•Low back pain is second only tothe common cold as a cause oflost days at work.•It is also one of the mostcommon reasons to visit adoctors office or a hospitalsemergency department.•It is the second most commonneurologic complain in theUnited States, second only toheadache
Major conditions of the LowBack:•Sprain/Strain Muscle/Ligaments•Bulging or Herniated Discs•Degenerative Disc Disease •Bone Spurs •Arthritis •Posture•Subluxation
Sprain or Strain of spinal ligamentsand muscles•When the load or force exceeds themuscles ability to cope, the force is sharedwith the ligaments. When a ligament isstressed beyond its strength, it can tear
Sprain or Strain of spinal ligamentsand muscles•Swelling causes pain, tenderness, andstiffness; swelling serves to protect theinjured back by restricting movement
Sprain or Strain of spinal ligamentsand muscles •Pain around the low back and upper buttocks •Low back/neck muscle spasm •Pain associated with activities, and generally relieved with rest
Sprain or Strain of spinal ligamentsand muscles –OK NOW WHAT? •Step 1: Rest The first step in the treatment of a lumbar muscle strain is to rest the back. This will allow the inflammation to subside and control the symptoms of muscle spasm. *24-48 hours *If no improvement after 48 hours consult your physician.
Sprain or Strain of spinal ligamentsand muscles –OK NOW WHAT? •Step 2: Ice/Heat Acute injuries work best with ice applications whereas chronic injuries respond to heat. Intermittent applications 10-15 minutes, 30 minutes rest pattern.
Sprain or Strain of spinal ligamentsand muscles –OK NOW WHAT? •Step 3: Exercise/Conditioning •Proper conditioning is important to both avoid this type of problem and recover from this injury. By stretching and strengthening the back muscles, you will help control the inflammation and better condition the lumbar back muscles.
Disc Bulge or Herniation “Slipped Disc” Tough outer fibers of the spinal disc weaken and stretch allowing the “jelly center” of the disc to “bulge” outward.Bulging Disc Further stretching of spinal disc often pushing on delicate spinal nerves causing pain .Herniated Disc Disc center pushes through outer fibers and disc contents are removed from center. Surgery required .Prolapsed Disc
Disc Bulge–OK NOW WHAT?•Exercise and gentle stretching to helprelieve pressure on the nerve root•Ice/heat therapy for pain relief•*Non-steroidal anti-inflammatory drugs(NSAIDs) such as ibuprofen, naproxen orCOX-2 inhibitors for pain relief•If after 48 hours no change in symptomsconsult your physician *Use sparingly
“63% of patients studied revealed a reduced size or completely resorbeddisc herniation [as per MRI studies].” Disc Bulge–OK NOW WHAT? •Visit your chiropractor •“63% of patients studied revealed a reduced size or completely resorbed disc herniation [as per MRI studies].” “80% of the patients studied had a good clinical outcome [pain was eliminated] for herniated discs in the neck and low back”. Source: Journal of Manipulative and Physiological Therapeutics, Nov-Dec1996
Degenerative Disc DiseaseOver time, the spinal discs begin to losewater and protein, making the cartilagethat forms their structure weaker and morebrittle. This weakness leads to a gradualprocess known as degenerative discdisease.
Spinal ArthritisArthritis of the spine is a term used todescribe a wide range of conditions thatcause pain, swelling, tenderness, and stiffjoints. More than 50 million Americans areaffected by some form of this spinecondition, and some experts speculate thatby 2020 this number will increase to 60%.As of now, more than 90% of Americansover 55 are affected by it.
Neck and Back Bone SpursOften referred to as osteophytes, bonespurs form due to a protective mechanismof the body. These bony growths are notspurs in the sense that they are pointed,but rather they are simply bony growths onthe normal bone structure. When thesegrowths protrude into the spinal canal oronto a nearby nerve root, they can causepain and many more symptoms.
Contributing FactorsGenetics – if a parent or grandparent hadthe condition, you are more likely todevelop it yourself.Traumatic spine injury – if you hurtyour back as a kid playing football orparticipating in some other activity,degeneration may be accelerated in earlymiddle age.Obesity – additional body weight placesmore strain on the anatomical componentsof the spine.
Contributing FactorsCigarette smoking – chemicals in smokeinhibit the body’s ability to distributeoxygen, which can hasten discdeterioration.Diabetes – circulatory issues in diabetespatients also inhibits oxygen distribution.
SubluxationVertebra which has lost its normalposition and/or motion in relation toneighboring vertebrae.This accelerates the wear and tear onthe surrounding spinal muscles,ligaments, discs, joint and other spinaltissues.
Subluxations•Potential to impair proper nervefunctioning.•Once nerve functioning iscompromised, communication withinthe body becomes less effectivejeopardizing the overall health andwellness of the individual.