Tag Archive for: disc

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Chiropractor Danny Explains Why You Should Get Back and Neck Pain Treated Sooner Rather Than Later

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Within this post I’ll explain why seeking treatment for your back pain earlier will potentially save you a lot of money.

Take a quick look at these well researched statistics:

 

 

  1. 80% of the population will experience back pain at some time
  2. 40% of the population are affected by back pain currently (16 million)
  3. 2.5 million people have back pain every day of the year
  4. 119 million working days are lost
  5. 1.2 million people are affected by musculo-skeletal pain and 500.000 by work related stress

The Hard Working Citizen

The sooner a person with back pain sees a well trained therapist such as a Chiropractor, the sooner they will get better, simple. Recently I and my colleagues have noticed how patients are presenting with incredibly chronic (>3weeks) back pain. People seem to be putting up with pain without seeking help for longer than ever before, we think this may be due to the recent recession (or double dip recession as it is for us Brits). People are really feeling the pinch, but if you think you are saving money by not getting your back pain treated now, you are very mistaken. In fact, it’s not cost effective at all! Its actually uneconomical! I’ll explain why.

Scary but (potentially) true

I’m going to use a common lower back problem as an example, a lower back disc bulge, a disc bulge usually occurs because the underlying supportive back structures are working incorrectly. The forces within the lower back are therefore repeatedly falling upon structures that cannot cope with the increase in load (the discs, among other things). This leads to failure, if the bulge is not correctly managed and the forces continue to be incurred in a region that has already failed then its ability to heal is diminished. It may take months or years to get better with a very high chance that it will recur in the future due to the mechanism of micro tearing in the outer layers which heals incredibly slowly, if at all (Read more here on disc bulges). Disc bulges can progress and in a lot of cases may even lead to surgery, the likelihood of this increases if you do not seek effective advice and treatment. The earlier you seek treatment, the quicker your disc bulge will resolve itself and with the correct prevention strategy provided you will have a lower back that will be less susceptible to having disc bulges in the future.

“And financially this affects me how?”

The financial implications of this are simple, by letting your back pain progress and possibly worsen it may end with you requiring surgery and months off work with no guarantee it won’t recur. Due to the reasons above you may even require multiple surgeries in the future. Therefore, costing you even more in lost wages with time off work and possibly even your job! This is all theoretical of course and I’m not trying to scare you well, maybe a little lol… as more than likely if it is your first episode of back pain it may be nothing serious but for the price of a consultation fee it’s still best to get it checked out now to be better safe than sorry. The best way to treat the problem and find out the cause is to seek help from a well trained manual therapist such as a Chiropractor. A good therapist will offer you a variety of treatment and prevention options (or referral if required) and an insight into how your problem could progress if left untreated. So what I would recommend is to save yourself money and seek help now rather than later, trust me, your future pain free self will be thanking me in the long run.

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Sciatica…

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…It can be such a pain in the bum… literally! ‘Sciatica’ is the term used to describe any pain that is originating from irritation of the Sciatic Nerve. This pain can be felt anywhere down a leg, from the bottom to the feet.

The Sciatic Nerve is the longest and thickest nerve in the human body, running from your lower back all the way in to your foot, with its thickest part being around 2cm in width! As you can imagine, a lot can happen to that nerve along its route and exactly what can happen is the subject of this post. The Sciatic Nerve originates as individual spinal nerves known as L4,L5,S1,S2 and S3, these nerves exit the spine individually but then converge to create the Sciatic Nerve. Bear this in mind when we discuss problems that can occur to the Sciatic nerve that lead to what we all know as ‘Sciatica’.

Disc Bulges

The most common cause of Sciatica is what is known as a Disc Bulge (Click here for a complete description of what a disc bulge is). A disc bulge between the vertebrae of L4 and L5 or between the vertebrae of L5 and S1 can lead to ‘Sciatica’.

A disc bulge essentially only affects the nerve at which level the bulge is occurring, this therefore would affect the path of the Sciatic Nerve but particularly at the points at which the original nerve supplies the body. For example, a backwards and to the side (postero-lateral) Disc Bulge at L5/S1 usually causes pain/tingling/numbness/pins and needles at the sole and outside edge of the foot on the same side as the bulge. This is because the nerve exiting between the spinal segments of L5 and S1 is what is known as the S1 nerve root (like a tree a nerve has a root, another word for where it starts). The S1 nerve supplies both muscles (a Myotome) and skin sensation (a Dermatome). So as you can see the S1 nerve supplies sensation to the sole and outer edge of the foot which is why pain is felt here. This applies to all nerves exiting the spine. If one level has a bulge then the skin it supplies may have a change in sensation. The muscles that each affected nerve innervates may also not work correctly or may even begin to decrease in size and become flaccid, seen in severe cases. For example, The S1 nerve supplies lots of muscles in the lower leg and foot so it would be quite clear if there was something affecting its innervation severely as all these signs would be present. Chiropractors treat disc bulges all the time, worst case scenario is surgery for a disc but your Chiropractor or manual therapist will let you know if this is necessary.

Foraminal Stenosis

The word ‘Foramen’ basically means ‘a hole’, where the L4, L5, S1, S2, S3 nerves leave the spine between each vertebral segment is a hole called the ‘Intervertebral Foramen’. If anything decreases space at this Foramen then Sciatica can occur, problems such as bony spurs, inflammation, a Spondylolisthesis or a Tumor can all cause a decrease in space here and irritate the nerve as it exits. This can therefore be one of the causes that lead to irritation of the Sciatic nerve and the symptoms associated to it.

Piriformis Syndrome

In a nutshell ‘Piriformis Syndrome’ occurs as a result of the Sciatic nerve being irritated by the Piriformis Muscle. Though it’s not always simple to treat for the following reasons:

The Sciatic nerve’s relationship with the Piriformis Muscle in the general population differs from person to person. As you can see, most commonly it passes beneath the Piriformis Muscle, however in the minority of the population the Sciatic Nerve can actually pass through the Piriformis Muscle entirely, or even stay split around it and connect after.

The Piriformis is an external rotator of the the leg, if it gets too tight (common in a lot of people) it can become irritated, this leads to inflammation at the muscle and surrounding tissues, which in some cases includes the Sciatic Nerve. This irritation can cause symptoms down the leg that are often misdiagnosed as disc bulges due to their similar presentation.

If you have further questions or would like to know more about this topic please ring us on 01452309372 or email contact@longlevenschiro.com

 

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What are Disc Bulges, Disc Herniations, Disc Prolapses and Slipped Discs?

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We love Danny’s latest blog! http://chirobeans.wordpress.com/2012/03/26/what-are-disc-bulges-disc-herniations-disc-prolapses-and-slipped-discs/ Take a look and find out the answers to the above questions.

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How Can I Avoid Back Pain This Spring?

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Winter is gone, spring is here!, the time for new life, flowers blooming, the smell of fresh-cut grass and for those unlucky few… time for back pain, unless you listen close!

The main activities we find that cause back pain at this time of year are Gardening, Spring cleaning and DIY. You know the usual chores, “the garden is overgrown and needs a good looking after”, “the gutters are full up with leaves left from last autumn”, “the attic, shed and garage all need a good sort out”. Classic situations that can lead to back pain, in this post I am going to give you some really helpful tips to help you prevent injury.

Tip 1.- Be sensible and know your limits! I am sorry to sound like a nag but this is definitely one for those of you that have suffered from previous episodes of back pain or have had previous operations that may limit your ability. Start any job by first thinking ‘is it really worth causing all that pain and potential loss of earnings for the sake of doing something a much fitter, possibly more experienced and capable person could do?’. Remember, assess the job that needs doing and make a sensible decision about it, it is your body, look after it, ask yourself, ‘is it capable?’ and ‘is it really worth the risk?’

Tip 2.- Co-Contraction. Sounds funny doesn’t it?, don’t worry, its sooo simple! and sooo effective! Co-contraction is simply tucking in or contracting the lower part of you belly by just 10-20%, your belly button should tuck in a little when you do this. Holding this contraction will cause a belt of support around your waist and spine, its like those belts weight lifters use but its built-in!, great hey?. Hold this whenever you are attempting to bend over or pick up anything (i.e lifting boxes, mowing the lawn, using the vacuum cleaner, climbing a ladder, pretty much all the time if you can!). It is great, the best part is, that if you keep doing this for 2 weeks constantly it becomes automatic. So what I tell my patients is “co-contract, co-contract, co-contract!!”, the more you think about using it now, the less you will have to in the future.

Tip 3.- Bend from your hips, not from your back! I know, I know, someone has told you something similar already but its time to mop up the nonsense and explain exactly how and why everyone needs to do this. If you need to lean forward (i.e mowing grass or working at a workbench) or bend down (picking up a box or some leaves) then use your hips and knees to lean forward or get lower and keep your back as straight as possible, remember to co-contract!! :D . You have been blessed with hips and knees, so use them!, your back is not designed to lift loads while flexed, your hips and knees are. Another way you can get lower is opening up your stance so your legs are further apart and then bend from your hips. Also, try keeping your head up once you have a good grip as this helps you keep your back straight. Look at you body, have you ever wondered why your bum is so big? (sorry to those offended :-P  ), it is designed to keep your top half upright and help you and your hips in lifting weight. Bending from the hips will take off a huge amount of strain from your back which will lead to an increase in back support and decrease the risk of getting back pain.

One last piece of advice, your spine is weakest when it is flexed and rotated, so please, remember not to bend and twist your back this spring! enjoy the sun everybody.

I hope this has helped you understand a bit more about your body and Chiropractic, If you have any questions on this topic send me an e-mail at danny@longlevenschiro.com  To view more of my blogs visit www.chirobeans.wordpress.com

If you live in Gloucester or surrounding areas and are interested my Chiropractic services and what I can do to help you, then book an appointment to see Danny at the Longlevens Chiropractic and Sports Injury Clinic on 01452 309372

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