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Low Back Pain
Lower pack pain explained
Years of abusing your back (poor posture, improper lifting and the lack of body conditioning)
make the back prone to injury. The lower back is particularly vulnerable and the dysfunction of
its major joints can lead to painful results. Other pain-sensitive structures can be stretched, torn
and distorted. Using spinal adjustments and other techniques, your chiropractor can treat many
of the common low back problems described below.
Facet syndrome (back sprain) is most often brought on by a sudden movement or injury, often
following years of back neglect, and results in pain and stiffness and difficulty moving. You may
find yourself bent off to one side.
Sacroiliac syndrome occurs from a sudden injury or movement and is felt as a sudden pain in
the hip area. You have difficulty changing positions and the pain can be excruciating. It is
sometimes difficult to differentiate from a facet syndrome or disc herniation. This is the most
commonly misdiagnosed back problem, usually called a muscle pull.
Herniated (slipped) discs are brought on by a sudden movement, often lifting, on top of general
wear and tear and may cause severe pain in the back and legs. It takes quite a while to build up
and may take quite a while to get better.
Muscle and ligament Strain is most often caused by poor posture or an old untreated back
injury. Symptoms are chronic backaches with occasional spasms.
Scoliosis (curvature of the spine) is most common among teenage girls. It is important that it be
screened for after the age of 10. Your chiropractor can show you how. While few symptoms may
occur, the long term effects can be quite significant.
Is lower back pain really a serious problem?
First of all, if it makes life more difficult for you, that's serious in itself. Even if it goes away in a
few days, you haven't really gotten rid of the problem. It will most likely return and, if left
untreated, could be more debilitating the next time. Which is why we recommend seeing a
chiropractor at the first sign of back pain.
Lower back pain can also be accompanied by a variety of symptoms, some of which indicate
very serious problems. Do you currently have or have you ever had:
•
Leg pain with numbness, tingling and/or weakness?
•
Back or leg pain with coughing or sneezing?
•
Difficulty standing up after sitting for any period of time?
•
Morning stiffness?
•
Pain after extended walking?
•
Pain in the hip, buttock, thigh, knee or foot?
If you've answered "yes" to any of these symptoms, it's time you got help from a doctor. A
doctor of chiropractic.
What are herniated discs?
The 24 vertebrae of your spine are separated from one another by pads of cartilage called discs.
These discs have a fairly tough outer layer with a soft interior to cushion against the shocks and
strains experienced as you move and put various stresses on your spine. The discs are subject to
injury, disease, and degeneration with use over time. Certain activities and types of work
increase the risk of discs being damaged or deteriorating. When the soft interior material of a
disc pushes out through a tear or weakening in the outer covering, the disc is said to be
herniated.
Herniated discs are also called protruding, bulging, ruptured, prolapsed, slipped, or degenerated
discs. There are fine distinctions between these terms, but all really refer to a disc that is no
longer in its normal condition and/or position. Herniated discs cause pain by impinging on
(intruding upon, irritating, and pinching) and even injuring nerves in the spinal column.
What are some of the typical symptoms of herniated discs?
Most disc herniation takes place in the lower back (lumbar spine). The second most common
site of herniation is the neck (cervical spine). A herniated lumbar disc may send pain shooting
down through your buttock and thigh into the back of your leg (sciatica). Cervical disc herniation
may cause pain in the shoulder, arm, and hand. Herniated discs can cause muscle weakness,
make it hard to get up when you've been sitting or lying down, cause pain when you strain to do
something, even when you cough or sneeze. They sometimes produce pain in the lower right
side of the abdomen. Herniated discs may also affect nerves to the bladder and bowel, causing
incontinence. This symptom signals the need for immediate, emergency attention.
What can chiropractic do?
There is broad acceptance among health care professionals and the public of the
recommendation that the pain from herniated discs be initially treated conservatively. That is, as
long as there are no signs (such as severe pain, numbness, or functional impairment from nerve
involvement) of the need for more invasive treatment, two or three months of chiropractic care
may be the best choice before considering to spinal surgery or shots of analgesics (painkillers) in
your back. And only a minority of disc herniations turn out to require treatment as traumatic
and costly as hospitalization and surgery or with as many side effects (especially for older
people) as opioid analgesics and muscle relaxants.
Sciatica
The term Sciatica refers to pain, numbness and occasionally muscle weakness in the area
supplied by the sciatic nerve, i.e. hip, buttock, posterior thigh, calf and foot. The patient may
experience a crawling sensation over the affected area and an inability to walk on his toes or
heels due to muscle weakness. There are many possible causes for sciatica, but the most
frequent cause has been found to be faulty alignment and mechanics of the lower spine and
pelvis. Such faulty alignment serves to compress or irritate the sciatic nerve with a resulting
painful inflammation of the nerve. Faulty spinal-pelvic alignment may result from a single fall,
accident or unusual exercise or such structural deficits may develop gradually as part of an over
all posture distortion pattern.
The top three ways the sciatic nerve is injured:
1.
The nerve openings between adjacent vertebrae in the lower back may be partially
occluded by a misaligned or subluxated vertebra. Nerves which make up the sciatic nerve
are compressed and irritated as they pass through the partially occluded openings.
2.
A sacro-iliac subluxation or distortion may exert a direct pressure on the sciatic nerve.
3.
The deep muscles of the buttock may be placed under unusual stress by a faulty pelvic
alignment. the stretched or even collapsed muscles may squeeze and irritate the sciatic
nerve as it passes between them.