Young adults don’t think about disc deterioration/degeneration until it’s time for the golden years. The disorder is known as Scheuermann’s disease,�Scheuermann’s Kyphosis, and juvenile disc disorder. It affects young adults usually in the late teens to early thirties. Spinal injuries can be the cause but many doctors believe genetics that leads to disc degeneration is a major factor. And still, others believe it is the wear and tear on the spine as the main cause.
The disorder is characterized by disc degeneration throughout the spine. The discs are weakened and cannot withstand the pressure of everyday spinal support. Then the spine is open to all kinds of spinal health issues. These include:
If left untreated, the condition shifts into full-blown degenerative disc disease combined with various health problems like numbness, muscle weakness, and nerve damage. Juvenile disc disorder is rare but is a condition that requires immediate ongoing medical attention to make sure young adults and juveniles protect long-term spinal health. Adolescents with consistent back pain need to be thoroughly examined by a chiropractor. The value of an accurate diagnosis when it comes to developing and administering advanced treatment could be vital.
Cause For Concern
The disorder occurs when parts of the vertebrae known as endplates become too weak to withstand the spinal pressure inside the disc. The endplates are the top and bottom areas of the vertebrae that attach to the cartilage disc between each vertebra.
When the endplates become weak, segments of the tough cartilage can protrude into the endplate, and into the vertebra. These protrusions are called Schmorl�s nodes and can contribute to the pain.
Sitting, standing, or laying down causes an aching back
Transitioning from walking to running or vice versa causes pain
Bending, lifting non-heavy objects causes aching and pain
Stretching the arms over the head causes aches and pain
Posture problems to compensate for the back discomfort and pain
Disc Disorder Management
Because the disorder primarily affects the vertebral discs, chiropractic pain management is focused on reducing the pressure and strain on the discs. However, it does not mean that activity is to be restricted. Managing the condition focuses on improving strength and flexibility.
Foundation strengthening/support is where a chiropractor could begin. This strengthens the hips, thighs, and hamstrings promoting stabilization of the posterior chain. This leads to body core stability and less spinal concussion during activity/s. Stretching exercises help maintain flexibility for dynamic movements like twisting and bending.
Aerobic activity is also recommended to keep the condition in check. The heart-pumping circulates more blood throughout the body ensuring that the inflamed or injured areas get plenty of oxygenated blood, specifically the spine. Body mechanics also play a role as a proper heel striking when walking or running.
Proper body mechanics lessens the impact of the aerobics on the spine and promotes overall wellness. Chiropractic spinal adjustments and realignment could also be part of a management treatment plan. High-velocity low amplitude adjustments help to reset the vertebrae and takes the stress off of discs.
Addressing any disc disorder early is the first step to prevent a lifetime of back pain problems. Seeking a chiropractic assessment as soon as possible will help identify any spinal misalignments or underlying conditions that mimick back pain symptoms/conditions. A chiropractor will develop a customized treatment/management plan to fit an individual’s needs.
Lower Back Pain Chiropractic Care
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Heithoff, K B et al. �Juvenile discogenic disease.��Spine�vol. 19,3 (1994): 335-40. doi:10.1097/00007632-199402000-00014
The most�common type of arthritis in children and adolescents is Juvenile idiopathic arthritis aka (JIA) a type of inflammatory arthritis that affects kids 16 years and younger. It is a rare condition, that affects around 1 in every 1,000 children. It can cause�joint�pain and stiffness throughout the body, especially the facet joints/spinal joints.
Types of Arthritis that Fall Under JIA
Juvenile Idiopathic arthritis was known as juvenile rheumatoid arthritis, but it is not a child/teenage version of adult rheumatoid arthritis. Juvenile Idiopathic arthritis falls into a group of several types of arthritis. When a doctor diagnoses JIA, they will determine the type.
To better understand how this arthritis affects the spine, it helps to know some of the terminology.
Enthesitis: Inflammation of the entheses is the area where tendons and ligaments connect to bone/s.
Spondyloarthritis: Arthritis that attacks the entheses of the spine. Ankylosing spondylitis is an example of spondyloarthritis.
The neck joints are the most common to be attacked by JIA. Whereas, spondyloarthritis causes pain and stiffness in the low back.
Juvenile idiopathic arthritis happens in children aged 16 years and younger. Symptoms include:
Mild heat or a warmness that has been present for at least 6 weeks.
Other symptoms can include muscles and soft tissues becoming tight, erosion of the bone,�joint misalignment, and abnormal growth patterns.
Diagnosis Can Be A Challenge
Diagnosis is not always straightforward, and there are criteria for diagnosing juvenile idiopathic arthritis. The doctor will perform a physical exam and order tests. They will monitor the child�s symptoms for at least 6 weeks initially, and then for 6 months after the onset of the disease. During this time, figuring the number of joints involved helps determine the diagnosis. As joint involvement can vary by the type of arthritis, and symptoms can and do change regularly.
This arthritis attacks the joints of the spine, specifically in the neck. However, with certain types of spondyloarthropathy, the lower back can become the target.
Diagnosing arthritis involves a complete and thorough examination. If a chiropractor has been brought in to help with the case, a medical work-up by a rheumatologist could be recommended. This includes radiology/X-rays or an MRI, urine, blood analysis and physical examinations.
A doctor may recommend a multi-disciplinary approach to treat JIA. They may prescribe various types of therapies/treatments focused on stopping the disease’s progression. The treatment plan will include teaching healthy habits to prevent future back pain.
Treatment usually starts with nonsteroidal anti-inflammatory’s. A doctor can also prescribe a corticosteroid to control the inflammation. Most respond well to anti-inflammatory medication, however, these medicines do not treat the underlying disease or the root cause.
Inflammatory arthritis and its progression can be controlled with certain medications. There are disease-modifying antirheumatic medications that can slow the disease�s progression. There are also TNF-blocking medications that can help block a specific protein known as tumor necrosis factor that causes inflammation. Etanercept known on the market as Enbrel and adalimumab aka Humira are examples of TNF-blockers that can prevent the disease from progressing.
Understand that chiropractic medicine cannot cure arthritis, but it can help alleviate the symptoms and slow the progression. They will use spinal adjustments in conjunction with other treatments. These can include:
Hot and cold treatments
Electronic muscle stimulation
Physical Therapy Exercise
Healthy lifestyle education
Patients can develop a forward posture that can lead to a hunched back and neck pain. Postural training and back extension exercises are helpful. Stretching and range of motion exercises keep the facet and rib joints functioning and mobile. Deep breathing expands the chest which expands the rib joints and aids lung function. Depending on the type and severity, a doctor might try other approaches like spine surgery.
If you or someone has been diagnosed with juvenile idiopathic arthritis in the spine,�learn as much as possible about the disease and the ways to combat it. Being informed about this or any disease encourages empowerment and engagement throughout the treatment process.
The best results are achieved by attacking it from all angles. Working with a chiropractor and rheumatologist in combination. A chiropractor will train the individual on how to maintain a healthy diet and maintain an active exercise program to help with movement. This is geared toward a healthy outcome.
Low Back & Neck Pain Chiropractic Care
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