Here, you can find expert advice on coping with spine and back pain, the aftermath of a car accident, and improving your quality of life.
Introduction
People who have been in an automobile accident, even a little one, may have physical injuries to their back, spine, and upper and lower limbs. Acute or persistent pain may be the consequence of injuries brought on by the abrupt forces involved in a collision. Does stiffness affect your shoulders, back, and neck? Do you have back discomfort that radiates down? Or have you been unable to do your everyday chores due to persistent headaches? Today, we’ll examine and comprehend the reasons behind back and spine discomfort, identify its symptoms, and investigate how people may heal and reclaim their quality of life with the aid of efficient therapies like chiropractic adjustments.
Spine & Back Pain Causes After a Car Accident
The spine and back are vulnerable during a car accident due to the rapid acceleration, deceleration, and twisting motions that occur. Common causes of pain include:
Whiplash and Soft Tissue Injuries: A person in a rear-end collision will experience a common injury known as whiplash. This musculoskeletal injury occurs when the head and neck are forcefully jerked forward and backward. (Stroke, 2023) This can strain or tear muscle tissue structures in the neck and upper back, leading to the development of pain and stiffness throughout the body.
Herniated Discs: The impact of a car collision can cause the spinal segments to compress or displace the intervertebral discs, causing them to bulge or rupture. This may irritate nearby nerves, compressing them, resulting in back pain-associated numbness or weakness within the upper and lower extremities. (Ge et al., 2019)
Spinal Misalignment: The sudden jolts and movements the body experiences after a car collision can misalign the spinal vertebrae, disrupting the spine’s natural curvature. This can lead to numerous pain-like symptoms, such as muscle spasms, restricted movement, and pain.
Fractures or Dislocations: In severe accidents, the spinal vertebrae may fracture or dislocate, causing intense pain and potential nerve damage. These injuries can negatively influence an individual’s social and financial situation when being treated. (Fakharian et al., 2017)
Facet Joint Injuries: The facet joints, which connect the vertebrae, can become sprained or damaged during a collision, leading to pain.
Symptoms of Spine & Back Pain
Depending on the collision’s severity, the spine and back can develop symptoms depending on the type of injury the person is experiencing. Common signs include:
Localized or Radiating Pain
Stiffness
Muscle Spasms
Numbness or Tingling
Headaches
Fatigue or Weakness
Delayed onset of symptoms is common, with pain or discomfort appearing hours or days after the accident. Seeking prompt medical evaluation is critical to prevent complications.
From Injury to Recovery with Chiropractic Care- Video
The Role Of Chiropractic Care in Treatment
Chiropractic care is a non-surgical treatment option focusing on restoring spinal alignment, improving mobility, and reducing pain within the musculoskeletal system. It is particularly effective for managing spine and back pain caused by car accidents. Key benefits of chiropractic care include:
Spinal Adjustments: Chiropractors use controlled, manual techniques to realign the spine, relieve pressure on the compressed nerves, and restore joint function. This can reduce pain, improve mobility, and restore the normal range of spinal movement. (Choi et al., 2015)
Soft Tissue Therapy: Chiropractors can incorporate massage or myofascial release techniques to help relax the tight muscles, reduce spasms, and promote healing in strained ligaments and tendons.
Pain Management: Since chiropractic care can alleviate pain without reliance on medications, which may have side effects. Chiropractic adjustments and therapies target the root cause of discomfort.
Rehabilitation Support: Chiropractors often provide exercises and stretches as part of the individual’s customized treatment plan to strengthen muscles and prevent future injuries.
Holistic Approach: Chiropractic care emphasizes overall wellness, addressing physical symptoms and lifestyle factors that impact the person’s recovery process.
Chiropractic care is effective for conditions like whiplash, which is associated with neck and lower back pain. Compared to standard medical care, it reduces pain and improves function. (Bryans et al., 2014)
Other Treatment Options
While chiropractic care is highly effective, a comprehensive treatment plan may include:
Physical Therapy: To restore strength and flexibility back to the body while reducing low back and neck pain. (Alrwaily et al., 2019)
Pain Management: Over-the-counter or prescription medications for short-term relief.
Medical Imaging: X-rays, MRIs, or CT scans to diagnose fractures or herniated discs.
Surgery: In rare cases, for severe injuries like spinal fractures or significant disc herniations.
When to Seek Care
Individuals involved in a car accident must have a prompt evaluation by a healthcare provider, such as a chiropractor or physician. Even if symptoms are mild, this is essential because if the injuries are untreated, they can cause overlapping risk profiles or long-term complications to the body. A chiropractor can assess spinal alignment, recommend a personalized treatment plan, and coordinate with other providers.
Conclusion
Following a vehicle accident, those who have back and spine pain may find that their everyday lives are significantly impacted, but recovery may be aided by prompt action and the right treatment. A safe and efficient method for controlling pain, regaining function, and averting chronic problems is chiropractic therapy. A chiropractor may help people recover from accidents by determining the root causes of pain-like symptoms and promoting general wellbeing.
Injury Medical Chiropractic & Personal Injury Clinic
We associate certified medical providers who understand the importance of assessing individuals with pain-like symptoms affecting their spines and backs. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer
References
Alrwaily, M., Schneider, M., Sowa, G., Timko, M., Whitney, S. L., & Delitto, A. (2019). Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial. Braz J Phys Ther, 23(6), 506-515. https://doi.org/10.1016/j.bjpt.2018.10.003
Bryans, R., Decina, P., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R. P., Shaw, L., Watkin, R., & White, E. (2014). Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther, 37(1), 42-63. https://doi.org/10.1016/j.jmpt.2013.08.010
Choi, J., Lee, S., & Jeon, C. (2015). Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. J Phys Ther Sci, 27(6), 1937-1939. https://doi.org/10.1589/jpts.27.1937
Fakharian, E., Mohammadzadeh, M., Saberi, H. R., Fazel, M. R., Rejali, M., Akbari, H., Mirzadeh, A. S., & Mohammadzadeh, J. (2017). Spinal injury resulting from car accident: Focus to prevention. Asian J Neurosurg, 12(2), 180-184. https://doi.org/10.4103/1793-5482.152110
Ge, C. Y., Hao, D. J., Yan, L., Shan, L. Q., Zhao, Q. P., He, B. R., & Hui, H. (2019). Intradural Lumbar Disc Herniation: A Case Report and Literature Review. Clin Interv Aging, 14, 2295-2299. https://doi.org/10.2147/CIA.S228717
Optimizing Recovery from Work-Related Back Injuries: The Interdisciplinary Approach of Dr. Alexander Jimenez, DC, APRN, FNP-BC
Introduction
Back injuries sustained at work are a leading cause of disability and lost productivity, affecting diverse professions such as truck drivers, construction workers, healthcare providers, and office employees. These injuries often result from improper lifting, repetitive motions, or prolonged sitting, leading to conditions like herniated discs, muscle strains, or chronic pain. For those injured, securing workers’ compensation benefits and accessing effective treatment are critical steps toward recovery. Dr. Alexander Jimenez, a dual-licensed chiropractor and nurse practitioner with over three decades of experience, specializes in treating work-related back injuries, particularly those from personal injury cases and auto accidents. His integrative approach, detailed on www.dralexjimenez.com and www.chiromed.com, combines chiropractic care, advanced medical interventions, and collaboration with trusted medical and legal professionals to deliver comprehensive care.
This article outlines the benefits of chiropractic care in managing work-related back injuries, the expanded treatment options enabled by Dr. Jimenez’s nurse practitioner licensure, and the interdisciplinary strategies that optimize recovery. It also highlights how Dr. Jimenez collaborates with legal providers to ensure patients receive the support needed to navigate workers’ compensation claims effectively.
The Burden of Work-Related Back Injuries
Work-related back injuries are prevalent across industries, with the Bureau of Labor Statistics reporting over 900,000 cases of nonfatal occupational injuries involving the back in 2020. High-risk occupations include:
Truck Drivers: Prolonged sitting and unloading heavy cargo increase spinal stress.
Construction Workers: Lifting, twisting, and repetitive motions contribute to injury.
Healthcare Workers: Patient handling and prolonged standing elevate risk.
Manual Laborers: Heavy lifting and improper techniques lead to strains.
Office Workers: Poor posture and sedentary behavior cause chronic pain.
These injuries often result from improper lifting, repetitive turning, twisting while lifting, or holding heavy objects overhead. Symptoms may include acute pain, limited mobility, or chronic conditions requiring long-term management. Workers’ compensation programs exist to cover medical expenses and lost wages, but the process can be complex, necessitating expert medical and legal guidance.
Benefits of Chiropractic Care for Work-Related Back Injuries
Chiropractic care is a cornerstone of non-invasive treatment for back injuries, focusing on restoring spinal alignment, reducing pain, and improving function. Dr. Jimenez leverages evidence-based chiropractic techniques to address work-related injuries, supported by randomized controlled trials (RCTs) and cohort studies.
Pain Reduction and Functional Improvement
Chiropractic adjustments, or spinal manipulations, realign the spine to alleviate pressure on nerves and muscles. A 2018 RCT published in The Spine Journal (Goertz et al.) found that chiropractic care combined with usual medical care significantly reduced pain and disability in patients with low back pain compared to medical care alone. Dr. Jimenez employs manual adjustments, flexion-distraction techniques, and soft tissue therapies to target specific injury sites, promoting natural healing.
Non-Invasive and Drug-Free Approach
Chiropractic care offers a drug-free alternative to pain management, reducing reliance on opioids, which is critical given the opioid crisis. A 2020 cohort study in Pain Medicine (Whedon et al.) demonstrated that patients receiving chiropractic care for low back pain had a lower likelihood of opioid prescriptions compared to those receiving only medical care. Dr. Jimenez integrates therapies like myofascial release and therapeutic exercises to manage pain without pharmacological interventions.
Prevention of Chronic Conditions
Early chiropractic intervention can prevent acute injuries from becoming chronic. A 2019 study in Journal of Manipulative and Physiological Therapeutics (Eklund et al.) showed that maintenance chiropractic care reduced the recurrence of low back pain episodes. Dr. Jimenez designs personalized treatment plans that include corrective exercises and ergonomic counseling to minimize re-injury risk.
Support for Workers’ Compensation Claims
Chiropractors play a vital role in documenting injuries for workers’ compensation claims. Dr. Jimenez provides detailed clinical notes and treatment plans, ensuring compliance with workers’ compensation requirements. His expertise in occupational health allows him to assess whether injuries are work-related, facilitating accurate reporting to employers and insurance carriers.
Expanded Scope of Practice: Nurse Practitioner Expertise
As a board-certified Family Nurse Practitioner (FNP-BC), Dr. Jimenez’s dual licensure enhances his ability to provide comprehensive care, particularly in personal injury and auto accident cases. Nurse practitioners (NPs) have an expanded scope of practice, allowing them to diagnose, treat, and prescribe medications, which complements chiropractic interventions.
Advanced Diagnostics and Treatment
NPs can order and interpret diagnostic imaging, such as X-rays, MRIs, and CT scans, to assess the extent of spinal injuries. A 2021 study in Journal of General Internal Medicine (Mafi et al.) highlighted the accuracy of NPs in managing musculoskeletal conditions through diagnostics and treatment planning. Dr. Jimenez uses these tools to develop precise treatment strategies, ensuring timely interventions for conditions like herniated discs or vertebral fractures.
Medication Management
In cases where pain or inflammation requires pharmacological support, Dr. Jimenez can prescribe medications like non-steroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants. His NP training ensures judicious use of medications, aligning with evidence-based guidelines to avoid over-reliance. This is particularly beneficial in auto accident cases, where soft tissue injuries often require short-term pharmacological support alongside chiropractic care.
Coordination of Multidisciplinary Care
NPs are trained to coordinate care across specialties, making Dr. Jimenez uniquely positioned to oversee interdisciplinary treatment plans. For complex injuries, he collaborates with orthopedic surgeons, neurologists, and physical therapists to ensure holistic care. A 2020 RCT in BMJ Open (Côté et al.) demonstrated improved outcomes when NPs coordinated multidisciplinary care for back pain, reducing recovery time and costs.
Enhanced Patient Education
NPs emphasize patient education, empowering individuals to manage their recovery. Dr. Jimenez provides guidance on posture, lifting techniques, and lifestyle modifications, drawing on his NP training to address comorbidities like obesity or diabetes that may complicate recovery. This integrative approach aligns with the philosophies outlined on www.chiromed.com, emphasizing patient-centered care.
Interdisciplinary Treatment Strategies
Dr. Jimenez’s practices integrate chiropractic and NP services with interdisciplinary treatments tailored to work injury trauma and auto accident cases. These strategies address the physical, emotional, and legal challenges of recovery.
Comprehensive Treatment Modalities
Chiropractic Adjustments: Correct spinal misalignments to reduce pain and restore mobility.
Physical Therapy: Strengthen core muscles and improve flexibility through targeted exercises.
Hydrotherapy: Use water-based therapies to reduce inflammation and enhance circulation.
Spinal Injections: Administer corticosteroid injections for severe inflammation, guided by diagnostic imaging.
Rehabilitation Programs: Design long-term plans to restore function and prevent re-injury.
A 2017 cohort study in Spine (Blanchette et al.) found that multidisciplinary care combining chiropractic, physical therapy, and medical interventions resulted in faster return-to-work rates for back injury patients. Dr. Jimenez’s integrative approach mirrors these findings, ensuring patients receive tailored care.
Focus on Personal Injury and Auto Accidents
Personal injury cases, including auto accidents, often involve whiplash, soft tissue injuries, and spinal trauma. Dr. Jimenez’s dual expertise allows him to address these conditions comprehensively. For example, whiplash may require chiropractic adjustments to restore cervical alignment, physical therapy to strengthen neck muscles, and short-term NSAIDs to manage pain. His ability to order MRIs ensures accurate diagnosis of soft tissue damage, which is critical for workers’ compensation and insurance claims.
Collaboration with Medical Specialists
Dr. Jimenez collaborates with a network of trusted medical providers, including:
Orthopedic Surgeons: For surgical interventions like discectomy or spinal fusion.
Neurologists: To address nerve-related symptoms like radiculopathy.
Pain Management Specialists: For advanced pain relief techniques, such as epidural injections.
This collaborative model ensures seamless care, with Dr. Jimenez overseeing the treatment plan to maintain continuity. His practice websites emphasize this integrative philosophy, highlighting partnerships with specialists who share a commitment to patient outcomes.
Collaboration with Trusted Legal Providers
Navigating workers’ compensation and personal injury claims requires legal expertise, particularly when employers or insurance carriers dispute claims. Dr. Jimenez partners with trusted legal providers specializing in workers’ compensation and personal injury law to support his patients.
Role of Legal Providers
Legal providers assist with:
Claim Filing: Ensuring timely and accurate submission of workers’ compensation claims, adhering to state-specific statutes of limitations (e.g., one year in many states).
Dispute Resolution: Representing patients in disputes over injury causation or benefit denials.
Maximizing Benefits: Advocating for coverage of all necessary treatments, including chiropractic care, diagnostics, and rehabilitation.
Auto Accident Claims: Handling insurance negotiations and litigation for injuries sustained in work-related auto accidents.
Dr. Jimenez refers patients to attorneys who understand the medical complexities of back injuries, ensuring alignment between clinical documentation and legal arguments. This collaboration is critical in gray-area cases, such as injuries sustained at work-related events or while working from home.
Streamlined Communication
Dr. Jimenez maintains active communication with legal providers, sharing clinical notes and treatment plans to substantiate claims. Workers’ compensation is exempt from HIPAA privacy regulations for injury-related records, allowing seamless information exchange. This ensures legal providers have the evidence needed to advocate effectively, reducing delays in treatment or compensation.
Patient Advocacy
By connecting patients with reputable attorneys, Dr. Jimenez empowers them to focus on recovery without the stress of legal battles. His websites, www.dralexjimenez.com and www.chiromed.com, emphasize this patient-centered approach, highlighting resources for legal support alongside medical care.
Workers’ Compensation: Coverage and Process
Workers’ compensation is an employer-funded insurance program that covers medical expenses and lost wages for work-related injuries. Coverage typically includes:
Emergency department visits
Diagnostic testing (e.g., X-rays, MRIs)
Follow-up care with specialists
Surgical interventions
Rehabilitation and physical therapy
Dr. Jimenez ensures patients understand their rights under workers’ compensation, advising them to report injuries immediately to their employer’s human resources department. Prompt reporting strengthens claims and prevents disputes over injury causation.
Challenges and Solutions
Challenges in securing workers’ compensation include:
Gray-Area Injuries: Injuries at work-related events or while working remotely may be contested. Dr. Jimenez provides detailed documentation to clarify work-related causation.
Employer Pressure: Some employers may pressure workers to return before medical clearance. Dr. Jimenez collaborates with legal providers to protect patients’ rights.
Wage Replacement Issues: Workers reliant on overtime may face reduced compensation. Dr. Jimenez advises patients to consult attorneys to maximize benefits.
A 2019 study in Journal of Occupational and Environmental Medicine (Mueller et al.) found that early legal intervention improved outcomes in contested workers’ compensation cases, underscoring the value of Dr. Jimenez’s legal partnerships.
Maximizing Recovery: Patient-Centered Strategies
Dr. Jimenez’s integrative approach prioritizes patient compliance and transparency to optimize recovery. Key strategies include:
Adherence to Treatment Plans: Keeping appointments and following recommendations ensures consistent progress.
Open Communication: Patients are encouraged to report symptoms accurately, enabling adjustments to treatment plans.
Ergonomic Training: Guidance on posture, lifting, and workplace modifications reduces re-injury risk.
Holistic Care: Addressing comorbidities and mental health to support overall well-being.
His websites provide resources like exercise guides and ergonomic tips, reinforcing these strategies and empowering patients to take an active role in their recovery.
Conclusion
Work-related back injuries and auto accident trauma require a comprehensive, interdisciplinary approach to achieve optimal recovery. Dr. Alexander Jimenez, DC, APRN, FNP-BC, combines his expertise as a chiropractor and nurse practitioner to deliver evidence-based treatments, from spinal adjustments to advanced diagnostics and medication management. His collaboration with trusted medical and legal providers ensures patients receive holistic care and robust support through the workers’ compensation process. By integrating chiropractic care, medical interventions, and legal advocacy, Dr. Jimenez empowers patients to recover fully and return to work with confidence. Visit www.dralexjimenez.com and www.chiromed.com to learn more about his integrative approach and commitment to patient-centered care.
References
Goertz, C. M., et al. (2018). Effect of usual medical care plus chiropractic care vs usual medical care alone on pain and disability among US service members with low back pain: A comparative effectiveness clinical trial. The Spine Journal, 18(8), 1391–1399.
Whedon, J. M., et al. (2020). Association between chiropractic care and use of prescription opioids among patients with low back pain. Pain Medicine, 21(6), 1087–1095.
Eklund, A., et al. (2019). The Nordic maintenance care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain. Journal of Manipulative and Physiological Therapeutics, 42(7), 477–487.
Mafi, J. N., et al. (2021). Nurse practitioners and physician assistants in primary care: A systematic review of scope of practice and patient outcomes. Journal of General Internal Medicine, 36(5), 1423–1432.
Côté, P., et al. (2020). Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. BMJ Open, 10(3), e035366.
Blanchette, M. A., et al. (2017). Effectiveness of multidisciplinary rehabilitation programs for work-related low back pain: A systematic review. Spine, 42(13), 1007–1016.
Mueller, K. L., et al. (2019). Impact of early legal representation on workers’ compensation claim outcomes. Journal of Occupational and Environmental Medicine, 61(4), 312–318.
Can Affect Lower Back Muscles and Cause Hamstring Spasms
Lower back muscles, including those like the quadratus lumborum, can be affected by paraspinal spasms. (Hospital for Special Surgery, 2024)
The spasms can cause these muscles to tighten or spasm, potentially pulling on the hamstring muscles.
This can lead to hamstring spasms and tightness, further contributing to pain and potential nerve irritation.
Entrapment of the Sciatic Nerve
Piriformis syndrome is a common condition where the piriformis muscle (located in the buttock) spasms and compresses the sciatic nerve. (Cedars-Sinai, 2025)
The sciatic nerve runs from the lower back down the back of the thigh and into the leg, making it vulnerable to compression by surrounding muscles.
If the paraspinal and hamstring spasms create enough tension on the piriformis muscle or surrounding tissues, it can lead to sciatic nerve entrapment. (Hospital for Special Surgery, 2024)
How acupuncture helps relieve sciatica
Acupuncture can help relieve sciatica pain by stimulating specific points on the body, which can trigger the release of endorphins, reduce inflammation, improve blood flow, and relax tight muscles that could be compressing the sciatic nerve. By modulating the nervous system and promoting the body’s natural healing processes, acupuncture can help alleviate pain and improve overall function. (Qin, Z. et al., 2015)
Releases endorphins
Acupuncture stimulates the nervous system, triggering the release of endorphins, the body’s natural painkillers.
Reduces inflammation
Acupuncture can help reduce inflammation in the area surrounding the sciatic nerve, which can contribute to pain and nerve irritation. (Natural Care Chiropractic, 2022)
Improves circulation
By increasing blood flow to the affected area, acupuncture can help deliver nutrients and oxygen to the sciatic nerve and surrounding tissues, promoting faster healing.
Relaxes tight muscles
Sciatica pain can be exacerbated by tight muscles compressing the nerve. Acupuncture can help relax these muscles, reducing pressure on the sciatic nerve and alleviating pain.
Regulates the nervous system
Acupuncture can help regulate the nervous system, positively impacting pain perception and overall well-being. (Qin, Z. et al., 2015)
Promotes regeneration
Some evidence suggests that acupuncture can promote sciatic nerve regeneration, potentially leading to long-term pain relief. (Natural Care Chiropractic, 2022)
Needling Types
Distal needling
Acupuncture can also involve using points that are further away from the site of pain, which can also help to reduce pain and inflammation.
Local needling
Points are also selected on or near the sciatic nerve’s path, which can help directly address the source of pain and inflammation. (Qin, Z. et al., 2015)
Holistic approach
Acupuncture is often viewed as a holistic approach to pain management, addressing the symptoms of sciatica and the underlying causes and imbalances in the body.
Injury Medical Chiropractic and Functional Medicine Clinic
As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.
Noonan, A. M., & Brown, S. H. M. (2021). Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR spine, 4(3), e1171. https://doi.org/10.1002/jsp2.1171
Hospital for Special Surgery. (2024). Sciatica. https://www.hss.edu/condition-list_sciatica.asp
Qin, Z., Liu, X., Wu, J., Zhai, Y., & Liu, Z. (2015). Effectiveness of Acupuncture for Treating Sciatica: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2015, 425108. https://doi.org/10.1155/2015/425108
Natural Care Chiropractic, D. M. F. (2022). Acupuncture for Sciatica Pain Relief. https://www.naturalcarechiropractic.com/post/acupuncture-for-sciatica-pain-relief
For individuals experiencing back pain, can lying in the supine position help bring relief?
Supine Position
The supine position describes the body’s position when lying on your back with your face up. The individual is flat on their back with no incline, arms at their sides or bent at a 90-degree angle. It’s commonly used in medical settings for examinations, surgeries, and procedures, particularly when access to the anterior/front of the body is needed. It can benefit certain conditions, like helping relieve pain, but exacerbate others, like acid reflux. The term is also used as a modifier for exercises and stretches that begin with the individual on their back. (ScienceDirect Topics, 2009)
Medical Uses
Examinations
Healthcare providers often use the supine position for physical examinations, including vital signs, palpation of the abdomen, and chest inspection. (Nurse.com, 2024)
Procedures
It’s also used for various procedures, such as lumbar punctures and injections. (Steris Healthcare, 2025)
Surgery
Due to its accessibility to the front of the body, the supine position is frequently used for surgeries such as cardiac, abdominal, thoracic, and cranial procedures.
It allows for easy access to the airway, facilitates anesthesia choices, and can be readily converted to an open procedure if necessary. ScienceDirect Topics, 2009)
Overall Health
Natural Position
Many individuals naturally fall asleep in the supine position, finding it comfortable and conducive to spinal alignment.
Back Pain Relief
Sometimes, lying supine with proper support can relieve back pain, particularly in individuals with lumbar spinal issues. (MedicalNewsToday, 2022)
Acid Reflux
However, the supine position can exacerbate acid reflux, as gravity allows stomach acid to travel up the esophagus. (MedicalNewsToday, 2022)
Sleep Apnea
The supine position can worsen sleep apnea in some individuals.
Clinical Uses
A physical therapist, trainer, or clinician may use supine to describe positions used for manual therapy or when having the patient do stretching and back exercises as part of a home exercise program.
If the therapist or personal trainer is training the individual on core stabilization exercises for the first time, the individual will most likely start in the supine position.
This is because when the body is supine, the muscles have the least work to do to maintain correct posture and position against the force of gravity.
Many bed exercises begin in this position for rehabilitation.
Back Care
Here are a few recommendations to relieve low back pain using the supine position.
First, individuals can release the tension in the back by assuming the hook-lying position, a modification of the supine position in which the knees are bent and the feet are resting flat on the floor (Aurora BayCare Medical Center, N.D.).
Start breathing and relaxing, allowing the tension to drain out of the muscles.
In a hook-lying position with the fingertips on the lower belly, inhale deeply, then exhale naturally and puff out the remaining air.
At that point, the fingertips should feel the transverse abdominal muscle engage.
Release and repeat 10 times.
After the body is warmed up, move on to actual exercise. For example, beginners may be given hip stretches to help relieve back pain. These might be done to maintain or prevent back pain. Individuals can do yoga for their back while in the supine position. As with any exercise program, not all yoga poses involve lying on the back, but many beginners and restorative ones do.
For example, the supine spinal twist involves lying on the back, bending the knees, and gently placing them to one side. The idea is to stay in that position for a few moments—and breathe—to allow the oblique abdominal and back muscles to release.
Variations
Lawn Chair Position
This variation involves slightly bending the hips and knees and elevating them above the heart, which can help relieve lower back pain.
Frog-Leg Position
The frog-leg position involves lying on the back with bent knees pushed out to the sides, providing access to the groin and perineum. (Steris Healthcare, 2025)
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Thoracic Spine Pain
References
ScienceDirect. (2009). Supine Position. Morrey’s The Elbow and Its Disorders (Fourth Edition), 567-577. https://doi.org/https://doi.org/10.1016/B978-1-4160-2902-1.50042-5
Nurse.com. (2024). What Is Supine Position? https://www.nurse.com/nursing-resources/definitions/what-is-supine-position/#:~:text=During%20routine%20physical%20examinations%2C%20the,easier%20to%20perform%20comprehensive%20assessments.
STERIS. (2025). The Complete Guide to Patient Positioning. https://www.steris.com/healthcare/knowledge-center/surgical-equipment/complete-guide-to-patient-positioning#:~:text=The%20most%20common%20position%20used,and%20elevating%20the%20sternal%20notch.
MedicalNewsToday. (2022). What is the supine position? https://www.medicalnewstoday.com/articles/supine-position
Aurora BayCare Medical Center. (N.D.). Lumbar stabilization hooklying position. https://ahc.aurorahealthcare.org/fywb/baycare/x06913bc.pdf
For individuals with lower back pain when walking, could they have injured a muscle or have an underlying condition affecting the joints, ligaments, or nerves?
Back Pain When Walking
Lower back pain when walking can occur for a variety of reasons. It can result from poor posture, injuries, muscle fatigue, or an underlying condition. Specific injuries, like muscle strains, can affect the ligaments in the spine and cause pain. Muscles that have not been used often can result in fatigue and pain. Specific health conditions, such as degenerative disc disease, spinal stenosis, herniated discs, sciatica, or even sacroiliac joint dysfunction, can cause lower back pain. Factors like overexertion or improper gait can exacerbate it.
Muscle Issues
Muscle strains, ligament sprains, or fatigue can cause lower back pain when walking. Pain can occur after walking or come on gradually from wear and tear without an apparent cause, as follows (American Association of Neurological Surgeons, 2024)
Strains
Occur when the fibers in the back are overstretched or torn.
Pain from muscle strains is usually worse during activity and better when resting.
Sprains
It occurs when the ligaments that connect bone to bone become detached.
If the muscles do not adequately support the spine, the spinal joints absorb more pressure, which can lead to injury to the spinal ligaments.
Fatigue
It can happen from overexertion and lead to lower back pain when walking.
It could occur when walking longer than the body is used to, on uneven surfaces that make the muscles work harder to help maintain balance, or climbing hills that cause you to lean forward while walking.
Degenerative Disc Disease
Between each vertebra is a disc that provides cushioning between the bones.
As the disc wears down, surrounding muscles, ligaments, joints, and nerves in the spine absorb more pressure, causing damage.
Degenerative disc disease is a wear-and-tear condition that becomes more common as individuals age and is a common cause of lower back pain.
Healthcare providers recommend walking as a low-impact activity for individuals with the disease. However, if the condition is more severe, individuals could experience pain from this exercise, especially when walking on hard surfaces. (Hospital for Special Surgery, 2024)
Sciatica
Sciatica pain occurs when a nerve exiting the spine in the lower back becomes compressed or pinched. It is a common symptom of a herniated disc, in which a disc moves out of place and puts pressure on nearby nerves. In addition to lower back pain, sciatica can cause pain in the hip, the back of the thigh, and down the leg. Sciatica can also cause: (American Academy of Orthopaedic Surgeons, 2021)
Numbness
Tingling
Muscle cramps
Leg muscle weakness
Healthcare providers often recommend walking as a safe form of physical activity for individuals with sciatica. However, individuals should avoid twisting or bending forward. (American Academy of Orthopaedic Surgeons, 2021) To decrease pain, avoid walking on uneven surfaces or uphill.
Lumbar Spinal Stenosis
Spinal stenosis is a wear-and-tear condition that often affects the lumbar spine/five vertebrae in the lower back.
It causes the space surrounding the spinal cord to narrow.
Lumbar spinal stenosis typically causes pain when standing upright, including when walking.
Many with this condition find that leaning slightly forward helps to reduce the pain by opening up the compressed areas.
Hyperlordosis
Lordosis describes the normal curve in the spine in the lower back. However, when this curve is exaggerated, it causes hyperlordosis or swayback. (American Academy of Orthopaedic Surgeons, 2020) Hyperlordosis affects the range of motion, putting abnormal pressure on the muscles, ligaments, and joints. It also reduces the spine’s ability to absorb shock correctly when walking, leading to pain. (Cedars-Sinai, 2025)
Prevention Strategies
Individuals can take steps to reduce their risk of lower back pain when walking, even if they’ve been diagnosed with a condition that can potentially cause this symptom. Walking can decrease chronic low back pain for some. (Suh J. H. et al., 2019) As with any new exercise program, check with a healthcare provider to ensure that walking for exercise is appropriate for the injury, condition, or disease and is safe. Recommended tips: (Harvard Health Publishing, 2015)
Wear shoes made for walking.
Perform gentle lower back stretches before walking.
Start slowly by walking for a few minutes, then gradually increase the time.
Walk on a smooth surface, such as a sidewalk or athletic track, or indoors, such as in a shopping center or mall.
Warm up and cool down by walking slowly at the beginning and end of the walk.
This allows the back and leg muscles to warm up before exercise and recover afterward.
Walk at a slow to moderate pace/speed that allows one to converse.
Standing up straight while walking or standing upright reduces pressure on the lower back.
Alternative Exercise
If there is still back pain when walking, it might not be an appropriate exercise for the individual and/or how their condition presents symptoms. Alternate activities can include: (Hospital for Special Surgery, 2023)
Elliptical Trainer
This exercise keeps the feet in contact with the pedals, putting less shock-absorbing pressure on the spine than walking.
Recumbent Biking
will keep the back upright, which is recommended if there is more pain when bending forward.
Upright Stationary Biking
This is recommended if the back pain improves when bending forward.
Walking In A Pool
This activity provides benefits while reducing pressure on the spine.
To target different muscles, try walking laps in waist-deep water in multiple directions (forward, backward, and side to side).
Water Aerobics
This activity provides cardiovascular health benefits with decreased pressure on the back.
Injury Medical Chiropractic & Functional Medicine Clinic
See a physical therapist for a personalized exercise program to reduce back pain and appropriate for your condition. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Beyond Adjustments: Chiropractic and Integrative Healthcare
References
American Association of Neurological Surgeons. (2024). Low back strain and sprain. https://www.aans.org/patients/conditions-treatments/low-back-strain-and-sprain/
Hospital for Special Surgery. (2024). Degenerative disc disease. https://www.hss.edu/condition-list_degenerative-disc-disease.asp
American Academy of Orthopaedic Surgeons. (2021). Sciatica. https://orthoinfo.aaos.org/en/diseases–conditions/sciatica
American Academy of Orthpaedic Surgeons. (2021). Lumbar spinal stenosis. https://orthoinfo.aaos.org/en/diseases–conditions/lumbar-spinal-stenosis/
American Academy of Orthopaedic Surgeons. (2020). Spine basics. https://orthoinfo.aaos.org/en/diseases–conditions/spine-basics/
Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173
Harvard Health Publishing. (2015). 5 tips for getting started with a walking program. https://www.health.harvard.edu/exercise-and-fitness/get-started
Hospital for Special Surgery. (2023). Best types of exercise for back pain. https://www.hss.edu/article_best-exercise-lower-back-pain.asp
For individuals experiencing lower back pain and sciatica symptoms, can using a lidocaine patch help?
Lidocaine Patch
Lidocaine patches are in a drug class called local anesthetics (MedlinePlus, 2025) (Food and Drug Administration, 2022). They relieve pain in small body areas by blocking the nerves from sending pain signals. The Food and Drug Administration approved lidocaine 5% or 1.8% patches for relieving postherpetic neuralgia (PHN) pain. These lidocaine patches are prescription-only (Food and Drug Administration, 2022). They are available either by prescription or over the counter and are commonly used for back pain and other areas. Over-the-counter lidocaine, 4% patches, can be used to relieve minor aches and pains, including back pain. However, further research is needed to recommend the use of lidocaine patches as an effective method of pain relief. (Department of Veterans Affairs/Department of Defense, 2022) (North American Spine Society, 2020)
The Patch
They are available in prescription and over-the-counter forms. Over-the-counter forms come as a 4% patch in various brands, such as (MedlinePlus, 2025)
Aspercreme
Lidocare
Salonpas
Prescription-only patches come in 5% or 1.8% patches and are approved to relieve long-term nerve pain from shingles in adults. Zlido is a brand name for a 1.8% lidocaine patch. Five percent lidocaine patches are available generically. (DailyMed, 2018) (Food and Drug Administration, 2021) The safety and effectiveness in children are unknown. (Food and Drug Administration, 2022)
Other Lidocaine Forms
As a local anesthetic, it is available in several other forms, including:
Spray
Topical cream
Lotion
Liquid
Ear drops
Eye gel
Injection
It is also available as a short-term intravenous infusion for abnormal heart rhythm. (DailyMed, 2025)
Effectiveness
Clinical trials have shown that the patches effectively relieve chronic low back pain. However, these studies were nonrandomized and did not include a control group to compare against the treatment group. (Santana J. A., Klass S., & Felix E. R. 2020) The results may be subject to potential biases. For this reason, further evidence is needed to support lidocaine patches’ effectiveness in reducing low back pain. (North American Spine Society, 2020) High-quality randomized and controlled clinical trials are necessary to study the effectiveness. (North American Spine Society, 2020) (Santana J. A., Klass S., & Felix E. R. 2020)
Clean and dry the affected area before placing the patch.
Apply to the affected body area as directed.
Wash your hands after touching the patch.
Remove the patch after what is usually recommended after eight hours.
How Quickly Does It Work?
The amount of medication absorbed into the blood depends on how long the patch is placed on the body and how much is covered with the patch. In a study, healthy participants wore three lidocaine patches on their backs for 12 hours on and 12 hours off during 24 hours. Lidocaine levels were highest at 11 hours. At the end of the 24 hours, there was still some lidocaine left in the bloodstream. (Food and Drug Administration, 2022)
Individuals with PHN may notice a difference in pain intensity after four hours of using the patch. (Rowbotham, M. C. et al., 1996) (Food and Drug Administration, 2022) Experts may suggest using patches for four weeks for those who experience pain after their shingles rash disappears. However, if there is still pain after these four weeks, it is recommended to see a pain specialist. (Gross, G. E. et al., 2020)
Side Effects
Common side effects are typically mild skin reactions where the patch is. These reactions are usually temporary and will disappear within a few minutes or hours. Examples include: (Food and Drug Administration, 2022)
Severe allergic reactions are rare, but it is possible.
Symptoms include breathing problems, itchiness, and rash.
Methemoglobinemia
Methemoglobinemia is a condition that makes it hard for red blood cells to carry oxygen.
Individuals may experience symptoms of blue-looking skin, headache, lightheadedness, shortness of breath, abnormal heart rhythm, or seizures.
Using too many lidocaine patches to cover large parts of the body or using the patches longer than 12 hours within 24 hours may cause side effects that may include heart-related effects, such as a slow heart rate and low blood pressure. Individuals may also experience the following side effects (Food and Drug Administration, 2022)
Hot or cold sensation
Numbness
Dizziness
Ringing ears
Lightheadedness
Mood changes
Drowsiness to unconsciousness
Vision changes
Seizures
Tremors
Vomiting
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Sciatica Causes and Treatments
References
National Library of Medicine. MedlinePlus. (2025). Lidocaine transdermal patch. Retrieved from https://medlineplus.gov/druginfo/meds/a603026.html
Food and Drug Administration. (2022). Lidoderm label. Retrieved from https://www.accessdata.fda.gov/spl/data/eedfe43b-1019-19a0-e053-2995a90a7696/eedfe43b-1019-19a0-e053-2995a90a7696.xml
Department of Veterans Affairs/Department of Defense. (2022). VA/DoD clinical practice guideline for the diagnosis and treatment of low back pain. Retrieved from https://www.healthquality.va.gov/guidelines/Pain/lbp/VADoDLBPCPGFinal508.pdf
North American Spine Society. (2020). Evidence-based clinical guidelines for multidisciplinary spine care: diagnosis and treatment of low back pain. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf
National Library of Medicine. DailyMed. (2018). Label: lidocaine patch. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5c66f3b9-6e04-47ab-8d94-21e89ceec154
Food and Drug Administration. (2021). Ztlido label. Retrieved from https://www.ztlido.com/wp-content/uploads/2022/12/ZTlido-LABEL.pdf
National Library of Medicine. DailyMed. (2025). Lidocaine-lidocaine hydrochloride injection, solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f1b26274-a55e-4321-b96c-ce0df830f205
Santana, J. A., Klass, S., & Felix, E. R. (2020). The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review. PM & R: the journal of injury, function, and rehabilitation, 12(12), 1260–1267. https://doi.org/10.1002/pmrj.12366
Rowbotham, M. C., Davies, P. S., Verkempinck, C., & Galer, B. S. (1996). Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia. Pain, 65(1), 39–44. https://doi.org/10.1016/0304-3959(95)00146-8
Gross, G. E., Eisert, L., Doerr, H. W., Fickenscher, H., Knuf, M., Maier, P., Maschke, M., Müller, R., Pleyer, U., Schäfer, M., Sunderkötter, C., Werner, R. N., Wutzler, P., & Nast, A. (2020). S2k guidelines for the diagnosis and treatment of herpes zoster and postherpetic neuralgia. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology: JDDG, 18(1), 55–78. https://doi.org/10.1111/ddg.14013
Are there benefits to back cracking, risks, and how can it be done safely?
Back Cracking
Back cracking is intentionally applying pressure or twisting movements, producing a popping or cracking sound in the spine. Back cracking involves stretching or extending the spine. In most cases, it is considered safe when done gently as it can provide temporary relief from back pain and stiffness by:
Stretching the ligaments and muscles around the spine
Releasing gas bubbles that may be causing pressure
Improving joint mobility
Mechanism of Action
Cracking your back creates small gas bubbles in the synovial fluid (the lubricating fluid in the joints).
These bubbles form when the pressure in the joints is suddenly released, causing a popping or cracking sound.
It is generally safe, but there are certain conditions under which individuals should avoid cracking their backs.
Popping Sound
Research has used a new type of magnetic resonance imaging (MRI), cine MRI, to study the noise source. Cine MRI produces moving images.
This study using this MRI found that the formation of bubbles makes a popping sound.
The popping sound does not come from the popping of bubbles in the synovial fluid, as previously believed. (Kawchuk G. N. et al., 2015)
When someone cracks their back, the force pulls the bones of the joint apart, causing the pressure within the joint to drop and form a bubble, which eventually dissipates. (Kawchuk G. N. et al., 2015)
Crepitus
Crepitus is the medical term for cracking or popping noise from joints.
It is not a condition or disease but can be a symptom of one.
Other terms include clicking or crunching.
Is It Safe To Perform Daily?
Back cracking once a day is generally considered safe. But if it causes pain or swelling, then stop and contact a healthcare provider. If someone feels the need to crack their back more throughout the day, it could be a sign that they need to see a professional chiropractic healthcare provider. (AICA Orthopedics, 2022) Individuals may crack their backs to address certain conditions or to relieve various discomfort symptoms that can include: (National Center for Complementary and Integrative Health, 2025)
Headache
Neck pain
Lower back pain
Sciatica
Individuals may often experience mild side effects like headache, stiffness, or pain. These side effects tend to resolve within a day. Though back cracking can provide temporary relief for some conditions, some serious side effects like neurological problems or strokes have been reported. (National Center for Complementary and Integrative Health, 2025)
Rotate the upper body to the right side and press against the right knee with the left elbow.
Hold the stretch for 30 seconds and come back to the center.
Repeat on the other side.
Knee to Chest
Lie flat on the ground.
Lift one leg and bring the knee to the chest, pulling the knee in with your hands.
Hold for five seconds.
Repeat with the other leg.
Several back-cracking assistive devices, such as poles and wheels, are available. Talk to a healthcare provider to determine the right type and ensure it is safe for you and your condition or injury.
Individuals Who Should Avoid Back Cracking
Back cracking can cause additional stress or damage to the joints in those with back injuries or other conditions. Individuals with these conditions should avoid back cracking (AICA Orthopedics, 2022)
Numbness or tingling of the arms or legs.
Osteoporosis
Spinal cancer
Spinal abnormalities
Individuals who have a high stroke risk.
A Professional Back Adjustment
A chiropractor is a healthcare provider who specializes in spine and spinal adjustments. They adjust the spine and other areas of the body to correct misalignment problems, reduce and relieve pain, and allow the body to recover independently. (National Library of Medicine. MedlinePlus, 2023) The chiropractor will take a health history to learn about previous injuries and conditions. Then, they will evaluate the patient and determine the best course of action. Although a chiropractor performs spinal adjustments, they may also incorporate other treatments, including: (National Library of Medicine. MedlinePlus, 2023)
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Chiropractic Secrets
References
Kawchuk, G. N., Fryer, J., Jaremko, J. L., Zeng, H., Rowe, L., & Thompson, R. (2015). Real-time visualization of joint cavitation. PloS one, 10(4), e0119470. https://doi.org/10.1371/journal.pone.0119470
AICA Orthopedics. (2022). Is cracking your back bad? https://aica.com/is-cracking-your-back-bad/
National Center for Complementary and Integrative Health. (2025). Spinal manipulation: what you need to know. Retrieved from https://www.nccih.nih.gov/health/spinal-manipulation-what-you-need-to-know
American Academy of Orthopedic Surgeons. (2022). Spine conditioning program. https://orthoinfo.aaos.org/en/recovery/spine-conditioning-program/
National Library of Medicine. MedlinePlus. (2023). Chiropractic. Retrieved from https://medlineplus.gov/chiropractic.html
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