Exercise is a frequent component of disc treatment. Your pain will be reduced by maintaining a proactive approach and help ensure the long-term health of your spine.
A herniated disc may need 1 or 2 days rest to relieve pain. You need to resist the desire to lie in bed for days at a time since your muscles need conditioning to help the healing procedure. Your body may not respond to treatment, should you forgo physical activity and exercise.
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Benefits of Exercise for Herniated Discs
Exercising is an efficient method to strengthen and stabilize your low back muscles and prevent additional injury and pain. Strong muscles support your own body weight and bones, carrying pressure.
However, even if you have powerful muscles to support your spine, you must get rid of �excess weight to truly support your spine. Your back is strained by carrying around extra weight constantly, you’re practically doing all of the time to heavy lifting! Losing weight will reduce your pain and encourage the health of your back. If you need to lose weight, talk to you physician about �the different choices you may have.
Types of Exercise for Herniated Discs
You don’t need to endure an intense cardio program or lift heavy weights, simple stretches and aerobic exercises may efficiently control your herniated disc pain.
Stretching programs like yoga and Pilates enhance flexibility and strength, and supply relief of severe pain in your leg and low back. Your physician can also prescribe dynamic lumbar stabilization exercises. This program contains exercises that work the abdominal and back muscles to address posture, flexibility, and stamina.
Moderate aerobic activities, including walking, biking, and swimming, also help relieve pain. Some activities might be better suited to your particular condition. Speak with your doctor about what exercises will help you.
When beginning an aerobic exercise program, start slow–perhaps 10 minutes the first day–and gradually increase your time each day. Eventually, you should aim for 30 to 40 minutes of activity 5 days per week.
Exercise may be a pleasant and satisfying method to take care of symptoms associated with a herniated disc. Your physician and you can work together to develop a program which you will lower your pain and could stick with. In the end, exercise can help you feel better, and it should help relieve your pain from a herniated disc.
Herniated Disc Exercises (Video)
When Should You Go to a Doctor For Herniated Disc Pain?
Oftentimes, patience and time (and perhaps some medication) are sufficient to reduce the pain of a lumbar herniated disc, however, a new study indicates that waiting too long to seek medical treatment for your low back pain may end up doing more harm than good.
The findings, which were introduced in the 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), revealed that patients who waited more than 6 months to report their herniated disc symptoms to a doctor didn’t respond to therapy in addition to those who waited less than 6 weeks to seek out medical advice.
In this study, researchers compared 927 patients who had lumbar herniated disc symptoms for less than 6 weeks to 265 patients who had symptoms for more than 6 months.
The researcher team found that the patients who sought medical therapy within 6 weeks of first experiencing symptoms reacted better to both nonsurgical and surgical treatments.
The lesson patients ought to learn from this research, researchers say, is not to wait too long to see your doctor if your herniated disc pain is severe. Visiting a doctor sooner rather than later might enhance the success of your treatment, in case you have low back pain that persists.
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
Chiropractic care is a nonsurgical treatment option for discs. But what is a chiropractor’s approach to healing a herniated disc?
With the exception of the initial 2 vertebrae in the neck–the atlas (C1) and the axis (C2), there is an intervertebral disc between each vertebra of the spine. Discs supply flexibility, and act as a shock absorber and a shock distributor.
Picture if you jump up and down. What would occur to the stack of bony vertebrae that form the spine without the cushioning and support of those disks? Now, move your back from side to side. Again, you can picture the give and take between the vertebrae of the discs. Without these discs, your spine couldn’t function.
Intervertebral discs do not really “slip”, even though the term “slipped disc” has come into popular usage to refer to bulging, ruptured, or herniated discs. Throughout this guide, we will refer to herniated discs, which is the term that is correct.
Your disks comprise of the annulus fibrosus (the tough outer layer) and the nucleus pulposus (that contains a gentle, gelatin-like centre). The material inside of the disc can begin to push out, when cracks happen in the outer layer of this disk. A lot of factors can cause a disc herniation.
For example, there could be too much stress on the disc due to bad posture or from becoming obese. In actuality, a combination of a physical injury or variables can cause herniated discs.
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Chiropractic Care and Herniated Discs
A chiropractor can help address back pain and other herniated disk symptoms. In your first appointment, your chiropractor will undergo your medical history, do a physical examination, and perform neurological and orthopaedic evaluations.
Your physician will look for several things. The chiropractor will also carefully look at your position, and they may purchase an X-ray or MRI, if needed, to aid with the diagnostic procedure.
Chiropractors evaluate the entire spine. Your chiropractor will analyze your neck, also if you simply have lower back pain. Recall, he or she wants to see how well your spine is working overall: What happens in one area of your spine can influence other components of your spine and/or body.
After reviewing this information, your physician can ascertain whether you have an intervertebral disk injury. The kind will use to handle your symptoms.
Some patients are not good candidates for some sorts of chiropractic care remedies. As an example, when you have cauda equina syndrome (a condition where you lose control of your bowel/bladder with an uncontrollable intervertebral disk injury), then you will need immediate medical care because this is something which cannot be treated by your physician.
In addition, if your physician finds that you’ve advanced lack of power, sensation, reflexes, and other unusual neurological findings, then he or she will refer you to a spine surgeon.
But, most intervertebral disk injuries are associated with a herniated disc, along with your chiropractor can give you various therapy alternatives to deal with your pain and other ailments.
To deal with a herniated disk, your physician will create a treatment plan which might include spinal manipulation, also called adjustments, and other chiropractic methods to help ease your herniated disk symptoms. It may include exercises and manual therapy, although this is going to be an individualized treatment plan.
The particulars of what are in your treatment plan are particular to your own pain, amount of activity, general wellness, and exactly what your chiropractor believes is best. As with any treatment option, do not hesitate to ask questions about what treatments are being recommended and why. You need to be certain that you understand what’s going to be done and how it can help relieve your pain. Chiropractice treatment is safe and effective .
Below are some examples of chiropractic techniques used for herniated discs.
Flexion-distraction Technique for Herniated Discs
A mutual chiropractic technique is your flexion-distraction procedure, which may be used to help address herniated disc symptoms.
Flexion-distraction entails the use of a technical table that softly “distracts” or stretching the backbone. This allows the chiropractor to isolate the affected region while marginally “bending” the backbone using a pumping rhythm.
There is typically no pain associated with this treatment. Rather, the flexion-distraction technique’s gentle pumping to the painful area makes it possible for the middle of the intervertebral disc (called the nucleus pulposus) to assume its central place in the disk. Disc height may be also improved by flexion-distraction.
This technique can help move the disk away from the nerve, reducing inflammation of the nerve root, and eventually any associated pain and inflammation into the leg (if there’s any associated with your herniated disc).
With flexion-distraction, you generally require a collection of treatments together with adjunctive ultrasound, muscle stimulation, physiotherapy, supplementation, and at-home treatments (your physician will let you know what those are). Gradually, specific nutritional supplements and nutritional recommendations will be integrated into your treatment plan. Your physician will track you.
Manipulation Under Anesthesia (MUA)
Manipulation under anesthesia or MUA is also a suitable chiropractic treatment for some spinal ailments. MUA is performed at hospital or an ambulatory care centre. The type of anesthesia is called sleep; meaning that the duration of sleep and also sedsation is brief. While your body is in, even though the patient is sedated, the therapy area stretches and manipulates Relaxed state. This therapy is generally conducted during 1 to 3 sessions that are.
Pelvic Blocking Strategies for Herniated Discs
Chiropractors also utilize pelvic blocking methods to treat herniated disc symptoms.
Pelvic blocking remedies include using cushioned pliers, which can be placed under both sides of the pelvis. Gentle exercises may be utilized. These will allow changes in mechanisms to draw your disk away from the guts it may be pressing on.
Misconceptions about Chiropractic
It is a misconception that chiropractors “pop up a disc back in position” using forceful alterations. The “pop” sound comes from the release of gas under pressure in a joint. It is similar to the sound.
Another misconception is that chiropractic care involves a few quick remedies, which may “fix” your disc. Instead, as explained above, herniated discs using gentle practices that are low-force are treated by chiropractors.
In Conclusion
Your chiropractor will create a treatment strategy for your herniated disk, and if your symptoms don’t improve with chiropractic care methods, your physician may recommend and comanage your condition with a pain medicine specialist and/or a spine 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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
Several lumbar spine (lower back) disorders can cause sciatica. Sciatica is often described as moderate to intense pain at the left or right leg. Sciatica is caused by compression of at least one of the 5 places of nerve roots in the lower spine. Sometimes physicians call a radiculopathy sciatica. Radiculopathy is a term used to refer to pain, numbness, tingling, and weakness in the arms or legs brought on by a nerve root issue. If the nerve problem is in the neck, then it is called a cervical radiculopathy. However, because the low back is affected by sciatica, it is called a lumbar radiculopathy.
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Pathways to Reduce Nerve Pain
Five sets of nerve roots at the lumbar spine combine to produce the sciatic nerve. Beginning at the back of the pelvis (sacrum), the sciatic nerve runs from the trunk, beneath the buttocks, and downward through the hip place into every leg. Nerve roots aren’t “solitary” structures but are a part of the body’s entire nervous system capable of transmitting pain and sensation to other areas of the human body. Radiculopathy occurs when compression of a nerve due to a disc rupture (herniated disc) or bone spur (osteophyte) occurs in the lumbar spine prior to it joining the sciatic nerve.
What Causes Sciatic Nerve Compression?
Several spinal disorders can lead to nerve compression or lumbar radiculopathy. The 5 are:
a bulging or herniated disc
lumbar spinal stenosis
spondylolisthesis
Injury
piriformis syndrome
Lumbar Bulging Disc or Herniated Disc
A bulging disc is also called a contained disc disorder. This usually means the gel-like center (nucleus pulposus) remains “contained” inside the tire-like outer wall (annulus fibrosus) of the disc.
A herniated disc occurs when the nucleus breaks throughout the annulus fibrosus. It’s known as a “non-contained” disc disease. Whether a disc herniates or bulges, disc material can press against an adjacent nerve root and compress lead to sciatica and nerve tissue.
A disc’s consequences are somewhat worse. Not only does the herniated disc cause direct compression of the nerve root from the interior of the bony spinal canal, but also the disc material itself also contains an acidic, chemical irritant (hyaluronic acid) which causes nerve inflammation. In both situations, nerve wracking and irritation cause pain and swelling, muscle weakness, tingling, and often leading to extremity numbness.
Lumbar Spinal Stenosis
Spinal stenosis is a neural compression disease. Leg pain may happen as a result of lumbar spinal stenosis. The pain is usually positional, frequently brought on by activities such as walking or standing and relieved by sitting down.
Spinal nerve roots branch out in the spinal cord called foramina comprised of bone and ligaments. Between each set of vertebral bodies, situated on the right and left sides, is a foramen. Nerve roots pass through these openings and extend outward beyond the spinal column to innervate different parts of the human body. Whenever these passageways become obstructed causing nerve compression or lean, the expression foraminal stenosis is utilized.
Spondylolisthesis
Spondylolisthesis is a disorder that most often affects the lumbar spinal column. It’s characterized by a single vertebra slipping forward over an adjacent vertebra. A vertebra slips and is displaced, when, spinal nerve root compression often triggers sciatic leg pain and happens. Spondylolisthesis is categorized as developmental (found at birth, develops during childhood) or acquired from spinal degeneration, injury or physical strain (eg, lifting weights).
Trauma and Injury
Sciatica can result from nerve compression brought on by external forces to the lumbar or sacral nerve roots. Examples include motor vehicle accidents. The impact may injure the nerves or, sometimes, the nerves may be compressed by fragments of bone.
Piriformis Syndrome
Piriformis syndrome is named after the muscle and the pain caused when the sciatic nerve irritates. The piriformis muscle and the thighbone is located in the lower portion of the spine, connect, and aids in cool rotation. The sciatic nerve runs beneath the piriformis muscle. When muscle aches grow in the muscle compressing the nerve, Piriformis syndrome develops. It may be difficult to diagnose and treat due to the deficiency of x ray or magnetic resonance imaging (MRI) findings.
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
Pain that travels from the back down the leg and into the foot is known as sciatica, which is an overall expression for pain that is excruciating. The term does not clarify why, or what tissue is injured. In reality accidents can cause gastrointestinal pain, together with piriformis syndrome, lumbar spinal disc herniations, and sprains being the three most frequent types of injuries and conditions affecting health and wellness.
Piriformis syndrome is commonly misdiagnosed as a spinal disc herniation, because the pattern of radiating pain, in the back to the lower elevation, is similar in both cases. With both injuries, individuals experience pain with the same type of motions, particularly rising from a seated position, standing for prolonged period of time, or sleeping. At the same time, the pain related to both injuries feels better once you curl up in the fetal position on your side.
A spinal disc herniation occurs when the jelly-like substance from inside the lumbar disc compresses the spinal cord or nerve. Either the disc material compresses the nerves when squeezed out of this disc, or else the compression of the nervous tissue is caused by inflammation. A spinal disc herniation is generally considered a severe injury, causing a massive amount of restriction and back pain. Some folks lose sensation in their legs. They can experience numbness and tingling through the day. Several have tingling, burning, dull, or pain in leg, glutes, and their own back. These are all symptoms associated with sciatica. Compression of particular nerves causes muscle fatigue and loss of feeling.
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Herniated Disc Treatments
Therapy entails helping the body break down the spinal disc material, and relieving the compression of the nerves. Spinal disc decompression treatments are treatments for disc herniations. Flexion distraction therapy is also a way of decreasing pressure in the low back. Patients benefit from at-home utilization of inversion tables. Improve movement in the back joints and stretches and light exercises are used to decrease muscle spasms.
Massage treatment is focused on the back, buttocks, and hamstring muscles to decrease spasms and to reach the lumbar spine and pelvis. Individuals with disc herniations have weakness within their muscles, which need to be strengthened with therapy in order to increase strength, endurance, and muscle coordination patterns. Patients with a history of previous disc herniations or back injuries benefit immensely from strengthening therapy to prevent injuries.
Piriformis Syndrome and Treatment
The piriformis muscle is a really strong and powerful muscle that runs from the sacrum into the femur. It runs beneath gluteal muscles the nerve travels beneath them. If this muscle goes into spasm, then the nerve creates radiating pain, numbness, tingling, or burning out of the buttocks to the leg and foot. People do experience pain together with the syndrome. Other people develop the syndrome while dealing with chronic low back pain.
Activities and motions that cause the piriformis muscle to contract further compress the sciatic nerve, causing pain. This muscle can be contracted once we squat, or stand, walk , go up steps. It tends to tighten when we sit at any position for more than 20 to 30 minutes.
Individuals who have a history of chronic low back pain frequently assume that their radiating sciatic pain is traceable to their lower spine. Their history of disc herniations, or sprains, strains has taught them to assume that it will go away like normal, and that the pain is out of their spine. It is just when the pain doesn’t respond as usual that individuals seek therapy, thus delaying their recovery.
Treatment for piriformis syndrome entails decreasing the intensity of the piriformis muscle spasm that’s controlling the sciatic nerve. Trigger point therapy, massage therapy, ice, heat, electrical, and stretching are involved with the early stages of care. Deep massage therapy is not advised in the first phases of piriformis syndrome. Some of the pain may be relieved during the therapy, but individuals experience worsening symptoms the following day. After the piriformis muscle is worked deeply it might relax for a short time period before it goes to a bigger spasm, further worsening the gastrointestinal pain.
Chiropractic Therapy for Sciatica Symptoms
Chiropractic therapies and treatment goals are to increase joint selection of motion and reduce muscle spasms. Muscle spasms increase tension and pressure on the lumbosacral and sacroiliac regions, which raises back pain. Treatment restores motion in these regions. Treatment and remedies to improve flexibility and reduce spasms accelerate healing and healing times for many types of back pain.
Often, people aggravate their piriformis muscle when they’re protecting or protecting their low back. They may have strength and capacity to compensate, bend, turn, and twist — thus, to squat, they overwork piriformis muscles and their glutes. Treatment should focus on increasing strength and endurance of their muscles, to reduce strain and injury.
Both piriformis syndrome and spinal disc herniations produce radiating pain in the very low back and to the leg. They are two different injuries, requiring treatments for recovery and regular healing. They are both commonly associated with flexibility and low back weakness. Treatment should address the acute traumas but also the core weaknesses that resulted in the condition.
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
Herniated discs are a common condition that can occur anywhere along the back or spine, but most often affects the lower back or neck region of the spine.
Also known as a slipped disc or ruptured disc, a herniated disc develops when one or several of the pads found between the vertebrae moves from position and presses on adjacent nerves, resulting in a variety of painful symptoms.
Herniated discs are caused by overuse injuries or trauma to the spine, nonetheless, disc conditions can also develop as a result of the normal aging process or due to degeneration. It’s also understood that there is a genetic element that leads to the development of disc herniation and disc degeneration.
Symptoms of a herniated disc may generally include sharp or dull pain and discomfort, muscle spasm or cramping, fatigue, tingling sensations, numbness or referred pain.
But here is something to consider: From time to time, a disc does not cause any symptoms . That’s called an asymptomatic herniated disc. Your intervertebral disc could be bulging or herniated, but it won’t cause any symptoms, such as pain, unless it is pressing on the spinal cord, its nerve roots or individual nerves.
This brings up a fantastic point about herniated disc symptoms: Your symptoms are dependent on where you’ve got a herniated disc.
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Cervical Herniated Disc Symptoms
If you’ve got a herniated disc or bulging disc on your neck (cervical spine), then you will experience:
Neck pain
Muscle tightness or cramping on your neck
Pain which radiates (or travels) down your arm(s) (this can be called referred pain or cervical radiculopathy)
Tingling in your arm(s) or hand(s)
Weakness in your arm(s) or hand(s)
Lumbar Herniated Disc Symptoms
A herniated disc in the low back (lumbar spine) may cause the following symptoms:
Low back pain
Muscle tightness or cramping in your back
Pain that radiates down your leg(s) (this can be known as referred pain, lumbar radiculopathy, or sciatica)
Tingling in your leg(s) or foot/feet
Weakness in your leg(s) or foot/feet
Really infrequent: Loss of bowel or bladder control (Please, even if this occurs, seek prompt medical care.)
A Note on Referred Pain Brought on by a Herniated Disc
Referred pain means that you’ve got pain in another part of your body as a result of the intervertebral disc issue. As an example, in case you’ve got a bulging disc or a herniated disc in your low back (lumbar spine), you may have known pain in your leg. This is called lumbar radiculpathy or sciatica, a shooting pain that can extend from the buttock into the leg and to the foot. Only one leg is typically affected.
When you’ve got a herniated disc in your neck (cervical spine), then you may have referred pain down your arm and into your hand. Arm and shoulder pain caused by a herniated disc is also called radiculopathy.
Lower Back Pain: Causes & Symptoms (Video)
Herniated Disc Symptoms: When Should You Find a Doctor?
The pain from a herniated disc can make it hard to enjoy your daily life; it may make it tough to walk, sit, or even sleep comfortably. If your disc symptoms linger for more than fourteen days, you should make a doctor appointment. Should you experience unexpected onset of pain (after lifting something heavy incorrectly, as an instance), call your physician.
It’s very rare, but herniated discs can sometimes affect bowel or bladder control (as mentioned above). If this occurs, seek medical attention immediately for a proper diagnosis, followed up by treatment.
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
A herniated (ruptured or “slipped”) disc results whenever a disc moves from place or bulges and puts pressure on the nerves or nerve roots. This kind of injury is comparatively common. Repetitive movements, lifting, being obese, and high-impact injuries, as well as simply the aging process, can cause a herniated disc.
As we age, we become more prone to disc injuries over time, primarily because the discs begin to degenerate: they dry out and can become torn and cracked. Moreover, certain genetic elements may also predispose a person to suffer from a herniated disc and disc degeneration.
Intervertebral discs would be the cushion-like pads that sit between the vertebrae of the spine; they act like shock absorbers and permit the spine to become elastic. A strong outer layer known as the annulus fibrosus surrounds a center called the nucleus pulposus, similar to a hard candy with a soft center. The spine can be broken up into regions. The vertebrae are numbered, and the discs are numbered by level. For example, the lumbar spine (lower back) vertebrae are tagged L1 to L5, and the discs are labeled L1-L2, all the way down to L5-S1 (where the spine joins the sacrum).
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Lumbar Herniated Disc and Sciatica
Several symptoms may indicate a LHD, or lumbar herniated disc. Pain can range from a dull ache to a severe, sharp pain. Sciatica is a type of nerve pain which could be caused by a lumbar disc compressing the nerve. The sciatic nerve originates in the lumbar spine and extends down the buttocks and down each leg. When a disc protrudes, it can compress the nerves, causing sciatica where pain extends from the buttock and thigh down into the leg and below the knee. You might have other symptoms, such as numbness on your leg or foot, burning or tingling sensations (paresthesias), muscular fatigue and/or weakness, abnormal reflexes, and, in severe cases, loss of bladder or bowel control (that constitutes a medical emergency and needs immediate attention).
Lumbar Herniated Disc Diagnosis
The science of a medical diagnosis starts with a history and physical examination. Your doctor will assess body movements and asks about your symptoms. If lifting up the leg while lying down generates pain which radiates down your leg, a diagnosis of LHD is possible, especially if you have other symptoms, such as numbness or paresthesias.
Although X-rays may help rule out other conditions, such as a fracture, for example, other imaging studies, such as magnetic resonance imaging (MRI), are necessary for a diagnosis of lumbar herniated disc. X-rays don’t show soft tissues like discs and nerves. Additional tests, such as nerve conduction studies and an electromyogram (EMG) are needed to confirm that a herniated disc is the source of the symptoms.
LHD and Sciatica Statistics
While low back pain is a common ailment, sciatica happens less frequently. Approximately 80% of the general population experiences low back pain but only 2-3% of people with low back pain actually have sciatica. Most cases of LHD occur in people aged 30 to 50 decades. The level of herniation is L4-L5, followed.
Is Surgery Necessary for LHD?
Herniated disks and sciatica often heal on their own with appropriate care, such as medications, injections, and physical therapy, including chiropractic care and other alternative treatment options. If the symptoms progress and when neurologic problems (such as shooting numbness or pain in the leg) become more severe, or when weakness in the leg or foot gets worse, surgery may be suggested.
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
Exactly how effective are injury-prevention programs in soccer? El Paso, TX.s Scientific chiropractor Dr. Alexander Jimenez looks at the very latest evidence…
Football is the world’s most popular team sport. Injuries are a significant issue for both amateur and professional players. Indeed, previous research has estimated that soccer players are among the most injury-prone athletes having an estimated injury rate of 17-24 accidents per 1000 playing hours(1). Nineteen per cent of all sports injuries which exist in the Netherlands are because of soccer(two) and in Britain alone, the expense of therapy and time lost from work owing to football injuries is estimated to be approximately #1billion annually(1)!
In a landmark study, researchers followed two Champions League teams and gathered data on 2,229 players over seven seasons to examine the injury profile of muscular injuries in soccer players(3). They also analyzed the gamers’ training schedules and data out of their games to construct a detailed picture of the injury risks that were associated. The findings were as follows:
2,908 muscle injuries have been enrolled;
Normally, a player sustained 0.6 muscle injuries each season (equating to around 15 muscle injuries per season at a squad of 25 players);
Muscle injuries constituted 31 percent of all injuries and caused 27% of the total injury lack;
Ninety-two per cent of muscle injuries affected the four Big muscle groups of the lower limbs: hamstrings (37 percent), adductors (23 percent), quadriceps (19%), and calf muscles (13%);
Sixteen per cent of the muscular injuries were re-injuries; nonetheless, these re-injuries caused significantly longer absences than did the first injuries.
The prevalence of muscular injury increased with age.
The exact same group of researchers also carried out a follow-up study (published in 2013) in which they sought to establish the consequences of fixture congestion on injury rates among the gamers(4). Time-loss and exposure injuries were enrolled prospectively from 27 teams over 11 seasons. Matches were grouped based on the amount of recovery days before each match and the accident rates were compared between classes. The results showed that compared to a recovery interval of more or six days, muscular injury rates and overall injury rates were raised in league matches where players had had four or less recovery days.
Given the high levels of trauma among football players (a risk that is increased during periods of match congestion) and the financial pressure of the modern game, it’s perhaps unsurprising that medical team caring for players find that treatment of injuries in players is quite a frustrating and also a never-ending struggle. In addition, it clarifies why some players end up returning to contest prior to the injury has healed completely, setting the stage for injury recurrence, together with protracted absence of this participant from competition and training.
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Injury Treatment
Treating injuries in football is both time- consuming and expensive, particularly at the elite level. And while there’s a large literature on the epidemiology of sports injuries, established protocols for treating muscular injuries and assessment criteria for imaging, and a number of clinical and functional tests that could assist the health staff in deciding the optimal point where an athlete can be safely returned to full participation(5,6), the current guidelines haven’t translated into a significant reduction in muscle injury levels in professional sports such as soccer.
To simplify things further, the evidence indicates a new injury often occurs within a couple of weeks after return to contest, and typically costs the player more lost playing time than the key injury(7). The most probable reasons for this observation are likely associated with bodily alterations following the first injury, such as muscle stiffness and/or fatigue, scar tissue formation, biomechanical alterations, neuromuscular inhibition, as well as inadequate treatment — for instance, overly aggressive or incomplete rehabilitation(8-10).
Injury-Prevention Programs
Even armed with knowledge that is up-to-date and the best technology is fraught with difficulty. Remembering the old adage that ‘an ounce of prevention is worth a pound of cure’, a alternative that is far better to attempt to prevent injuries from happening in the first place with an injury-prevention program. This is easier said than done. It is correct that there is an abundance of literature on the effectiveness of methods to avoid harm recurrence and muscle injury, such as enhancing flexibility eccentric and concentric exercises and drills. Despite this and apps like FIFA’s ‘The II’ (see Box 1), the incidence of muscle injuries generally, and the recurrence rate particularly, remains stubbornly high(11-16).
More recent studies indicate that in higher levels of functionality, there might not be much in the way of significant added benefits, while some early study appeared to give evidence for the efficacy of programs in football, as described in box 1. At a follow up to the study described above(18) and that was published this past year, the same group of investigators looked to see if an injury prevention program comprising 10 exercises designed to enhance stability, muscle strength, co-ordination, and versatility of the back, hip and leg muscles (FIFA’s ‘The II’) was effective concerning reducing injury levels and whether it offered any advantages in terms of reducing the related costs of following treatment for injuries that did occur(19).
From the analysis, 479 adult male amateur gamers aged 18-40 years have been split into two classes: the intervention group had been taught to do exercises focusing on core stability, bizarre training of thigh muscles, proprioceptive training, dynamic stabilization, and plyometrics with straight-leg orientation at every training session (2-3 sessions per week) through one season. The management team, meanwhile, continued their usual warm up.
As in the previous study, there were no significant differences in the percentage of players that are injured and injury rates between the two groups. What was intriguing was that in the intervention group, the price of injury treatment was 256 per participant. In the control group nonetheless treatment costs were twice at $606 per participant. The investigators commented that the cost savings in the intervention group may be the result of a rate of knee injuries, which have costs because of more lengthy rehabilitation periods and much more time lost at work compared to a number of different injuries.
Meanwhile, another study on an injury- prevention program (based on The II) in male amateur players had been printed in the end of last year(20). It discovered that (like the previous studies), an intervention program did not decrease the incidence of harm throughout the course of a season. However, such as the study, the players in the intervention group did incur less health care costs, although a justification for this finding wasn’t given. As if to validate the confusion surrounding the value of injury-prevention programs for football players, then a recently published systematic overview of all of the previous studies released thus far fought to achieve a definitive conclusion(21). Six studies involving a total of 6,099 participants met the inclusion criteria and the results of these were conflicting two of the six studies (among large and one of moderate quality) reported a decrease in injury rates that were actual. Four of the six research an ‘preventive effect’, even though the effect of a single study wasn’t statistically significant. Possible reasons for these contradictory findings might be subject choice (sex and level of ability), differences between the intervention programs implemented (content, training frequency and duration) and compliance with this application. What’s clear, however, is that studies investigating the type and seriousness of exercises within an injury-prevention program are still required to reduce the incidence of accidents in soccer efficiently.
Good News On Prevention
Since the review study cited previously(21) was printed, two quite newly published studies on injury-prevention apps in soccer seem to provide more encouraging news — for muscle injuries at least. In one, researchers studied elite players competing over two consecutive seasons, where the first (2008-2009) function as intervention period and the second, the management period (2009-2010)(22). In total, 26 (08/09) and 23 (09/10) elite male pro football players competing within the Scottish Premier League and European competition participated. The accident prevention training program was conducted twice weekly to the entirety of this season (58 avoidance sessions) and the results were compared with the control (no injury-prevention program) year.
On first inspection, the results were disappointing, showing an increase in the complete number of accidents within the intervention period (88 vs 72). But this was largely because of the greater quantity of contusion injuries sustained inside the intervention season (44) compared with control season (23). Assessing like for muscular injuries that were significantly fewer were observed during the intervention season, which had been even more impressive given the larger squad size at the intervention season.
Another newly published study by Italian scientists who researched the effect of a two-tiered injury-prevention program on initial injury and re-injury prevalence in 36 elite male football players also causes encouraging reading(23). During the season prior to that examined in the study, there had been 27 muscle injuries in the group, which accounted for 58.7 percent of the total injuries: 13 of these had occurred throughout practice and 14 during matches. The general incidence of muscular injuries was 5.6 injuries/1000 hours of training/playing exposure and the effect was 106.4 times absence/1000 hours exposure.
To try and decrease the speed of injury through the following season, the team doctor (also among the study’s authors) found an injury-prevention program, conducted 2-3 times per week. This consisted of two elements: a collection of core stability exercises conducted by the whole group prior to each practice session (see Box 2) along with an individualized injury prevention program, which has been started after assessment with kinesiologic and diagnostic tests. At the start of the year, every athlete underwent testing of leg flexibility using the Ober evaluation, Thomas evaluation and straight-leg-raising [SLR] test(24-26). The prone instability test(27) was completed to show spinal instability along with the stork test (28,29) to assess sacroiliac dysfunction. Quadriceps and hamstring strength were measured isokinetically and attention was directed in evaluation of immunity of gluteus medius’ power.
The injuries that happened based on MRI and clinical imaging findings were diagnosed by the medical team. An injury was defined as though it caused the participant to miss the next training session or match, and happened during a scheduled training session or match. An injured player was defined injured before the club medical staff cleared him for participation. Re-injuries were described as those that occurred as those that occurred at the same website no longer than three months following the player had returned to full involvement at early re-injuries and exactly the exact same site.
Results
Throughout the intervention season, a total of 64 injuries occurred — 36 (56 percent) during practice and 28 (44%) during matches. Of them, 20 were muscle injuries, accounting for 31.3 percent of the total injuries; 14 of which occurred during practice and 6 during games. In all, three re-injuries happened and (15 percent of overall muscle injuries) and there were not any premature re-injuries. In comparison with the preceding season with no intervention-program set up, there was a reduction in the number of times and muscle injuries . Specifically, whereas muscle injuries accounted for 31 percent of harms they accounted for 59% of all injuries. Significantly, the number of injuries per 1000 hours of training and playing time was reduced by over half of 5.6 to 2.5. Meanwhile, the number of days fell by nearly two-thirds 106 into 37. The investigators put the success of this intervention down to three key aspects:
An injury prevention program that comprised of core stability exercises similar to those in ‘The II’ program but which differed in its two-tiered arrangement (group and individual sessions), allowing for intense and special training. In contrast, the combined results in research into The II app are probably because of the non- special content and ineffective intensity.
The program’s continuity of commitment by the players to both the group and individual areas.
The addition of bizarre hamstring training in the group program (2 sets of 5 repetitions per week) combined with all the personalized application for players with a history of injury.
Using ice baths in the conclusion of every training session
The investigators cautioned that their study would have included a larger number of topics, but the data still showed a critical progress by the prior year over that. They also argued that by increasing the number of group and individual prevention training sessions, the outcomes could be enhanced.
Summary & Recommendations
Injury treatment in aggressive soccer is equally costly and time-consuming also given the pressures of the game, injury avoidance is more important than ever. But, despite extensive published literature on harm prevention strategies and initiatives such as FIFA’s ‘The II’, the injury rates in soccer remain high, especially in the higher levels.
The latest research indicates that while overall injury prevention programs such as The II might reduce the incidence of trauma in amateur gamers, especially by reducing the incidence of knee injury. However, they will probably not benefit professional players or level. Instead, combining a more individualized approach (using a far greater emphasis on particular exercises determined by kinesiologic and diagnostic testing) with team sessions seems to be desirable. Additionally, it is important that gamers are ‘on-board’ with almost any program and take part regularly (at least twice weekly) to achieve all the potential advantages.
References
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22.J Strength Cond Res 2013 Dec; 27(12):3275-85
23. J Muscles, Ligaments and Tendons Journal 2013; 324 3 (4): 324-330
24. J Bone & Joint Surgery 1936; 18:105-110.
25. Phys Ther Sport 2007; 8:14-21.
26.J Orthopaedic and Sports Physical Therapy 1981; 2:117-133
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28. Spine 2003; 28: 1593-1600
29. Clinical Biomechanics 2004; 19:456-464
As we get older, we become more prone to injuries, since our bodies are not as elastic as they once were. This is especially true for the inner material of your spine’s discs. Every year you become a little more at risk of experiencing herniated discs, a condition where a stressed disc ruptures, because the elasticity and water content of your intervertebral discs reduces overall.
But herniated discs aren’t only a problem for elderly people. A disc herniation can be experienced by anyone as a result of twisting or lifting the wrong way. And in the event that you currently have a bulging disc, a disc that is hurt but still intact, chances are higher that stress on the affected disc could cause it to rupture or become “herniated”.
A herniated disc can cause pain throughout the entire body, not just back pain. And as you might think of surgery being the sole remedy for a herniated disc, there are lots of complementary and alternative treatment option for herniated discs. Chiropractic specializes in supplying non-invasive spinal decompression treatment and therapy methods.
A visit to your chiropractor will help you confirm whether you have a herniated disc, a bulging disc, or even some other spinal problem altogether. If you do have an injured disc, a doctor of chiropractic can create an individual treatment plan to assist you avoid surgery and return to enjoying your life, pain-free.
Contents
What are Herniated Discs?
The 24 vertebrae of your spine are separated from one another by pads of cartilage known as intervertebral discs. These discs have an outer coating with a soft interior to cushion against stresses and strains as well as the shocks experienced in your spine. The discs are subject to injury, disease, and degeneration with use over time. Certain activities and types of work increase the risk of discs being damaged or deteriorating.
Once the soft inside material of a disc pushes or is bulged out through a tear or weakening in the outside covering, the disc is reported to be herniated. Slipped, ruptured and �prolapsed discs are also known as protruding, bulging, or degenerated discs. There are distinctions between these terms, but they really refer to a disc that is no longer in its normal condition and/or position and may require chiropractic care to treat them. Herniated discs trigger pain by impinging on (intruding upon, irritating, and pinching) as well as depriving nerves in the spine.
Chiropractic for Herniated Discs
A healthcare professional can help address back pain along with other herniated disc symptoms. In your first appointment, your chiropractor will go through your medical history, do a physical exam, and carry out orthopedic and neurological tests. The chiropractor will also look over your posture, and may order an X-ray or MRI, if necessary, to aid with the diagnostic procedure and determine the presence of a disc herniation.
Chiropractors assess the whole spine. Your chiropractor will examine your neck, too, even when you simply have back pain. She or he wants to see how well your backbone is functioning and recall: What happens in one area of your spine can affect other parts of your spine and/or body.
After reviewing this information, your physician can ascertain whether you have an intervertebral disc injury. The type of disc injury you have will determine what treatments your chiropractor will use to address your symptoms. Your chiropractor can provide treatment options to you to address your pain and other symptoms.
To treat a herniated disk, your physician will develop a treatment program that might include spinal manipulation–also called adjustments–and other chiropractic techniques to help alleviate your herniated disc symptoms. It might consist of therapy and exercises, although this will be an individualized treatment plan.
The particulars of what are on your treatment strategy are particular to your own pain, level of activity, general health, and what your chiropractor thinks is best. As with any treatment option, do not be afraid to ask questions regarding what chiropractic treatments are being recommended and why. You want to be sure you know how it can help relieve your pain and what will be performed. Therapy is safe and effective for most patients.
Chiropractic provides the distinctive training, techniques, and experience needed to safely and effectively adjust your spine so the stress on the discs is minimized, the pain alleviated, the damaged or displaced structures given a opportunity to heal, and your capacity to return to normal functioning restored.
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
Physical therapy plays a part in herniated disc recovery. Its methods not only offer you immediate pain relief, but they also teach you how you can condition your body to prevent further injury.
The discs are pads that serve as “cushions” between the vertebral bodies that serve to minimize the impact of movement on the spinal column. Each disc is designed like a jelly donut with a central softer component (nucleus pulposus).
As the disc degenerates from age or injury, the softer central portion can rupture (herniate) through the surrounding outer ring (annulus fibrosus). This abnormal rupture of the central portion of the disc is referred to as a disc herniation. The most common location for a herniated disc to occur is in the disc at the level between the fourth and fifth lumber vertebrae in the low back.
You will find a variety of physical therapy techniques, such as passive treatments, which help relax your body and include deep tissue massage, hot and cold therapy, electric stimulation (eg, TENS), and hydrotherapy, among others.
Your physical treatment program will usually begin with passive remedies. But once your body heals, you will start active treatments that strengthen your body and protect against additional pain. Your therapist will work with you to develop a strategy which best suits you.
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Passive Physical Treatments for Herniated Discs
Deep Tissue Massage: There are more than 100 kinds of massage, but deep tissue massage is an ideal option when you’ve got a herniated disc because it uses a lot of pressure to ease deep muscle tension and spasms, which develop to stop muscle movement at the affected place.
Hot and Cold Therapy: Both hot and cold therapies offer their own set of advantages, and your physical therapist may alternate between them to get the best outcomes.
Your physical therapist may use heat to increase blood flow to the target region. Blood helps by delivering nutrients and additional oxygen cure the area. Blood also removes waste byproducts.
Conversely, cold therapy (also called cryotherapy) slows circulation. This decreases inflammation, muscle spasms and pain. Your physical therapist may put an ice pack give you an ice massage, or use a spray known to cool tissues.
Hydrotherapy: As the name implies, hydrotherapy involves water. As a passive therapy, hydrotherapy may involve sitting in warm shower or a bath. Hydrotherapy gently relieves pain and relaxes muscles.
Transcutaneous electric nerve stimulation (TENS): A TENS machine utilizes an electrical current to stimulate your muscles. It isn’t painful, although it seems extreme. A electric current is sent by electrodes to key points on the neural pathway. TENS reduces muscle spasms and is generally believed to activate the release.
Traction: The goal of traction is to decrease the effects of gravity to the spine. The aim is to cut back the disk herniation, by pulling the bones apart. The analogy is similar to a flat tire “disappearing” when you place a jack under the car and take strain off the tire. It can be carried out in the lumbar or cervical spine.
Active Physical Treatments for Herniated Discs
Active remedies help address flexibility, posture, strength, core stability, and joint motion. An exercise program may also be prescribed to achieve results. This will not just suppress recurrent pain but may also benefit your health. Your therapist may work with you to develop a schedule based on your diagnosis and health history.
Core equilibrium: Many people don’t realize how important a strong heart is to their spinal health. Your core (abdominal) muscles help your back muscles support your spine. It puts pressure when your heart muscles are weak. Your physical therapist may teach core to you.
Flexibility: Learning appropriate stretching and endurance techniques will prepare one for aerobic and strength exercises. Flexibility helps your body move simpler by warding off stiffness.
Hydrotherapy: Compared to just sitting in a hot bath or bath like its counterpart that is passive, active hydrotherapy can demand water to help condition your body without unnecessary strain.
Muscle strengthening: Strong muscles are a great support system for your backbone and better handle pain.
Your physician will teach you ways to condition and strengthen your back to help prevent future pain. So that you realize how to best treat your symptoms, you may learn fundamentals. The aim is that you develop the knowledge to maintain a way of life.
It is essential that you understand how to exercise and condition your back following the formal physical therapy ends. You won’t appreciate its results, if you don’t implement the lessons you learned during physical therapy. You might prevent additional disc pain, by taking care of your back on your own.
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
Complementary and alternative treatments like massage, acupressure, and acupuncture can relieve pain related to a bulging or herniated disc.
If you’re considering these remedies, you need to consult a complementary and alternative medicine (CAM) professional. This title can be confusing, although complementary medicine and other medicine follow the very same techniques, they’re distinct in that forms are used in place of traditional medicine, whereas complementary treatments are used with conventional medication.
A herniated disk refers to a problem with one of the rubbery cushions (disks) between the individual bones (vertebrae) that stack up to make your spine. A spinal disk is a little like a jelly donut, with a softer center encased within a tougher exterior. Sometimes called a slipped disk or a ruptured disk, a herniated disk occurs when some of the softer “jelly” pushes out through a tear in the tougher exterior.
A herniated disk can irritate nearby nerves and result in pain, numbness or weakness in an arm or leg. On the other hand, many people experience no symptoms from a herniated disk. Most people who have a herniated disk don’t need surgery to correct the problem, as a matter of fact, they can explore alternative treatment approaches.
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Other Treatments for Herniated Discs
Exploring alternative approaches may not only help you feel relaxed and hassle free but these can also keep you away from the operating room. For a ruptured or herniated disc, you might want to try:
Acupuncture: This ancient Chinese practice is rooted in the belief that everyone has an energy force called the Chi (sometimes spelled Qi, but the two are pronounced “chee”). When the Chi is blocked or unbalanced, your body may react with sickness, pain and discomfort. Traditional acupuncturists aim to free up Chi channels, called meridians, by inserting extremely thin needles into certain points in your own body’s meridians.
Based on your particular diagnosis, the practitioner will probably insert multiple needles which are left in for approximately 20-40 minutes.
It’s also been suggested that acupuncture triggers the release of endorphins into the blood flow. In other words, endorphins are the body’s natural pain relievers. As such, their discharge decreases your perception of pain. Similarly, the Gate Control Theory can play a part in acupuncture’s efficacy in reducing pain. This theory maintains that pain signals traveling slowly from the area of injury to the spinal cord into the brain because the nerves may only deal with a limited number of signals at the same time. Acupuncture is supposed to create signals to audience the pain signs that were slow-moving, blocking out the pain.
Acupressure: Not surprisingly, acupressure is very much like acupuncture. Both are techniques that restore a healthy flow of energy throughout the entire body by stimulating specific meridian points. But acupressure relies on hands palms, and elbows, not needles, to manage pressure. Acupressure is for people of all ages but not for pregnant women (several acupressure points may lead to miscarriage) and those with high blood pressure.
Massage: When received frequently, massage can provide chronic low back pain relief. A massage involves the stroking, kneading, and manipulation of your tissues. Blood flow, which provides oxygen and nutrients to the muscles is increased by these movements. Extra blood also carries waste byproducts that may accumulate away.
Whilst massage is not a proven treatment for herniated discs, it is usually safe and free of side effects. However, massage might not be perfect for you in the event that you suffer from deep vein thrombosis, osteoporosis, skin infections, open wounds, or arthritis in or close to the area to be massaged.
You’ll find over 100 types of massage techniques. A Swedish massage, for example, uses long strokes to impact the superficial layers of the muscles. In contrast, a deep tissue massage uses slow strokes and direct pressure to soothe your layers of muscle and relieve chronic strain. Your massage therapist will work with you to determine what special massage will most likely reduce your pain.
When you start any new medical plan, let your practitioner know if you have any health conditions apart from pain from your herniated disc. Additionally, it is important to be aware that these treatments are best when used as complementary treatments (that can be combined with conventional medicine).
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: Sciatica
Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica, is well-known group of symptoms, including lower back pain, numbness and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to a variety of injuries and/or conditions, such as spinal misalignment, or subluxation, disc herniation and even spinal degeneration.
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