Is a Herniated Disc Causing Your Pain?

There are many different terms used to describe spinal disc pathology and associated pain, including "herniated disc," "pinched nerve," and "bulging disc." Rather than try to reconcile the terminology, it's more useful to gain an understanding of the actual cause of the pain. Learn the differences between a herniated disc and a pinched nerve and how each is most effectively treated.

Featured Article:
What's a Herniated Disc, Pinched Nerve, Bulging Disc…?

DIY back passage | Sacroiliac joint dysfunction | Exercise pain

Do-it-yourself massage ideas to alleviate back pain!
http://www.spine-health.com/blog/how-tennis-balls-and-duct-tape-can-morph-a-do-it-yourself-massage-lower-back-pain

For patients with lower back or buttock pain that stems from the sacroiliac joint, a variety of chiropractic procedures can be applied and are often considered the first line of treatment.
http://www.spine-health.com/conditions/sacroiliac-joint-dysfunction/chiropractic-procedures-sacroiliac-joint

Exercise can be difficult while in pain, but it is a key aspect in healing from the injury and preventing future episodes of pain. Muscle pain and aches can be normal, but flaring joint pain should be a warning to avoid certain exercises. Check out this video:
http://www.spine-health.com/video/video-if-my-back-or-joints-hurt-should-i-work-through-pain

Using Medication to Manage Pain and Reduce Sleep Problems

Using Medication to Manage Pain and Reduce Sleep Problems

After pain management patients have tried behavior and environment modifications to improve their sleep, it could be appropriate to discuss over-the-counter or prescription sleep aids, changes to their pain medication, or even both. Learn more...

Free Cervical Pillow! Melting snow

I'm so excited about the warm weather that I decided to have a contest to see if anyone can guess on what day the huge pile of snow in my parking lot will completely melt. The winner will receive a FREE CERVICAL PILLOW.

So, just respond to this by hitting "like" on Facebook and place your bet in the comment section.

FYI: My guess is May 1.

Stay Safe While Shoveling - By Dr. Jardon

More snow so watch your shoveling mechanics.

Limit bending and twisting combinations by bending your knees as you bend forward and come back up. Do not twist to throw the snow until you are standing upright. Limit twisting by moving your feet towards the direction you're throwing it. Bending/twisting combinations can "unhinge" the facet joints, allowing more strain on the protective muscles and ligaments.

Also, make sure you're warmed up in the morning by stretching beforehand. Dress warmly.Take it easy for the first 5 mins and, as you warm up with the activity of shoveling, you can safely speed up. Also helpful, don't try to do it all at once. Do it in shifts.

But, here's the best advise, get a snow blower!

Dr. Jardon's Newsletter from Spine Health - Feb-March 2015

Degenerative disk disease - Spinal manipulation techniques - Neck bone spurs causing headaches?

Degenerative disc disease refers to any condition where the spinal discs are degenerating or degrading, often causing back pain. This interactive video provides information on spinal anatomy and how degenerative disc disease affects the vertebrae and spinal discs. It also gives an in-depth overview of symptoms associated with degenerative disc disease.
http://www.spine-health.com/video/degenerative-disc-disease-interactive-video

Spinal 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

Bone spurs in the neck could be causing your headaches:
http://www.spine-health.com/conditions/neck-pain/cervical-osteophytes-bone-spurs-neck

Articles on lower back pain, depression, and spinal manipulation

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




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


Scientific evidence has indicated that spinal manipulation is a safe, mild-to-moderate pain reliever for lower back pain, neck pain and headache, and recent health care guidelines have listed it as a viable treatment option for symptoms that do not respond to self-care.
http://www.spine-health.com/treatment/chiropractic/evolution-chiropractic-medicine-health-care

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

 

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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

Conservative vs Surgical Care for Lower Back Pain

For most people, any episode of lower back pain will tend to get better within two weeks to three months. During this time period that an episode of back pain is resolving, or if the back pain is chronic, it is important to consider the appropriate course of conservative (meaning non-surgical) treatment in order to:

• Reduce pain and spasm
• Provide conditioning for the back
• Assist in managing issues frequently associated with back pain, such as sleeplessness or depression.

Chiropractic on the Lumbar Spine Video

 

Treatment options are considered "conservative" when they are non-invasive (such as medication) or markedly less invasive (such as injections or chiropractic manual manipulation) than surgery.
As a general rule, surgery for lower back pain is considered if conservative back treatment fails and the lower back pain and/or leg pain persists for an extended period of time, or if the patient is unable to maintain a satisfactory ability to function in everyday activities.

There are a few exceptions to this general rule. Conservative treatments are not the first option of choice if:

• The patient loses bowel or bladder control, or develops progressive weakness in the legs - these symptoms constitute a medical emergency and require immediate surgery. However, surgical emergencies for back pain are extremely rare and most episodes of lower back pain can be treated nonsurgically. For more information, see When Back Pain May Be A Medical Emergency.
• The patient has lower back pain, but an anatomical cause of the pain cannot be identified, surgery is not advisable and conservative treatments are the only recommended course of action. For more information, see What to Expect from Spine Surgery for Low Back Pain.

The length of time that conservative treatment should continue varies widely. Here are two general rules to help provide some context for patients:

• In general, the more pain and dysfunction a patient experiences, the earlier surgical treatments will be considered.
• The morbidity (e.g. incidence of post-operative discomfort) or extent of the surgery must also be considered, and therefore a microsurgery (small surgery using microscopes) will be considered much earlier than a much more extensive fusion operation.

In This Article:

• Conservative vs Surgical Care for Lower Back Pain
• Video: Am I a Candidate for Back Surgery?

For a more complete discussion of the role of back surgery, see Back Surgery and Neck Surgery Overview.
At the onset of lower back pain it is generally advisable to try one or two days of bed rest to decrease muscle spasm and allow the back to rest. More extensive bed rest seems to be counterproductive because it leads to further deconditioning (weakening) of the muscles that provide critical support for the spine.

In addition to initial bed rest, either one or a combination of several conservative treatment options is often recommended in order to alleviate pain and rehabilitate the lower back. To review nonsurgical treatments, see Back Pain Treatment: Non-Surgical Options for Pain Relief

Next Page: Video: Am I a Candidate for Back Surgery?

 

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How to treat your lower back pain

In the US, lower back pain is one of the most common conditions and one of the leading causes of physician visits. In fact, at least 4 out of 5 adults will experience it at some point in their lives. Take an in-depth look at the common causes of lower back pain and the treatment options available.

Featured Article:
Lower Back Pain Treatment

What You Need to Know About Osteoporosis

Osteoporosis is sometimes called the "silent disease." Most people don't know they have osteoporosis until it has progressed, often to the point of fracture, usually in the hip, wrist, or spine. The good news is that osteoporosis is largely preventable and treatable. Learn what causes osteoporosis, who is at risk, and what can be done to prevent its development.

http://spine-health.us1.list-manage.com/track/click?u=f93264af165d7fb7124f7a963&id=8fe7c4d99b&e=d8be60bcc9 


The Definitive Guide to Osteoporosis

Osteoporosis is a thinning of the bones that causes them to become porous and fragile. It affects women more than men, is associated with aging, and progresses more rapidly after menopause. Learn more...

Osteoporosis In Men
Osteoporosis is generally considered to be a disease that primarily affects post-menopausal women. However, incidence of osteoporosis in men is substantial, with an estimated 2 million diagnosed and 12 million at risk for developing the disease. Learn more...

Diagnosing Vertebral Compression Fractures
Vertebral compression fractures (also called spinal compression fractures) due to osteoporosis are not straightforward to diagnose. Learn the adverse effects and risks involved with missed or late diagnosis. Learn more...

Repost: Lower back pain triage & incorporation + subluxation

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

Post 2)
What's the best way to incorporate chiropractic care in with care from other doctors?
http://www.spine-health.com/treatment/chiropractic/integrating-chiropractic-care-other-doctors

Post 3)
The term "subluxation" is used by doctors of chiropractic to depict the altered position of the vertebra and subsequent functional loss, which determines the location for the spinal manipulation.
http://www.spine-health.com/treatment/chiropractic/subluxation-and-chiropractic

Current Care

Current Care is the RI health community's central bank of patient's records. By joining it, you allow your doctors to access x-rays, blood work, medication lists...etc using their computers rather than waiting for faxes, mail or patients to pick up their information for them.

Everyone (not just my patients but friends, relatives co-workers...) should sign up so that we can move into the 21st century!! Stop by the office anytime and fill out the simple enrollment form that literally takes 2 minutes and we will take care of it from there.

Pick up more and have all of your family and friends fill them out and return to us. You can also enroll on the internet at CurrentCareRI.org or call 888-858-4815.

Recognizing a heart attack