Dr. Alex Jmenez, Chiropractor Discusses: Spinal Decompression Therapies, Protocols, Rehabilitation and Advance Treatments Care Plans
At our offices, we offer conservative care for degenerative spinal conditions, including several treatment modalities. Thus, the traction distinguishes as it can elicit the body’s protective proprioceptive response to distraction, reducing intradiscal pressure and minimizing symptoms secondary to disc herniation and axial pain.
Our integrative treatments aim to determine the clinical effects of a short treatment course of motorized axial spinal decompression for patients with pain and physical impairment caused by either lumbar or cervical degenerative disc pathology with no immediate surgical indication.
Conservative care for mid to long-term degenerative spinal conditions with axial and irradiated pain generally includes pharmacological treatment, physical rehabilitation, or injections. Mechanical traction is an old treatment modality, which has been decreased in use facing other modern technologies or utilized in combination with other treatment modalities, such as manual therapy, exercises, heat, or electrotherapy. We, too, offer advanced spinal treatment workshops and boot camps to help educate patients on the dynamics of spinal hygiene.
Our patients get treated for chronic radicular axial spinal pain. This is a referred pain in the spinal axial skeleton and is considered a syndrome with both nociceptive and neuropathic pain components. Patients report improvement in symptoms with a reduction of the axial load in the spine.
Previous studies have shown a decrease of pressure in the intervertebral disc after traction, unloading of the spinal structure, and alleviating the inflammatory reaction of the nerve roots. Here, we present our patients’ literature and scientific background information to make educated decisions about the advanced spinal decompression protocols.
If you’re looking for a non-surgical solution for your persistent back or leg pain, you may want to try spinal decompression therapy. Unlike invasive or laparoscopic surgeries, spinal decompression does not require the patient to go under the knife. Instead, the patient’s spine is stretched to relieve back and leg pain. The goal of spinal decompression is to create an ideal healing environment for the affected areas.
This treatment is typically used for:
Bulging discs
Degenerating discs
Herniated discs
Call us today to schedule your first appointment! Our team in El Paso is happy to help.
The spine is essential for maintaining our upright posture and allowing us to move without pain. The cervical, thoracic, and lumbar sections support different body areas. However, environmental factors and pathogens can cause musculoskeletal pain, leading to spine misalignment and stress on the surrounding muscles and nerve roots. Non-surgical treatments like IDD therapy can help realign the spine and relieve pain. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical treatments like IDD therapy to alleviate pain associated with musculoskeletal pain along the spine. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
The Pathological Effects Of Musculoskeletal Pain On The Spine
Are you experiencing muscle pain in various parts of your body? Do you feel stiffness in your back, neck, hips, or shoulders? Or are you experiencing localized pain in a specific area? These are common symptoms of musculoskeletal pain, which affects the spine. Unfortunately, research studies reveal that musculoskeletal pain is a leading cause of long-term suffering, disability, and decreased productivity. This type of pain can strain the surrounding muscles in the upper and lower body, affect joints, and cause overlapping risk factors that make diagnosis challenging. Research studies also suggest that musculoskeletal pain can arise from different structures, leading to local or central sensitization and correlating pain intensity and duration.
Did you know that musculoskeletal pain can have pathological effects on the spine? Research studies revealed that the musculoskeletal system significantly impacts the central nervous system regarding pain. This means that when pain occurs in a certain area, neuron signals are sent to the brain, increasing sensitivity markers to that location. In the case of a traumatic spinal cord injury, these signals can become chaotic, leading to additional risk factors for the muscles surrounding the spine. This can result in musculoskeletal pain, which may cause referred pain in other body parts. Additionally, research has indicated that severe pathologies associated with the central nervous system can also lead to musculoskeletal pain. This is because the brain’s neuron signals alert the immune system that something is wrong and needs immediate attention.
The Science Of Motion-Video
Have you been experiencing stiffness or pain in different parts of your body? Do you feel discomfort lifting heavy objects or feel a pinched nerve in your lower back or legs? These daily issues could be caused by musculoskeletal pain affecting your spinal cord. Traumatic or non-specific issues can lead to overlapping risk profiles and the development of musculoskeletal pain associated with the spine. If the spinal column is affected, it can cause neuron signals to become hypersensitive, resulting in a misalignment of the body. Fortunately, non-surgical treatments can help realign and heal the body naturally, reducing the effects on affected muscles while allowing necessary nutrients and blood to flow back to the spine. The video above explains how non-surgical treatments like chiropractic care can harness the body’s ability to heal and restore stability through manual manipulation. Chiropractic care can also be combined with decompression therapy to stretch and alleviate pressure off the spine gently.
What Is IDD Therapy?
The musculoskeletal system depends on nerves, bones, and muscles for body structure and function. When affected by unwanted pathogens, it can cause pain in various areas and make a person feel miserable. Fortunately, non-surgical treatments like IDD therapy or intervertebral differential dynamic therapy can help reduce musculoskeletal pain affecting the spine. IDD therapy is decompression therapy that can help reduce pain by mobilizing and lengthening compressed spinal discs with special treatment forces. In “The Ultimate Spinal Decompression,” Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., states IDD therapy effectively alleviates spinal pain associated with the musculoskeletal system. The book also mentions that this therapy helps free the spinal discs and nerve roots as the compressed pressure is dropped. To that point, it allows the oxygen-riched blood and nutrients back to the spinal discs to begin the healing process, as research studies revealed.
Conclusion
When the spine experiences traumatic forces or injuries, it can result in musculoskeletal pain that can be constant and miserable for the individual. However, no one should have to endure such pain. The spine supports the upper and lower sections of the body and needs to be mobile to perform this task. Non-surgical treatments, such as IDD therapy, can help alleviate unwanted pressure off the spinal discs and nerve roots that have become hyper-sensitive due to trauma or injury. This decompression therapy can help restore mobility to the spine and rehydrate the spinal discs to begin the healing process. With IDD therapy, individuals can relieve pain and experience freedom of movement.
References
Arendt-Nielsen, L., Fernández-de-Las-Peñas, C., & Graven-Nielsen, T. (2011). Basic aspects of musculoskeletal pain: from acute to chronic pain. The Journal of manual & manipulative therapy, 19(4), 186–193. doi.org/10.1179/106698111X13129729551903
Bang, A. A., Bhojraj, S. Y., & Bang, A. T. (2021). Back pain and musculoskeletal pain as public health problems: Rural communities await solution. Journal of global health, 11, 01007. doi.org/10.7189/jogh.11.01007
George, S. Z., & Bishop, M. D. (2018). Chronic Musculoskeletal Pain is a Nervous System Disorder… Now What?. Physical therapy, 98(4), 209–213. doi.org/10.1093/ptj/pzy002
Kaplan, E. & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.
Puntillo, F., Giglio, M., Paladini, A., Perchiazzi, G., Viswanath, O., Urits, I., Sabbà, C., Varrassi, G., & Brienza, N. (2021). Pathophysiology of musculoskeletal pain: a narrative review. Therapeutic advances in musculoskeletal disease, 13, 1759720X21995067. doi.org/10.1177/1759720X21995067
Schimmel, J. J., de Kleuver, M., Horsting, P. P., Spruit, M., Jacobs, W. C., & van Limbeek, J. (2009). No effect of traction in patients with low back pain: a single centre, single blind, randomized controlled trial of Intervertebral Differential Dynamics Therapy. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 18(12), 1843–1850. doi.org/10.1007/s00586-009-1044-3
One of the most prevalent types of pain worldwide is lumbar back pain, which affects many people and can be costly. This type of pain can be triggered by several environmental factors, which can overlap and cause referred pain throughout the body. Some factors linked to low back pain include those that impact people working for a living.
Age
Physical inactivity
Excess weight
Improper lifting
Excessive sitting
Stress
Wear and tear on the spinal discs
When environmental factors cause spine misalignment, the surrounding muscles become weak, tense, and strained. This can result in the body shifting its weight to alleviate pain. However, many non-surgical treatments are available to relieve low back pain and realign the spine. In this article, we will discuss how lumbar back pain affects the body and how non-surgical therapies such as vertebral axial decompression can help to reduce it. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical treatments like vertebral axial decompression to relieve pain associated with the lumbar spine. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
What Is Lumbar Back Pain?
Research studies suggest that lumbar back pain is commonly experienced as a symptom in the midline or sacral region of the body. This pain can develop gradually due to unwanted pressure and weight on the spinal discs, which compresses the nerve roots surrounding the spinal cord. Based on additional studies, lumbar back pain is often categorized into two types for diagnosis.
Specific low back pain: overlapping symptoms are caused by pathological mechanisms like, herniated discs, infections, musculoskeletal disorders, fractures, or disc degeneration.
Non-specific low back pain: where overlapping symptoms are causing pain in the lumbar region without a specific cause. This form of low back pain causes referred pain to different locations.
Many individuals commonly suffer from non-specific lower back pain, which can be triggered by environmental factors and affect their daily function. However, there are methods to alleviate lumbar back pain without surgery.
From Injury to Recovery with Chiropractic Care-Video
Nobody must suffer from lumbar back pain, as many effective treatments are available to help realign the body back to normal. Non-surgical treatments like chiropractic care and decompression therapy can reduce the effects of lumbar back pain and realign the spine. These treatments can restore blood flow and nutrients to spinal discs, relieve the affected muscles, and be personalized to an individual’s health and wellness plan. This may include physical therapy to strengthen weak muscles surrounding the lumbar, nutritional advice to incorporate healthy whole foods to feed the body, and mindfulness practices to reduce the effects of stress on the body. Check out the video above to learn how to identify the root cause of health issues related to lumbar back pain and take steps toward your health and wellness journey.
What Is Vertebral Axial Decompression?
If you’re experiencing lumbar back pain, there are a variety of non-surgical and non-invasive treatments that can help alleviate the discomfort. One such treatment is decompression therapy, which involves gently pulling the spine to reduce pain and rehydrate the spinal disc. In this article, we’ll discuss vertebral axial decompression, a specific type of therapy. According to Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C.’s book, “The Ultimate Spinal Decompression,” vertebral axial decompression can effectively reduce lumbar pain. Vertebral axial decompression (VAX-D) was developed by Dr. Allen Dyer, M.D., Ph.D. The book also explains that VAX-D uses a logarithmic time force curve to apply tension to the spinal column, bypassing muscle guarding reflexes in the lumbar spine and reducing disc pressure. Overall, vertebral axial decompression can be a useful treatment option for those with lumbar back pain.
How Does It Reduce Lumbar Back Pain?
Many individuals who suffer from lumbar back pain experience associated pain symptoms that affect their legs and feet. This is referred to as sciatica or leg pain associated with pressure on the spinal discs. Vertebral axial decompression is one effective solution to reduce this pressure and alleviate nerve root aggravation. Research studies have shown that this treatment can improve mobility, reduce pain in the lumbar spine, and minimize the effects of lumbar back pain. By lowering intradiscal pressure, vertebral axial decompression allows for better blood flow and nutrient absorption to rehydrate spinal discs.
Conclusion
Lumbar back pain is a common and costly issue that causes misalignment in the body by putting pressure on the spinal disc, resulting in referred pain in various body parts. Environmental factors can contribute to the development of this condition, causing muscles and nerves to become tense, weak, or strained. Fortunately, many treatments are available to alleviate lumbar spine pain and relieve pressure from the spinal discs. Decompression therapy is effective in restoring mobility and reducing pain. Vertebral axial decompression is a non-surgical option that gently stretches the spine and rehydrates the spinal disc, revitalizing the body.
References
Casser, Hans-Raimund, et al. “Acute Lumbar Back Pain.” Deutsches Arzteblatt International, 1 Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4857557/.
Goose, E E, et al. “Vertebral Axial Decompression Therapy for Pain Associated with Herniated or Degenerated Discs or Facet Syndrome: An Outcome Study.” Neurological Research, Apr. 1998, pubmed.ncbi.nlm.nih.gov/9583577/.
Kaplan, Eric, and Perry Bard. The Ultimate Spinal Decompression. JETLAUNCH, 2023.
Koes, B W, et al. “Diagnosis and Treatment of Low Back Pain.” BMJ (Clinical Research Ed.), 17 June 2006, www.ncbi.nlm.nih.gov/pmc/articles/PMC1479671/.
Dealing with pain in muscles can cause multiple risks, leading to disability and unhappy life. Environmental factors play a role in shaping a person’s health and wellness journey. Eating habits, sleeping patterns, and physical activity levels affect the muscles, tissues, joints, and vital organs, all essential for a healthy body. However, pathogens and environmental factors can cause chronic conditions, challenging the body’s functioning. Fortunately, various treatments can reduce musculoskeletal pain and help revitalize the body. This article will discuss traction therapy and spinal decompression and how they can help alleviate musculoskeletal pain. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical treatments like traction therapy and spinal decompression to relieve musculoskeletal pain. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
What Is Traction Therapy?
Are you experiencing referred pain in different parts of your body that seem connected? Are your muscles feeling tight or strained? Or have you noticed that you’re hunching over more than usual? If you’re dealing with musculoskeletal pain related to these issues, consider incorporating non-surgical treatments like spinal decompression and traction therapy to alleviate the pain. Research studies have revealed that traction therapy is a commonly used conservative treatment for reducing musculoskeletal pain along the spine. This therapy also reduces pain and relieves pressure on the spinal disc and nerves while restoring joint function. Physical therapists, massage therapists, and chiropractors frequently use traction therapy by applying gentle force to stretch and elongate soft tissues while restoring spine mobility. Traction therapy is known to be effective in treating musculoskeletal disorders such as herniated discs, sciatica, and referred musculoskeletal pain.
How Does It Help Musculoskeletal Pain?
When environmental factors cause pain issues in the body, they can cause damage to the spine, leading to muscles, spinal discs, and nerves compensating for the pain. This can result in referred pain in various body parts. Pain specialists use traction therapy to reduce the effects of musculoskeletal pain. Research indicates that technological changes and living standards can cause musculoskeletal pain and weaken muscle groups. Combined with non-invasive techniques, traction therapy can improve the body’s kinetic function by correcting spinal subluxation, rehydrating, and restoring the spinal disc. It can also help treat chronic musculoskeletal conditions related to spinal subluxation caused by musculoskeletal pain.
Revitalize and Rebuild with Chiropractic Care-Video
Do you suffer from muscle or joint pain, especially in your back? You may have noticed limited mobility or stiffness in your muscles. If so, you may be experiencing musculoskeletal pain associated with your spine. Fortunately, non-surgical treatments, such as spinal decompression and traction therapies, are available, which can help alleviate pressure on your spine and rehydrate your discs. These therapies stretch your muscles gently, reducing referred pain and restoring mobility to the affected joints. The video above demonstrates how these treatments can revitalize your body, reduce pain, and accelerate the healing process naturally. Additionally, physical therapy and chiropractic care can be combined with these treatments to promote optimal health and wellness.
What Is Spinal Decompression?
Have you ever experienced pain in different parts of your body due to issues with your spine? Spinal decompression therapy can help. It can alleviate musculoskeletal disorders associated with the spine and restore your body to normal. Spinal decompression reduces pressure on the spinal disc by gently stretching the spine and increasing hydration, which can decrease stress on the trapped nerve root. Studies have shown that it is a non-surgical option for individuals suffering from musculoskeletal pain.
How Do These Two Therapies Work Together?
“The Ultimate Spinal Decompression,” written by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., explains that spinal decompression and traction therapy both address musculoskeletal pain related to the spine but in different ways. Traction therapy reduces pressure on the outer part of the spinal disc, while spinal decompression creates negative pressure inside the disc to hydrate it. Both treatments work together to restore blood flow and nutrients to the affected area and promote natural healing. These safe and non-invasive therapies have been reported to reduce pain after just a few sessions.
Conclusion
Regarding musculoskeletal pain, non-surgical treatments like traction therapy and spinal decompression allow the body to naturally heal itself by reducing pain through gentle stretching and remobilizing the joints. These non-invasive treatments help realign the body out of subluxation. Pain specialists can combine traction therapy and spinal decompression with associated therapies to help the individual be more mindful of their bodies while getting them back to their daily routine without worrying about constant pain.
References
Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.
Kaplan, Eric, and Perry Bard. The Ultimate Spinal Decompression. JETLAUNCH, 2023.
Oh, Hyunju, et al. “The Impact of Manual Spinal Traction Therapy on the Pain and Oswestry Disability Index of Patients with Chronic Back Pain.” Journal of Physical Therapy Science, Dec. 2018, ncbi.nlm.nih.gov/pmc/articles/PMC6279706/.
Öten, Erol, et al. “Traction Therapy in Lumbar Disc Hernias: A Finite Element Analysis Study.” Joint Diseases and Related Surgery, 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC9057540/.
Back pain is a common issue experienced by people all over the world. The human body’s main structure is the back, divided into three sections: cervical, thoracic, and lumbar. These sections help in body movement, including twisting and turning, moving the extremities, and have a relationship with the gut and central nervous system. The surrounding muscles in the back also provide support and protect the spine. However, normal activities like bending down to pick up a heavy object, sitting down for an extended period, or falling can cause changes that lead to back pain, misalignment, and risk profiles in the upper and lower extremities. Today’s article focuses on the causes of back pain and the treatments available to relieve its effects. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical treatments to reduce the impact of back pain. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
An Overview Of Back Pain
Do you have pain in your upper, middle, or lower back? Do you experience aches and pains in the morning? Did lifting something heavy cause you pain? These symptoms could be signs of back pain, a common and costly reason for emergency room visits. Research studies reveal that back pain can have various causes and affect the entire body, either mechanically or non-specifically. The three sections of the back – cervical, thoracic, and lumbar – can all be impacted, causing referred pain in different parts of the body. For instance, cervical (upper) back pain can cause stiffness in the neck, while thoracic (middle) back pain can lead to shoulder and posture issues. Lumbar (low) back pain, the most common type, can cause hip and sciatic problems. Additional research studies reveal that back pain is a complex issue that can severely affect body function, and environmental factors can also influence it.
Causes Of Back Pain
Various factors can be the cause of back pain, thus resulting in spine misalignment. In their book, “The Ultimate Spinal Decompression,” Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., explain that the back muscles play a significant role in protecting the spine. Environmental factors can also impact the spine, leading to potential back pain. The book further notes that wear and tear and disc protrusion on the spine can result in disc herniation and degeneration, also associated with back pain. Some common causes of back pain include:
Visceral-somatic/Somato-visceral pain (Affected organ or muscle causes referred pain to different body parts)
Pregnancy
Further research indicates that various environmental factors, such as physical activity, lifestyle, stress, and work conditions, are associated with back pain and can overlap as risk factors. If left untreated, these environmental factors can lead to chronic conditions and significantly impact a person’s quality of life.
Chiropractic Secrets Exposed- Video
Have you been feeling numbness or tingling in your arms or legs? Do you experience back muscle pain when you stretch? Or do you feel pain in your low back or other parts of your body? These issues are often associated with back pain and, if left untreated, can lead to disability and loss of function. Fortunately, there are many ways to reduce back pain and its associated symptoms and promote natural healing. The video above explains how non-surgical treatments like chiropractic care can help alleviate back pain through manual manipulation. This treatment can realign the spine, stretch out tight muscles, and restore the body’s range of motion.
Treatments For Back Pain
If you are experiencing back pain, various treatments can help ease your symptoms and improve your mobility. You have two options for treating back pain: surgical and non-surgical. Surgical treatment may be necessary if you are experiencing nerve compression or have sustained an injury that requires spinal fusion. Non-surgical treatments can help relieve pressure on your spine, reduce back pain, and even alleviate pain in other areas of your body. Some non-surgical treatments for back pain include:
Physical therapy
Exercise
Chiropractic care
Acupuncture
Spinal Decompression
According to research, non-surgical treatments can alleviate pressure on spinal discs, loosen tight muscles, improve joint mobility, and promote natural healing. Many people supplement these treatments with healthy lifestyle choices, making small adjustments to their routine and paying closer attention to their physical well-being.
Conclusion
Since back pain is a widespread problem affecting people globally, it can be caused by various environmental factors that impact the cervical, thoracic, and lumbar back sections, leading to overlapping risk profiles and affecting different body parts. Tight and strained muscles and a compressed spine are common symptoms of this issue. However, treatments available can effectively reduce pain, stretch tight muscles, and relieve pressure off the spinal disc. By incorporating these treatments, individuals can alleviate back pain and allow their bodies to heal naturally.
References
Allegri, Massimo, et al. “Mechanisms of Low Back Pain: A Guide for Diagnosis and Therapy.” F1000Research, 28 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.
Casiano, Vincent E, et al. “Back Pain.” In: StatPearls [Internet]. Treasure Island (FL), 20 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK538173/.
Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.
Kaplan, Eric, and Perry Bard. The Ultimate Spinal Decompression. JETLAUNCH, 2023.
See, Qin Yong, et al. “Acute Low Back Pain: Diagnosis and Management.” Singapore Medical Journal, June 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8801838/.
Sciatica is common and affects up to 40% of the general population. Different types include acute, chronic, alternating, and bilateral sciatica. The sciatic nerve comprises three specific nerve roots in the lower back. The three nerves originate in the L4 and L5 vertebrae and the sacrum, just below the vertebrae. The nerve then branches off and runs through the back of each thigh. Injury, compression, or irritation of these nerves can cause various symptoms, including numbness, tingling, electrical shooting pain, and muscle spasms in the low back, the leg, and the foot. Chiropractic care can realign the spine, relax the muscles, release compression and relieve sciatica.
Acute, Chronic, Alternating, and Bilateral Sciatica
Acute
Acute pain can be brought on by sudden irritation to the nerves that have become pinched, compressed, or a combination.
Causes a constant burning or shooting sensation through the low back, buttocks, down the leg, and possible hip discomfort.
It becomes worse when sitting.
It can cause immediate and short-term pain lasting for 1-2 weeks.
Chronic
Chronic sciatica can last for months or years on and off or continuously.
It can be caused or worsened by inflammatory conditions like rheumatoid arthritis, injuries, infections, and spinal misalignment issues.
It can resolve but will come back without treatment or lifestyle and activity adjustments.
Bilateral
Sciatica typically takes place in one leg; it has been known to be bilateral and experienced in both legs.
This type of sciatica is rare but can occur from degenerative changes in the vertebrae and/or the discs at several spinal levels.
If there is pain in both legs, it is likely not a herniation but degenerative changes like spinal stenosis.
The symptoms can range from infrequent to irritating to severe and debilitating.
Weakness may be felt in the leg and foot, or a feeling of heaviness, making it difficult to lift the foot off the floor.
Alternating
Alternating sciatica affects both legs alternately. It is usually connected to bilateral sciatica that switches sides.
This type is rare and can result from degenerative problems in the sacroiliac joint, the joint connecting the spine to the hips, or sacroiliac arthritis.
Spinal Sources
Sciatica occurs when L4, L5, and/or S1 nerve roots are affected.
L4 Nerve Root
Pain in the hip, thigh, inner medial areas or the knee, and the calf.
Weakness in the thigh and hip muscles.
Reduced knee-jerk reflex.
Loss of sensation around the calf.
L5 Nerve Root
Pain in the buttock and the outer area of the thigh.
Weakness in the buttock and leg muscles.
Difficulty moving the ankle and lifting the big toe upward.
Loss of sensation between the big toe and the second toe.
S1 Nerve Root
Known as classic sciatica.
Pain in the buttock, back of the calf, and side of the foot.
Fatigue in the buttock and foot muscles.
Difficulty and discomfort raising the heel off the ground or walking on tiptoes.
Loss of sensation in the foot’s outer side, including the third, fourth, and fifth toes.
Chiropractic care can directly address the root cause of the problem, treat the cause, and alleviate the symptoms. Chiropractic manipulation is recommended by the American College of Physiciansas a first line of treatment for back pain before medication, muscle relaxants, injections, and surgery. Treatments to address sciatic nerve impingement:
Ice/Cold Therapy
Reduces inflammation and swelling.
Prepares the patient for massage and adjustments.
Therapeutic Tissue Massage
This therapy promotes muscle relaxation and lessens the muscle spasm/recoil response.
Ultrasound
Soothing heat created by sound waves penetrates the muscles, increases circulation, and relaxes the muscles to alleviate spasms, stiffness, and pain.
Transcutaneous Electrical Nerve Stimulation/Tens Unit
A muscle stimulation machine applies electrical impulses to relax the muscles and untangle muscle knots.
Spinal Manipulation
This process realigns the spine to move properly and restores vertebral health.
Stretches and Exercises
This ensures treatment will last once treatment has or is coming to an end.
Spinal Decompression
Pulls and stretches the body to release any compression on the nerve roots and infuse circulation back into the discs.
The pressure is taken off the sciatic nerve, and routine adjustments will retrain the muscles to maintain their re-alignment. The duration of treatment will vary based on the root cause of sciatica. Each treatment plan is tailored to the individual patient’s situation.
Severe and Complex Sciatica Syndromes
References
Davis D, Maini K, Vasudevan A. Sciatica. [Updated 2022 May 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK507908/
Hernández C.P., Sanchez N., Navarro-Siguero A., Saldaña M.T. (2013) What is Sciatica and Radicular Pain?. In: Laroche F., Perrot S. (eds) Managing Sciatica and Radicular Pain in Primary Care Practice. Springer Healthcare, Tarporley. doi.org/10.1007/978-1-907673-56-6_1
Kumar, M. Epidemiology, pathophysiology and symptomatic treatment of sciatica: A review. nt. J. Pharm. Bio. Arch. 2011, 2.
Ngnitewe Massa R, Mesfin FB. Herniation, Disc. [Updated 2018 Oct 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK441822/
Ombregt L. The dural concept. In: A System of Orthopaedic Medicine. Elsevier; 2013:447-472.e4. doi:10.1016/b978-0-7020-3145-8.00033-8
Witenko, Corey, et al. “Considerations for the appropriate use of skeletal muscle relaxants for the management of acute low-back pain.” P & T : a peer-reviewed journal for formulary management vol. 39,6 (2014): 427-35.
Wright R, Inbody SB. Radiculopathy and Degenerative Spine Disease. In: Neurology Secrets. Elsevier; 2010:121-130. doi:10.1016/b978-0-323-05712-7.00007-6
Herniated, slipped, or ruptured discs affect 80% or more of the population. Most individuals don’t even realize they suffered a vertebral subluxation, as it shifted slightly but returned on its own and healed itself. Herniated disc/s symptoms can subside over time and can heal on their own. However, there are times when chiropractic is necessary to help the slipped or ruptured disc back into correct alignment and to help prevent re-injury or the development of new ones.
When Chiropractic Is Necessary
When an individual’s ability to move is limited is definitely when chiropractic is necessary. Individuals twist and turn their bodies, and the rotational force that comes from lifting and moving objects at home, work, school, sports, or lifting weights increases the risk of disc injury.
The lumbar spine or lower back is the most common location for a herniated disc injury.
The pain can spread to the glutes and legs, causing sciatica or sciatica-like symptoms.
When back pain spreads to the shoulder through the arm, it s caused by a herniated neck/cervical disc.
When the cushioning material from the disc/nucleus pulposus presses on surrounding nerves, it causes inflammation, pain, and numbness.
Individuals can suffer a herniated disc after changing a flat tire, stepping/slipping out of the bath/shower, or coughing and sneezing.
Healing
Herniated discs can be treated with ice packs and heat, over-the-counter medications, and anti-inflammatories. However, if these approaches are not producing results, chiropractic and physical therapy could be necessary to address the pain, reactivate the body’s healing system, and get the body’s circulation energy flowing. Exercises/movements are recommended depending on the injury to allow the musculoskeletal system to realign and circulate the nutrient-rich blood.
Evaluation
The chiropractic team must check if the individual is cleared for chiropractic care. Some individuals cannot undergo chiropractic adjustments because of the following:
The chiropractor will assess the injury and damage by evaluating the spine’s overall health, not just the painful areas.
They will inquire about medical history and conduct a physical examination.
Diagnostic tests could be necessary depending on the condition.
The team will evaluate the following criteria:
If reflexes are normal.
If there is muscle loss or decreased muscle strength.
If there is numbness or loss of sensation.
Loss of reflexes, muscle strength, and sensation could indicate the need for more aggressive treatment.
Depending on what is found, they may refer the individual to a spinal surgeon or specialist.
Techniques
Chiropractic focuses on restoring structural integrity to the body, reducing pressure on neurological tissue, and re-establishing a normal range of motion. With this treatment, pain and inflammation will be reduced or eliminated, and regular movement and reflexes will return. The body is realigned, stress is reduced, and the body’s natural energy can repair the damage. Adjustments involve:
HVLA is a high velocity, low amplitude short thrust to vertebrae that are out of position.
Mobilization involves low-velocity manipulation, stretching, and moving affected muscles and joints.
Joint cavitation expels oxygen, nitrogen, and carbon dioxide from the vertebrae and releases pressure on the affected area.
This technique uses a drop table while the chiropractor uses quick thrust and release manipulation.
Logan Basic Technique
This technique uses a light touch to level the sacrum.
Thompson Terminal Point Technique or Thompson Drop
This table technique adjusts with a weight mechanism to keep the patient in the correct position before the thrust is applied.
DOC Decompression Table
References
Danazumi, Musa S et al. “Two manual therapy techniques for management of lumbar radiculopathy: a randomized clinical trial.” Journal of osteopathic medicine vol. 121,4 391-400. 26 Feb. 2021, doi:10.1515/jom-2020-0261
Kerr, Dana, et al. “What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study.” Clinical orthopedics and related research vol. 473,6 (2015): 1920-30. doi:10.1007/s11999-014-3803-7
Lurie, Jon D et al. “Surgical versus nonoperative treatment for lumbar disc herniation: eight-year results for the spine patient outcomes research trial.” Spine vol. 39,1 (2014): 3-16. doi:10.1097/BRS.0000000000000088
Wang, Jeffrey C et al. “Epidural injections for the treatment of symptomatic lumbar herniated discs.” Journal of spinal disorders & techniques vol. 15,4 (2002): 269-72. doi:10.1097/00024720-200208000-00001
Yussen, P S, and J D Swartz. “The acute lumbar disc herniation: imaging diagnosis.” Seminars in ultrasound, CT, and MR vol. 14,6 (1993): 389-98. doi:10.1016/s0887-2171(05)80032-0
Many individuals deal with sciatic nerve discomfort and pain that radiates from the lower back down through the glutes, legs, and feet. It can affect anyone and be challenging to deal with because it can be sudden and unpredictable. A professional hands-on therapeutic massage can play a vital role in alleviating back and sciatic pain but is not always available. This is when a quality massage chair can provide pain relief and relaxation at home.
Sciatica
Not everyone who has sciatica will have the same symptoms. But common symptoms include:
Tingling, numbing sensations in the lower back and down the leg.
Electrical sensations running down the leg.
Lower back pain that spreads into the buttocks, thighs, calves, and feet.
Pain may be described as mild, dull, achy, and sharp.
Sneezing or coughing can increase the pain.
Weakness in the leg.
Massage Chair
A massage chair can assist with sciatic pain by soothing tense muscles and relieving the pressure on the surrounding tissues. When the back muscles are tense, they contract and compress down on the nerves, including the sciatic nerve. Massaging the tight muscles minimizes the pressure on the sciatic nerve and helps alleviate pain. Research has shown the main reasons why massage is beneficial:
Improves Circulation
Massaging the muscles increases blood flow.
Increasing blood circulation facilitates the absorption of nutrients into the muscles and tissues.
Choosing one will be based on specific needs and budget. Some tips to help figure out which is the most beneficial massage chair include:
Consult A Doctor
A doctor, spine specialist, or chiropractor can recommend the best type of massage chair for the individual’s specific injury, condition, and/or disorder.
A doctor will inform the individual if a massage chair is a safe option for their sciatica pain if they have health conditions like high blood pressure or neuropathy.
Chair Objectives
Figure out what the chair will help with short and long-term before shopping.
For example, if the goal is to relieve sciatica and lower back tension, an L-Track massage chair can go further down the spine to the glutes and hamstrings.
Injury Medical DOC Spinal Decompression Table
References
Cygańska, Anna, et al.” Impact of Exercises and Chair Massage on Musculoskeletal Pain of Young Musicians” International journal of environmental research and public health vol. 17,14 5128. 16 Jul. 2020, doi:10.3390/ijerph17145128
de Souza, Talita Pavarini Borges et al.”“The effectiveness of Chair Massage on Stress and Pain in Oncology” International journal of therapeutic massage & bodywork vol. 14,3 27-38. 2 Sep. 2021, doi:10.3822/ijtmb.v14i3.619
Hand, Mary et al.” “Massage Chair Sessions: Favorable Effects on Ambulatory Cancer Center Nurse” Perceived Level of Stress, Blood Pressure, and Heart Rate” Clinical journal of oncology nursing vol. 23,4 (2019): 375-381. doi:10.1188/19.CJON.375-381
Kim, Seung-Kook, et al.” “Clinical outcomes and cost-effectiveness of massage chair therapy versus basic physiotherapy in lower back pain patients: A randomized controlled trial.” Medicine vol. 99,12 (2020): e19514. doi:10.1097/MD.0000000000019514
Kumar, Saravana, et al. “The effectiveness of massage therapy for the treatment of nonspecific low back pain: a systematic review of systematic reviews.” International journal of general medicine vol. 6 733-41. 4 Sep. 2013, doi:10.2147/IJGM.S50243
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