The hamstring muscles are three muscles in the back of the thigh. The sciatic nerve goes through or around and down the legs into the feet. Hamstring syndrome is a condition where injury or spasm apply pressure compressing the sciatic nerve.
The nerve can become pinched between the hamstring muscles and the pelvic bone or the band of tissue that connects the hamstring muscles.
This can cause discomfort, tingling, numbness, and pain down the back of the leg, hip, buttock, and into the foot.
Pain can present when sitting down or stretching the hamstrings.
Pain reduces when lying flat on the back.
Hamstring syndrome
This condition could be the result of wearing and tearing to the back muscles and hamstring muscles. It is often seen in individuals that play sports involving running, kicking, and/or jumping. But it can happen to anyone from some awkward leg motion causing the muscles to spasm that can twist around the sciatic nerve or pull on it, causing various symptoms. A doctor or chiropractor will diagnose the condition by examining the symptoms, physical activities, and leg. Most individuals diagnosed with hamstring syndrome report discomfort or pain where they sit down. The pain gradually worsens when performing physical activities, regularly sitting, and when flexing the knee. Hamstring syndrome usually gets better within a few weeks with proper rest and home care. A doctor or chiropractor will recommend exercises and stretches to strengthen the muscles.
Home care
Ask the doctor or chiropractor about taking over-the-counter pain medication:
Acetaminophen – Tylenol
Ibuprofen – Advil, Motrin
Naproxen – Aleve
Read and follow all label instructions.
Use an ice pack on the pain area for 10 to 20 minutes at a time.
Try to do this every 1 to 2 hours for 3 days or until the swelling goes down.
After 2 or 3 days, if the swelling is gone, apply heat.
Use a warm water bottle, heating pad, or warm cloth over the area.
Avoid sitting if possible, unless it feels better than standing.
Take short walks to keep the muscles stretched.
Don’t do anything that causes symptoms to worsen.
Return to normal physical activities slowly.
If symptoms do not improve, then contact a doctor or chiropractor.
Caffeine falls under stimulants, or substances that excite the systems throughout the body.
Ingesting caffeine can cause the body to experience increased excitement, especially in the cardiovascular system.
This excitement causes the heart rate and blood pressure to rise
Then it lowers back down to baseline levels for most healthy individuals.
It is recommended to drink coffee in moderation, safe for individuals with pre-existing cardiovascular conditions.
References
de Ridder, Roel et al. “Neurodynamic sliders promote flexibility in tight hamstring syndrome.” European journal of sports science vol. 20,7 (2020): 973-980. doi:10.1080/17461391.2019.1675770
Matsuda, Dean K. “Editorial Commentary: Proximal Hamstring Syndrome: Another Pain in the Buttock.” Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association vol. 34,1 (2018): 122-125. doi:10.1016/j.arthro.2017.08.260
Park, Jung Wee et al. “Deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain.” The bone & joint journal vol. 102-B,5 (2020): 556-567. doi:10.1302/0301-620X.102B5.BJJ-2019-1212.R1
Covid-19 has impacted everyone in so many ways. There is a possible connection between Covid-19 and a rare spinal disorder known as transverse myelitis. There have been three known cases of acute transverse myelitis brought on from covid-19. Although these case reports are not enough to prove that covid is the cause for transverse myelitis, researchers are delving into the possibility of a connection between the virus and this spinal condition.
Transverse Myelitis
Transverse myelitis causes inflammation of the spinal cord. It can be caused by
Myelin is the layer that forms around nerve cell axons or the wiring of the nervous system and insulates them. It consists of protein, fatty substances, and acts as a defensive sheath that allows electrical impulses to transmit properly. The insulation properties are essential for:
Proper motor function
Sensory function
Cognition
Without the insulation, the electrical impulses traveling through the spinal cord dissipate or weaken. The messages don’t reach the nerves and can lead to:
Muscle spasms
Twitching
Numbness
The most common disorder that destroys the myelin known as demyelination is multiple sclerosis. Transverse myelitis can affect individuals of:
Any race
Gender
Age
There are treatments, but there is no cure. Treatments consist of corticosteroids and other therapies to suppress the immune system. However, their focus is on preventing and minimizing permanent neurological damage.
Recognizing and Identifying
Symptoms of transverse myelitis can include:
Pain that usually starts in the lower back and causes shooting pain/sensations down the legs, arm, and torso
Leg/s and arm/s weakness
Sensory changes in the legs, torso, and genital area
Bladder and Bowel dysfunction
Muscle spasms
General discomfort
Headaches
Fever
Loss of appetite
Depending on the segment of the spine where the damage is occurring will determine which parts of the body are affected. Diagnosis begins with a thorough medical evaluation. A doctor will utilize various methods. A thorough neurological exam will be performed to rule out any issues that require emergency intervention. If a doctor suspects transverse myelitis they will order diagnostic tests like:
Magnetic resonance imaging or an MRI
Blood tests
Lumbar puncture
Treatment
As previously stated, there is no cure for transverse myelitis, and treatment focuses on managing complications. Treatments can include:
The hard facts are that while most people with transverse myelitis have at least a partial recovery, for some, however, recovery can continue for up to two years and longer. A combination of medications, chiropractic, and physical therapy can help improve physical symptoms.
The National Institute of Neurological Disorders and Stroke is working to understand the process, as to how the immune system destroys or attacks myelin. Hopefully, this will lead to answers, improved treatment, and prevention. It is well-documented that Multiple sclerosis, bacterial infections, and other viruses can cause transverse myelitis, research must continue to see if there is a connection to covid-19.
Chiropractic Lower Back Pain Treatment
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The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Chakraborty, Uddalak et al. �COVID-19-associated acute transverse myelitis: a rare entity.��BMJ case reports�vol. 13,8 e238668. 25 Aug. 2020, doi:10.1136/bcr-2020-238668
Shoulder and arm pain can be debilitating, especially when there is no obvious cause or injury that needs to be treated. A rare condition known as brachial neuritiscan cause spasms along with pain down the arm, followed by numbness, tingling, and weakness. If not diagnosed and treated early, the symptoms can worsen with time. The pain experienced can be described as sharp, searing, and shooting. Brachial neuritis can be intense and disabling when it presents for hours and even days.
Utilizing a chiropractic approach, shoulder and spinal adjustments can provide relief and a faster healing/recovery from the inflammatory condition. Individuals experiencing shoulder, arm, and possible hand pain should consult with a chiropractor about a potential home and clinic treatment plan to improve their condition.
Medical History and Examination
The process of diagnosing brachial neuritis involves an individual’s medical history and physical exam. More complicated cases could require imaging studies and electrodiagnostic tests. The first steps in diagnosing the cause of shoulder and/or arm pain include:
Medical history
Information will be collected on an individual’s:
Medical history
Family history
Underlying conditions
Recent illnesses or injuries
Lifestyle habits
How and when symptoms began
Current symptoms
Physical examination
A chiropractor will palpate or inspect by feeling the neck, shoulder, and arm for irregularities. Then they will examine the range of motion, strength, and reflexes. If the individual’s history and physical exam suggest that the cause could be brachial neuritis or other condition involving the nerves, imaging studies, and diagnostic tests could be required to evaluate further.
Symptoms of Brachial Neuritis
The condition is also known as Parsonage-Turner Syndrome. It affects the brachial plexus, a set of nerves that run from the neck and upper back to the shoulders. The condition usually affects only one side of the body and presents randomly.
What happens is the nerves become inflamed.
Inflammation can be triggered through an autoimmune response. This is often the result of an infection, surgical procedure, or other internal stressors. The inflammation can lead to severe debilitating shoulder pain over a few days.
This also leads to long-term numbness, weakness in the shoulder and arm.
The pain becomes worse with movement.
Typically, the pain goes away on its own within a few days.
Numbness, weakness, or tingling in the shoulder or arm continues.
Over time the symptoms begin to worsen and, if left untreated, could lead to muscular atrophy of the arm.
The pain and weakness can make it difficult to move the arm, leading to decreased strength.
Symptoms can last up to a year or more.
This is why individuals have to find ways to strengthen their shoulder/arm despite the condition.
Chiropractic Relief
Treatment requires a pain management program until the pain subsides. Once the pain is manageable, chiropractic, physical therapy, exercises, and stretches could improve mobility and strength. Chiropractic can provide relief and tools necessary to prevent the worsening of symptoms. Chiropractic helps to:
Reduces pain
Improves mobility
Restores strength
Chiropractic manipulation will ensure that the nerves near the brachial plexus do not become compressed, but if they are, then chiropractic can be utilized to decompress/release them. In addition, trigger point release and massage can help alleviate the tension in the surrounding tissues of the arm and shoulder.
A chiropractor will educate the individuals on effective pain management techniques for home, including ice/heat therapy and stretching exercises. These techniques will help restore the proper alignment and flow of the spinal vertebrae, nerves, and muscle tissues, allowing the body to heal quickly, naturally, and more effectively.
Chiropractic Shoulder Pain Treatment
References
Feinberg, Joseph H, and Jeffrey Radecki. Parsonage-turner syndrome. HSS journal: the musculoskeletal journal of Hospital for Special Surgery vol. 6,2 (2010): 199-205. doi:10.1007/s11420-010-9176-x
Recognizing and understanding common and not so common neck and lower back spinal Stenosis symptoms can help in getting an early diagnosis and beginning a preventative treatment plan. Symptoms develop when the spinal canal begins to narrow. The nerve roots become compressed/pinched causing:
Neural irritation
Inflammation
Pain
The low back and neck are commonly affected by this age-related and progressivedisorder. Symptoms can inhibit the ability to move without discomfort, pain, and neurological issues like tingling sensations and numbness that spreads out or radiates into other parts of the body.
Low Back Spinal Stenosis Symptoms
The most common symptom of spinal Stenosis is pain in the:
Low back
Buttock area
Back of the thigh that gets worse when standing and walking
These symptoms are called neurogenic claudication. Some individuals with low back spinal stenosis experience symptoms only when standing or moving/walking around. Discomfort usually eases up when bent forward and goes away when the individual sits down. Example: Grocery shopping feels a lot better when leaning forward on the handle of the cart, with pain reduced. This is common for people with spinal stenosis in the low back. Pain that goes away and reduces when bending forward, sitting down, or lying down is common of low back spinal Stenosis.
Understanding that claudication is not neurogenic or pseudo claudication is important. The symptoms of claudication are similar to pseudo claudication, however, the cause is different. Claudication is caused by the blood not circulating properly in the leg muscles. Other symptoms are low back pain and low back spreading pain or radiculopathy.
Better known as sciatica, lumbar radiculopathy involves:
Pain
Numbness
Weakness
Tingling/numbing sensations that travel down from the low back into the buttock/s and leg/s.
Some individuals experience pain in both legs, with one leg having worse pain than the other.
Bowel/Bladder emergency:
There can be severe cases of lumbar spinal Stenosis where the nerves that control the bladder or bowel can get compressed, leading to partial or complete incontinence. If there are problems controlling the bladder or bowel seek immediate medical attention.
Neck Spinal Stenosis Symptoms
Spinal Stenosis symptomsin the neck can cause cervical radiculopathy. This can include pain along with:
Tingling sensations
Numbness
Weakness
These symptoms may radiate downward from your neck into one or both shoulders, arms, and/or hands. The pain caused by cervical spinal Stenosis has been described as:
Acute
Episodic
Occasional
Chronic
The intensity can go from mild to severe along with other symptoms that include:
Headache/s
Balance issues with a higher risk of falling
Fine Motor skills like writing, buttoning up a shirt/blouse, computer keyboarding skills can become affected
With severe cervical spinal stenosis, symptoms can be associated with cervical myelopathy. Cervical myelopathy happens when the spinal canal narrows so much that it compresses the spinal cord in the neck. Pinched nerves in the neck can affect the shoulders, arms, and hands. Myelopathy can affect both the arms and legs.
Symptoms of cervical myelopathy can include:
Neck pain
Stiffness
Tingling sensations
Numbness
Weakness
Clumsiness
Balance issues
Difficulty walking
Bowel and Bladder problems
Sexual dysfunction
Symptoms Don’t Always Present
Imaging studies like MRI and CT scans can detect a spinal disorder from an individual that has no symptoms. This is why imaging tests are performed to confirm a diagnosis. This is supported by results from the physical/ neurological exams, medical history, and symptoms.
Those who have undergone an x-ray or other imaging test for a non-spinal related issue could have discovered they have spondylosis, osteophytes, and a herniated disc. However, they never knew it because they showed no symptoms. Spinal Stenosis of the spine is usually an age-related and gradual process of physical change. It can take time for symptoms to show themselves. If you have neck or low back pain symptoms that are becoming worse, speak with your doctor.
Burning, numbness, tingling, and pain can be felt in the back, lower back, legs, and feet. A lot of times these symptoms spread out/radiate from one part of the body into another area. Sciatica is an example of pain that radiates into an extremity, in this case, the back of the leg. Nerves originate from the spine and are divided/separated into sensory and motor nerves. The sensory nerve/s give the sensation to the skin known as dermatomes. Dermatomal patterns act as a map on the body.
Example: Dermatomes on the torso of the body react to the thoracic spinal nerve roots, the arms react to the cervical spine nerve roots, and the legs react to the lumbar spinal nerve roots.
Dermatome Location – Corresponding Spine Level
Shoulders – C4, C5
Inner/Outer Forearms – C6, and T1
Thumbs and Little Fingers – C6, C7, C8
Front of Thighs – L2
Middle, Sides of Both Calves – L4, L5
Little Toes – S1
A physician might use a piece of cotton, a swab, pin, or paperclip to test the symmetrical feelings in the arms and legs. Abnormal responses could be a sign of a nerve root problem.
Tendon Reflexes
Most individuals have experienced a physician tapping the knees with a rubber hammer. The normal response is a kick. This is a reflex, which is an involuntary muscular response generated by the hammer tapping the tendon. When the reflex responses do not present, this could mean that the spinal cord, nerve root, peripheral nerve, or muscle has been injured/damaged in some way. Absent reflexes are also clues to other conditions/injuries. An abnormal reflex response could also be caused by a disruption of the sensory (feeling) or motor (movement) nerves and sometimes both. Determining where the neural problem might be, a physician will test reflexes in various parts of the body.
Reflex Tested Areas – Corresponding Spine Level
Upper Arm Biceps – C5-C6 Cervical Spine
Forearm Distal Radius – C6-C7
Elbow Triceps – C7
Abdominal – T8, T9, T10, T11, T12, Thoracic
Knees/Thighs Patellar, Quadriceps – L3, L4 Lumbar
Ankles – S1 Sacral
Neurological Exams for Neck/Back Pain
Muscle Strength/Tone
Muscle strength and tone measurements are another way to diagnose nerve deficits. Depending on the symptoms/condition/injury/s there are different ways to evaluate muscle strength:
Stepping on a stool
Standing on the heels
Standing on the toes
Hopping in place
Performing knee bends
Gripping an item in each hand
Muscle strength is graded and recorded in the patient’s chart.
A physician will test the body’s muscle tone by passively flexing and extending the arms and legs. Normal muscle tone will respond with a slight resistance to passive motion. Other movements test for proximal (trunk/torso) and distal (distant) weakness. Muscle symmetry is also taken into account.
Neurological Tests
If necessary a spine specialist might order neurological studies like a Nerve Conduction Study (NCS) or Electromyogram (EMG), to measure nerve performance.
Imaging Studies
MRI and/or CT scans of the spine can be ordered to help the spine specialist/chiropractor make a correct diagnosis, as well as help in creating a plan of treatment.
Conclusion
A neurological exam, along with a mechanical examination consisting of movement of the arms, legs, and torso, can significantly help doctors in making the correct diagnosis. Examination results are then correlated with the patient�s history, illness, and diagnostic studies. Once the diagnosis is made an appropriate treatment plan is discussed. This will begin with non-surgical strategies but if those fail, then surgical intervention could be considered.
The sciatic nerve can be compressed, pinched, twisted, moved out of position by a variety of things, including injury/s and spinal conditions, diseases, and the most common a herniated disc. This could be time to try the chiropractic solution that can treat sciatica symptoms and bring relief quickly. If you are experiencing a shooting, electrical, tingling, numb pain down one of your legs could be a presenting of sciatica symptoms.
Sciatica
Sciatica is really a symptom itself caused by lumbar radiculopathy. Lumbar radiculopathy is a medical term referring to a low back condition/injury/disorder that is affecting the nerves in this area. The sciatic nerve travels from the lower back down both of the legs and into the feet. Added pressure placed on the nerve from a herniated disc can lead to common symptoms.
Shooting pain that goes down from the low back, through the leg, calf and sometimes into the foot
A feeling of electricity down one leg
Burning pain
Pain from moving
Numbness
Weakness
Causes
Causes of sciatica include:
Vertebrae Out of Alignment
Misaligned vertebrae, referred to as subluxations can put pressure on nerves in the spine � including the sciatic nerve.
Disc Herniation
The discs that cushion the vertebrae are made up of a tough outer layer and a softer inner layer. When the outer layer is damaged and the inner layer comes out into the spine, it is referred to as disc herniation.
A herniated disc means that the inner layer of the disc is putting pressure on nerves in the spine. A herniated disc impacts the sciatic nerve and can lead to sciatica.
Car Accidents
A car accident can easily damage the spine and soft tissues. An accident can cause a misalignment of the spine, a herniated disc, or other injuries that cause symptoms of sciatica.
Sports Injury/s
Even the fittest athletes are susceptible to back injuries, which in turn can cause sciatica. The spine and discs can be damaged due to a large impact, repetitive motion injuries, or even twisting the wrong way.
Work Injuries
Many sufferers of sciatica do not realize that their workplace activities � including repetitive motions and sitting or standing in one position for long periods of time � can lead to sciatica.
How Chiropractic Solution Helps
Prevention found that sixty percent of individuals with sciatica failed to find relief from other treatments found their symptoms improved after chiropractic treatment.
The chiropractic solution works because it gets to the source of the problem and relieves pressure on the sciatic nerve. Chiropractic treatments include:
Realignment
Spinal misalignments are often the cause of sciatica can be corrected through careful chiropractic adjustments. The chiropractor analyzes the misalignment, then applies pressure to the area to correct the misalignment. The pressure is removed from the sciatic nerve, and this is done on and off to get the correct position and massaging the inflamed tissues until symptoms improve.
Spine Decompression
For those whose sciatica is caused by a herniated disc, spinal decompression can bring real relief. Using a specially designed table, the chiropractor can gently stretch the spine � creating space for the disc to heal and pull back from the sciatic nerve.
Find Relief
Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.�We do this so that we may reach as many El Pasoans who need us, no matter the affordability issues.
Severe *Sciatica”* Pain Relief | El Paso, Tx (2020)
NCBI Resources
Patients with sciatica feel better with time, usually a few weeks. If pain continues, other treatment modalities can be discussed.�Muscle spasms can accompany sciatica symptoms and can be treated with heat or ice therapy. A doctor may advise�light exercise like short walks�and once recovery is established they may give you exercises to strengthen your back and core.
Approximately 8 out of 10 people will experience sciatica or a sharp electrical surge that painfully runs through the back down to the foot. It can then lead to having numbness in different areas of the back, leg, and foot. Here are two such cases that describe their back pain and their inability to engage in activities. �
Truide discusses how her pregnancy caused her back pain.
Dionicio discusses how truck driving triggered his back pain.
These patients utilized chiropractic care with Dr. Alex Jimenez, DC and are now back on their feet, pain-free and ready to get on with their lives. The El Paso Back Clinic is the place to go for sciatica back pain relief.
El Paso Back Clinic
We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused on treating patients after frustrating 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 want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. �
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