The body’s muscles function to produce force and motion. The trapezius muscle is one of the largest, which makes it highly susceptible to injury/s and spasms. A trapezius muscle spasm is when the muscle starts to contract. This muscle group is based around the neck and shoulders and is used to move the scapula shoulder bone.
Causes of Trapezius Muscle Spasms
A few causes for this muscle to become inflamed/irritated include:
Poor posture
Injury
Stress
Tension
Improper lifting
Symptoms
The effects feel similar to a pulled shoulder muscle. Common symptoms include:
Upper body stiffness
Shoulder pain
Neck pain
Arm numbness/tingling
Lack of shoulder flexibility
Spasm and Pinched Nerve Difference
A muscle spasm and pinched nerve might seem or feel similar, but they are different. A muscle spasm makes the area tight and can cause muscle twitching. They vary in intensity with some spasms being mild and others excruciating. In some cases, a spasm can cause a nerve to get pinched if the knot contorts tightly around a nerve and if it is big enough. Conversely, a pinched nerve can also cause twitching, but it typically results in severe pain. Pinched nerves can also cause tingling sensations and numbness depending on the severity it could cause muscle spasms.
Treating The Spasms
There are a few ways to treat this naturally.
Heat and Ice Therapy
One way to calm a muscle spasm is using heat and ice. The heat will increase nerve and blood circulation keeping the muscles flexible, and the warmth will soothe the injury. This helps prevent the muscles from spazzing and generating pain. Ice therapy also increases blood circulation but the focus is on reducing inflammation. The nerves become slightly frozen which stops the tingling, significantly reducing the pain.
If pain presents around the trapezius, immediately put an ice pack on.It should be applied every few hours in 15-minute sessions. Once the pain subsides, heat therapy can be applied. A heating pad placed around the area, a warm/hot bath, or standing in the shower if possible with a massage setting letting the warm/hot water hit the muscle. But it must be consistent, doing it for about 20-minute sessions three times a day.
Stretches and Exercises
Stretches and exercises can help keep the muscle flexible and prevent any tightening.
Upper Trapezius Stretch
This stretch will move the upper trapezius area, promoting flexibility and preventing the muscle from becoming stiff.
Sit in a chair with proper posture
Holding onto the chair with the left hand, wrap the right arm over the top of the head so that the hand touches the left ear.
Gently pull the head toward the right and hold.
Slowly move the head back and repeat with the other hand.
Shoulder Shrugs
Moving the shoulders up and down throughout the day stretches the trapezius.
It releases tension and strengthens the muscle to protect it.
This exercise should be done every few hours for about a minute or two.
Also occasionally rolling the shoulders will help stretch the smaller components of the trapezius.
Cobra Pose
This yoga pose is for relieving tension.
It can be very helpful for those suffering from severe spasms or from a pinched nerve.
The first thing is to lie face-down on the floor.
Keeping the feet straight behind, use the hands to gently push the upper body up so that the spine slightly curves.
Make sure that the hands are situated in front of the body and firm on the ground.
Hold for a few seconds and then release.
Repeat the process three more times.
Therapeutic Massage
The soothing motions from a massage will calm irritated areas and encourage them to heal quicker.
At first, because of the tenderness around the area, a massage could present with pain.
The massage therapist needs to press on the area to increase blood circulation so that toxins get flushed out.
While it might hurt the individual soon notices that the swelling and pain are reducing.
Chiropractors specialize in the musculoskeletal system and understand how the muscles, bones, and joints all work together. For muscle spasms, they investigate the problem and look at other areas of the body that could be contributing to or worsening the condition. For some, muscle spasms could be brought on by a misplaced joint pressing on the area. A chiropractor will palpate the areas to ensure this is not the case. And if there is a problem, they will perform a joint manipulation. This realigns the joint back in place and reduces muscle spasm symptoms. Over time the muscles become healthier because chiropractic releases toxins and improves the range of motion.
Body Composition
Anti-Inflammatory Diet
Often, muscle spasms are the result of inflammation. When a muscle swells, it can place pressure on surrounding nerves. The more intense the inflammation the more pressure/stress on the nerves. This can make moving and functioning very difficult because of the pain. To naturally reduce inflammation consider an anti-inflammatory diet. This type of diet is filled with antioxidants, vitamins, and minerals that will work to reduce swelling. Although it might not completely repair the muscle injury, it can reduce symptoms and stop oxidative stress. Foods to eat more of are:
Cherries
Tomatoes
Almonds
Blueberries
Oranges
Salmon
Kale
Turmeric
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
Finley JE. Physical Medicine and Rehabilitation for Myofascial Pain.�Medscape. https://emedicine.medscape.com/article/313007-overview#showall. Updated May 21, 2017. Accessed July 16, 2018.
Rodante JA, Al Hassan QA, Almeer ZS. Myofascial Pain Syndrome: Uncovering the Root Causes.�Practical Pain Manag. https://www.practicalpainmanagement.com/pain/myofascial/myofascial-pain-syndrome-uncovering-root-causes. 2012;6. Last updated on October 5, 2012. Accessed July 16, 2018.
http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.656.582&rep=rep1&type=pdf
Chiropractors don’t only work on the spine. Doctors of chiropractic are trained to treat the entire musculoskeletal system. They could be called joint specialists. Chiropractic physical therapy can help with knee pain. They can help bring knee pain relief in several ways by treating the root cause/s. A chiropractor will perform:
Knee adjustments
Hip adjustments
Posture analysis
Gait analysis
Weight distribution analysis
There are also a number of chiropractic physical therapy modalities to help with pain, swelling, and arthritis. Knee pain causes can vary. A chiropractor can determine the underlying cause, relieve the pain, and help prevent future injury. �
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Chiropractic and The Body’s Musculoskeletal System
Many think that treating knee pain comes down to surgery or painkillers. Surgery can be the best option for some, but it is always best to exhaust conservative treatments, which chiropractic physical therapy is one of the most effective. Pain medication can be appropriate but with the addictive potential about they are best avoided unless absolutely necessary. Chiropractic offers an alternative to pain medications and even surgery for certain cases.
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Causes For Common Knee Pain Issues
Here are some of the most common causes of knee pain along with the ways a chiropractor can help to relieve the pain and treat the underlying issue. Treatment plans vary depending on the specific circumstances/conditions. �
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Knee Bursitis
Bursitis is inflammation of the fluid-filled sac located in the joints between bones, tendons, and muscles. The sacs are called bursae and are essential in proper joint function. They help reduce friction during the course of regular joint movement/function. Knee bursitis is commonly caused by overuse and misalignment. It can be caused while:
Walking
Running
Kneeling
Stretching the knee
It can also cause swelling around the front of the kneecap
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Chiropractic Treatment
The reduction of pain and swelling are the first steps of chiropractic physical therapy. This is achieved with:
Therapeutic massage
Ultrasound
Hot and cold therapy
Cold laser therapy
Once the pain and swelling are addressed then the cause of the inflamed bursa can be determined. This is done through adjustments of the knee, hips, or spine to help correct the issue and promote proper recovery and prevention.
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Patellar Tendonitis
Tendonitis means there is damage or irritation to a tendon. Patellar tendonitis occurs in the tendon that connects the kneecap to the shin. This is common for individuals who run and jump regularly like athletes. Overweight individuals have an increased risk for patellar tendonitis because of the extra stress placed on the knees. This is often a result of repeated overuse and happens gradually. It can be the result of trauma to the knee as well. The pain happens just below the kneecap and increases with physical activity. �
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Chiropractic Treatment
Most often rest is the first option. Chiropractic physical therapy can recommend wearing a knee brace during the treatment. They will also teach the patient proper stretching and warm-up exercises to prevent tendonitis. �
Osteoarthritis
Chiropractic is effective at reducing arthritis pain and inflammation throughout the body. Osteoarthritis can make everyday activities like walking and kneeling difficult or impossible. Chiropractic is designed to help reduce pain increase blood/nerve circulation that will promote healthy joint function and movement. �
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Chiropractic Treatment
Chiropractic will help osteoarthritis through:
Massage
Ultrasound
Laser therapy
All can help reduce pain and inflammation in the knees joints
Hands-on stretching
Adjustments can also help to improve the range of motion and joint function
This is important because knee pain can lead to increased pressure on the joints in the lower back, causing discomfort/pain as well.
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Knee Valgus
Knee valgus also known as knock knee, is an inward tilt of the knees. It is easy to see when squatting or kneeling, but it can also happen when walking or standing. Young children tend to develop knee valgus but grow out of it by the time they are 10 years of age. However, if the knees remain bowed into the teenage years and beyond, it can cause issues in the hips, glutes, and back. Knee valgus can also be the result of:
Weak muscles in the legs, hips, or glutes
Tight muscles in the legs, hips, or glutes
Determining the exact cause is essential to address it and develop a treatment plan to correct the issue.
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Chiropractic Treatment
Chiropractic specializes in the musculoskeletal system and a doctor of chiropractic knows what to look for. A chiropractor can address the issue through adjustments of the spine, hips, and knees. Hands-on clinic exercises and at-home exercises will be incorporated to correct the issues. These exercises combined with chiropractic will address structural and postural issues. �
Other Knee Pain Causes
Chiropractic can also address and recommend treatments for other knee conditions. These include:
Chiropractic Adjustments for Pain Relief, Function, and Prevention
Problems with the hips and spine can contribute to knee pain, as well as issues with the foot, ankle, or pelvis. Chiropractors perform a thorough examination of all the joints, tendons, and muscles that could be contributing to the pain. They will look at a full medical history and other details like:
Overall health
Diet
Lifestyle habits
Job
Exercise and/or sports activities
Injuries
Posture
Walking gait
With this information, the chiropractor will develop a customized plan unique to the individual’s needs and situation. Waiting for the pain to go away is not the best option. Chiropractic is safe, non-invasive, and offers a thorough approach to treating knee pain.
Body Composition Testimonial
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Difficulty Moving
Lack of adequate muscle can cause difficulty moving like taking the elevator becoming a necessity, getting tired more easily, and getting in and out of a car can become a challenge. These are all possible experiences that can come as a result of losing muscle. Around 19% of women and 10% of men aged 65 years or older are unable to kneel. With no balance to kneel and pick something up means trouble. What to do to prevent massive muscle loss.
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*
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References
Hott, Alexandra et al. �Effectiveness of Isolated Hip Exercise, Knee Exercise, or Free Physical Activity for Patellofemoral Pain: A Randomized Controlled Trial.��The American journal of sports medicine�vol. 47,6 (2019): 1312-1322. doi:10.1177/0363546519830644
Bhagat, Madhura et al. �Immediate effects of Mulligan’s techniques on pain and functional mobility in individuals with knee osteoarthritis: A randomized control trial.��Physiotherapy research international: the journal for researchers and clinicians in physical therapy�vol. 25,1 (2020): e1812. doi:10.1002/pri.1812
The shoulder is subject to different irritations, injuries, and conditions. Shoulder impingement is a common ailment but is often confused with other shoulder problems. Properly treating impingement syndrome needs proper diagnosis first. Most shoulder impingement cases do not require surgery. Conservative treatment like chiropractic focuses on pain reduction while increasing the range of motion. This is achieved with manual manipulation, soft tissue therapy, cold laser therapy, and spinal adjustments for shoulder posture realignment.
Shoulder Impingement Symptoms
Shoulder impingement often gets confused with a pinched nerve or a rotator cuff tear. The symptoms can be similar, but the treatment options differ. This is why it�s important to know the specific shoulder issue presenting. This can be done by recognizing the symptoms and performing a shoulder impingement self-exam. Symptoms include:
Pain when lifting the arm straight out.
Pain when lifting the arm overhead.
Pain along the outside of the shoulder, the front, back, or side.
Dull throbbing pain.
Trouble sleeping specifically individuals that sleep with their arm over their head.
Shoulder Impingement Self Exams
There are self-exams at home to help determine if it is in fact shoulder impingement. These exams are just to get a better idea, but a professional chiropractic diagnosis is recommended.
Exam 1
Take the hand of the affected arm and place it on the opposite shoulder, creating a V shape at the elbow.
Keeping the hand on the opposite shoulder, raise the elbow straight out in front bringing it up toward the face.
If pain presents in the shoulder while moving the elbow up, then shoulder impingement could be a possibility.
Exam 2
Stand up with hands down at the sides.
Turn the hand of the affected shoulder inward, so the thumb faces back instead of forward.
Keep the thumb pointing backward, raise the arm straight up in front and over the head.
Note if there is any discomfort or pain.
Bring the hand back down to the side.
Next, turn the hand so that the palm is facing forward.
Again, raise the arm in an arc, ending above the head.
If pain presents while raising the arm with the thumb back, but feel relief with the palm facing forward, it is likely a shoulder impingement.
Chiropractic Relief
If there is some sort of impingement different treatment options exist. Many doctors treat shoulder impingement with injections and pain management. Studies show that conservative treatment, like chiropractic, have shown positive results for shoulder impingement cases.
Chiropractic improves joint function and mobility while treating the underlying root cause. A chiropractor will use a multi-approach depending on the cause. A combination of adjustments, anti-inflammatory protocols, and active release techniques can be used.
Chiropractic Adjustment
One of the first things chiropractors look at is the spine. This is because poor posture, and slumping shoulders, can be a major contributor to impingement. Chiropractors perform a posture assessment and, if necessary a spinal adjustment to achieve proper alignment is the beginning to get the body back in balance.
Anti-Inflammation Protocols
Next, is the shoulder itself. Deep tissue massage and anti-inflammation techniques like cold laser therapy or ultrasound can relieve pain, and reduce inflammation. Once the pain has decreased, the chiropractor will move on to active release techniques.
Active Release Technique
Usually the result of the muscles or tendons becoming inflamed and irritated, the active release technique is used to separate any scar tissue from the soft tissue. The active release technique is performed with a combination of movement and manipulation. This increases healing through proper blood flow and circulation.
Healing Naturally
Here is an example of a potential treatment plan. All treatment plans are different depending on:
Individual health
Activity level
Medical history
Age
Injury
Rest and Pain Reduction
The first step in healing is rest. Individuals will be recommended to cease any overhead arm activity and any activity that causes inflammation of the shoulder.
Pain reduction treatment. This could be:
Ultrasound
Laser therapy
Massage
Other forms of pain relief and inflammation reduction
Adjustments/Alignment
Chiropractic adjustments performed on the upper cervical spine, upper back, and shoulder area will address the overall cause.
Posture assessments will determine if the spine needs adjusting and if it is a cause of the impingement.
The exercises are also called shoulder impingement rehab protocols.
Rehab Protocol
The stretches and exercises are an essential part of the healing process. The specific exercises will depend on the individual’s specific treatment plan but are made to be gentle on the body without any special equipment. If you have any questions call our chiropractic and physical therapy clinic to talk to a trained professional.
Body Composition
Strength Training
Strength training is defined as a technique/method of improving the body’s muscular strength. This is achieved by gradually increasing the resistance force through the use of free weights, machines, or body weight. This means the body gets stronger and more capable of performing regular, work, and sports activities without experiencing weakness, fatigue, discomfort, and pain. Examples could include:
Carrying groceries or children
Moving furniture, household objects, etc.
Running
Jumping
Other physical activities
Strength training has numerous benefits, including:
Increased physical performance
Improved blood pressure
Improved metabolism
Reduced fat mass
Increased bone strength/density
Improved cognitive ability
Prevention and management of type 2 diabetes
Improved cholesterol levels
Reduction of pain associated with chronic conditions
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*
Shoulder and arm pain can be debilitating, especially when there is no obvious cause or injury that needs to be treated. A rare condition known as brachial neuritiscan cause spasms along with pain down the arm, followed by numbness, tingling, and weakness. If not diagnosed and treated early, the symptoms can worsen with time. The pain experienced can be described as sharp, searing, and shooting. Brachial neuritis can be intense and disabling when it presents for hours and even days.
Utilizing a chiropractic approach, shoulder and spinal adjustments can provide relief and a faster healing/recovery from the inflammatory condition. Individuals experiencing shoulder, arm, and possible hand pain should consult with a chiropractor about a potential home and clinic treatment plan to improve their condition.
Medical History and Examination
The process of diagnosing brachial neuritis involves an individual’s medical history and physical exam. More complicated cases could require imaging studies and electrodiagnostic tests. The first steps in diagnosing the cause of shoulder and/or arm pain include:
Medical history
Information will be collected on an individual’s:
Medical history
Family history
Underlying conditions
Recent illnesses or injuries
Lifestyle habits
How and when symptoms began
Current symptoms
Physical examination
A chiropractor will palpate or inspect by feeling the neck, shoulder, and arm for irregularities. Then they will examine the range of motion, strength, and reflexes. If the individual’s history and physical exam suggest that the cause could be brachial neuritis or other condition involving the nerves, imaging studies, and diagnostic tests could be required to evaluate further.
Symptoms of Brachial Neuritis
The condition is also known as Parsonage-Turner Syndrome. It affects the brachial plexus, a set of nerves that run from the neck and upper back to the shoulders. The condition usually affects only one side of the body and presents randomly.
What happens is the nerves become inflamed.
Inflammation can be triggered through an autoimmune response. This is often the result of an infection, surgical procedure, or other internal stressors. The inflammation can lead to severe debilitating shoulder pain over a few days.
This also leads to long-term numbness, weakness in the shoulder and arm.
The pain becomes worse with movement.
Typically, the pain goes away on its own within a few days.
Numbness, weakness, or tingling in the shoulder or arm continues.
Over time the symptoms begin to worsen and, if left untreated, could lead to muscular atrophy of the arm.
The pain and weakness can make it difficult to move the arm, leading to decreased strength.
Symptoms can last up to a year or more.
This is why individuals have to find ways to strengthen their shoulder/arm despite the condition.
Chiropractic Relief
Treatment requires a pain management program until the pain subsides. Once the pain is manageable, chiropractic, physical therapy, exercises, and stretches could improve mobility and strength. Chiropractic can provide relief and tools necessary to prevent the worsening of symptoms. Chiropractic helps to:
Reduces pain
Improves mobility
Restores strength
Chiropractic manipulation will ensure that the nerves near the brachial plexus do not become compressed, but if they are, then chiropractic can be utilized to decompress/release them. In addition, trigger point release and massage can help alleviate the tension in the surrounding tissues of the arm and shoulder.
A chiropractor will educate the individuals on effective pain management techniques for home, including ice/heat therapy and stretching exercises. These techniques will help restore the proper alignment and flow of the spinal vertebrae, nerves, and muscle tissues, allowing the body to heal quickly, naturally, and more effectively.
Chiropractic Shoulder Pain Treatment
References
Feinberg, Joseph H, and Jeffrey Radecki. Parsonage-turner syndrome. HSS journal: the musculoskeletal journal of Hospital for Special Surgery vol. 6,2 (2010): 199-205. doi:10.1007/s11420-010-9176-x
Osteoporosis prevention can be accomplished, even with an osteoporosis diagnosis. There are steps along with your doctor’s treatment plan and recommendations to help control the disease from progressing. An osteoporosis prevention plan can be generated to improve general health and reduce the chances of a fracture in the spine or other bones. �
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Doctor Discussion
Make an appointment with a specialist to talk about osteoporosis risk factors. If you are 40 years of age or older, take some time to review the list of potential risk factors to discuss. An individual’s response can help prepare for this healthcare discussion.
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Risk Factors
The individual has had a bone fracture as an adult – wrist, hip, spine, etc.
History of osteoporosis in family – mother, sister, father.
Body Type – small, medium, large frame.
Body Shape – Thin, frail, overweight, obese.
No regular exercise.
Tobacco use – smoke, vaping, chewing, etc.
Alcohol consumption – Drinks 3 or more times a week, sometimes binge drinks.
Diet does not include calcium – milk, yogurt, or vitamin D – cheese, eggs.
Occasional crash diet.
Eating disorders – anorexia, purging, bulimia.
Corticosteroid/s use and/or anti-convulsant medication/s use.
Less stability on feet.
Experiences occasional falls.
Women – 45 or younger, beginning of menopause, 50 or older, post-menopause.
Men – Diagnosed with low testosterone levels.
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Learn Your T-score
A bone mineral density test is the most dependable way to predict and detect osteoporosis. It is a painless test and can take around ten to thirty minutes to complete. The T-score is a number that lets an individual know where their bone density it and if it is good or not so good.
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Build Bone Mass
Bone mass can be built up by including weight-bearing and resistance exercise into a regular workout. The difference between weight-bearing and resistance exercises is that weight-bearing uses the bone/s and muscle/s to work against gravity.
Walking, jogging, and dancing, are examples of weight-bearing exercises. Weight lifting or free weights are examples of resistance exercise. Here the body’s muscular strength is being utilized. This helps build bone mass and strengthen muscles.
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Calcium/Vitamin D Rich Diet
Taking the time to nourish the body properly will help with osteoporosis prevention and achieve optimal health. Calcium and vitamin D won’t completely prevent or cure osteoporosis, but it is essential to include these minerals and vitamins in your diet daily. If an individual is lactose intolerant, there are fortified food products like orange juice and cereal/s to help meet daily mineral/vitamin requirements.
Check out the best and worst foods for bones. Supplements are another option to help boost calcium and vitamin D. Your doctor will know how much calcium and vitamin D you need. Taking too much is not being health-wise. Taking too much of a supplement can make an individual sick. Registered Dietitians and Health coaches can educate on making wise food and supplement choices. A doctor can aid in finding either in your area. �
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Stop Smoking
Smoking increases the risk of osteoporosis. Smoking affects pretty much every organ in the body. Smoking interferes with the body’s ability to absorb calcium and lowers the hormones the body needs to build and keep the bone mass. Quitting will decrease the risk of cancer, heart, lung disease, and osteoporosis.
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Reduce Alcohol
Too much alcohol consumption causes poor nutrition. Poor nutrition causes bone density to decline, which leads to osteoporosis. And alcohol increases the risk of falling. Falls are one of the leading causes of spinal/other bone fractures. So contact your doctor or chiropractor and discuss an osteoporosis prevention plan.
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*
Surgery for sciatica is sometimes necessary if medications, chiropractic, and physical therapy are not working to relieve sciatica symptoms, but don�t worry. Individuals sometimes have sciatica that just does not respond to conservative treatment can find relief through surgical procedures.
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Questions begin to pop up, as to which procedure makes the most sense, what will the experience be like, and how long will it be until you can get back to a normal, pain-free life?
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Sciatica
Sciatica is pain that runs down the longest nerve in the body, known as the sciatic nerve. Pain starts in the lower back and spreads down one leg, into the calf and possibly the foot. It is rare but sciatica can occur in both legs. The pain is mild to severe and feels worse when sneezing, coughing, bending, and standing/sitting in certain positions. The pain is often accompanied by numbness, tingling, or weakness in affected legs. �
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Sciatica a set of symptoms caused by other medical problems like an injury, tumor, or the most common cause around 90% of the time is a herniated disc in the lower back. The soft-gel center of the disc pushes through the tough exterior, where it can pinch or press on the sciatic nerve causing pain.
Research shows that sciatica affects 1% to 5% of the population, and around 40% will experience sciatica at some point in their life. Men between the ages of 30 and 50 have a higher risk along with smokers, individuals that sit for a long time, and those that perform physically strenuous work. Doctors and chiropractors can diagnose cases of sciatica with a medical history and physical exam. Diagnostic imaging can also be used in some cases.
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When it’s Time to Consider Surgery for Sciatica
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Most individuals with sciatica respond positively with non-surgical treatments like chiropractic, physical therapy, acupuncture, medication, spinal injection/s, etc. This makes spine surgery a rarely needed treatment for low back and leg pain caused by sciatic nerve compression. But there are situations when surgery for sciatica could be beneficial.
Symptoms become severe and non-surgical treatment is no longer effective
There are different types of surgical procedures for spine surgery. A spine surgeon will recommend the best approach for each patient’s sciatica. Which procedure they recommend will be based on the disorder causing sciatica with the entire procedure clearly explained so that you understand completely. Ask any questions to better understand the surgeon’s recommendation. Remember, the final decision is always up to you. A second opinion is recommended before deciding.
Sciatica usually goes away on its own with the majority of cases managed with conservative treatment. Depending on the cause, this could be heat or ice packs, chiropractic, therapeutic massage, pain medication, stretching exercises, physical therapy, or injections. �
Sciatica for Surgery Options
Surgery for sciatica is performed to relieve the added compression/pressure on the nerves and relieve the pain. Options include a microdiscectomy and laminectomy. Each has its similarities and differences when it comes to the preparation, process, and recovery for the operation. �
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Microdiscectomy
During a microdiscectomy, part or all of the herniated disc is removed. Research has shown the effectiveness of relieving pain to be around 80 to 95 percent of patients. The operation is done in a hospital or surgery center and requires about one hour to complete. General anesthesia is administered during this procedure.
A surgeon will make an incision over the affected disc.
Skin and tissue covering the disc will be opened and moved for better access. Some of the bone could be taken out as part of the procedure called a laminotomy.
The surgeon will use various tools to remove all or part of the herniated disc.
Once the removal is done, the surgeon will close the incision and send you to a recovery room.
To quicken the healing process patients are encouraged to start walking within hours of the procedure.
Most go home the same day. Some patients will have to stay at the hospital for observation. This could be from other conditions present.
You will not be allowed to operate a vehicle the same day. Therefore a designated driver will be necessary.
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Laminectomy
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Preparation for a laminectomy is similar to a microdiscectomy. The lamina is the back part of the vertebrae, which protects the spinal canal. This procedure relieves pain by creating space for the nerves to move around.
The procedure takes about one to three hours from start to finish.
Both sides of the laminae are removed, along with the spinous process in the middle.
The patient lies face-down as the surgeon makes an incision near the affected vertebrae.
Skin and muscles are moved around and various tools/instruments are used to remove all or part of the lamina. Overgrowth of bone or spinal disc could also be removed.
The incision is stitched or stapled, bandaged, and sent to a recovery room.
Just like a microdiscectomy the individual will be encouraged to begin walking the same day.
Most individuals leave the hospital after surgery, however, a one to possible three-night could be required for others.
A driver does need to be designated for the ride home.
A microdiscectomy is recommended for stenosis caused by a herniated disc. However, if the stenosis is caused by another health issue/condition like bone spurs developed from arthritis, then a laminectomy could be the best approach. Laminectomies are usually performed on individuals in their 50s or 60s. While micro discectomies vary when it comes to age but are usually performed on younger individuals.
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Recovery
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At home, post-op rules need to be followed no matter what surgery for sciatica was performed. The incision area needs to stay clean and no lifting of heavy objects, bending and sitting for extended times. Surgery for sciatica is considered safe with complications being uncommon. All operations come with risks. These include nerve damage, blood clots, and infection.
The provider needs to know about unusual symptoms after the procedure. This could be fever, excess drainage, or pain around the incision area. Pain meds could be prescribed to ease the post-surgery pain, and chiropractic along with physical therapy could be implemented to speed recovery. Individuals are typically cleared to return to work two to four weeks after the procedure. It could be six to eight weeks if their job/occupation is physically demanding and strenuous.
Depending on how complex the spine surgery is an individual could be sitting upright the same day and walking within 24 hours. A course of pain meds could be prescribed to help manage postoperative pain. Instructions will be given on how to sit, rise, get out of bed, and stand in a careful manner. The body needs time to heal, so a doctor could recommend activity restriction. This could be anything that moves the spine too much. For sure contact sports, twisting, or heavy lifting during recovery are to be avoided. Report any problem/s like fever, increased pain, infection right away.
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Spine Surgery Relief
Many individuals benefit from sciatica surgery, but it doesn�t work for everyone. A small percentage of individuals continue to feel discomfort in the weeks/months after. And sciatica can return in the future and in a different location. Your healthcare provider can help you decide if surgery for sciatica is the right choice for you.
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Treating Severe & Complex Sciatica Syndromes
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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*
Part 2 delayed braking reaction time caused by sciatica, we continue with the spinal cord, nerves, and how they communicate with the brain. A herniated disc can cause sciatica, which is a compressing of the nerve/s in and around the spinal cord. This compression causes a pinching of the nerve/s like bending a water hose cuts off the flow and damages the hose, is what happens to the spinal nerve/s cutting proper blood flow, and proper synapse/signal flow.
This occurs from the damage to the nerve/s and could delay braking signals for a split second. But that is all that is needed for an auto accident to happen. A delay in braking time has been found in individuals with herniated/bulging/ruptured/slipped discs. Fortunately, through chiropractic and physical therapy, the nerves can be re-stimulated and brought back to optimal function.
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Communication
The spinal cord is about one inch across at its widest and around eighteen inches long. The spinal cord is a type of tube that is filled with nerves and cerebrospinal fluid. This protects and nourishes the cord. Spinal cord added protection includes:
There are three types of membranes surrounding the spinal cord referred to as meninges. The outer membrane is known as the dura mater, the middle membrane is the arachnoid mater and the innermost membrane is the pia mater. �
� These membranes can become inflamed and damaged by disease or trauma. Arachnoiditis is caused by inflammation of the arachnoid lining that results in intense stinging and burning pain. This can happen post-surgery and can cause the scarring of nerve/s.
The nerves exit the spinal column and branch out to the rest of the body. All parts of the body are controlled by specific spinal nerves. The nerves are placed in and around the area they control. Like the nerves in the neck area branch out into the arms. This is why a neck ache/pain issue can lead to pain spreading into the arms and hands.
Thoracic spine controls the middle of the body,
The lumbar spine extends into the outer legs controlling that area
Sacral nerves control the middle of the legs and organ functions of the pelvis
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The brain
Two major types of nerves: sensory and motor. Sensory nerves send information like:
Touch
Temperature
Pain
These get sent to the brain via the spinal cord. Motor nerves relay signals from the brain back to the muscles making them contract voluntarily or reflexively. Peripheral nervous system – the PNS has nerves that extend down the spinal canal and branch out at openings in the vertebrae called foramina. �
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Signals/messages get sent to and from the brain aka the central nervous system. It sends all types of signals including pain and initiates movement. For example, the nerves reflexively make the spine twist and turn when driving to keep balance when turning and braking. The peripheral nervous system is a collection of millions of nerves throughout the torso and limbs. This system conveys messages to the central nervous system.
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Referred pain
When a health problem/issue/condition takes place in one part of the body with pain being felt in another or several areas, pain specialists call it referred pain.
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Nerves
Nerves exiting the spinal cord is done in pairs with one being a sensory nerve, and the other a motor nerve. Motor nerves initiate movement and bodily function. Damage to a motor nerve could cause a weakness in a muscle or loss of function. For example, a prick in the foot that is not felt could mean there is some sensational loss, indicating a problem with the sensory nerves and or possible nerve damage. These are the nerves that control pain, temperature, etc. Sensory nerve issues can feel like shooting electrical pain Continuing with activities could exacerbate the nerve damage.
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Cauda Equina
� The spinal cord ends at the lumbar low back, where the nerves extend in a bundle of strands called cauda equina, called this because it looks like a horsetail. These nerves provide motor and sensory function to the:
Legs
Intestines
Genitals
Bladder
Therefore, based on this knowledge there is adequate information displaying how sciatica could cause a delayed braking reaction time based on the nerves’ dysfunctional signal firing. Chiropractic treatment could be an option to help an individual realign their spine, work out tight muscles, nerves, ligaments preventing any further damage, and getting the individual back in top form.
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Chiropractors & Sciatica Syndrome Expose
NCBI Resources
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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*
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