- Leg nerve pain coming from the low back called radiculitis
- Degenerative conditions
- Disc injuries
- Facet joint injuries
- Sprains and strains of the back and low back ligaments and muscles
- Spinal stenosis
The federal Agency for Health Care Policy and Research (now the Agency for Health Care Research and Quality) recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.
Annals of Internal Medicine pointed to chiropractic care as one of the major non-drug therapies considered effective for acute and chronic low back pain.
JAMA Network Open showed that chiropractic care combined with usual medical care for low back pain provides greater pain relief and a greater reduction in disability than medical care alone. The study, which featured 750 active-duty members of the military, is one of the largest comparative effectiveness trials between usual medical care and chiropractic care ever conducted.
Stop low back and back pain with our tried and true method
Q: What life hacks do you have for low back pain?
A: Maintain a healthy diet and weight, remain active even if that means finding a way to move around your pain, avoid prolonged inactivity/bed rest, warm-up or stretch before exercising or physical activities, maintain proper posture with proper ergonomic work stations, wear low-heeled shoes, sleep on a mattress of medium firmness to minimize any curve in your spine, always keep objects close to the body while lift with your legs, quit smoking.
Q: What is the purpose of the spine?
A: The spinal column is the main structure of the back. It supports the weight of the upper body and encases the delicate system of nerves making up the spinal cord. The back itself extends from the neck to the pelvis and is made up of the bones of the spinal column, muscles, and other tissues.
Q: Can I still be seen for chiropractic if I have a disc bulge in my low back?
A: Disc bulge patients are one of our bread and butter conditions that we have amazing success rates within our office (80-90%). Disc bulging (herniations, sometimes wrongly called slipped disc or a pinched nerve) is a natural part of the aging process. Yes, that’s right. Chiropractic care can play a role in helping your spinal discs stay healthy. Research has shown that "Over 90% of people with disc herniations were “better” or “much better” with chiropractic care Within just two weeks, over 55% of people had significant improvement with chiropractic"
Q: Is my nerve pain down my leg sciatica?
A: It may be, but sciatica follows the sciatic nerve and its branches, the tibial and fibular nerves, down the back of the leg. You may have nerve pain in the front or outside of the leg from the femoral nerve and the inside of the leg from the obturator nerve.
- Disc and nervous system nerve pain follows dermatomal patterns to some degree. A dermatome is an area of skin in which sensory nerves come from a single spinal nerve root
- The nerve pain from bones, muscle, ligaments, and spinal joints
- Local entrapments follow peripheral nerve patterns like the entrapment syndrome of the medial plantar nerve in the foot
- Myofascial trigger points follow patterns that can be created from pressure on injured muscles
To understand how we get osteoarthritis of the low back we need to first talk about anatomy. The spine is a big connection between many bones. The bones give us support and protect the body’s nervous system. These bones have a joint called a facet joint and that joint's health is affected by the health of the disc. The back has a cushion between most of these bones called a disc (think of this being the jelly of a donut). It also has a cartilage portion around the disc (think about this as the bread that holds the jelly in the donut). Lastly, there is a cartilage endplate (think about the jelly donut being wrapped in foil to keep it warm).
The first phase of degenerative disc disease of the low back starts with dysfunction of the way the low back joints move and tears begin to happen in the cartilage or bread portion of our donut. Then separation of the outer cartilage or the foil wrapper happens. When this occurs nothing is left to hold the disc or jelly from leaking out. Now this jelly causes irritation (inflammation) on the facet joints and can cause irritation to the body’s nerve system.
What happens next in the second phase, is the body tries to stop the irritation from the disk or the jelly. This causes instability due to an attempt to re-absorb the disc or jelly. Now there becomes a loss of low back disk space height where the jelly donut use to sit and prop up the bones. The impact on the disc changes the way the spine facet joints move as well.
Lastly, with degenerative disc disease, the body tries to help stabilize the unstable spine joint and it does this the only way it knows how to, through laying down more bone. The increased bone leads to changes we can see on x-rays, such as osteophyte formation and narrowing of portions of the bones where the body’s nerves are.
- You feel symptoms of giving way
- A catch with movement
- Pain throughout the day, and pain during movement
- Over time the symptoms are the pain of decreasing severity with a more constant nature
- Muscle tenderness
- Reduced movement
Did you know that you can get whiplash in the low back?
Signs and symptoms of low back sprains and strains usually develop within days of the injury, and may include:
- Worsening of pain with certain leg and low back movements
- Loss of range of motion in the neck
- Tingling or numbness in the thighs, legs, and feet
- Sleep disturbances
- Pain and stiffness in the back.
- Pain in the buttocks and the legs, often in the back of the thigh.
- Pain that worsens when bending, stretching, coughing, or sneezing.
Narrowing in certain areas of the spine can put pressure on the nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck. Spinal stenosis is most commonly caused by wear-and-tear changes in the spine related to osteoarthritis.
- Symptoms can worsen over time.
- Numbness or tingling in a foot or leg
- Weakness in a foot or leg
- Pain or cramping in one or both legs when you stand for long periods of time or when you walk, which usually eases when you bend forward or sit
- Back pain
Everything you need to decrease annoying pain, stiffness, swelling and increase healing so you can get back to proper movement
- Hands-on chiropractic adjustments
- Myofascial release and many other manual therapy techniques
- Instrument assisted soft tissue mobilization
- Rehabilitation exercises
- Corrective and pre-rehabilitation exercises
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