Back Pain

What Back Pain is All About?

While there are types of back pain which are relatively manageable through a couple of stretches, some conditions will need to be fully looked into by specialists. If you’re currently experiencing any form of back pain, it’s just worthwhile to consider the reality of it and find out how it must be treated. It would also help for you to have the services of a Musculoskeletal expert on standby. This way, you may immediately get treated and prevent the worsening of the pain you’re experiencing.

pain-management (2)A look through the types of back pain will be beneficial for you, since you will already know the related habits which you must alter to prevent the debilitating condition. As adults, we may no longer be as robust in comparison to our younger selves. This is why some life alterations need to be made to prevent any worse related conditions of back pain from happening.

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Back pain is one of the most common reasons people self-treat and seek medical care. It will affect approximately three in four adults during their lifetime. When we speak about “back pain” we mean pain that originates in the spine anywhere between the upper and lower back.

Besides back pain, other symptoms may present.
There are many different types of pain. Acute back pain is defined as severe but lasting a short period of time. Chronic back painusually occurs every day. It can be severe, but may be characterized as mild, deep, achy, burning, or electric-like. Back pain that travels into another part of the body, such as the leg may be consider radicular pain, particularly when it radiates below the knee. This scenario is commonly called a lumbar radiculopathy. Fortunately, not all occurrences of back pain include leg pain!

Back pain Doctor-speak
If you see a doctor for back pain, he (or she) may use terms such as thoracic, lumbar, lumbosacral, or sacrum. The point is, back pain is a large topic covering many different regions (or levels) of the spine.

  • Thoracic spine is the upper and mid back areas, and where your ribs attach to the spinal column.
  • Lumbar refers to your low back.
  • Lumbosacral is the low back, sacrum, and possibly the tailbone (called the coccyx).
  • Sacrum is the part of the spine that is at the back of your pelvis.

Back pain is a big topic because between the upper back and tailbone, there are 17 vertebral bodies, many joints, the sacrum and tailbone. Plus fibrous and muscular supporting structures, intervertebral discs, spinal cord and nerve roots, and blood vessels. A simple injury, such as a back sprain/strain from lifting and twisting simultaneously, can cause immediate and severe pain that is typically self-limiting.

Of course, not all incidences of back pain are injury or trauma-related. Many back problems are congenital (found at birth), degenerative, age-related, disease-related, and may be linked to poor posture, obesity or an unhealthy lifestyle such as smoking. Sometimes the back pain is worse than the severity of the injury or disorder. That statement raises the question, “When should I seek medical attention for back pain?

  • You cannot stand upright.
  • Fever accompanies pain.
  • Loss of bladder or bowel function or control
  • Leg pain and/or weakness progressively worsens.
  • Pain is relentless or worsens.

Many patients with back pain have reported feeling afraid and anxious, which is normal. Most people who experience upper, low or lower back pain—even down into one or both legs—intuitively know when it’s time to seek medical care.

What to expect from your doctor
Whether you back pain falls into the “seek urgent medical care” list above, or you are following your gut reaction that says, “Go see your doctor,” below is what you can expect.

  • A review of your medical history, including immediate family members who have back problems. Some back problems (eg, scoliosis, osteoporosis) have a genetic potential.
  • Discuss when back pain started, what you were doing when pain began, current pain severity and characteristics (eg, stabbing, burning), how pain may have changed since it began, and other questions. Your doctor wants to learn as much about your pain and symptoms before he examines you—while the exam may provoke pain, your doctor doesn’t want to make the process intolerable!
  • Physical examination evaluates your vital signs (eg, heart rate). It is not unusual for your blood pressure to be elevated as a result of pain. The doctor examines your spine, feeling for abnormalities and areas of tenderness.
  • Neurological examination involves assessing sensation and function. The doctor may employ the pin prick test to determine if feeling is the same on both sides of particular parts of the body (eg, legs). Function, flexibility and range of motion are assessed while you walk, bend forward and backward (if able to), and during other movements. The doctor tests your reflexes too.

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In older adults, low back pain tends to be related to ageing. Parts of their body will change due to ageing and some cases of back pain may be due to degeneration.

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elderlyladyshoulderpainWhile older adults can experience pain related to any of the conditions that also affect younger adults, individuals over age 60 are more likely to suffer from pain related to degeneration of the joints in the spine. Two of the most common causes of lower back pain in older adults include osteoarthritis and spinal stenosis.

Symptoms: Lower back pain and stiffness that is the most pronounced in the morning and in the evening

Includes any combination of the below symptoms:

  • Pain that interrupts sleep
  • Pain that is most pronounced first thing in the morning and again toward the end of the day
  • Localized tenderness when the affected area of the spine is pressed
  • Aching, steady or intermittent pain in the lower back that is aggravated by extended activity
  • Stiffness or loss of flexibility in the back (for example, unable to bend comfortably at the waist)

Possible cause: Facet joint osteoarthritis

 Facet joint osteoarthritis, also called degenerative arthritis or osteoarthritis of the spine, is a degenerative condition that develops gradually over time. The pain is caused by the breakdown of the cartilage between the facet joints in the spine. At first the symptoms may only be intermittent, but can later develop into steadier pain in the lower back, and may eventually cause sciatica in addition to lower back pain.

Symptom: Leg pain that occurs primarily when walking and standing upright

Includes any combination of the following:

  • Knee-Pain-treatmentUnable to walk far without developing leg pain
  • Lower back pain relief is achieved quickly after sitting down
  • Symptoms fluctuate between severe and mild/none
  • Symptoms develop gradually over time
  • Weakness, numbness, and tingling that radiates from the low back into the buttocks and legs (sciatica)

Symptoms: Sudden onset of back pain, limited flexibility, height loss

  • Includes any of the following:
    • Sudden onset of back pain
    • Standing or walking will usually make the pain worse
    • Lying on one’s back makes the pain less intense
    • Height loss
    • Limited spinal flexibility
    • Deformity and disability

    Possible cause: Spinal compression fracture

    As a general rule, the possibility of compression fracture should be considered after any sudden onset of back pain in adults over age 50, especially in post-menopausal women with osteoporosis and in men or women after long-term corticosteroid use. In a person with osteoporosis, even a small amount of force put on the spine, as from a sneeze, may cause a compression fracture.

  • Less Common Causes of Lower Back Pain

    While less common than the above listed conditions, a number of other conditions can cause low back pain as well, including but not limited to:

There are various complications related to back pain as a condition. Without proper diagnosis and treatment, a seemingly mild pain may be at risk of turning into a much worse sickness. If you are experiencing any form of back pain, it would be helpful to seek the services of a Musculoskeletal professional. Before its too late, be sure to consult a back pain specialist if you feel uncomfortable. They are specialized doctors that will help you on the efficient means and proper treatment for your back pain conditions. 



Chiropractor for Back Pain


Alternative Treatment for Back Pains by A Specialized Chiropractor

7b30c55f-727a-4409-8fbf-e8a0aab315e7.png._V321591132__SL300__Neck and back pain is something the majority of us recognize all too well, lower back, top back neck and head pain is a large spread problem in practically every country as well as throughout all maturity ages. When people are faced with proceeds pain in the back that doctors inform them can not be assisted through using ordinary medication, they begin searching for a chiropractic specialist to alleviate their pain.

Chiropractic doctors a component of the holistic medicine scene, vice versa, these are extremely trained professionals that know everything starts with the spine, and any sort of sort of back injury is in some way attached to the spine. Chiropractors use their substantial knowledge of the spinal column and back to locate the source of the trouble that is causing the individual back pain.

Chiropractic doctor physicians incorporate more than one method or technique to solve back pain and back troubles, this is crucial for the client that does not need to go to a few various specialists to deal with the exact same trouble, and recognizing that you remain in the hands of a chiropractor physician is guaranteeing sufficient for you to allow them do the job as well as solve your pain in the back.

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You might think chiropractors are only able to help with back aches, stiff necks, slipped discs and whiplash injuries. If so, you’re not alone – but you’re missing out.

Chiropractic care – which is based on the understanding that, given the opportunity, the mind and body can heal itself – can treat many issues that might surprise you.

1. Migraines and tension headaches

 Nine out of 10 Americans suffer from headaches. Some are occasional. Some are persistent. Some are dull and nagging, while others cause debilitating pain and nausea. Taking a painkiller and hoping your headache goes away is one option. But there’s a better one.

Research shows that spinal manipulation – the primary form of care provided by chiropractic doctors – is an effective way to treat tension headaches and headaches that begin in the neck.

In a clinical trial conducted at Macquarie University, 72 percent of migraine sufferers experienced either “substantial” or “noticeable” improvement after a period of chiropractic treatment.

In fact, most headaches are related to muscle tension in the neck, which is an increasingly common condition among Americans who spend hours in the same position or posture (such as in front of a computer or television), leading to joint irritation and tension in the upper back and scalp that cause headaches.

What Can a Doctor of Chiropractic Do?

  • Perform spinal manipulation or chiropractic adjustments to improve spinal function and alleviate stress on your system.
  • Provide nutritional advice, recommending a change in diet or the addition of vitamins.
  • Offer advice on posture, ergonomics, exercises and relaxation techniques.

2. Stress and anxiety

We perceive stress from three basic sources: our environment, our body and our emotions.

Environmental stress includes noise, weather, physical threats, time pressures and performance standards. Body stress includes disease processes, organ malfunction, poor nutrition, poor sleep and physical injury. And emotional stress is more difficult to define, but it encompasses our reactions, in both thought and emotion, to environmental and physical stressors.

Jobs today are increasingly complex as the business world becomes more and more competitive. Physical stresses such as sound, air and water pollution have also grown worse over the last century – especially in the United States – and so have emotional and psychological stresses caused by an increasing awareness of troubles and tragedies around the globe, brought to our attention every hour by the Internet and its 24/7 news cycle.

Many illnesses are caused or worsened by stress, which activates our “fight or flight” reaction. This systemic reaction affects almost every part of the body, as the hypothalamus in the brain stimulates the sympathetic nervous system, which causes an increase in heart rate, blood volume and blood pressure, redirecting blood away from our digestive system and extremities.

When prolonged, the long-term effects of this state can be disastrous to good health and cause high blood pressure, muscle tissue damage, diabetes, infertility, damage to the immune system and slowed healing from disease and injury.

Chiropractors work primarily with the spine – the root of the nervous system through which nerve impulses travel between the brain and the rest of the body – and can help the body manage and process this stress in a healthier way.

What Can a Doctor of Chiropractic Do?

  • Chiropractors can release muscle tension, one effect of chronic stress that leads to nerve irritation and creates uneven pressures on the body’s bony structures, which can cause the spinal column to become misaligned. This, in turn, helps the body return to a more balanced, relaxed state.
  • Chiropractic adjustments can reduce spinal nerve irritation and improve blood circulation, which can help signal the brain to turn off the “fight or flight” response and begin the healing process.
  • A doctor of chiropractic can suggest nutritional supplements, like B complex vitamins, to help the body cope with stress.
  • A chiropractor can also recommend relaxation techniques and discuss posture and environmental changes to help you recover from chronic stress.

3. Fibromyalgia

Fibromyalgia is a chronic disorder involving widespread pain and sensitivity throughout the entire musculoskeletal system. To be diagnosed with FM, a patient typically has a minimum of 11 out of 18 specific tender points on the body. In addition to pain, patients also report long-term fatigue and/or disturbed sleep and mood. Other disorders commonly associated with FM include irritable bowel syndrome, TMJ pain and dysfunction, psychological conditions and some autoimmune diseases.

Fibromyalgia is a widespread condition that affects about 2 percent of the United States, and medical science has yet to discover the cause of this condition.

Since those with FM often experience an altered mood, like depression, many experts focus on the psychological aspect of the disease. Others feel that FM is more physiological and has its origins in physical trauma or chronic postural alterations. Still others suggest that FM is a central nervous system disorder rooted in neurochemical imbalances, since those with FM are hypersensitive to even the slightest stimuli and often have a pain response to normally non-painful pressure or activity. Since all information from the outside world is collected and analyzed by the nervous system, it’s logical to assume that if a person with FM is sensitive to a stimulus that others are not, there may be something wrong with this system.

It’s often difficult for patients to find solutions for all of their symptoms, but recent studies show that chiropractic adjustments combined with a soft tissue technique called ischemic compression can help FM patients.

In one study, 60 percent of the subjects treated by a chiropractor experienced a significant improvement: reduced pain, improved sleep and decreased fatigue.

What Can a Doctor of Chiropractic Do?

  • Chiropractors are trained as neuromusculoskeletal specialists, and one of the main focuses of chiropractic care is the positive impact it can have on a person’s nervous system. Therefore, chiropractic adjustments can improve a FM patient’s nervous system, which gives them a better chance for recovery.
  • Chiropractic care can treat pressure points, back pain, neck pain, shoulder pain, headaches and pain from musculoskeletal injuries.
  • Chiropractors can also reduce a patient’s overall pain through spinal adjustments that increase the mobility between spinal vertebrae, which have become restricted, locked or slightly out of proper position, thereby increasing cervical and lumbar range of motion.

4. Weak immune systems

The nervous system, endocrine system and immune system are inextricably linked. Together they share tiny messenger molecules that mediate communication between them, creating optimal responses for the body to adapt and heal appropriately.

Until recently, one of these messenger molecules, IL-2, was thought of as an immune system molecule. But recent studies have clearly shown its presence and activity in the nervous system, leading researchers to believe that neural dysfunctions due to spinal misalignments are stressful to the body and can cause abnormal changes that lead to a poorly coordinated immune response.

Subluxation is the term for misalignments of the spine that cause compression and irritation of nerve pathways, affecting the body’s organs. Subluxations are an example of physical nerve stress that affects neuronal control. According to researchers, such stressful conditions lead to altered measures of immune function and an increased susceptibility to a variety of diseases.

It’s important to note here how the endocrine system also impacts the immune system by producing cortisol in the adrenal glands – endocrine glands that are directly connected to the nervous system through the sympathetic nervous system – a stress hormone that inhibits the immune system.

If the sympathetic nervous system is too “switched on” due to stress and subluxation, it can increase the adrenal glands’ synthesis of cortisol, in turn affecting the immune system.

What Can a Doctor of Chiropractic Do?

  • Chiropractic care is the only way to detect and eliminate subluxation, and chiropractic adjustments have been shown to reduce the stress on the nervous system, thereby boosting the coordinated responses of the nervous and immune systems.
  • One research group found that when an adjustment was applied to a subluxated area, the white blood cell count collected rose significantly.
  • Another study measured the effects of six months of regular chiropractic care on the immune system function of HIV patients. At the end of six months of care, the patients who had received regular adjustments showed a 48 percent increase in the number of CD4+ T cells, whereas patients who had not been adjusted showed an 8 percent decrease in CD4+ T cells.

5. Flexibility

When we’re younger, it’s easy to take our extensive range of motion and flexibility for granted. As we age, a number of health conditions – and the cumulative effects of wear and tear – can affect our ability to move the way we used to.

But a decrease in range of motion and flexibility can result in a downward spiral of disability.

For example, an injury or degenerative condition that causes pain, swelling and stiffness, may limit our flexibility and range of motion. When this happens, we may avoid activities that involve the affected body parts, either consciously or unconsciously.

This then becomes a classic case of “use it or lose it.” Without regular exercise, the muscles and joints stiffen, adhesions and scar tissue can form, and mobility may be further reduced. Eventually, a person can become completely incapacitated, and ordinary tasks such as picking up something off the floor or tying your shoes can become extremely challenging or painful.

Regular chiropractic can help increase both range of motion and flexibility.

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