Back Clinic Treatments. There are various treatments for all types of injuries and conditions here at Injury Medical & Chiropractic Clinic. The main goal is to correct any misalignments in the spine through manual manipulation and placing misaligned vertebrae back in their proper place. Patients will be given a series of treatments, which are based on the diagnosis. This can include spinal manipulation, as well as other supportive treatments. And as chiropractic treatment has developed, so have its methods and techniques.
Why do chiropractors use one method/technique over another?
A common method of spinal adjustment is the toggle drop method. With this method, a chiropractor crosses their hands and pressed down firmly on an area of the spine. They will then adjust the area with a quick and precise thrust. This method has been used for years and is often used to help increase a patient’s mobility.
Another popular method takes place on a special drop table. The table has different sections, which can be moved up or down based on the body’s position. Patients lie face down on their back or side while the chiropractor applies quick thrusts throughout the spinal area as the table section drops. Many prefer this table adjustment, as this method is lighter and does not include twisting motions used in other methods.
Chiropractors also use specialized tools to assist in their adjustments, i.e., the activator. A chiropractor uses this spring-loaded tool to perform the adjustment/s instead of their hands. Many consider the activator method to be the most gentle of all.
Whichever adjustment method a chiropractor uses, they all offer great benefits to the spine and overall health and wellness. If there is a certain method that is preferred, talk to a chiropractor about it. If they do not perform a certain technique, they may recommend a colleague that does.
If given the opportunity, a herniated disc can occur as a consequence of trauma and can create a plethora of problematic symptoms which might become chronic pain conditions. Whiplash is most frequently associated with car collisions, but can actually happen from any injurious procedure that snaps the neck forward or back beyond its normal selection of movement.
This informative article will detail the prevalence of herniated discs related to whiplash events. We’ll investigate how whiplash occurs and how the process can enact disc injury in the cervical or upper thoracic spinal regions.
Whiplash Herniated Disc Incidents
Whiplash happens because of abrupt acceleration, or more commonly, sudden deceleration. Inertia is the force which can create harm to the spinal structures and the throat muscles at the neck and back.
The head is a really heavy weight that is supported by the slightly thinner and weaker vertebrae and intervertebral discs in the cervical spine. When inertia is applied to the entire body, the head will snap backwards or forward, causing both and typically hyperflexion or hyperextension. As it whips about causing an assortment of injurious events that are possible, including a herniated disc, this heavy weight places stress on the cervical spine.
Herniated Disc Pain and Discomfort
Whiplash typically occurs from severe trauma, such as an automobile accident, slip and fall, sports injury or act of violence. Any situation which causes the head to jolt abruptly back-and-forth, can cause whiplash.
Whiplash is a condition which sometimes occurs after an accident, but could also take some time to become apparent. The reasons for this time delay response vary, but are commonly linked to three possible causations:
First, it’s the pain relieving quality of adrenaline, which often fills the bodily systems during a crash. This can diminish the severity symptoms which might otherwise be debilitating when they occur. Second, is the psychological nocebo effect of the trauma, which could take some time to infiltrate and to come up within the subconscious mind. Finally, the secondary gain principle enacted by legal action having to do with the accident might causes time delay. It’s no coincidence that people begin to experience pain right around the time they seek professional help.
Whiplash & Herniated Disc Consequences
The vast majority of whiplash complaints are due to muscular injury, not damage to the spinal column. Neck muscle pain can be extremely severe, but is not a significant worry and should resolve with symptomatic treatment.
Extreme trauma or highly focused trauma can cause a bulging disc or even a ruptured disc in the neck or upper back. Symptoms are very likely to be painful for a number of weeks, but should resolve within 2 months, as is typical for practically any disc injury condition with the proper treatment and care.
Other less common effects of severe whiplash might incorporate a change in the natural curvature of the spine, a fractured or shattered vertebra or a torn ligament or tendon.
Whiplash Herniated Disc Guidance
A lot of men and women suffer whiplash traumas on a daily basis. These types of injuries are an inherent part of the fear we have towards spinal damage and are an integral component of litigation. Both of these factors make judging the actual degree of any whiplash neck injury complicated.
Pain is often worsened or perpetuated through psychosomatic or secondary gain factors, instead of structural anatomical problems. It is crucial, as a patient, to look past the psychological and legal implications of your injury and concentrate on your recovery.
The neck, like every other area of the human body, was made to heal, but will only do so in the event that you give it the mental and emotional support and trust it requires.
There isn’t anything more important than your health. Unfortunately, this is a lesson for those who endure a plethora of herniated disc treatments and eventual disc surgery simply to bolster a case that is legal. When the case is over, you might have some money, but is it really worth it to lose your freedom and functionality for the remainder of your life?
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Automobile Accident Injuries
Whiplash, among other automobile accident injuries, are frequently reported by victims of an auto collision, regardless of the severity and grade of the accident. The sheer force of an impact can cause damage or injury to the cervical spine, as well as to the rest of the spine. Whiplash is generally the result of an abrupt, back-and-forth jolt of the head and neck in any direction. Fortunately, a variety of treatments are available to treat automobile accident injuries.
Title: Spinal Adjustments are Safe in the Presence of Herniated disc with the Absence of Cord Compression
Abstract: The objective was to explore the use of MRI to increase the efficacy and safeness of adjusting the cervical spine in the presence of a disc herniation when there is no evidence of cord compression on MRI.
Introduction: A 30 year old male patient presented to the office on 1/8/14 with injuries from a motor vehicle accident. The motor vehicle accident had occurred 3 weeks prior to his first visit. The patient was the restrained front seat passenger. The car he was travelling in struck another car and the patient�s car was flipped over onto its roof. While the car remained on its roof the patient was able to crawl out and awaited medical attention. The patient was taken by ambulance to the hospital where he was examined and testing was ordered. The patient had multiple CT scans of the head and X-rays of the cervical and lumbar. The CT of the head revealed a nasal fracture and the patient underwent immediate surgery to repair his broken nose.
Safe and Effective Chiropractic Adjustment Study
The patient presented three weeks post-accident with persistent and progressive daily occipital headaches, neck pain into the shoulders bilaterally, upper back pain and lower back pain that radiates into the legs and down into the feet bilaterally. He has swelling at the left anterior knee and bandages around the right elbow and two black eyes.
The patient states that he was having difficulty with regular activities of daily living including walking for more than 15-20 minutes, long periods of standing, more than an hour of sitting, any bending or lifting and any regular daily chores. The patient also states he was having difficulty getting a restful night�s sleep due to the pain. The patient�s visual analog scale rating was 10 out of 10.
History: The patient denied any prior history of neck or back pain. No reported prior injuries or traumas.
Objective Findings: An examination was performed and revealed the following:
Range of Motion:
Cervical Motion Studies:
Flexion: Normal=60 Exam- 25 with pain with spasm
Extension: Normal=50 Exam- 20 with pain with spasm
Left Rotation: Normal=80 Exam- 35 with pain with spasm
Right Rotation: Normal=80 Exam- 35 with pain with spasm
Left Lat. Flex: Norma=-40 Exam- 15 with pain with spasm
Right Lat. Flex: Normal=40 Exam- 15 with pain with spasm
Dorsal-Lumbar Motion Studies:
Flexion: Normal=90 Exam- 35 with pain with spasm
Extension: Normal=30 Exam- 10 with pain with spasm
Left Rotation: Normal=30 Exam- 10 with pain with spasm
Right Rotation: Normal=30 Exam- 5 with pain with spasm
Left Lat. Flex: Normal=20 Exam- 5 with pain with spasm
Right Lat. Flex: Normal=20 Exam- 5 with pain with spasm
Orthopedic Testing
The orthopedic testing revealed the following positive orthopedic tests in the cervical spine: Valsalva�s indicating the presence of a disc at L4-S1 and the lower cervical region, foraminal compression indicating radicular pain in the lower cervical region, Jackson�s compression , shoulder depressor and cervical distraction all indicating pain in the lower cervical region. The lumbar testing revealed a positive Soto-Hall with pain at the L4-S1 level, Kemps positive with pain from L4-S1, Straight Leg raiser with pain at 60 degrees, Milgram�s with pain at the L5-S1 level, Lewin�s with pain at L5-S1, and Nachlas eliciting pain in the L5-S1 region.
Neurological Testing
The neurological exam revealed bilateral upper extremity tingling and numbness into the shoulder on the left and down the right arm into the hand. The lower extremity revealed tingling and numbness into the gluteal�s bilaterally with left sided radicular pain in to the leg into left foot. The pinwheel revealed hypoesthesia at C7 bilaterally and L5 bilaterally dermatome level. The patient was unable to perform the heel-toe walk
The chiropractic motion palpation and static palpation exam revealed findings at C 1,2 , 5, 6, 7 and T 2,3,4,9, 10 and L 3,4,5 as well as the sacrum.
X-Ray Result Study
The hospital had cervical x-rays and a CT of the head on the day of the accident. Thoracic and lumbar studies were needed as a result of the positive testing and the patients history and complaints The x-ray studies revealed a reversed cervical curve and misalignment of the C1,2,5,6,7 and the lumbar studies revealed a mild IVF encroachment at L5-S1 with rotations at L3,4,5.
The results of the exam were reviewed. The patient�s positive orthopedic testing, neurological deficits coupled with the decreased range of motion and positive chiropractic motion and static palpation indicated the necessity to order both cervical[1]and lumbar[2] MRI�s4.
MRI Results
The MRI images were personally reviewed. The cervical MRI revealed a right paracentral disc herniation at the level of C5-6 with impingement on the anterior thecal sac. There is also a C6-7 disc bulge impinging on the anterior thecal sac. The lumbar MRI revealed an L5-S1 disc herniation. There are disc bulges at from L2-L4.
CERVICAL MRI STUDIES
LUMBAR MRI IMAGES
Safe and Effective Treatment Plan
After reviewing the history, examination, prior testing, x-rays, MRI�s and DOBI care paths3 it was determined that chiropractic adjustments6 wereclinically indicated
The patient was placed on a treatment plan of spinal manipulation with modalities including intersegmental traction, electric muscle stimulation and moist heat. Diversified technique was used to adjust the subluxation diagnosed levels of C1,2,5,6,7 and L3,4,5. Although there were herniated and bulging discs present in the cervical and lumbar spine there was no cord compression. Therefore; there was no contraindication to performing a spinal adjustment. As long as there is enough space between the cord and the herniation or bulge then it is generally safe to adjust.5
The patient responded quite favorably to the spinal adjustments and therapies over the course of 6 months of treatments. Initially, the patient was seen three times a week for the first 90 days. The patient demonstrated subjective and objective improvement and his care plan was adjusted accordingly and reduced to two visits per week for the next 90 days of care. His range of motion returned to 90% of normal:
Range of Motion:
Cervical Motion Studies:
Flexion: Normal=60 Exam- 55 with no pain
Extension: Normal=50 Exam- 40 with mild tenderness
Left Rotation: Normal=80 Exam- 75 with mild tenderness
Right Rotation: Normal=80 Exam- 75 with mild tenderness
Left Lat. Flex: Norma=-40 Exam- 35 with no pain
Right Lat. Flex: Normal=40 Exam- 35 with no pain
Dorsal-Lumbar Motion Studies:
Flexion: Normal=90 Exam- 80 with tenderness
Extension: Normal=30 Exam- 25 with tenderness
Left Rotation: Normal=30 Exam- 25 with no pain
Right Rotation: Normal=30 Exam- 25 with no pain
Left Lat. Flex: Normal=20 Exam- 20 with no pain
Right Lat. Flex: Normal=20 Exam- 20 with no pain
The patient had decreased spasm, decreased pain, increased ability to perform ADL�s and his sleep had returned to normal. The patient states that he was no longer having the same difficulties with regular activities of daily living. He was now able to walk for 45 minutes to 1 hour before the lower back pain flared up, he is able to stand for 1-2 hours before the lower back pain begins, he is able to sit for an hour or more before the lower back pain flares up. When the patient bends or lifts he has learned to use his core and lifts less than 20-30 pounds to avoid exacerbating his low back. The patient also states he was no longer having difficulty getting a restful night�s sleep. The patient�s visual analog scale rating was 3 out of 10.
Conclusion
The patient presented 3 weeks post trauma with cervical and lumbar pain as well as headaches. The symptoms were progressing and the pain was radiating into the upper and lower extremities. The history and exam indicated the presence of a herniated disc in the lower lumbar and cervical region. Cervical and lumbar MRI�s were ordered to identify the presence of the herniated disc as well as to determine whether or not the patient should be adjusted. The MRI results of both the cervical and lumbar MRI revealed herniated discs, however, because these discs were not causing cord compression it was safe to adjust the cervical and lumbar spine5.
Competing Interests: There are no competing interests in the writing of this case report.
De-Identification: All of the patient�s data has been removed from this case.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
References
New England Journal of Medicine; Cervical MRI, July 28, 2005, Carette S. and Fehlings M.G.,N Engl J Med 2005; 353:392-399MRI for the lumbar disc, March 14 2013, el Barzouhi A., Vleggeert-Lankamp C.L.A.M., Lycklama � Nijeholt G.J., et al., N Engl J Med 2013; 368:999-1000 www.state.nj.us/dobi/pipinfo/carepat1.htm -16.7KB
New England Journal of Medicine; Cervical-Disk HerniationN Engl J Med 1998; 339:852-853September 17, 1998DOI: 10.1056/NEJM199809173391219
Is It Safe to Adjust the Cervical Spine in the Presence of a Herniated Disc? By Donald Murphy, DC, DACAN, Dynamic Chiropractic, June 12, 2000, Vol. 18, Issue 13
Treatment Options for a Herniated Disc; Spine-Health, Article written by:John P. Revord, MD
Additional Topics: Chiropractic Helps Patients Avoid Back Surgery
Back pain is a common symptom which affects or will affect a majority of the population at least once throughout their lifetime. While most back pain cases may resolve on their own, some instances of the pain and discomfort can be attributed to more serious spinal conditions. Fortunately, a variety of treatment options are available for patients before considering spinal surgical interventions. Chiropractic care is a safe and effective, alternative treatment option which helps carefully restore the original health of the spine, reducing or eliminating spinal misalignment which may be causing back pain.
The most useful rule-of-thumb for headache and migraine treatment is: Have a program. See your doctor and produce a treatment strategy together. Your program will help you identify and handle migraines or your headaches early, sparing you some discomfort.
Tension Headache Treatments
When you get a pressure-type headache, it’s usually because of a change in neck, your mind, or encounter. Other tissues, nerves, blood vessels, and the muscles are experiencing distress. Treat the change, and you will reduce your headache.
It may build up unwanted stress, in case you have already been hunched over a laptop at work. Or perhaps a new medicine was started by you, or had minor neck injuries.
Take a minute curl up to stretch, or massage head your face, and neck. Consider a nap, a shower, or utilizing pack or ice pack on your own head or neck.
Tension Headache Medications
For tension headaches, you’ve numerous over-the-counter medicine alternatives. Naproxen ibuprofen, acetaminophen, and aspirin are successful. If you suspect your headache is vascular (associated to your own blood vessels), consider a pain-reliever that includes some caffeine.
Get in touch with your doctor for more tips if your headache does not react to to your own behavioral techniques and medications. In the event the headache becomes severe or lasts for more than 10 days, see your doctor. Your headache might be a signal of another condition.
Cluster Headache Treatments
Inhaling 100% oxygen right when a cluster headache starts can help lessen the pain considerably. Your doctor can help you get a portable oxygen unit to carry in a bag or briefcase.
A mainstay migraine medication, sumatriptan, is effective for cluster headaches. Learn to inject yourself right when you sense the first signs of your cluster headache. Other cluster headache medicines that are useful are dihydroergotamine, administered via an I-V, and octreotide sent as an injection.
Migraine Headache Prevention
Over the past 2 decades, health practitioners have realized effective treatments for decreasing the frequency of migraines. Avoid migraine triggers, take preventive medicine, alter your nourishment, and improve your rest.
One of numerous migraine triggers, several are foods, by avoiding so you can reduce your migraine risk:
Beans, legumes, and nuts
Fermented and pickled foods like pickles and olives
Dairy and cheese that is aged
Avocados
Onions
Cured or ag ed meats
Items containing brewer’s yeast
Chocolate, cocoa, and carob
Aspartame
Beverages
Caffeine
Other frequent migraine triggers include:
Stress
Weather changes
Poor diet
Hormonal changes
Nicotine
Physical activities that are intense
As you pay focus on what triggers your migraines, you are able to learn better what to avoid�??this is just a starting listing.
Your doctor will consider other medicines that prevent migraines. He/she might prescribe:
The blood-pressure drugs propranolol or timolol
Anti-depressants such as amitriptyline or fluoxetine
The seizure medication valproate
While these drugs came to market to handle other conditions, they are also efficient for migraine prevention.
Migraine Treatment
Migraine remedy is a race from the clock. You can take steps to reduce the intensity of the assault when you sense the warning signs of a migraine. That is the time to lie down, relax, and simply take your drugs.
Non-steroidal anti-inflammatories (NSAIDs), aspirin, and acetaminophen relieve some migraines. However, many migraine sufferers need stronger medicines for example sumatriptan or a different medication from your triptan family. In a few extreme circumstances, you may be treated by your physician with an opioid.
Treatments such as ice packs or cold compresses on your forehead rush instant reduction. Massaging your scalp and rubbing your temples may also help reduce the intensity of the migraine.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Cervicogenic Headache and Chiropractic
Neck pain associated with whiplash-associated disorders resulting from an automobile accident are reportedly the most prevalent cause for discomfort along the cervical spine. The sheer force of an impact from a rear-end car crash or other traffic incident can cause injuries or aggravate a previously existing condition. While neck pain is commonly the result of damage to the complex structures of the neck, cervicogenic headaches may also result due to neck issues. Chiropractic care can help carefully restore the alignment of the cervical spine to relieve headaches and neck pain.
Conservative treatment for whiplash includes immobilizing the patient’s neck in a well-fitting soft cervical collar; use of pain, anti inflammatory, and muscle relaxant drugs; and physical therapy.
Physical therapy (PT) helps to reduce muscle spasms, increase circulation, and encourage healing. PT can range from the following modalities: damp heat, ice, ultrasound, electric stimulation, and exercise to revive range of movement and build strength. Cervical traction might be included to the treatment strategy if symptoms persist. A cervical traction apparatus that was portable can be used at office or home. Trigger point injections including a local anesthetic may help relieve pain and tenderness.
If symptoms continue for more than 6 weeks, or new symptoms appear the patient’s condition is re evaluated. Extension injuries that are severe can damage the intervertebral discs included. Surgical intervention may in rare cases be required, when an intervertebral disc is influenced.
Surgical Interventions for Whiplash
Rarely does operation is required by the treatment of whiplash. Surgical intervention is considered in acute cases such as scapular, those presenting consistent neck or shoulder pain. The pain may indicate a rip within an intervertebral disc. Certainly one of these procedures could be performed, when intervertebral disc removal is required:
Discectomy is the surgical removal of the entire piquing intervertebral disc or part.
Microdiscectomy incorporates the usage of a microscope to magnify the surgical field during disc removal.
Percutaneous surgical procedures enable disc removal via a small incision in the trunk. All these are generally not used in the cervical spine (neck) but have been used in the low back. Automated Percutaneous Discectomy is done under radiologic control while a cannula (hollow tube) having a rotating blade breaks up the disk. The disk fragments are subsequently removed by aspiration.
Spinal Instrumentation and Fusion provides long-term stability once the target disk is removed. These processes solidify and join the degree where an intervertebral disc has been damaged or removed. Instrumentation, the employment of medically constructed hardware including rods and screws, can be combined with Spinal fusion (arthrodesis) to permanently join two or more vertebrae.
Whiplash Recovery
Throughout the recovery phase, the aim is really to help the patient resume normal activities at their pre-injury level.
The guidelines set forth by the spinal doctor and/or physical therapist should be followed. A house exercise plan is a key to rebuilding strength and increasing range of movement. It might be essential to continue physical therapy and modalities (e.g. damp heat) for a period of time.
Post operative pain or discomfort should be anticipated. Patient Controlled Analgesia (PCA) enables the patient to control their pain without hospital staff assist. PCA is eventually replaced by oral drug.
The individual could be encouraged to get up and walk the following day. Activity improves healing and circulation.
Physical therapy is added post-operatively empowering the individual to develop flexibility, strength, and increase range of motion. Physical therapy is generally continued on an outpatient basis for an amount of time. Furthermore, the therapist provides the patient with a customized home exercise program.
Prior to release in the hospital, the patient is given written directions and prescriptions for essential drugs. The individual ‘s care remains during follow-up visits with their spinal surgeon.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
Chiropractor, Dr. Alexander Jimenez�Finds Prescription Painkillers Most Common Treatment for Patients Seeking Care for Back Pain More than half of Americans suffer from back pain, as well as for those that seek treatment, doctors turn most often to prescription drugs
Ann Arbor, MI, May 19, 2017 � Many Americans (51 percent) have experienced back pain in the last 12 months, and of the 58% of those who sought treatment from a medical professional, 40 percent said they were recommended prescription painkillers, according to the Truven Health Analytics-NPR Health Poll.
Truven Health Analytics�, element of the IBM Watson Health business, and NPR run a national poll that is bimonthly to gauge opinions and attitudes on a broad variety of health�issues.
Following Are The Poll�s Findings:
Back Pain Plagues�Americans: Fifty one percent of Americans said they’ve endured from back pain in the last 12 months, and 46 percent of people who experienced pain said they are still in distress. Over half (58 percent) of back pain sufferers sought attention, with 70 percent visiting a medical doctor and 14 percent seeing a chiropractor.
Prescription Pain Killers are the Most Common Treatment: Of the 70 percent of back pain sufferers who sought care from a medical doctor, 40 percent were prescribed prescription pain killers, a rate that tended to decrease with increasing age of the patient. Other treatments prescribed were exercise/physical therapy (31 percent), shots (20 percent), massage (17 percent), steroids (17 percent), over-the-counter painkillers (13 percent), operation (12 percent), or another form of treatment (37 percent).
Almost a Third Stay in Pain with Treatment: Among all respondents, 25 percent said their back pain remained the same and five percent said their pain got worse. Forty-five percent said their pain improved, and 25 percent said it went away entirely.
�Experiencing back pain is extremely common among Americans, and there are a number of factors that may contribute to it, some of which are treatable without prescription pain killers, � said Anil Jain, MD, Vice-President and Chief Health Informatics Officer, Value-Based Care, IBM Watson Health. �These data reveal that when care is sought by the patients, they are generally prescribed painkillers. Compounding this challenge, back pain sufferers that are prescribed opioids for pain may be particularly at risk for dependency and addiction. Checking inappropriate opioid prescriptions for long-term pain is a focus of efforts by suppliers to fight the current opioid epidemic.�
To date, the Truven Health Analytics-NPR Health Survey has investigated numerous health topics, including vaccines generic drugs, data privacy, narcotic painkillers, and sports-related concussions. NPR archives reports on the surveys online in the Photos health blog here. Truven Health keeps a library of survey results here.
The Truven Health Analytics-NPR Health Poll is powered by the Truven Health PULSE� survey, an independently funded, nationally representative, multimodal poll that collects information about health-related behaviours and approaches and healthcare use from 80, 000 U.S. homes annually.
The results represent responses from 3, 002 survey participants interviewed from March 1 � 16 , 2017. The margin of error is /- 1.8 percentage points.
About NPR
NPR is an award winning, multimedia news organization and an influential force in American life. In collaboration with more than 900 independent public radio stations nationwide, NPR strives to generate a more educated public�one challenged and invigorated by way of a deeper understanding and grasp of ideas, events and cultures.
About Truven Health Analytics, section of the IBM Watson Health Company
Truven Health Analytics�, a part of the IBM Watson Health� company, supplies market-leading performance development solutions built on advanced analytics, data integrity and domain expertise. For over 40 years, our insights and alternatives have already been providing hospitals and clinicians, employers and health plans, state and government services, life sciences companies and policymakers, the facts they must make confident choices that directly alter the health and well-being of people and organizations in america and around the world. The firm was acquired by IBM in 2016 to help form a new business, Watson Health. Watson Health aspires to improve lives and give expectation by presenting innovation to deal with the world�s most pressing health challenges through cognitive insights and data.
Seeing a doctor of chiropractic, otherwise referred to as DC, chiropractic physician or a chiropractor, can be a beneficial step towards effectively treating low back pain. Below is a quick description of how they help patients resolve their low back pain and what chiropractors do.
What to Expect from a Chiropractor
Chiropractors use a number of treatments made to manipulate joints, the back, and tissues of the body to relieve pain and improve functional ability. Normally, this could be referred to as spinal manipulative therapy (SMT), but you will find several other chiropractic treatment approaches.
A chiropractor tailors her or his treatment strategy depending on the individual needs of a patient, using a traditional philosophy of starting off together with the more natural, less-invasive treatments before moving on to even more aggressive techniques.
At every stage through the procedure, chiropractors preserve a rigorous emphasis on proactively communicating together with the patient exactly what’s going to happen. The chiropractor makes certain the patient comprehends everything that occurs during evaluation, an investigation, and also the proposed procedures, so that you can instruct the patient and receive direct acceptance to start the treatment process.
This emphasis on informed consent is essential because some chiropractic techniques may carry material hazard, which means there could a danger, however, trivial, that an injury could be maybe caused by a particular process.
Nevertheless, a chiropractor also informs a patient of the potential risks attached to abstaining in the process, entirely. Nevertheless, none of this is meant to scare a patient. Make sure that the patient, who has full control over his / her body can make an informed choice and constantly it’s simply thought to remove mistakes.
Chiropractic Procedures
A chiropractor will examine a patient thoroughly prior to making any type of identification or treatment plan. The evaluation can include various aspects, including:
Health history
Look in the characteristics of the pain, keeping an eye out for “red flags,” which suggest that additional diagnostic testing ought to be ran in order to exclude any potentially serious medical problems that may be connected with neck or low back pain-like neurological disorders, fractures, diseases, and tumors.
You will find lots of reasons why low back pain happens. A chiropractor will find out those motives to configure the most appropriate treatment.
Physical examination, including orthopedic and neurological evaluations
Analyze sensory nerves, the reflexes, joints, muscles, as well as other areas of the body.
Advanced Diagnostic Testing
Lab and imaging evaluations aren’t recommended for nonspecific LBP, however they might be required if there are signs of a serious underlying condition.
Severity and Duration of Afflictions
A chiropractor looks at the symptoms and afflictions of sickness or an injury and rationally classifies them based by how serious they are, and the way long they continue.
Symptoms are subdivided into levels of severity: mild, moderate, or serious. In terms of duration, pain (and other symptoms) might be referred to as:
Acute – lasts for less than 6 weeks
Subacute – persists between 6 and 12 weeks
Long-Term – persists for at least 12 weeks
Perennial/flare up – the same symptom(s) reoccurs sporadically or because of exacerbating the original harm
In case a patient is suffering from acute or subacute low back pain, a normal chiropractic therapeutic trial is 2 to 3 weekly sessions over the course of 2 to 4 weeks, going up to 12 complete sessions per trial. Often, this can be sufficient to entirely solve the pain. Other times, additional treatments may be necessary, especially if a patient is struggling with other issues.
Result measurements certainly are a useful tool to get a chiropractor since they could help determine in the event the treatments are showing significant progress.
Some ways a chiropractor can quantify the outcomes of the treatments include:
Having a patient speed the pain
So a patient can characterize the positioning and nature of the pain, using a pain diagram
Searching for increases (or declines) in day-to-day living practices, as in the capacity to work (employment), exercise and sleep.
Testing practical capacity, such as weightlifting ability, strength, flexibility, and endurance
Some patients’ low back pain may have lasted into and beyond the 12-week mark, which makes it long-term pain. During assessment, chiropractors will look for signs to determine if a patient is at an increased risk of developing long-term pain- the “yellow flags” of chronicity so to speak.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.
El Paso, TX. Chiropractor Dr. Alex Jimenez listens in on how chiropractors can help with sciatica.
Dr. Joseph Licitra DC, a chiropractor that serves Clifton, NJ as well as Montclair, Bloomfield, and Passaic, recently discussed sciatica on a local cable show. Dr. Licitra says that chiropractors can help treat sciatic nerve pain.
Clifton, United States
Dr. Joseph Licitra DC, the owner of a chiropractic practice that serves Clifton, New Jersey and surrounding areas such as Montclair, Bloomfield, and Passaic, recently discussed sciatica on a local cable show called �Meet Clifton.� Those interested in learning more about the challenges of sciatica and how it can be treated can view an exclusive video clip for free on Dr. Licitra�s website: www.josephlicitra.com/sciatica
In addition to speaking about the prevalence of sciatica in America, Dr. Licitra also touched upon the economic consequences of the debilitating condition. An interesting fact explored during his presentation brought to light the extent of which sciatica negatively affects employee attendance in the workplace. Dr. Licitra said: �People with sciatica have difficulty sitting and bending and therefore they can�t go to work. There is tremendous economic strain on the cities, on the companies, and on the families.�
The Causes Of Sciatica
Sciatic nerve pain can stem from many different things such as repetitive bending, direct trauma to the spine, as well as a sedentary lifestyle.
How chiropractors can help � There is hope for people who suffer from sciatica. Chiropractors can determine the origin of the sciatic condition and then focus on balancing out the spine to get the bones in correct alignment. Chiropractors like Dr. Licitra who specialize in kinesiology will also focus on the musculature to pinpoint the cause(s) of sciatic pain.
Dr. Licitra has been in practice for over 30 years and has worked on many professional athletes such as the New York Giants and the National Hockey League. His practice is now offering free consultations to new patients interested in receiving treatment for sciatica, as well as to patients suffering from other health conditions like neck or back pain, shoulder pain, and even migraines.
Struggling With Sciatica?
If you are experiencing pain that radiates from the back or buttocks all the way down the legs, you may have a common condition called sciatica. Many people in Clinton suffer with the pain of sciatica and may never achieve a long-term solution. An untreated sciatic condition can continue to worsen and make the daily tasks of living go from difficult to nearly impossible. Fortunately, chiropractic treatment can help you overcome this debilitating condition.
Sciatica In Clifton
Sciatica, also known as sciatic neuralgia, is a condition that causes pain in the lower back, down the back of the leg, and into the foot. It can make sitting and standing for long periods of time difficult and can lead to weakness, tingling, and numbness in the leg and foot. It will often come and go throughout a person’s lifetime, causing periods of varying degrees of pain and discomfort. If left untreated, sciatic pain will generally grow worse and the nerve can become permanently damaged.
The reason why the pain travels so far, radiating up and down the legs and back, is due to the compression of the sciatic nerve which is the longest nerve in the body. This nerve originates in the lumbar spine and extends into the buttocks before traveling down the leg to the ankle and foot. When the vertebrae in the lower back are compressed, the roots of the sciatic nerve can become pinched and irritated which is what causes the pain.
How Do You Develop Sciatica?
There are a number of factors that can lead to sciatica. It is most commonly caused by disc injuries and bulges. In this occurrence, the disc presses against the nerve root causing sciatic pain. Disc Injuries can occur because of poor posture, repetitive use injuries, and accidents. Sciatica is also common when there are subluxations (misalignments) in the spine due to postural issues, pregnancy, or trauma. Some patients report simply bending over to pick up a piece of paper and then being suddenly hit with extreme pain. The reality, however, is that the spinal condition was probably already developing for quite some time before the triggering incident occurred.
Some people respond very quickly while others take more time to recover. It really depends on the condition of the disc or the joints that the chiropractor has to correct. In most cases, the longer the issue persists, the longer it will take to achieve correction. The great news is that it typically takes less time to fix an issue like this than it took to create it in the first place. Once the position of the spine and discs are corrected, patients often report improvements in their overall health. If you are experiencing symptoms of sciatica, please call our team at Joseph Licitra, DC today.
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