Informational Video: Lumber Spine Adjustments

Chiropractic can be an effective nonsurgical treatment option for many types of low back pain, including those associated with facet joint or sacroiliac joint dysfunction and disc problems. Chiropractic manipulation is a common therapeutic treatment designed to increase function and decrease pain and nerve irritability. Here's a video explaining what it looks like and how it works.

http://www.spine-health.com/video/chiropractic-adjustment-lumbar-spine-low-back-video

Understanding Low Back Pain (Lumbago)

Lumbago is the general term referring to low back pain, and the two terms are often used interchangeably.
The underlying causes of low back pain can be complex and are not always readily apparent. When determining the underlying cause of lower back pain, two main factors help guide the physician in making a preliminary diagnosis:

1. The type of low back pain – meaning a description of how the pain feels, what makes it better or worse, when it occurs, and
2. The area of pain distribution – meaning where the pain is felt, if it is confined to the low back, or if the accompanying leg pain is worse than the low back pain, or if the pain radiates elsewhere in the body.

This article is aimed at helping patients understand how physicians evaluate the area of pain distribution in helping to diagnose the source of a patient’s low back pain and determine initial treatment options.

• See Lower Back Pain Symptoms, Diagnosis, and Treatment

Principles of Lumbago

Before discussing the specific types of low back pain, it is important to understand a few important principles.

Pain does not always reflect the extent of damage. The severity of pain from low back problems is often unrelated to the extent of physical damage present. For example, a simple pulled muscle in the low back can cause excruciating pain that can limit one’s ability to walk or even stand, whereas a even a large herniated disc can be completely painless.

Article continues below

Diagnosis is often difficult. There are many anatomical structures in the low back that can cause severe lower back pain and/or pain that radiates into the legs and/or feet. These include:

• Soft tissues, such as muscles, ligaments and tendons
• Bones, which provide the structural building blocks of the spinal column
• Facet joints, which allow the spine move
• Discs (the outer rim of the disc, the annulus, can be a source of significant low back pain due to its rich nerve supply and tendency towards getting damaged)
• Nerves, which branch out from the spinal cord in the low back and innervate the legs and feet
All of the above structures are interwoven to make up the structure of the spine. During embryological development there is a great deal of overlap of nerve supply to all of these structures making it nearly impossible for the brain to distinguish between problems with one structure versus another. For example, a torn or herniated disc can feel identical to a bruised muscle or torn ligament.

In This Article:

• Understanding Low Back Pain (Lumbago)
• Diagnosing the Cause of Lower Back Pain
• Axial Back Pain: Most Common Low Back Pain
• Low Back Pain with Referred Pain
• Lumbar Radiculopathy
• Video: What is Lumbago?

Diagnostic accuracy is important. Getting an accurate diagnosis as to the underlying cause of one’s pain is important if there are warning signs or “Red Flags” present. These would include weakness of the legs, significant numbness, loss of bowel or bladder control, fevers or chills or significant unexplained weight loss. If these symptoms are not present, then conservative treatment may commence without the need for obtaining an immediate diagnosis with an MRI.

• See Getting an Accurate Back Pain Diagnosis

Finally, it is important to note that - unlike many other medical conditions - the experience of low back pain tends to be different for many people. For example, two people can have the exact same condition, but for one it is incapacitating and for the other it is a mere nuisance. In fact, for most people a spinal abnormality (such as a degenerated disc that can be seen on an MRI scan) is painless. In addition, other factors – psychological, emotional, and financial - often contribute to and influence a person’s experience of low back pain.

Next Page: Diagnosing the Cause of Lower Back Pain

 

Pages:

• 1
• 2
• 3
• 4
• 5
• 6

Back Care for Lower Back Pain

Since most episodes of lower back pain are self-limited, it is often advisable for patients to employ back care on their own early in the course of low back pain.

Back Care First Aid

In most cases, do-it-yourself back care for low back pain should center on a combination of:

• A short course of rest, limited to one to two days
• Pain medication, such as NSAIDs (e.g. ibuprofen) and/or acetaminophen
• Application of ice and/or heat on the lower back to decrease inflammation.

Slow mobilization and gentle stretching is then an advisable form of lower back pain care, and the sooner a patient can return to his or her normal functional activities, the sooner the episode of lower back pain will usually get better.

• See Lower Back Pain Treatment

Other Forms of Lower Back Care

Walking is often an excellent exercise for low back pain since it is gentle on the back and helps oxygenate the soft tissues in the back to stimulate a healing response. If walking is too painful, exercising in the water (water therapy or pool therapy) is usually tolerable. Such back care is typically beneficial for lower back pain because the water counteracts gravity and helps to support the patient’s weight in a controlled fashion.

Sitting upright (e.g. in an office chair, driving) will often aggravate low back pain, since this position loads the back three times more than standing. Sitting in a reclining position, however, relieves pressure on the lower back and is often the most comfortable position for patients experiencing an episode of back pain in the lower back (lumbar spine).

When to Seek Lower Back Care from a Medical Professional

Chiropractic on the Lumbar Spine Video

If the lower back pain symptoms do not start to abate within one to two weeks, medical attention should be sought from either the patient’s primary care doctor or chiropractor. The assessment of the patient begins with a history of the patient’s low back pain and includes questions such as:

• Where is the back pain?
• Is there more low back pain or more leg pain?
• How long has the pain been present?
• Does anything make the lower back pain better?
• Does anything make the low back pain worse?
• What back pain care has been tried?
• Have there been other episodes of lower back pain?

A physical exam will also be done to assess the patient’s nerve function and motion in the lower back. Sometimes diagnostic studies (such as an x-ray) will be recommended to better assess the anatomy of the patient’s spine and determine the specific type of back care.

• See Introduction To Diagnostic Studies For Back Pain

Initial Back Care and Lower Back Pain Help

Combining the information from the patient’s history, physical exam, and diagnostic studies, the health provider will then recommend a course of back care for the lower back pain. Generally, conservative (non-surgical) treatments for the low back pain will be recommended first.

If conservative back care fails, back surgery may be a reasonable option to try to cure the lower back pain.

Further Reading: Lower Back Pain Treatment