Lower Back Pain Case Study
A study published in Spine, tested which method worked better to treat chronic spine pain, acupuncture, spinal manipulation, or drugs.
Method: 115 patients randomly assigned to receive either manipulation, drugs (Celebrex, Vioxx, or paracetamol), or acupuncture.
Results: “chiropractic manipulation patients did better than both drugs and acupuncture.”
The patients in the manipulation group reported 47% improvement as compared to 15% for the acupuncture group and 18% for the medicine group. The improvement was not limited to just back pain, but also included improvement of one’s overall health.
If conservative physical rehabilitation plateus, our doctors in office are equipped to give epidural steroid injections to eliminate back pain and radicular pain so you can function normally again
You Don’t Have To Live With Back Pain!
If you are living with chronic back pain in Mira Mesa-Sorrento Valley then you know it’s no walk in the park. Almost everyone will experience some form of back pain, ranging from slightly irritating to completely debilitating, in their lifetime. Whatever the degree of pain you are experiencing and whether it is acute or has become chronic, at the very least you would probably rather live without it and in the most extreme cases in can be difficult to go on living with it. The following aims to help you to understand what causes low back pain, and how chiropractic treatment can help you achieve lasting back health, so that you can go on enjoying those activities that you did before back pain.
Back Pain in Mira Mesa-Sorrento Valley
The back is a broad term that covers a large area of the body, made up of many tendons, ligaments, discs, muscles, and bones. Without a solid understanding of these different parts, it can complicated to locate and address the source of the back pain. The following breakdown explains some of the most common issues, and their identifying features. It also explains how chiropractic medicine can help to resolve them. This is a general guideline to help you in your quest for effective treatment, but we highly recommend that you seek a professional opinion to properly diagnose these issues.
Disc Bulges and Herniation
Disc bulges and herniation are conditions in which the outer edges of the discs, located between the vertebrae, are damaged. This causes the jelly like center to bulge or be pushed out. This is a surprisingly common issue and it is often, but not always, very painful. Many people who have this condition feel nothing at all. For those who experience pain from a disc injury, the quality and intensity of it depends on the type and position of the herniation. If the damaged disc is irritating a surrounding nerve, the shooting or stabbing pain and weakness in the legs is often severe.
It is important that this issue is properly identified and promptly treated to avoid further damage. A Chiropractor in Mira Mesa-Sorrento Valley will thoroughly assess your back to determine the extent of the issue and the appropriate treatment to prevent advancement of the herniation, and provide relief from the associated pain.
Subluxation is a medical term describing a misalignment in the vertebral column. There are a wide variety of causes, including physical stress, trauma and toxins. Subluxations are often quite painful and can disrupt normal movement. Subluxations are one of the most commonly overlooked contributors to back pain. Chiropractors are trained to identify and correct this issue using non-invasive adjustment techniques.
Muscular, Tendon and Ligament Strains
Strains and sprains in you back most typically occur when we engage in tasks that our body is not accustomed to, or when we are involved in an accident. Lifting while twisting, or stretching past one’s limits are common causes to strains and sprains of the back. These can be extremely painful, and are often accompanied by swelling and bruising of the surrounding area. Strains and sprains in the back tend to involve changes to the alignment of the spine and therefore typically respond well to chiropractic care.
Back Pain from Stress
Chronic stress wreaks havoc on the body, and can eventually lead to hyper-tension and chronic back pain. The back pain is a result of tension and muscle spasms that occur when stress hormones are released. The tension will often accumulate in what are referred to as trigger points. These trigger points can be extremely painful, and need professional attention to resolve. Chiropractors have the knowledge and tools to relieve stress from the trigger points and to deal with underlying nervous system imbalances that may be keeping your body locked in patterns of stress and pain.
Additional Causes Of Back Pain
Conditions such as obesity, arthritis, kidney stones, and urinary tract infections have been shown to cause symptoms of low back pain. These are all serious issues that need to be identified and treated immediately to avoid long-term health issues. Mira Mesa-Sorrento Valley Chiropractic doctors are trained to identify these issues and support you to get the appropriate treatment. Many of these issues can have their source in spinal misalignments and respond well to chiropractic adjustments.
If you have questions about how our team at Pain Care of San Diego Chiropractic Clinic can help you, please schedule a consultation today.
Joint Dysfunction – Neck and Back Pain
This occurs when one of the joints in the spine or limbs loses its normal joint play (resiliency and shock absorption). It is detected through motion palpation, a procedure in which the doctor gently moves the joint in different directions and assesses its joint play. When a joint develops dysfunction, its normal range of movement may be affected and it can become painful. In addition, joint dysfunction can lead to a muscle imbalance and muscle pain and a vicious cycle:
- The loss of joint play can cause abnormal signals to the nervous system (there are an abundance of nerve receptors in the joint)
- The muscles related to that joint can subsequently become tense or, conversely, underactive
- The resulting muscle imbalance can place increased stress on the joint, aggravating the joint dysfunction that already exists
Any joint of the spine, including the Sacroiliac Joints, can cause mechanical pain. Joints are designed to move and when they do not, pain and degeneration occurs. Conservative treatment is designed at maximizing motion, improving flexibility and finally maximizing muscular coordination, endurance and strength.
Lumbar Herniated Disc/Sciatica Symptoms
Pain along the large sciatic nerve that runs from the lower back down through the buttocks and along the back of each leg – is a relatively common form of back pain. Sciatica is usually caused by pressure on the sciatic nerve from a herniated disc (also referred to as a bulging disc, ruptured disc or pinched nerve). The problem is often diagnosed as a “radiculopathy”, meaning that a disc has protruded from its normal position in the vertebral column and is putting pressure on the radicular nerve (nerve root). For some people, the pain from sciatica can be severe and debilitating. For others, the pain might be infrequent and irritating, but has the potential to get worse. Usually, sciatica only affects one side, and the pain often radiates through the buttock and/or leg. One or more of the following sensations may occur:
- Pain in the buttocks and/or leg that is worse when sitting
- Burning or tingling down the leg
- Weakness, numbness or difficulty moving the leg or foot
- A constant pain on one side of the buttocks
- A shooting pain that makes it difficult to stand up
Symptoms that may constitute a medical emergency include progressive weakness in the legs or bladder/bowel incontinence. Patients with these symptoms may have cauda equina syndrome and should seek immediate medical attention. Any condition that causes irritation or impingement on the sciatic nerve can cause the pain associated with sciatica. The most common cause is lumbar herniated disc. Other common causes include lumbar spinal stenosis, degenerative disc disease, or isthmic spondylolisthesis. Nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centered on relieving both of these conditions. Conservative treatment is designed to decrease pain and inflammation, decrease intra-discal pressure, improve flexibility and mobility and to improve muscular function.
Mechanical Neck and Back Pain
When joint dysfunction develops, muscles are affected. Some muscles respond by becoming tense and overactive, while others respond by becoming inhibited and underactive. In either case, these muscles can develop trigger points. Trigger points are areas of congestion within the muscle where toxins accumulate (2). These toxins can irritate the nerve endings within the muscle and produce pain. This pain can occur in the muscle itself or can be referred pain (perceived in other areas of the body). The resulting muscle imbalance can place increased stress on the joint, aggravating the joint dysfunction that already exists The muscle can also send abnormal neurological signals into the nervous system. This can then cause disruption of the ability of the nervous system to properly regulate muscles in other parts of the body, leading to the development of faulty movement patterns. Conservative treatment is designed at maximizing motion, improving flexibility and finally maximizing muscular coordination, endurance and strength.