Better Posture Can Help Symptoms

Situational factors, such as posture, contribute to the symptoms you experience from a lumbar herniated disc. Find out how poor posture may be aggravating your symptoms.

http://www.spine-health.com/blog/how-posture-can-aggravate-lumbar-herniated-disc

Did you know Chronic Pain affects Sleep?

How much do you know about how chronic pain affects sleep? Test your knowledge with this short quiz.

http://www.spine-health.com/blog/quiz-how-much-do-you-know-about-connection-between-sleep-and-chronic-pain

Lower Back Pain Triage

In the assessment of lower back pain, differential diagnosis utilizing a "triage" concept of classifying low back injuries into one of three categories helps to guide the doctor of chiropractic. Click below to read more.

http://www.spine-health.com/treatment/chiropractic/chiropractic-diagnosis

Shoveling Snow Can Hurt Your Back!

Using the wrong body mechanics when shoveling snow can put undue stress on the lower back and lead to a painful muscle strain, or possibly more serious back injuries.

http://www.spine-health.com/wellness/ergonomics/snow-shoveling-techniques-prevent-low-back-injuries

Aches and Pains from Insomnia

Without sufficient sleep, aches and pains become more prominent. And many chronic pains can make it more difficult to get to sleep and stay asleep. This loop can make recovery more difficult unless sleep issues are addressed as part of a treatment program.

http://www.spine-health.com/video/insomnia-and-back-pain

Sacroiliac Joint Pain

Pain from the sacroiliac (sak-roe-il-ee-ak) joint needs two things: for the source of the pain to be identified and treated and for the pain to be treated as well.

http://www.spine-health.com/video/non-surgical-treatment-sacroiliac-joint-dysfunction-video

Lumbar Spine Anatomy / Pain

The spine in the lower back has several unique characteristics that allow for normal motion, but are also prone to injury.

http://www.spine-health.com/conditions/spine-anatomy/lumbar-spine-anatomy-and-pain

Studies: Potentially addictive drugs often prescribed for migraines

A study found more than 50% of adult migraine sufferers were prescribed narcotic painkillers, and a similar number were prescribed barbiturates. A second study showed 16% of children and teens with migraines had been prescribed a narcotic painkiller. These medications are not considered first-line treatments for migraines, said Dr. Mia Minen, lead researcher of the adult migraine study. HealthDay News

DC: What it means when your back "goes out"

The nerve supply to the spine has a relatively high threshold, writes Dr. Michael Noonan, so the pain from a back problem builds over time but can seem to come out of nowhere. The spasms generally associated with a back attack often come from the muscles protecting an inflamed or misaligned joint, where the real problem lies, Noonan writes...

(from Bangor Daily News (Maine) (free registration))

Axial Pain

Axial pain represents the most common type of low back pain and is only found in the lower back - it does not extend to the buttocks or legs.

http://www.spine-health.com/conditions/lower-back-pain/axial-back-pain-most-common-low-back-pain

Exercise and Chiropractic Therapy

Cardiovascular and strengthening exercises combined with chiropractic care are important in the management of low back pain

If a patient has a history of heart problems, it is important for the patient to consult with not only the doctor of chiropractic but their primary care physician to be certain that they can tolerate cardiovascular fitness-promoting activities. Specific instructions are given by the chiropractor with respect to proper exercise for the patient's condition before beginning any exercise program.

In general, a reasonable amount of exercise performed daily and utilizing enjoyable activities is recommended for patients undergoing chiropractic treatment.

Exercise Benefits

Many studies have reported the importance of exercises in managing acute and chronic low back pain, strengthening the low back, preventing and keeping back patients working, and to improve quality of life. The strength of the abdominal muscles was also found to be able to differentiate between those with vs. without chronic LBP.

Overall and when combined with chiropractic care, aerobic exercise helps promote proper digestion, keeps the muscles in proper tone and promotes better circulation. Walking briskly around the block at least once or twice is a convenient and popular activity.
Also, many forms of work and/or household tasks can function as an exercise program. The important point is to exercise!

Types of Exercises

There are many applicable back exercises that are available for patients also undergoing chiropractic care for lower back pain. One can classify the chiropractic patient into a flexion or extension biased category to determine the variety that is best for that patient. For example:

- If a patient feels best when bending over (flexion biased), exercises that promote low back flexion such as pulling the knees to the chest, posterior pelvic tilts, bending forward from a sitting position and others are usually helpful.

- If a patient is least symptomatic in extension, especially if leg pain centralizes or diminishes (extension biased), prone press- up type exercises usually yield the best results.

Other exercises that can help reduce lower back pain include:

-Strengthening of the pelvic (trunk) stabilizing muscles

-Stretching of the hamstrings, adductors, and other overly short or tight postural muscles

-Proprioceptive or balance promoting.

Benefits of Back and Abdominal Exercise

Weak and/or overly tight supporting muscles can have painful spasms and suffer injuries themselves,
which then prevent them from supporting the spine as needed. Compromised muscles can also lead to problems with bone structure of the spine due to poor posture from the weak muscles, thereby creating an increased risk of back pain/ injury.

Consequently, developing combined strength in stomach muscles and back muscles can:

- Reduce the likelihood of back pain episodes

- Reduce the severity of back pain

- Protect against injury by responding efficiently to stresses

- Help avoid back surgery in some cases

- Facilitate healing from a back problem or after spine surgery

- Improve posture.

Reported Efficacy of Exercise in Chiropractic Care

According to the Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP):

- Strong evidence supports exercise as being at least as effective as other non-surgical treatments for chronic low back pain

- Moderate evidence supports use of a graded-activity exercise program in occupational settings for subacute lower back pain

- Some evidence shows that exercises are no more effective than other nonsurgical treatments for acute lower back pain.

As with any chiropractic treatment, it is important for chiropractors to perform a focused reevaluation of an exercise program following its initial therapeutic trial to determine its effectiveness. Using spinal range of motion as a measurement of the effectiveness of exercise is just one way in which chiropractors can make such determinations.

Learn more about exercise and back pain. Visit http://www.spine-health.com/wellness/exercise/back-exercises

Cold Laser Therapy for Pain Management

The light from low level lasers can penetrate the skin and tissues between 2-5 cm and those photons are absorbed by the tissue cells to generate more energy, which is believed to help those tissues heal faster.

http://www.spine-health.com/treatment/pain-management/cold-laser-therapy-pain-management-treatment

How are You Sleeping? 11 Tips to Stay Regular with Sleep

How are you sleeping these days? Check out these 11 tips on how to get to sleep and stay asleep. Consult your chiropractor for additional tips!

http://www.spine-health.com/blog/11-unconventional-sleep-tips-how-get-sleep-and-stay-asleep

Mattress Guidelines for Sleep Comfort

The right mattress can really help one have a good night's sleep and wake up feeling rested and refreshed. Sleeping on the wrong mattress can cause sleeplessness, back pain, and overall aches and pains. For people with a back problem, a mattress that isn't a good fit can make the pain worse.

When searching for the best mattress, remember that mattresses are largely a matter of personal preference. There is no single type of mattress or bed that works well for all people, and there is no best mattress for back problems. Likewise, there
is no single sleep position known to be best for all people. This is due to several factors:

- There are many causes of back problems, and different back conditions may respond better to specific types of beds, mattresses and sleep positions.

- There is a high degree of personal preference for mattresses, and what works well for one person may not work well for another.

- There is very limited scientific study published on mattresses and back pain, and findings from the studies that have been completed are inconclusive.

- Overall, the causes of back pain can be quite complex, and it’s difficult to isolate whether or not a person's mattress has played a significant role in improving the pain or making it worse.

The bottom line is that the type of mattress that is best for any particular person is really a matter of personal preference.

The type of mattress one uses is not the only factor for patients with pain and sleep difficulty. Many other factors need to be considered that may affect sleep, including:

- Medication side effects

- Irregular sleep patterns

- Caffeine/alcohol/tobacco use

- Sleep apnea

- Anxiety/stress

If comfort is not the only thing making sleep difficult, it is advisable for the patient to consult his or her family physician to discuss other possible causes and treatments for sleeplessness.

Experiencing significant or persistent back pain may indicate an underlying back condition that has nothing to do with the mattress. It is always advisable for people with back pain to consult with a health care provider for a thorough exam, diagnosis, and treatment program.

As a reminder, sleep comfort is first and foremost a matter of personal preference. No one should expect that switching mattresses or beds will cure their lower back pain, and changes in the type of bed or mattress used should be made solely for the sake of comfort.

Sleep Positions for Back Conditions

An important factor that can influence individual preferences for mattresses, beds and sleeping positions is the specific back condition a person has. For example:

- Osteoarthritis. Patients with pain from osteoarthritis of the facet joints may prefer to sleep on their sides with their knees curled up (in the fetal position). This helps open up the facet joints in the spine and can relieve any corresponding pressure. Alternatively, sleeping in a reclining chair or an adjustable bed that allows the head and knees to be elevated can also relieve pressure on the facet joints.

- Degenerative Disc Disease. Patients with pain from degenerative disc disease may prefer to sleep on their stomach as this can relieve pressure on the disc space. Patients may feel most comfortable using a relatively firm mattress and placing a flat pillow under the stomach and hips, which can further reduce stress on the lower back.

- Spinal Stenosis. People with pain from spinal stenosis may prefer to sleep on their sides with their knees curled up (in the fetal position). This helps relieve pressure on the nerve root. Sleeping in a reclining chair or an adjustable bed that allows the head and knees to be elevated can also relieve pressure on the nerve.

- Bursitis. Patients who have inflammation of the bursa over their hips (greater trochanteric bursitis) can be especially susceptible to pain from a mattress that is too firm. If the mattress is too hard, a new mattress with thick padding on top, or placing an egg crate foam
mattress cover over the old mattress, can help provide some relief from the firmness.

- Hip Pain. Patients with hip pain who sleep on their sides can usually find some pain relief by placing a pillow between their knees. This decreases stress across the hip.

- Herniated Lumbar Disc. The most comfortable sleep position depends on the position of the disc. For a paracentral disc herniation (most common), patients will tend to do better lying on their stomach. For a foraminal herniated disc, sleeping on the side in a fetal position is usually better tolerated.

In general, elevating the knees slightly by placing a pillow under them while lying on the back can help many general forms of low back pain. Many patients also find that this is the most comfortable way to sleep after spine surgery.

Learn more about getting a good night’s sleep. Visit http://www.spine-health.com/wellness/sleep/mattress-guidelines-sleep-comfort

Pain Killers Can Increase Chronic Pain

How pain killers sometimes increase chronic pain:

http://www.spine-health.com/blog/how-pain-killers-sometimes-increase-chronic-pain

Massage Therapy Effective for Back Pain

Massages aren't just for pampering at the spa. Unknown to many people, there is evidence that shows massage therapy may be as-or more effective than- standard medical treatment for nonspecific back pain. Read all about a new study:

http://www.spine-health.com/blog/massage-therapy-drug-free-alternative-back-pain-relief

Sources of Whiplash Pain

When the cervical spine (neck) is subject to whiplash, there is usually a combination of factors that contribute to whiplash pain in the neck and back, and ultimately need to be addressed individually by a chiropractor, who maintains a "holistic" view of the patient's whiplash pain. This article explains how chiropractors approach treating neck pain, back pain, and/or other whiplash symptoms, and help patients prevent chronic whiplash pain.

Whiplash Pain Management for Joint Dysfunction

Joint dysfunction from whiplash occurs when one of the joints in the spine or limbs loses its normal joint play (resiliency and shock absorption). A chiropractic technique called motion palpation 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.

Muscle Dysfunction from Whiplash Injuries

When joint dysfunction develops, muscles are affected by becoming tense and overactive or inhibited and underactive. In either case, these muscles can develop trigger points that may necessitate whiplash treatment involving muscle relaxation or stimulation.

Trigger points are areas of congestion within the muscle where toxins accumulate and can irritate the nerve endings within the muscle and produce pain. This whiplash pain can occur in the muscle itself or can be referred pain (perceived in other areas of the body).

The muscle can also send abnormal neurological signals into the nervous system, which 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.

Faulty Movement Patterns and Whiplash Pain

It is thought that the intense barrage of pain signals from a traumatic whiplash injury to the cervical spine can change the way the nervous system controls the coordinated function of muscles.

The disruption of coordinated, stable movement is known as faulty movement patterns which cause increased strain in the muscles and joints, leading to neck pain and back pain. They can involve the neck itself or can arise from dysfunction in other areas of the body such as the foot or pelvis.

Instability is also considered part of faulty movement patterns. There are two types of instability that can occur in whiplash:

- Passive—the ligaments of the neck are loosened, making it more susceptible to whiplash pain; and

- Dynamic—the nervous system disruption causes a disturbance in the body’s natural muscular response to common, everyday forces.

Instability can cause even mild, innocuous activities difficult to perform as they often exacerbate the
whiplash pain.

Whiplash Pain from a Herniated Disc

The force of whiplash can cause injury to the discs between the vertebrae, and small tears can develop. If the gelatinous middle of the disc seeps out, it can irritate the nerve endings in this area. This is known as disc derangement.

Occasionally, the gel can seep all the way out and press on a nerve root exiting the spinal cord behind the disc, known as disc herniation.

A herniated disc may involve whiplash pain in the neck as well as sharp, shooting pain down the arm and possibly neurological symptoms such as numbness, tingling and muscle weakness.

Chiropractic Treatments for Whiplash

Each case of whiplash is different so it’s not possible to generalize about the chiropractic whiplash treatment.

Chiropractors commonly employ different chiropractic treatments for whiplash, often including:

- Manipulation
- Muscle relaxation and/or stimulation
- Various exercises
- Ergonomic and lifestyle changes.

Preventing Chronic Pain from Whiplash

After sustaining whiplash injuries, it is fairly common for people to suffer from chronic neck pain. Chiropractors can detect certain factors in a patient’s history and chiropractic exam to better determine patients who may be more susceptible to chronic pain from a whiplash injury. This process will identify when aggressive preventative measures should be taken for patients who may be at a greater risk of developing chronic neck pain from whiplash injuries.

Learn more about whiplash and its treatment at http://www.spine-health.com/conditions/neck-pain/what-whiplash

Golf is great, but you have to stretch and exercise for it!

For the millions of people who have chronic, long-standing low back pain, golf can still be an enjoyable sport. However, a regular routine of stretching and low-impact exercise is critical to maintain the ability to play golf.

http://www.spine-health.com/conditions/sports-and-spine-injuries/playing-golf-low-back-pain

Should You See a Doctor for Your Back Pain?

Pain is our friendliest enemy- it keeps us out of trouble even though it often seems to actually be the problem. But how do you know if your pain will go away by itself or if you should see a doctor? In most cases, back pain will get better on its own within a few days. But what if it doesn't? Persistent back pain may mean it's time to consult a back specialist.

Featured Article:
Should I See a Doctor for Back Pain?

Stay Active in Spring!

For the millions of people who have chronic, long-standing low back pain, golf can still be an enjoyable sport. However, a regular routine of stretching and low-impact exercise is critical to maintain the ability to play golf.

http://www.spine-health.com/conditions/sports-and-spine-injuries/playing-golf-low-back-pain

Biking is a popular form of aerobic exercise, and is often a favored form of exercise by people with low back pain conditions. Biking may be a good exercise option for many reasons:

http://www.spine-health.com/conditions/sports-and-spine-injuries/bicycling-and-back-pain

Chiropractic manipulation refers to a chiropractor applying manipulation to the vertebrae that have abnormal movement patterns or fail to function normally. Chiropractic manipulation (also known as chiropractic adjustment or spinal manipulation), is a common therapeutic treatment for lower back pain.

http://www.spine-health.com/treatment/chiropractic/chiropractic-manipulation