How does decompression alleviate sciatic nerve pain in many working individuals with lumbar disc degeneration?
Introduction
The discs between the spinal vertebrae act as a cushion when pressure is added to the body. These discs get compressed when the body is in motion. Our bodies and spines also age as we age, which causes the spinal intervertebral disc to degenerate over time. The outer part of the spinal disc may crack under pressure, causing the inner part to protrude and irritate the spinal nerve roots. This can cause sciatic nerve pain, which may result in radiating pain in the legs, buttocks, and lower back. This can cause mobility issues and disability, making it difficult for working individuals to perform their jobs. Non-surgical treatments, such as safe and gentle traction, can help alleviate sciatic nerve pain by reducing pressure on the spine and maintaining disc height. By slowing down the progression of lumbar disc degeneration, individuals can reduce the frequency of visits to their primary care doctors and avoid disability. Today’s article provides an overview of lumbar disc degeneration, its association with sciatic nerve pain, and the benefits of decompression in restoring disc height and reducing pain. As we work with certified medical providers who use our patients’ information to treat individuals experiencing sciatic nerve pain associated with lumbar disc degeneration. We inform them that non-surgical treatments like decompression can help reduce the progression of lumbar disc degeneration and reduce sciatic nerve pain. At the same time, we also explain to them how adding decompression to their routine can alleviate the pain-like symptoms. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer
Lumbar Disc Degeneration Overview
Have you begun to notice how your legs, buttocks, and feet are constantly experiencing tingling sensations that it makes it difficult to do everyday actions? Do you feel excruciating pain in your legs while standing, only to find relief from resting? Or do you notice that you are getting aches and muscle strains from normal motion like bending, twisting, and turning after waking up in the morning? Many individuals, especially older working adults, are experiencing these issues due to lumbar disc degeneration. Now lumbar disc degeneration usually occurs naturally as the body ages, which then causes the intervertebral disc to wear and tear constantly under pressure, then cracks and causes the disc to herniate. Since the intervertebral disc provides structural support and shock absorption against mechanical loads to the lumbar region, when normal or traumatic factors cause changes, it can cause dysfunction and instability in the lumbar spine. (Mohd Isa et al., 2022)
When the intervertebral discs begin to crack under pressure, it can cause pain-like symptoms affecting the upper and lower extremities. Additionally, lumbar disc degeneration can cause spinal flexibility to decrease and reduce the spine’s ROM (range of motion), which causes more stress on the surrounding muscles, ligaments, and tissues. Lumbar disc degeneration can cascade events from disc bulging to nerve root irritation. (Liyew, 2020) This means that when there are advanced degenerative changes to the lumbar facet joints and the surrounding soft tissues, it can cause the spinal canal to narrow and compress the adjacent nerve root. To that point, it can lead to reduce disc height and lead to sciatic nerve pain.
Lumbar Disc Degeneration Associated With Sciatica
Now how would lumbar disc degeneration be associated with sciatic nerve pain? When the intervertebral disc is being compressed under unwanted pressure, it can crack over time and herniate out of its original position, which then can press on the nerve root causing radiating pain to travel to the affected muscle area. Since the sciatic nerve is positioned in the lumbosacral region, it runs from the top of the gluteus muscles and down to the back of the hamstrings and calves. When unwanted pressure causes the intervertebral disc to herniate and start to affect the sciatic nerve, it causes a frequent symptom known as lumbar sciatica, where the herniated disc is compressing the sciatic nerve. (Zitouna et al., 2019) To that point, it can cause radiating, shooting pain down to the leg, making it difficult for individuals with demanding jobs to find relief. Since the lumbar intervertebral discs have a corresponding relationship with the central nervous system, the nerve roots that surround the spinal discs help with providing neuron signals to the adjacent muscles, which allows the arms, hands, legs, and feet to move. (Bogduk, Tynan, & Wilson, 1981) However, when the intervertebral discs are herniated, it can disrupt the neuron signaling to the muscles and cause referred pain to the lower or upper extremities. When this happens, many individuals opt to seek treatment.
Sciatica Secrets Revealed- Video
Many individuals dealing with sciatic nerve pain associated with lumbar disc degeneration will often find temporary relief to continue their work despite constant pain. This is due to the unwanted pressure that is causing an overload on the spinal disc to cause them to degenerate and invoke pain in the lower regions. At the same time, age and degenerative structural changes have a close relationship that can cause a greater effect on stress distribution to the lower back. (Adams, McNally, & Dolan, 1996) This leads to overlapping risk profiles contributing to sciatic nerve pain associated with lumbar disc degeneration due to normal and traumatic factors. However, many individuals don’t have to suffer from pain-like symptoms related to lumbar disc degeneration as there are numerous treatments to restore disc height and reduce sciatic nerve pain. Non-surgical treatments are great for many individuals looking for cost-efficiency and can be personalized to the person’s pain. (Louis-Sidney et al., 2022) Non-surgical treatments like chiropractic care, massage and physical therapy, and spinal decompression can help many individuals with lumbar disc degeneration associated with sciatic nerve pain. These treatments incorporate mechanical and manual manipulation of the spine to realign the body out of subluxation while incorporating various techniques to stretch out the soft tissues and muscles to strengthen their length and reduce nerve entrapment. The video above explains a bit more about how these treatments can restore mobility to the body, reduce inflammation, and relieve muscle tension caused by lumbar disc degeneration associated with sciatic nerve pain.
Spinal Decompression Restores Disc Height
Now non-surgical treatments like spinal decompression can help reduce the progress of lumbar disc degeneration by restoring disc height. Spinal decompression uses gentle traction on the spine to allow the necessary nutrients, fluids, and blood to be reabsorbed back into the spine. It will enable the herniated disc to return to its original position and rehydrate it. (Yu et al., 2022) Since the spine and body age naturally, spinal decompression can restore disc height by creating negative pressure to regain mobility and stretch out the affected muscles surrounding the spine.
Spinal Decompression Reduces Sciatic Nerve Pain
Additionally, decompression can help reduce sciatic nerve pain as it can help the herniated disc alleviate the pressure on the sciatic nerve and can restore mobility to the body. Spinal decompression can become a positive outcome for many working individuals as it allows individuals to be more mindful of their habits that were the cause of the pain they were experiencing. (Brogger et al., 2018) With non-surgical treatments like spinal decompression, many individuals can become efficient with work while being more conscious about what factors contribute to the pain. This, in turn, allows them to focus on their well-being and strengthen their weak points with a personalized plan that will enable them to make small changes in their day-to-day lives and become pain-free after a few consecutive treatments.
References
Adams, M. A., McNally, D. S., & Dolan, P. (1996). ‘Stress’ distributions inside intervertebral discs. The effects of age and degeneration. J Bone Joint Surg Br, 78(6), 965-972. doi.org/10.1302/0301-620x78b6.1287
Bogduk, N., Tynan, W., & Wilson, A. S. (1981). The nerve supply to the human lumbar intervertebral discs. J Anat, 132(Pt 1), 39-56. www.ncbi.nlm.nih.gov/pubmed/7275791
Brogger, H. A., Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Comparative effectiveness and prognostic factors for outcome of surgical and non-surgical management of lumbar spinal stenosis in an elderly population: protocol for an observational study. BMJ Open, 8(12), e024949. doi.org/10.1136/bmjopen-2018-024949
Liyew, W. A. (2020). Clinical Presentations of Lumbar Disc Degeneration and Lumbosacral Nerve Lesions. Int J Rheumatol, 2020, 2919625. doi.org/10.1155/2020/2919625
Louis-Sidney, F., Duby, J. F., Signate, A., Arfi, S., De Bandt, M., Suzon, B., & Cabre, P. (2022). Lumbar Spinal Stenosis Treatment: Is Surgery Better than Non-Surgical Treatments in Afro-Descendant Populations? Biomedicines, 10(12). doi.org/10.3390/biomedicines10123144
Mohd Isa, I. L., Teoh, S. L., Mohd Nor, N. H., & Mokhtar, S. A. (2022). Discogenic Low Back Pain: Anatomy, Pathophysiology and Treatments of Intervertebral Disc Degeneration. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010208
Yu, P., Mao, F., Chen, J., Ma, X., Dai, Y., Liu, G., Dai, F., & Liu, J. (2022). Characteristics and mechanisms of resorption in lumbar disc herniation. Arthritis Res Ther, 24(1), 205. doi.org/10.1186/s13075-022-02894-8
Zitouna, K., Selmene, M. A., Derbel, B., Rekik, S., Drissi, G., & Barsaoui, M. (2019). An unexpected etiology of lumbosciatica. Tunis Med, 97(12), 1415-1418. www.ncbi.nlm.nih.gov/pubmed/32173813
Many people experience pain daily at some point in their lives. The causes of pain can vary from person to person and can be due to environmental factors or normal wear and tear on the body. When the spine is under unwanted pressure, spinal discs can become compressed and musculoskeletal disorders can cause vertebrae to wear down, leading to chronic pain and disability. Fortunately, many treatments are available to alleviate pain and help the body restore itself naturally. This article focuses on a non-surgical treatment called spinal decompression, which can reduce the effects of musculoskeletal pain and help with the back and spine’s cervical, thoracic, and lumbar areas. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical therapies like spinal decompression to alleviate pain-like symptoms associated with environmental factors. We encourage referring patients to associated medical providers based on their findings while supporting that education is a remarkable tool to ask our providers essential questions at the patient’s request. Dr. Jimenez, D.C., comprises this information as an educational service. Disclaimer
What Is Spinal Decompression?
Do you feel stiffness in your upper or lower body? Are you experiencing any discomfort in your back, neck, or shoulders? Or are you feeling pain during simple movements? If these issues persist, consider spinal decompression therapy to alleviate your pain. Research studies reveal that many people experience pain at least a few times due to compression of the intervertebral discs caused by everyday wear-and-tear injuries and poor posture. This happens when the vertebral bones compress the spinal cord and discs, creating a risk of further complications. Luckily, spinal decompression is a non-surgical treatment option that is safe, gentle, and proven successful. It gently stretches the spine, relieving pressure on the spinal disc. Some of the physical benefits of spinal decompression therapy include:
Pain level decrease
Spine mobility improves
Postural integrity enhances
Develops core strength
Joint flexibility increases
Decrease stress levels
The immune system is boosted
Prevents new injuries from occurring
Chiropractic Care for Disc Herniation-Video
Do you feel pain or stiffness in certain body areas, especially when stretching or bending? These symptoms are often caused by spinal disc compression. Fortunately, many non-surgical treatments are available to help reduce the effects of spinal disc compression and promote natural healing. One such treatment is spinal decompression, as studies reveal that it uses negative pressure to stretch the muscles around the spine and reduce stress. Spinal decompression can be combined with other non-surgical treatments like chiropractic care to relieve pressure from the spine and reduce pain. Chiropractic care involves realigning the spine and reducing referred neck, shoulder, or back pain. Both therapies are non-invasive and can be combined with physical and nutritional treatment for optimal results. The video above explains how non-surgical treatments can help with disc herniation and associated symptoms.
Spinal Decompression For Musculoskeletal Pain
If you experience axial load on your spine from various factors, it could lead to musculoskeletal pain. Research shows that musculoskeletal pain is somatic by nature and can be associated with other pain syndromes related to the spine. Spinal decompression therapy can help alleviate this referred pain by using gentle traction to stretch the spine. Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C.’s book, “The Ultimate Spinal Decompression,” stated that this therapy creates space between the vertebrae, allowing herniated or bulging discs to return to their positions in the spine. This reduces pressure on nerves and soft tissues and increases the circulation of oxygenated blood, fluids, and nutrients to the spinal disc. This helps stimulate the body’s natural healing mechanism and reduce musculoskeletal pain in the cervical, thoracic, and lumbar regions. Therefore, spinal decompression therapy can alleviate pain symptoms associated with those areas.
Conclusion
If you’re experiencing musculoskeletal pain in your neck, upper back, or lower back, it could be due to unwanted pressure on your spine. A variety of environmental factors can cause this pressure. Spinal decompression is a non-surgical treatment that can help alleviate this pressure using gentle traction on the spine. Spinal decompression can create negative pressure, increasing disc height and stretching the surrounding muscles. This can help reduce pain and prevent new injuries from occurring. Combining spinal decompression with other therapies can help individuals become more mindful of their bodies and avoid adding unwanted pressure to their spine.
The human body has muscles surrounding and protecting the spine to prevent pain and disability. The spine is divided into three sections in the body: cervical, thoracic, and lumbar, which form an S-shape curve to promote stability and good posture. The spine has several discs, facet joints, and spinal nerves that work with the surrounding muscles, making the body mobile. However, various factors can pressure the spine, compressing the spinal discs and invoking referred pain to the surrounding muscles and tissues in different locations, leading to overlapping risk profiles if left untreated. This article focuses on the lumbar spine, explaining what vertebral pain syndrome is and how non-surgical treatments such as spinal decompression can restore mobility to the lumbar spine. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical therapies like spinal decompression to alleviate vertebral pain syndrome associated with the lumbar spine. We encourage while referring patients to associated medical providers based on their findings while supporting that education is a remarkable tool to ask our providers the essential questions at the patient’s request. Dr. Jimenez, D.C., comprises this information as an educational service. Disclaimer
An Overview Of the Lumbar Spine
We will concentrate on the lumbar spine, one of the three spine sections. The lumbar spine or low back begins at the T12 (the last thoracic vertebra) and ends at the S1 (the sacrum). It comprises five vertebrae with a common structure supporting the low back. These vertebrae are as follows:
The body
Pedicles
Laminae
Transverse processes
Spinous process
Superior/inferior articular processes
The lumbar spine has bigger and stronger bones that provide stability to the upper and lower parts of the body. Research studies reveal that the lumbar spine performs three essential functions that enable the body to function properly:
It supports the upper body.
It absorbs axial forces that move from the head to the trunk. This allows the muscles in the trunk to move without causing pain.
The lumbar spine forms a canal that safeguards the spinal cord and nerves.
The Structures Of the Lumbar Spine
The spine comprises several structures, including the vertebrae, spinal cord, spinal nerves, facet joints, and intervertebral discs. Each structure plays a unique role in keeping our bodies functioning properly. The vertebrae protect the spinal cord and nerves from injury, while the facet joints guide the motion of the vertebrae and help maintain stability. The spinal cord and nerves work with the central nervous system to send signals from the brain to the body for coordinating reflex actions. Intervertebral discs act as shock absorbers, allowing the spine to be flexible. Muscles, tissues, and ligaments protect the entire lumbar spine structure from pain. However, traumatic injuries or unwanted pressures can cause misalignment and low back pain. Low back pain is a common musculoskeletal complaint, and several factors can contribute to its development, often confused with vertebral pain syndrome associated with the lumbar spine, as research studies reveal.
Move Better, Live Better- Video
Do you have stiffness in your lower back or experience constant aches in certain regions? These may be signs of low back pain related to vertebral pain syndrome. Research shows that pathologic degeneration in the lumbar spine can cause low back pain, affecting all components. Several mechanical, traumatic, nutritional, and genetic factors contribute to spinal degeneration. However, non-surgical treatments can help reduce muscle pain and alleviate unwanted pressure on spinal discs. Chiropractic care and spinal decompression are two treatments that enhance mobility and function in the spine, relieving pain. The video above talks more about these treatments.
What Is Vertebral Pain Syndrome?
Experiencing pressure on the lumbar spine can result in various issues that can worsen low back pain. One of these issues is called vertebral pain syndrome. In “The Ultimate Spinal Decompression,” Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., explain that this syndrome occurs when environmental factors start affecting the lumbar spine. It can be caused by visceral pain in the lower back that disrupts neuron signals in the lumbar spine. This can irritate spinal nerves, leading to referred pain in the lower body. The book also mentions that vertebral pain syndrome can happen when the vertebrae end plates on spinal discs wear thin, causing pressure to move with the disc. This can inflame the spine, causing chronic low back pain.
How Spinal Decompression Alleviate Vertebral Pain Syndrome
How can non-surgical spinal decompression treatments help alleviate vertebral pain syndrome in the lumbar spine? Research studies revealed that spinal decompression could reduce pressure on the spinal disc and gently stretch the spine, restoring disc height. This treatment can relieve many people from low back pain and its associated symptoms. Moreover, it can rehydrate spinal discs by promoting the flow of blood and nutrients, which aids in the healing process to reduce the effects of vertebral pain syndrome.
Conclusion
Taking care of your spine is crucial as everyday factors can put pressure on it, causing damage to the spinal discs. This can lead to vertebral pain syndrome, which can cause lumbar back pain and referred pain linked to visceral problems. Luckily, spinal decompression therapy can ease the effects of this syndrome by gently stretching the spine and restoring hydration to the discs. Incorporating spinal decompression into your routine allows you to enjoy a pain-free life without worrying about lower back pain.
Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125–3130. doi.org/10.1589/jpts.28.3125
Kaplan, E. & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.
Manfrè, L., & Van Goethem, J. (2020). Low Back Pain (J. Hodler, R. A. Kubik-Huch, & G. K. von Schulthess, Eds.). PubMed; Springer. www.ncbi.nlm.nih.gov/books/NBK554336/
Back pain is a common issue experienced by people all over the world. The human body’s main structure is the back, divided into three sections: cervical, thoracic, and lumbar. These sections help in body movement, including twisting and turning, moving the extremities, and have a relationship with the gut and central nervous system. The surrounding muscles in the back also provide support and protect the spine. However, normal activities like bending down to pick up a heavy object, sitting down for an extended period, or falling can cause changes that lead to back pain, misalignment, and risk profiles in the upper and lower extremities. Today’s article focuses on the causes of back pain and the treatments available to relieve its effects. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical treatments to reduce the impact of back pain. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
An Overview Of Back Pain
Do you have pain in your upper, middle, or lower back? Do you experience aches and pains in the morning? Did lifting something heavy cause you pain? These symptoms could be signs of back pain, a common and costly reason for emergency room visits. Research studies reveal that back pain can have various causes and affect the entire body, either mechanically or non-specifically. The three sections of the back – cervical, thoracic, and lumbar – can all be impacted, causing referred pain in different parts of the body. For instance, cervical (upper) back pain can cause stiffness in the neck, while thoracic (middle) back pain can lead to shoulder and posture issues. Lumbar (low) back pain, the most common type, can cause hip and sciatic problems. Additional research studies reveal that back pain is a complex issue that can severely affect body function, and environmental factors can also influence it.
Causes Of Back Pain
Various factors can be the cause of back pain, thus resulting in spine misalignment. In their book, “The Ultimate Spinal Decompression,” Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., explain that the back muscles play a significant role in protecting the spine. Environmental factors can also impact the spine, leading to potential back pain. The book further notes that wear and tear and disc protrusion on the spine can result in disc herniation and degeneration, also associated with back pain. Some common causes of back pain include:
Visceral-somatic/Somato-visceral pain (Affected organ or muscle causes referred pain to different body parts)
Pregnancy
Further research indicates that various environmental factors, such as physical activity, lifestyle, stress, and work conditions, are associated with back pain and can overlap as risk factors. If left untreated, these environmental factors can lead to chronic conditions and significantly impact a person’s quality of life.
Chiropractic Secrets Exposed- Video
Have you been feeling numbness or tingling in your arms or legs? Do you experience back muscle pain when you stretch? Or do you feel pain in your low back or other parts of your body? These issues are often associated with back pain and, if left untreated, can lead to disability and loss of function. Fortunately, there are many ways to reduce back pain and its associated symptoms and promote natural healing. The video above explains how non-surgical treatments like chiropractic care can help alleviate back pain through manual manipulation. This treatment can realign the spine, stretch out tight muscles, and restore the body’s range of motion.
Treatments For Back Pain
If you are experiencing back pain, various treatments can help ease your symptoms and improve your mobility. You have two options for treating back pain: surgical and non-surgical. Surgical treatment may be necessary if you are experiencing nerve compression or have sustained an injury that requires spinal fusion. Non-surgical treatments can help relieve pressure on your spine, reduce back pain, and even alleviate pain in other areas of your body. Some non-surgical treatments for back pain include:
Physical therapy
Exercise
Chiropractic care
Acupuncture
Spinal Decompression
According to research, non-surgical treatments can alleviate pressure on spinal discs, loosen tight muscles, improve joint mobility, and promote natural healing. Many people supplement these treatments with healthy lifestyle choices, making small adjustments to their routine and paying closer attention to their physical well-being.
Conclusion
Since back pain is a widespread problem affecting people globally, it can be caused by various environmental factors that impact the cervical, thoracic, and lumbar back sections, leading to overlapping risk profiles and affecting different body parts. Tight and strained muscles and a compressed spine are common symptoms of this issue. However, treatments available can effectively reduce pain, stretch tight muscles, and relieve pressure off the spinal disc. By incorporating these treatments, individuals can alleviate back pain and allow their bodies to heal naturally.
References
Allegri, Massimo, et al. “Mechanisms of Low Back Pain: A Guide for Diagnosis and Therapy.” F1000Research, 28 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.
Casiano, Vincent E, et al. “Back Pain.” In: StatPearls [Internet]. Treasure Island (FL), 20 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK538173/.
Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.
Kaplan, Eric, and Perry Bard. The Ultimate Spinal Decompression. JETLAUNCH, 2023.
See, Qin Yong, et al. “Acute Low Back Pain: Diagnosis and Management.” Singapore Medical Journal, June 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8801838/.
The lumbar/low back muscles support the upper body’s weight and are involved in moving, twisting, bending, pushing, pulling, and reaching. These repetitive actions can result in a lumbar strain, which is muscle damage or injury to the tendons or muscles of the lower back, causing spasms, soreness, and pain. A lumbar strain can be the source of severe pain symptoms; it can be debilitating and, if left untreated, can lead to chronic conditions. Injury Medical Chiropractic and Functional Medicine Clinic can relieve symptoms, realign the body, relax, rehabilitate, strengthen muscles, and restore function.
Lumbar Strain
The lumbar vertebra makes up the region of the spine in the lower back. Sudden injuries or overuse injuries can damage the tendons and muscles. Lumbar muscle strain is caused when the muscle fibers are abnormally stretched or torn. Lumbar strain can be acute/sudden or chronic/lingering. A strain that has been present for days or weeks is referred to as acute. It is considered chronic if it has persisted for over three months. It can occur at any age but is most common in individuals in their forties. Increased risk factors can include:
Weakened back or abdominal muscles can cause
Tight hamstrings can pull the low back muscles down.
Excessive lower back curvature.
Forward-tilted pelvis.
Symptoms
Lumbar strain can have varied signs and symptoms depending on the location, damage, and cause of injury. The damage can range from simple overstretching injuries to partial or complete tears of varying degrees. The tears cause inflammation in the surrounding area, resulting in back spasms and difficulty moving. A muscle spasm is a cramp caused by a sudden and involuntary contraction or twitch and can be one of the symptoms of a lumbar strain. Other symptoms can include:
Muscle spasms either with activity or when resting.
Stiffness in the low back.
Difficulty standing or walking, with slight relief when resting.
Trouble doing simple tasks like bending or climbing stairs.
Low back pain can radiate into the buttocks without affecting the legs.
The lower back may be tender and sore to the touch.
Decreased muscle strength.
Restricted or limited range of motion.
Inability to maintain healthy posture because of stiffness and/or pain.
Discomfort symptoms that persist.
Discomfort ranges from mild aches to sharp, debilitating pain.
Intermittent flare-ups.
Causes
There are often multiple underlying risk factors contributing to the injury or damage. A few of the most common causes:
Depending on the severity, a doctor or health care provider could recommend chiropractic treatment and physical therapy. The chiropractor will perform an evaluation, combined with the doctor’s diagnosis, to develop a customized/personalized treatment plan. Treatment may include:
Ice and heat therapy
Massage to stimulate blood circulation
Percussive muscle stimulation
Pelvic traction
Ultrasound
Stretching exercises
Exercises to do at home for long-term relief.
It is a safe option to loosen tight back muscles, relieve pain, and promote lower back healing.
Spine Injuries In Sports
References
Ball, Jacob R et al. “Lumbar Spine Injuries in Sports: Review of the Literature and Current Treatment Recommendations.” Sports medicine – open vol. 5,1 26. 24 Jun. 2019, doi:10.1186/s40798-019-0199-7
Domljan, Z et al. “Lumbalni strain-sindromi” [Lumbar strain syndromes]. Reumatizam vol. 38,5-6 (1991): 33-4.
Li, H et al. “Rehabilitation effect of exercise with soft tissue manipulation in patients with a lumbar muscle strain.” Nigerian journal of clinical practice vol. 20,5 (2017): 629-633. doi:10.4103/njcp.njcp_126_16
Williams, Whitney, and Noelle M Selkow. “Self-Myofascial Release of the Superficial Back Line Improves Sit-and-Reach Distance.” Journal of sport rehabilitation vol. 29,4 400-404. 18 Oct. 2019, doi:10.1123/jsr.2018-0306
The iliopsoas muscle is a primary hip flexor that assists in the femur’s external rotation and maintains the hip joint’s strength and integrity. It also helps to stabilize the lumbar spine and pelvis. Athletes often overuse these muscles with all the sprinting, jumping, kicking, and changing directions when running, causing strains and/or tears. Repetitive hip flexion can result in chronic degenerative tendon changes. Chiropractic care and physical therapy can assist in the early phases of healing, safely transitioning to rehabilitation, and returning to physical activities.
Iliopsoas Muscle
The hip flexors are the group of muscles, including the iliac and psoas major muscles/iliopsoas and the rectus femoris/quadriceps. One of the largest and thickest muscles in the body, the psoas, extends from the lumbar vertebrae, crosses in front of each hip, and attaches to the inside top of the thigh bone. The muscle works by flexing the hip joint and lifting the upper leg towards the body. These fibers can tear if tension is more than the muscle can bear. An iliopsoas strain occurs when one or more of these hip flexor muscles become overly stretched or begin to tear.
Injury
The injury can occur from sports or everyday physical activities. This leads to inflammation, pain, and scar tissue formation. An iliopsoas injury is commonly caused by sudden movements, including sprinting, kicking, and changing direction fast while running. Individuals participating in any sports, especially cycling, running, dance, tennis, martial arts, and soccer, are more likely to experience this injury. Other contributing factors include:
Muscle tightness
Joint stiffness
Muscle weakness
Inadequate core stability
Not warming up correctly
Improper biomechanics
Decreased fitness and conditioning
Individuals will feel a sudden stinging pain or pulling sensation, usually on the front of the hip, groin, or abdominal area. Other symptoms include:
Healing and recovery depend on the severity of the injury. A minor iliopsoas muscle injury can take around three weeks to recover fully. More serious strains and tears take six to eight weeks before returning to activity, as the tissue needs time to repair before starting rehabilitation.
Chiropractic Rehabilitation and Recovery
The first steps when dealing with this injury should be P.R.I.C.E. protection, rest, ice, compression, and elevation. It is important to rest and seek treatment immediately; if left untreated, the condition could worsen, lead to a chronic condition, and require surgery. A chiropractic treatment and rehabilitation plan will consist of the following:
Soft tissue massage
Joint mobilization
A chiropractor may recommend crutches to keep the weight off the hip.
A brace can help compress and stabilize the hip flexor to expedite healing.
A flexibility and strengthening program will be implemented to target the muscles around the hip.
Core strengthening exercises will improve the stability of the pelvis area to prevent any further overuse problems.
Wearing compression clothing could also be recommended, as the clothing helps maintain muscle temperature.
Labral Tear
References
Dydyk AM, Sapra A. Psoas Syndrome. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (F.L.): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK551701/
Lifshitz, Liran BPt, MSc, PT; Bar Sela, Shlomo BPt MPE; Gal, Noga BPt, MSc; Martin, RobRoy PhD, PT; Fleitman Klar, Michal BPt. Iliopsoas the Hidden Muscle: Anatomy, Diagnosis, and Treatment. Current Sports Medicine Reports 19(6):p 235-243, June 2020. | DOI: 10.1249/JSR.0000000000000723
Rauseo, Carla. “THE REHABILITATION OF A RUNNER WITH ILIOPSOAS TENDINOPATHY USING AN ECCENTRIC-BIASED EXERCISE-A CASE REPORT.” International journal of sports physical therapy vol. 12,7 (2017): 1150-1162. doi:10.26603/ijspt20171150
Rubio, Manolo, et al. “Spontaneous Iliopsoas Tendon Tear: A Rare Cause of Hip Pain in the Elderly.” Geriatric orthopedic surgery & rehabilitation vol. 7,1 (2016): 30-2. doi:10.1177/2151458515627309
The lower half of the body consists of the low back, hips, legs, and feet to stabilize the upper body. The motor-sensory function helps the lower portion of the body move the leg muscles and sense when the lower back muscles are in pain. The lower back muscles help twist and turn the upper body without feeling discomfort or pain when it is in motion. Many ordinary factors put the lower back muscles to the test, which can become a nuisance later on if not treated right away. Factors like lifting and carrying heavy objects, being hunched over, and injuries can affect the lower back while causing immense pain to the lumbar spine. When injuries occur in the lower back, unwanted symptoms start to take effect, causing the individual to suffer and find some relief to alleviate the pain. Today’s article will focus on what causes lumbar stenosis, how it is associated with low back pain, and how traction therapy can help alleviate lumbar stenosis for many people. Patients are referred to qualified, skilled providers who specialize in spinal decompression and traction therapy. We go hand in hand with our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is valuable for asking critical questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
What Causes Lumbar Stenosis?
Experiencing mild to chronic pain in your lower back? Do you feel unstable when walking or running to your destination? Or have you experienced symptoms of muscle weakness or tenderness around your lower back? Many of these symptoms are caused by lumbar spinal stenosis. Research studies have defined lumbar stenosis as intervertebral spinal discs in the lumbar regions starting to degenerate naturally, causing the lower extremities to become hypermobile around the facet joints. When this happens to the spinal joint over time, it causes a reduction in the spinal canal, making the nerve roots that surround the spine irritated. Lumbar stenosis will gradually worsen as the pain symptoms range from mild to severe. Other research studies have shown that lumbar stenosis is caused due to natural aging in the spine that causes the degeneration process, thus leading to pain symptoms associated with stenosis.
How Low Back Pain Is Associated With Stenosis?
Research studies have found that lumbar stenosis is associated with leg and back pain when a person has lumbar stenosis, a common source in the lower back. Other back issues and symptoms are also playing an effect on the development of lumbar stenosis. Degenerative spondylosis causes an increased load on the posterior portions of the spine where the hips are located at. Additional research studies have shown that many suffering individuals will exhibit various symptoms associated with lumbar stenosis. Some of the signs that lumbar spinal stenosis does include:
Neurogenic claudication
Radiating pain in the lower limbs (buttock, legs, and feet)
Decrease sensory functions
Severe pain in posture stance
Increase chances of falling down
An Overview On Lumbar Traction-Video
Feeling radiating pain in your lower limbs? Do you feel muscle stiffness or tenderness in certain parts of your lower back? Have you experienced severe pain from standing or sitting for too long? Having lumbar spinal stenosis is no laughing matter for your lower back. The pain can become excruciating if it isn’t being taken care of, and that is where lumbar traction can help. The video above explains why lumbar traction is terrific when dealing with low back pain and lumbar stenosis. Lumbar traction helps loosen the tense muscles and resets the spinal discs that aggravate the nerve roots. Lumbar traction also provides relief to individuals suffering from sciatic nerve pain and can help rehydrate the dry intervertebral discs in the body. This link will explain what lumbar traction therapy offers and the impressive results for many individuals who suffer from lumbar spinal stenosis or other low back pain issues
How Traction Therapy Helps Alleviate Lumbar Stenosis
Many individuals looking for treatments that can help alleviate lumbar stenosis and low back can try lumbar traction therapy. Research studies have shown that traction therapy can help many suffering patients dealing with low back pain or lumbar stenosis will have a decrease in radicular pain in their lower back and legs. Lumbar traction helps relieve the surrounding nerves’ aggravated pressure, and radiculopathy symptoms are decreased in the lower back. Other research studies have mentioned that lumbar traction can help widen the spinal disc space in the spine while reducing low back pain and causing the sensory-motor functions to return to the legs. Lumbar traction therapy has many beneficial results for lower back pain relief for individuals.
Conclusion
Living with low back pain or lumbar stenosis is not a laughing matter for a person’s health. Overall, experiencing low back pain is no joke when associated with other symptoms like lumbar spinal stenosis. Lumbar stenosis causes the spinal canal to become narrow, and it can press on the surrounding nerve roots in the lumbar region. Many individuals who suffer from lumbar stenosis will have a wide range of pain in their lower extremities while feeling unstable when they are moving. When this happens, therapies like lumbar traction can help decompress the affected nerve roots and help widen the spinal canal and discs back to their original state. Incorporating traction and decompression therapy to alleviate low back pain can do many wonders for the individual.
Harte, Annette A, et al. “The Effectiveness of Motorised Lumbar Traction in the Management of LBP with Lumbo Sacral Nerve Root Involvement: A Feasibility Study.” BMC Musculoskeletal Disorders, BioMed Central, 29 Nov. 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC2217540/.
Lee, Byung Ho, et al. “Lumbar Spinal Stenosis: Pathophysiology and Treatment Principle: A Narrative Review.” Asian Spine Journal, Korean Society of Spine Surgery, Oct. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7595829/.
Lee, Seung Yeop, et al. “Lumbar Stenosis: A Recent Update by Review of Literature.” Asian Spine Journal, Korean Society of Spine Surgery, Oct. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4591458/.
Vanti, Carla, et al. “Vertical Traction for Lumbar Radiculopathy: A Systematic Review.” Archives of Physiotherapy, BioMed Central, 15 Mar. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7958699/.
Wu, Lite, and Ricardo Cruz. “Lumbar Spinal Stenosis – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 25 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK531493/.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
