How a Chiropractic Treatment Plan is Developed

A chiropractic treatment plan will try to reduce pain and restore normal joint function and muscle balance in the short term and restore functional independence and normal activity in the long term.

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

Good Posture Helps Reduce Back Pain

Correct posture is a simple but very important way to keep the many intricate structures in the back and spine healthy.

http://www.spine-health.com/wellness/ergonomics/good-posture-helps-reduce-back-pain

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))

Exercise and Chiro

Exercise and chiropractic care go hand in hand as part of a comprehensive treatment plan to back or neck recovery.

http://www.spine-health.com/treatment/chiropractic/exercise-and-chiropractic-therapy

Guide on Depression, Chronic Pain

It's not a surprise that most people suffering from chronic pain also experience depression, but did you know the reverse can be true as well? Check out the Depression Guide from Spine-Health:

http://www.spine-health.com/conditions/depression/depression-guide

Decrease Sitting Time & Feel Healthier

Decrease your sitting time by 66 minutes per day and feel healthier. In a recent study 87% of people reported feeling more comfortable and energized when they were alternating between standing and sitting. Read more below:

http://www.spine-health.com/blog/one-hour-ease-your-back-ache-and-boost-your-mood

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

Herniated Disc: A Condition with Many Names

Whether it’s called a slipped disc, bulging disc, or ruptured disc, there are a lot of ways to label and describe a herniated disc. But regardless of the name used, the important goal is to have a doctor accurately diagnose the cause of disc pain, so it can be treated. This article explains the diagnostic process.

Featured Article:
Diagnosing Disc Problems

Treatment Options for a Lumbar Herniated Disc
In most cases, herniated discs are first treated with several weeks of nonsurgical treatments. If symptoms and pain don’t improve, surgery may be considered.  Learn More...

Exercise for Sciatica from a Herniated Disc
When a herniated disc causes nerve pain that radiates down the back of the legs, known as sciatica, there are many exercises you can do to ease this pain. Learn More...

Lumbar Decompression Back Surgery
If the main source of pain for a lumbar herniated disc is from a nerve impingement, a surgery known as lumbar decompression may be recommended. Learn More...

Insomnia and Back Pain

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

Study: Spinal Manipulation Can Be Healthier, More Effective Than Pain Medication

It may be easier and less time consuming to take pain medicine to help your lower back pain, but a recent study shows that spinal manipulation may be more effective.

http://www.spine-health.com/blog/chiropractic-manipulation-or-medication-low-back-pain

Spine Manipulation Techniques

There are well over 100 types of adjustment techniques used by chiropractors throughout the world. Typically, chiropractors will focus on and utilize 8 to 10 different approaches in their practice.

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

Office Back Pain

Back pain is one of the most common work-related injuries and is often caused by ordinary work activities such as sitting in an office chair or heavy lifting. Applying ergonomic principles can help keep your back healthy.

http://www.spine-health.com/wellness/ergonomics/ergonomics-office-and-workplace-overview

There are many different terms used to describe spinal disc pathology and associated pain, such as "herniated disc", "pinched nerve", and "bulging disc", and all are used differently by doctors. Learn the difference:

http://www.spine-health.com/conditions/herniated-disc/whats-a-herniated-disc-pinched-nerve-bulging-disc

About that cracking sound...

Sometimes joint cavitation or cracking does not occur during a chiropractic adjustment. Why not? And what are the chiropractors next steps?

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

History of Chiropractic

Since its inception in 1895, chiropractic has provided treatment for patients with back pain, neck pain and headache.

http://www.spine-health.com/treatment/chiropractic/american-chiropractic-history-treatment-back-pain-and-neck-pain