therapy must improve skills to carry out meaningful tasks in everyday life. Changing the level of handicap is the ultimate aim of physical therapy for cerebral palsy.
Occupational therapy is another element of physiotherapy used for cerebral palsy patients, and it’s used for aiding in the development of fine motor skills. Fine motor skills focus on the use of smaller muscles, such as those from the face, fingers, toes, palms, and feet. Fine motor skills have been used during daily living skills such as eating, dressing, writing, etc., and are fine tuned by occupational physiotherapy.
Physiotherapy also entails picking the right sort of adaptive equipment that could enhance a cerebral palsy patient’s motor abilities. Wheelchairs, walkers, special eating utensils and other adaptive equipment supply a patient with the liberty to accomplish some tasks on their own.
Additional types of physiotherapy like language and speech therapy might also be incorporated into a cerebral palsy patient’s program. Physiotherapy in the form of language and speech therapy that enables a cerebral palsy patient to communicate more easily with other people by developing the facial and jaw muscles, enhancing speech or sign language messages, and introducing communication resources such as computers and other visual aids.
Dr. Alex Jimenez’s Insight
Cerebral palsy is a lifelong group of movement disorders with no cure. However, several treatment options can help improve the quality of life of a patient with cerebral palsy. Chiropractic care and physical therapy, or physiotherapy, are some of the most common treatment approaches utilized to help restore strength, flexibility and mobility for individuals and children with cerebral palsy, without the need for drugs/medications and surgery. Chiropractic care can help improve many aspects associated with cerebral palsy due to the stimulation of the brain through touch, using spinal adjustment and manual manipulations to enhance sensory receptors in patients with this movement disorder. A physical therapist, as well as a chiropractor, may generally recommend a series of stretches and exercises which can improve range of motion in patients with cerebral palsy. Chiropractic care and physical therapy have the ability to develop self-sufficiency in cerebral palsy patients where it was previously absent.
Chiropractic Care for Cerebral Palsy
Several other physical therapy options can also help provide some form of relief from painful symptoms for cerebral palsy patients. Chiropractic care has become a popular, alternative treatment approach which focuses on maintaining as well as improving the overall health of the body through the use of spinal adjustments and manual manipulations. Because different areas of the body can be affected in individuals and children with cerebral palsy, chiropractic care can be beneficial towards helping those limbs regains some strength, flexibility and mobility. A chiropractor who specializes in patients with cerebral palsy can also offer several rehabilitation and physical therapy stretches and exercises to achieve the desired semblance of activity from the cerebral palsy patient. Because chiropractic care utilizes touch through spinal adjustments and manual manipulations to enhance the structure and function of the brain and the body, the sensory stimulation provided by a chiropractor can promote the migration of the brain in order to help change the receptors of the brain.
Furthermore, chiropractic care can help treat other, less noticeable aspects of the motor disorder. When used as a part of a rehabilitation and physical therapy program, chiropractic care can help improve some of the more problematic symptoms associated with cerebral palsy, including muscle spasms, seizures, and leg and arm issues through touch mobility protocols. The connection between the body and the brain has long been the center focus of chiropractic care, which is why spinal adjustments and manual manipulations are commonly utilized to enhance the stimulation of the brain, the spine, the nerves and the remaining structures of the body, especially in the case of patients with cerebral palsy, where the proper stimulation of the brain is necessary in order to restore function and improve quality of life. By carefully working to restore the natural alignment of the spine, a doctor of chiropractic, or chiropractor, can improve symptoms of back pain which may often be caused by the stress being placed on the spine�in patients with cerebral palsy. The purpose of chiropractic care and physical therapy is to improve physical movement and coordination, speech, vision and intellectual development�for patients with cerebral palsy.
Physiotherapy is an integral part in the vast majority of many cerebral palsy patients’ lives. Physiotherapy has the ability to develop self-sufficiency in cerebral palsy patients in which it was previously absent. A kid with cerebral palsy can start physiotherapy in just about any age. Speak with your child’s doctor about setting up physiotherapy program today. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Sciatica is characterized by pain in the lower back and gluteal region. This pain can radiate down one or both legs into the thigh, calf, ankle, and foot. Genuine sciatica occurs when pain travels beneath the knee.
Sciatic nerve pain results when the base of the spine is compressed or irritated and/or if trauma from an injury or an aggravated condition have compressed the spinal segments surrounding the sciatic nerve. The sciatic nerve is located at the sacral areas of the spine and the lumbar spine. Sciatic nerve pain or sciatica can be described as sharp, dull, burning, tingly, numb, continuous, or intermittent and generally affects only one side of the body. It can radiate throughout the entire length of the nerve, in some cases all of the way down to the feet.
Sciatic nerve pain is most often the result of a bulging or herniated disc, spinal stenosis, or in extremely rare instances, infection or tumor. The cause of your pain determines what are your treatment options to relieve sciatica.
Sciatica Treatment Options
The following article lists several common sciatica treatment options. You may want to read about:
People who have lower back pain have been prescribed bed rest so as to offer relief for aching bones and joints. Research in recent years has suggested that bed rest alone won’t offer relief for those suffering from sciatica or sciatic nerve pain.
Staying active may be more beneficial for people who suffer with back pain due to the compression or irritation of their sciatic nerve. Not to say that you ought to be running marathons. Activity means being mobile and up for long periods of time which are not sufficient to cause further injury and aggravation for your back pain. Some healthcare professionals may prescribe certain exercises, or some could simply indicate walking.
Sciatic Nerve Pain Relief
Pain is often treated with a non-steroidal anti-inflammatory medication (NSAID) such as ibuprofen or codeine (in severe cases).
In some cases a cortisone-like drug could be injected into the epidural space surrounding the spinal column. This process is like the epidural used during childbirth, and it’s called an epidural steroid injection. A course of this type of treatment may offer temporary relief, however, it doesn’t address the root of the problem. Treatment options like chiropractic care can help treat symptoms of sciatica at the source.
Chiropractic Treatment for Sciatic Nerve Pain
A chiropractor frequently treats people with sciatica. Their adjustments will aim to realign the spine, taking off the pressure of the sciatic nerve and often bringing rapid sciatica relief. When the stress is off, the body can begin to heal itself. While adjustments are probably most often used, other remedies may be given, especially if an adjustment is not recommended for the patient’s health issue. Other chiropractic treatment options might include using ice/cold treatment, ultrasound, a TENS (transcutaneous electric nerve stimulation) device or rehabilitative exercises. Ultrasound warms the region and increases circulation, which can reduce the swelling and muscular strain. A TENS device brings relief by using a slight electric current to relax muscle spasms and to increase endorphins. Additionally, a chiropractor might frequently consist of rehabilitative exercises so as to accelerate the recovery process. Massage therapy might also assist.
Ice/Cold Therapy reduces inflammation and aids restrain from sciatic nerve pain.
Ultrasound is gentle heat created by sound waves which penetrates deep into tissues. As mentioned previously, it increases circulation and reduces muscle spasms, cramping, swelling or inflammation, stiffness, and pain.
Adjustments (Spinal Manipulations). Spinal adjustments are in the heart of Chiropractic care. Manipulation supports restricted motion of the spine and helps to restore misaligned vertebral bodies with their proper position in the spinal column. Adjustment techniques differ from a swift high velocity thrust to those that combine minimal pressure and gentle pressure. Mastery of every technique is an art which requires great skill and precision. Spinal manipulation is the remedy that distinguishes chiropractic care from other medical areas.
Rehabilitative exercises. A combination of aerobics, strength training and stretching is commonly used to unleash pain-relieving endorphins in addition to relax the muscles which may be causing the nerve compression or irritation.
In some individuals, sciatica may fix itself, maybe occurring only once or a couple of times. However, if not treated properly, sciatica can worsen. A chiropractor can help bring relief, however, several alterations, will likely be required, especially if it has been occurring for a while. Letting a chiropractor treat sciatic nerve pain provides you a no surgery and no medication choice. Exercises will most likely be advisable to strengthen the muscles in the back to help prevent sciatica from recurring, and recovery is apt to take some time.
Surgery for Sciatic Nerve Pain?
If no other alternative treatment option has provided the patient relief from their symptoms, some patients with sciatica may discover substantial relief from surgery. In cases of herniated discs, a surgical procedure called a laminectomy may be performed. In this process, a portion of the posterior arch is removed to relieve pressure on pinched nerve tissues. In cases of spinal stenosis, the portion of bone that’s putting pressure on the sciatic nerve system could be taken off. Surgery is not for everybody. But for people who have shown no sign of progress in four to six weeks and that have had CT scans (computed tomography) or MRI that reveal a herniated disc or spinal stenosis, surgery may provide substantial relief.
Dr. Alex Jimenez’s Insight
Surgical interventions are frequently discussed as a possible treatment option for a variety of injuries and/or conditions which cause sciatica, however, surgery should only be considered as a last resort after all other treatment options have been utilized without improvement. Chiropractic care is a natural treatment approach which focuses on the diagnosis, treatment and prevention of sciatic nerve pain through the use of spinal adjustments and manual manipulations, among other commonly utilized treatment methods. Through the proper alignment of the spine, chiropractic care focuses on allowing the human body to naturally heal its sciatica without the need for surgery or drugs/medications.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Children with cerebral palsy have various needs. Some children have problems with motor skills and spasticity, but normally pick up things pretty fast. Others have a full range of issues from motor skills to esophageal and respiratory problems. Since so many kids with cerebral palsy have an array of different medical needs, there isn’t one particular type of treatment which may help each and every child. Luckily, there are a number of different therapeutic remedies to select from, which range from holistic care, water therapy, and much more.
Acupuncture
Whilst generally not adopted in Western Medicine, acupuncture has been used for centuries by Asian countries and is viewed as a medicinal art. Some families with children who have cerebral palsy take their kids to an acupuncturist to try and relieve the frequent pain related to the disorder. Other kids find relief in acupuncture for painful birth injuries such as spina bifida, Erb’s palsy, and brain damage. Acupuncture uses needles to ease pain, often instead of medication.
Aquatherapy
Aquatherapy is among the most popular and beneficials form of treatment for children with cerebral palsy, as they suffer from limb maladiess, but this might also be advantageous for children who suffer with Erb’s palsy and are trying to regain movement in their arm.
Under the supervision of a trained and experienced professional therapist, kids may gain from the strength exercise and training afforded by the anti-gravity character of a pool. In this soothing environment, a child can have a respite from some of the pain which comes with the disability (occasionally cerebral palsy causes stress on the musculoskeletal frame by simply gravity and body weight), and they can still work through the natural curative and restorative nature of water.
Behavioral Therapy (Psychotherapy)
Some birth injuries involve an intellectual disability that impacts how kids interact in social scenarios. Other children might have had physical constraints that included them being house-bound for a long time, causing them to have a deficiency in social skills or cues. Behavioral therapy, also known as psychotherapy, allows patients to work through problems they may have within their social and mental health with a behavioral health professional.
Chiropractic Care and Massage Therapy
Children with cerebral palsy may benefit from chiropractic care and massage therapy for a few different reasons. Because some children with cerebral palsy may have experienced lots of strain or stress on their musculoskeletal system as a result of the disorder, requiring chiropractic care may ultimately be fundamental towards their proper spinal alignment as well as for their overall health and wellness.
Chiropractic care is a well-known alternative treatment option which utilizes spinal adjustments and manual manipulations to treat a variety of injuries and/or conditions associated with the musculoskeletal and nervous system, including back pain.
Another reason that a patient with cerebral palsy might need chiropractic care or massage treatment is for the basic goal of extending and stretching muscles. When muscles relax as they perform through such therapies, they are more inclined to become stronger and healthier which is needed if they are going to correctly learn how to walk. This kind of treatment isn’t generally suggested for kids suffering from spina bifida because the raw exposed nerves could be inadvertently mishandled, causing more problems.
Furthermore, chiropractic care can be used to help treat other, less noticeable aspects of cerebral palsy. The theory of chiropractic care is that by healing the central area around the spine, the extremities and other parts of the body affected by the disorder can become more normalized, allowing for improved function and quality of life. Chiropractic care can also help improve strength, mobility and flexibility in children with cerebral palsy and its associated symptoms.
Conductive Education
Some children with neurological or mobility impairment found in almost any brain-related birth trauma need help performing activities that regular people learn through daily exercise, learning, and experience. Since these children don’t often have the same sorts of experiences that non-disabled people have, conductive education is a form of special education that functions as a kind of study group for life.
Conductive education provides opportunities of every day learning experiences so that kids can have the exact same general education that non-disabled individuals do.
Hippotherapy
Using equine motion and connections with horses, children with all kinds of birth injuries could learn basic occupational and speech therapy. Hippotherapy is not therapeutic horseback riding, but rather a trained practitioner introduces the child to the horse and uses the horse to access the child in ways which were previously thought of as unconventional.
Hyperbaric Oxygen Therapy
Normally short-term treatment and frequently only experienced once or twice, Hyperbaric Oxygen Therapy is a method of fast-healing for some kids that have suffered oxygen deprivation (anoxic, hypoxic, HIE, birth asphyxia, and perinatal asphyxia). If an infant is delivered and does not breathe for the upcoming instant minutes, hyperbaric oxygen treatment is a great way to introduce a lot of oxygen into the blood stream preventing or lessening the seriousness of birth injuries such as cerebral palsy.
Occupational Therapy
Occupational therapy’s main objective is to work on creating balance, strength, and gait. An occupational therapist might consult with an orthopedic surgeon to operate on strengthening and firming muscles, in which following the occupational therapist can delegate casts and orthopedic devices which also help strengthen and form muscles. These methods are to help patients learn how to walk, and also to create control and strength to stop spasticity.
The occupational therapist also trains patients to function on decision-making, abstract reasoning, problem-solving, perception, memory, sequencing, and much more.
Play Therapy
Utilizing play with a variety of different toys in various public places, kids with all kinds of birth injuries can learn to appreciate themselves. Often children with birth injuries can feel that they’re different or that they have health issues and end up stressing about their difficulties more than having fun.
While they’re having fun in play therapy, they can learn the way to interact with other kids, learn about themselves, and to construct self-confidence.
Physiotherapy and Physical Therapy
Physiotherapy and physical therapy both operate on the rehabilitation of muscle groups. This is extremely important for children with shoulder dystocia, Erb’s palsy, Klumpke’s palsy, or Brachial Plexus palsy, and, in fact, kids suffering from these birth injuries won’t regain use of their hand or arm without physical and physiotherapy. Through this type of treatment, therapists strive to receive the perfect movement from their patients through an assortment of different challenges and exercises.
This can be like occupational therapy, though the focus is mainly on what the muscle groups are doing, and not on so many different targets like occupational therapy. A physical therapist is often like a personal trainer in a gym, training, cheering, and challenging.
Respiratory, Digestive, and Dietician Therapy
Some kids with cerebral palsy encounter respiration and esophageal problems. Consequently they can experience issues with eating, breathing, and drinking, which divides into digestive and dietician treatment, addressing what foods and drinks should be consumed. Respiratory treatment may primarily tackle breathing exercises to strengthen and optimize lung development, but may also address these other concerns.
Speech and Language Therapy
Speech and language therapy can be very important for kids with cerebral palsy and other forms of brain-related birth harm. Approximately, 1 out of every 4 patients with cerebral palsy don’t have the capability to speak. Speech and language therapy helps them to work on exercises which progress the learning of speech and get kids closer to communicating effectively.
Some speech and language therapists utilize programs that help patients understand the operation of language inside individuals, and these programs also provide communication boards using pre-formed responses so that children can get in the habit of responding with particular answers until they consider trying to verbalize these answers.
Vocational Counseling
This has many different sorts of therapists, a few children could be confused or jeopardized by visiting a lot of individuals, or, worse, by having so many people invade their home. One way of approaching treatment is by using a vocational counselor, one individual who can master several distinct types of treatment.
As vocational counselors might not have exactly the exact same depth in all of these subjects as one therapist would have regarding one subject, this might be a great first step for treatment with your little one. By getting your child to adjust to only one person interacting within their lifetime, they’re more inclined to concentrate on the subjects at hand.
Afterwards, if more obstacles and more depth is required, your kid may have more assurance in different areas (and with a few social abilities from connecting with this particular counselor) and may be able to handle other therapists more efficiently.
Yoga Therapy
Normally prescribed under the direction of an occupational or physical therapist, yoga therapy is a fantastic alternative for kids whose muscles need to be loosened or lengthened. Children with cerebral palsy suffer from particularly tight muscles, so yoga therapy helps them to work on extending and on making the muscles more limb. This type of treatment might be incorporated to other sorts of therapy, and it might also be delegated as “homework” to kids with cerebral palsy for optimal flexibility and, ultimately, optimal freedom.
Dr. Alex Jimenez’s Insight
Cerebral palsy is a lifelong set of movement disorders with no cure. However, various types of treatment options can help provide some forms of relief for individuals and children with cerebral palsy as well as help restore some function and quality of life. Because cerebral palsy can affect patients differently, people with the disorder can benefit from many different therapies, including chiropractic care and physical therapy. Chiropractic care is a popular, alternative treatment option which focuses on the diagnosis and treatment of several kinds of injuries and/or conditions, including cerebral palsy. Through the use of spinal adjustments and manual manipulations, a chiropractor can help improve strength, mobility and flexibility in people with cerebral palsy.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Chiropractic care, recognized as a complementary or alternative health practice in the U.S., is becoming a sought after treatment for pain control in children and adults, alike. Chiropractic interventions are used to improve forms of musculoskeletal pain, including low back, shoulder, neck, headaches, hand and foot problems, as well as for particular health conditions, such as Cerebral Palsy, fibromyalgia and attention deficit hyperactivity disorder.
The Greek word “chiropractic” means “hand practice” or therapy done by hand. Chiropractic care is a hands on approach to treatment which often centers around the adjustment to the joints and spine in a way that influences the human body’s nervous system and natural defense mechanisms for the purpose of alleviating pain and improving health and wellness.
There are 2 million children and nearly 18 million adults in the United States who’ve received chiropractic or osteopathic manipulation during a 12 month period, based on the 2007 National Health Interview Survey, or NHIS. The analysis found that children who have parents that use complementary and alternative medicine, or CAM, services are twice as likely as other children to utilize complementary health services, as well.
As a matter of fact, in 2007 the CDC National Health Statistics Report #12 indicated that rehabilitation and chiropractic services would be the next most popular form of CAM treatments used on children. CAM therapies were most widely used on children for the following purposes:
Although there is little in the way of formal studies on the effects of chiropractic care for use on individuals with Cerebral Palsy, you will find reports from the chiropractic community that demonstrated improvements for the following conditions:
Arthritis
Back pain or other problems
Breathing
Drooling (release of the TMJ-muscles)
Gait patterns
Hypertonic musculature
Joint pain or stiffness
Muscle contractures
Neck pain or other problems
Pain and tension
Scoliosis or curvature of the spine
Seizures
Sleep difficulties
Other musculoskeletal conditions
Simply explained, the brain communicates with the body. Chiropractic care is established in improving the manner in which brain control and muscles work together. The neuromuscular system sends messages from your brain, down the spine and in the nerves. When there’s interference, the body isn’t able to be effective.
Chiropractic intervention aims to enhance the structural facets of the body to clear the pathway for the brain to communicate with the nerves. This can result in improved strength, balance, flexibility and coordination abilities, especially in the extremities. One intervention does not fix all, instead the intervention chosen and the location of treatment are relative to the symptom being addressed. Since Cerebral Palsy affects people differently, assorted chiropractic treatment methods are utilized to address specific issues.
History of the Evolution of Chiropractic Care
Launched in Davenport, Iowa in the late 1890s, chiropractic care has been rooted in holistic notions that, for several decades, rendered the practice controvesial. The contention of those in the chiropractic community that the only source of pain has been spinal dysfunction called vertebral subluxation has been contested by conventional medical practitioners. Additionally, physicians and other critics have questioned the capability of chiropractic care in treating ailments which aren’t connected to the neuromusculoskeletal system.
Although chiropractic care recently has gained acceptance by the medical community because of manual therapy due to its ability to alleviate pain, the practice remains rooted in spinal adjustments and manipulations as a gateway to enhancing a person’s overall health and wellness. Currently, there are chiropractors in practice which are purists, and others that think scientific research has a place in chiropractic care.
There is evidence that chiropractic care can be helpful to children with Cerebral Palsy. Some research suggests that kids that received spinal adjustments may sit and stand with more ease. Also, the research indicated that some children became active, digested food better, slept more peacefully, and appreciated improved coordination following chiropractic care.
In the publication, “Chiropractic Care of Special Populations,” writer Robert D. Mootz reports on some special treatments which have been reported to have enhanced some circumstances of Cerebral Palsy:
Adjustment of the atlanto-occipital subluxations helped with children who had difficulty with sleeping, personality disturbances, and hypertonic musculature.
Upper cervical spine adjustments created clinical improvements in a 5-year-old male with quadriplegic Cerebral Palsy.
Adjustments can be helpful in cases of cranial dysfunction in the sphenobasilar junction in children who have a history of birth trauma or head injury where motor tracts of the medulla may be compromised.
Manual release of the TMJ-related muscles, such as the masseter and temporalis, may ease excessive drooling.
Myofascial release may be used to assist in decreasing the severity of spinal distortion and aid in stabilizing gait patterns in children with spastic Cerebral Palsy who have muscle contractures in the paraspinals, lateral thigh muscles, lower extremity abductors, Achilles tendons, and wrist extensors.
What is Chiropractic Care?
Chiropractic care is considered a manipulative and body-based therapeutic system which has an impact on the human body’s systems and structures, such as the bones, joints, soft tissues, and neuromuscular system, which are manipulated beyond their passive range of movement and with proper use of force. It is a treatment which uses the adjustment and manipulation of the spine and joints to ease pain. The spinal manipulations are made using the chiropractor’s hands, and therefore are known as “adjustments.” The dysfunctions or abnormalities at the joints of the spine are known as “vertebral subluxations.” Vertebral subluxations are a group of symptoms in the spine.
Many people seek chiropractic care to address:
Neck pain
Back pain
Spinal discomfort
Inability to sit or stand
Chiropractic care is determined by three main concepts, which are:
Reductionism: attributing the cause of pain or illness to vertebral subluxation alone.
Conservatism: committing to non-invasive interventions as a mode of treatment.
Homeostasis: emphasizing self-healing.
These three notions are heeded by both traditional, purist chiropractors and “mixers” chiropractors which are influenced by evidence-based scientific findings and fundamentals. Mixers can introduce other treatments to bring relief to people including:
Ice and heat
Vitamins and nutritional supplements
Homeopathic or holistic medicine
Herbs
However,� all chiropractors use the simple tenet of this profession, vertebral subluxation, as the centerpiece of all clinical treatments, together with a combination of other interventions.
Which are the Advantages of Chiropractic Treatment, also When is Care Advised?
Although there have been several studies that assess the impact of chiropractic care on children with Cerebral Palsy, several of which have been completed have shown that children respond well to treatment.
In a 2006 study, initially published in the Journal of Vertebral Subluxation Research suggested that kids with Cerebral Palsy that were determined to have subluxations showed improvement in their mobility after one month of chiropractic care. One child demonstrated improvement in her ability to sit up, walk, and ambulate following 22 spinal alterations.
In a research published by the Journal of Pediatric, Maternal & Family Health, it was determined that a 2-year-old boy with Cerebral Palsy was relieved of many symptoms that interfered with his freedom and ability to sleep. Following seven months of care, he was able to pull himself into an upright position and was sleeping frequently. Although, other characteristics of his condition, such as uncontrolled movements, persisted.
Individuals in several walks of life, by the elderly to children, seek chiropractic care. Many indicate that they recognize significant relief from spinal adjustments and manual manipulations. However, individual advantages are dependent on a child’s condition at the beginning of care; parents with the advice of the child’s primary care physician, will want to ascertain how chiropractic care fits in with a child’s overall treatment program.
What Happens During Chiropractic Care?
At the start of a chiropractic appointment, a complete medical history will be taken to acquaint the practitioner of the symptoms that an individual is coping with. From there, a series of exams and evaluations will happen.
Among the very first of these will be an X-ray, which ought to offer some valuable information about the condition of a child’s spinal column. This information often includes:
Curvature
Misalignments (subluxations)
Abnormalities
Muscle tone changes
Tissue abnormalities
A physical examination will assist the chiropractor to find a child’s source of pain. When the assessment is finished, the chiropractor will recommend a plan of treatment, which is very likely to include adjustments. If they suspect that another condition is causing pain or discomfort, a referral will be issued.
A chiropractor will utilize several techniques to ascertain in which a subluxation, or misalignment, is present. The most frequent procedures which will help the chiropractor decide which adjustments will be necessary to bring relief to a child are:
Static palpitation � when a practitioner uses his or her hands to detect signs of misalignment
Motion palpitation � when a doctor moves bones to separate them
Leg check � moving the legs to reveal spinal subluxation
An adjustment is finished when the joints of the spine are moved past the point at which they would normally proceed in a way where it does not damage or dislocate the joints. Doing so will require the chiropractor to use gentle force and educated expertise to finish the moves. Notice, untrained individuals should not attempt to perform these procedures on another person.
There are several specific kinds of adjustment which can be used to aid a child. They include, but are not limited to:
Diversified movement � full spine manipulation
Activator technique � using a device to adjust the spine
Cox technique � low-force adjustment
Gonstead technique � using a specific path to adjust the spine
These adjustments will be created over a period of time, comprising of several appointments, to help a patient recover motion and minimize discomfort.
Chiropractors most often operate private practices, but often, their services can be found in other medical settings such as:
Hospitals
Physician�s office
Clinics
Assisted living centers
Residential facilities and nursing homes
Who Offers Chiropractic Care?
Chiropractors offer a wide range of services and, based on where an individual resides, the scope of their duties may vary. In a small number of countries, chiropractors are allowed to perform minor surgeries and write prescriptions, for others, these functions are prohibited.
Internationally, demands to practice as a chiropractor vary. In the United States, a chiropractor needs to complete a professional degree program. Accredited programs require an applicant to complete 90 credit hours of undergraduate instruction, and many others require students to earn a bachelor’s degree.
Doctors of chiropractic, nevertheless, must complete an intensive program that revolves around healing arts that many consider to be challenging in a medical college. A doctor of chiropractic, or chiropractor generally pursues a bachelor’s of science degree prior to attending a chiropractic college.
Bachelor’s degree coursework contains:
Biology
Chemistry
Physics
Nutrition
Psychology
Anatomy
Physiology
Chiropractic college curriculums include further coursework, in addition to hands-on instruction and clinical study that lasts four or five years.
Licensure is required to practice in the USA. Most states will grant licenses for those who have successfully completed an accredited program and passed an examination administered by the National Board of Chiropractic examiners.
Healthcare practitioners that choose to provide additional services such as acupuncture or massage might have to pursue other courses of research and certificates if they intend to supply these services personally.
Are There Special Considerations or Risks for Chiropractic Therapy?
Generally, chiropractic care is considered safe. In the hands of a fully-qualified practitioner, chiropractic care may cause some mild discomfort, but it should not be painful. If a child complains that treatment is extremely uncomfortable, or painful, a parent must inquire into the issue by requesting the chiropractor why this is happening. If a parent is uncomfortable with the answer, he or she should seek the care of another healthcare practitioner or chiropractor.
Often throughout the process of making an adjustment, a child and their parents will hear a popping noise. This occurs when gases escape from fluids that surround joints. This is similar to popping that happens in the joints of the feet or ankles; it isn’t indicative of a critical illness. Also, to the untrained eye, the quick and quirky alterations could appear alarming to people unfamiliar with chiropractic interventions.
Tips for Choosing a Chiropractor
According to the National Center for Complementary and Alternative Medicine, or NCCAM, a division of the National Institute of Health, which is considered the lead agency for scientific research on diverse medical and health care practices, when choosing a chiropractor, the individual must inquire:
Their experience in coordinating care with conventional health care providers
Their experience in delivering care to children
Their education, training and licensure
You also need to inquire about their experience and expertise in treating children, or adults, with Cerebral Palsy.
NCCAM also recommends that when considering an alternative and complementary wellness approach for a child:
Make sure the child has an accurate diagnosis from a licensed healthcare provider.
Understand the potential risks, benefits and effectiveness of the specific strategy.
Discuss any and CAM approaches with the child’s primary care physician before agreeing to this therapy protocol, particularly with the physician that abroad your child’s care plan so that there’s not any conflict with other kinds of therapy.
Never use any health product or practice which hasn’t been shown safe and effective to substitute or delay conventional care or prescribed drugs.
When a health care practitioner indicates a CAM approach, don’t increase the dosage or length of this treatment beyond what is advocated without professional approval.
Discuss any and all concerns about the effects of a CAM strategy with your child’s main health care provider.
To ensure coordinated and secure care, inform all your child’s healthcare providers about any CAM strategy your child uses, giving them a full picture of what you do to manage your child’s wellbeing.
Dr. Alex Jimenez’s Insight
More so now, than ever before, people are turning to alternative and complementary medicine to treat a variety of injuries and/or conditions, especially Cerebral Palsy. An increase of CAM treatment methods can offer more therapy options for people or children with CP. Although CP has no cure, a person with Cerebral Palsy can benefit from alternative and complementary medicine. Chiropractic care has been demonstrated to help improve other symptoms associated with CP. Furthermore, chiropractic care used together with physical therapy and rehabilitation can help restore some strength, mobility and flexibility for people and children with Cerebral Palsy.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Doctors of Chiropractic (DC), or chiropractors, regularly treat sciatica. Sciatica is characterized by pain that originates in the low back or buttocks which travels down one or both legs, into the foot. Sciatic nerve pain varies in intensity and frequency; minimal, moderate, acute and chronic, intermittent, frequent or constant.
Pain is described as dull, achy, sharp, toothache-like, pins and needles or similar to electric shocks. Other symptoms associated with sciatica include numbness, burning and tingling sensations as well as weakness. Sciatica can also be called radiating or referred pain, neuropathy, or neuralgia. A common misconception, however, is that sciatica is a disease, nevertheless, sciatica is really a collection of symptoms belonging to a specific disorder.
Sciatica Is Caused by Nerve Compression
Sciatica is generally brought on by sciatic nerve compression. Disorders known to trigger sciatic nerve pain include lumbar spine subluxations, or misaligned vertebral bodies, herniated or bulging discs (slipped disks), pregnancy and childbirth, tumors, and even as a result of non-spinal disorders, such as diabetes, constipation, or sitting on one’s back pocket wallet.
One common cause of sciatica is piriformis syndrome. Piriformis syndrome is named after the piriformis muscle. The piriformis muscle is located in the lower part of the spine, connects to the thighbone, and also assists in hip rotation. The sciatic nerve runs under the piriformis muscle. This muscle is susceptible to injury from sports injuries, a slip-and-fall accident, hip arthritis, or due to a difference in leg length. Such situations can cause cramping and spasm to develop in the piriformis muscle, thus pinching the sciatic nerve and causing pain and discomfort.
Sciatic nerve compression may lead to the loss of feeling (sensory loss), paralysis of one limb or group of muscles (monoplegia), as well as sleeplessness or insomnia.
Proper Diagnosis of Sciatica Is Vital
Since there are many disorders that cause sciatica, a healthcare professional’s initial step would be to determine what is causing the patient’s sciatica symptoms. Forming a diagnosis entails a thoughtful review of the patient’s medical history, as well as a physical and neurological examination. Diagnostic testing involves a x ray, MRI, CT scan and/or electrodiagnostic tests (nerve conduction speed, electromyography). These examinations and tests help to detect possible contraindications to spinal adjustments and other chiropractic treatment methods.
Chiropractic Treatment of Sciatic Nerve Pain
The objective of chiropractic treatment for sciatic nerve pain is to assist the body’s capacity to heal itself. It is based upon the scientific principle that limited spinal movement contributes to pain and decreased function and functionality. Chiropractic care is non-invasive (nonsurgical) and drug-free.
The type of chiropractic treatment provided is dependent upon the cause of the patient’s sciatica. A sciatic nerve pain chiropractic treatment program may include several different therapies such as ice/cold treatments, ultrasound, TENS, and spinal adjustments (sometimes called spinal manipulation). Below are additional details on these chiropractic treatment modalities.
Ice/Cold therapy reduces inflammation and helps to control sciatic nerve pain.
Ultrasound is mild warmth created by sound waves which penetrate deep into cells. Ultrasound increases circulation and helps to decrease muscle spasms, cramping, swelling, stiffness, and pain.
TENS unit (transcutaneous electric nerve stimulation) is a small box-like, battery-powered, portable muscle stimulating machine. Various intensities of electrical current control acute pain and reduce muscle spasms. Larger versions of this home-use TENS units are utilized by chiropractors, physical therapists and other rehabilitation healthcare professionals.
Adjustments (Spinal Manipulation) At the heart of chiropractic care are spinal adjustments. Spinal manipulation frees restricted movement of the spine and helps to restore misaligned vertebral bodies with their appropriate position in the spine. Spinal adjustment helps to decrease nerve irritability responsible for causing inflammation, muscle soreness, pain, and other symptoms associated with sciatica. Adjustments should not be painful. Spinal manipulation is demonstrated to be safe and effective.
In college and during their training, students of chiropractic understand many different adjustment techniques permitting them to take care of various sorts of subluxations and spinal disorders. Chiropractic techniques vary in the swift high velocity thrust to people that unite minimal pressure and mild pressure. Mastery of each technique is an art which needs great precision and skill. Spinal adjustments and manipulations is the treatment that differentiates chiropractic care from other medical areas.
Dr. Alex Jimenez’s Insight
Sciatic nerve pain, or sciatica, is identified as radiating pain and discomfort along the length of the sciatic nerve, which travels from the low back down the buttocks and into one or both legs, occasionally reaching all the way down to the calf and foot. Approximately more than 3 million cases of sciatica are reported in the United States each year, where it is generally caused by the compression of the sciatic nerve as a result of a bulging or herniated disc. Chiropractic care is a well-known, alternative treatment option commonly utilized to help improve a variety of spinal health issues, including sciatica, or sciatic nerve pain.
Chiropractic’s Limitations in Treating Sciatica
Sciatica may be caused by other disorders beyond the scope of chiropractic clinic. If the doctor of chiropractic, or chiropractor, determines the patient’s disease requires treatment by another kind of doctor, then the patient is referred to another specialist. In some cases, the chiropractor can continue to treat the patient and also co-manage the patient’s care with the other specialist. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
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