Posts Tagged ‘Sciatica’

Whiplash, Back Pain and Chiropractic Care

Monday, January 4th, 2010

Years ago I had a patient who sustained a serious low back injury in what seemed to be a simple, low impact rear-end accident. My patient was stopped at a red light and was hit from behind by a car that was maybe going 10 mph. The impact wasn’t severe enough to require any repairs to either vehicle.

Regardless of the lack of damage to my patients’ vehicle, he knew immediately that there was something wrong with his lower back and his right leg. He told me that when his car was hit, he felt the metal framework of his seat apply a significant amount of force through his lower back. As he got out of his vehicle, he felt weakness and a little pain in his right leg.

I have patients that I treat for certain conditions that are later aggravated by car accidents but this case wasn’t one of those. This patient had no prior history of low back pain or sciatic pain – this current pain was all new.

After four weeks of chiropractic care for his injuries, both the patient and I were frustrated by his lack of progress. I sent him for an MRI of his low back which clearly showed 2 herniated discs in his low back – no doubt these were from his accident.

This patients’ options for care at this point were to go to an orthopedic surgeon or continue with chiropractic care at my office. He elected to continue with chiropractic care with the understanding that if his condition either failed to improve or worsened that he would consider an orthopedic consult.

In this case, this patient made significant improvement with chiropractic care and made a complete recovery. The odd things about this case was how little damage was done to the car by the accident and the fact that the patient experienced no neck pain while suffering significant low back injuries.

The bottom line is that even light impact accidents can create enough force to create a significant injury.

Your’s In Good Health


Dr. Jones

(619) 280-0554
www.JonesPainRelief.com

What Does Nutrition Have to do With Chiropractic Care?

Wednesday, December 2nd, 2009

Do you believe the concept of junk in equals junk out concerning your health?

I have seen and heard some strange things regarding health and habits out of my patients of my San Diego Chiropractic practice over the years.

One of the stories that I like to tell regarding a friend of mine involved her smoking habits. This girl would not smoke in her car because she didn’t want to ruin the interior! What is worse yet is that she had a condition called Raynaud’s Syndrome which is a narrowing of the blood vessels that feed the fingers. This condition is found in smokers, it is painful and can lead to the lose of your fingers. All this, yet she smoked, but not in her car because she was concerned about The Car’s interior!

Smoking affects your chiropractic care because it restricts blood flow which makes you more pain sensitive and makes healing a slower process. Smoking can produce or prolong painful sensations for many conditions ranging from neck pain and back pain to sciatica and headaches.

Two other very common items that we consume that have a negative impact on our bodies is caffeine and sugar. Both caffeine and sugar increase our metabolic rate which make us more pain sensitive.

I have the nicotine, sugar and caffeine talk with all of my patients yet at some point during treatment, a fairly large percentage of them will come to my office with either a soda pop or a cup of coffee – once in awhile a few will smoke the last of a cigarette right outside our front door. All these indulgences are completely counterproductive to the goals of their treatment.

A final mention for this blog post is the prevalence and effect of wheat allergies. Wheat allergies not only cause dietary distress but they also can cause muscle aches and joint pain. Identifying a wheat allergy can go along way toward restoring your health.

Regarding dietary supplements, there are many support joint and muscle health, reduce inflammation and speed healing. I recommend these to the patients in my San Diego chiropractic practice on a regular basis.

If we treat our bodies with respect by limiting the intake of harmful substances while supplementing a few critical nutrients we can take some long strides towards supporting a healthier lifestyle.

Your’s In Good Health


Dr. Jones

(619) 280-0554
www.JonesPainRelief.com

Back Pain, Sitting and Chiropractic in San Diego

Friday, January 23rd, 2009

From a postural standpoint, one of the worst things that we can do to our bodies is slouch while we sit.  Sitting seems like such an innocent, non-injurious activity.  This is far from the case. 

 

I have been practicing chiropractic in San Diego for the last 15 years and what I have seen in practice regarding back injuries would be surprising to most people in non-medical careers.  The average person that I speak with regarding back pain and injuries is of the mind set that low back pain is the result of jobs that require heavy lifting or contact sports, golfing or car accidents. 

 

In reality, it is the constant stress and strain of postural stress that is the biggest burden on our spines.  The postural stress of sitting for hours on end in a task chair in front of a computer can become overwhelming.  When our bodies are exposed to a specific stress over a long period of time, the effects that the stress places on our bodies has a cumulative effect.  Over the course of months or years that cumulative stress expresses itself as pain, stiffness, pinched nerves or more serious symptoms. 

 

When I am explaining the ongoing cumulative effects of postural stress to my chiropractic patients I like to use the classic example of the Chinese water torture.  Those first couple hundred drops of water on the forehead aren’t bothersome – but a few hundred drops more will make you truly miserable.  The same process happens to your low back as the minutes, hours, days, months and years pass with you sitting in a computer chair.

 

There is a chart floating around that I have come across in several texts that relates your bodies posture with the amount of stress that each particular posture generates on the discs in the lower back.  As the chart demonstrates, the level of stress increases as the subject transitions from a prone position to a standing position to seated position to a slumped forward seated position.  The chart shows the pressure in the discs to equal 100% of your body weight while standing, approximately 125% of your bodies weight while sitting and over 140% of your body weight when sitting in a forward slumped position.

 

The reason that sitting is so hard on your back from a postural standpoint is due to the anatomy of the lower back vertebra.  When we are standing, your lower back naturally has a forward sweeping curve with the concavity of that curve facing rearward.  That curve acts to efficiently divide the weight of your body between the discs that separate your vertebra and the joints that run down the back of your spine.  When you assume a seated position, that curve straightens out transferring some of your weight from the posterior joints to the discs.  Slumping forward transfers even more weight resulting in more compression of the discs and more stress on the low backs discs.

 

As time passes, this increase pressure causes irritation of the overloaded spinal structures eventually leading to inflammation, spasm and pain.  This is the basic process with many injuries to the body that result from ongoing exposure to some irritating or stressful activity.     

How is this postural stress negated?  Well, unfortunately, all if it can’t be.  But it can be limited by practicing good posture and the right ergonomic principals.  A brief ergonomic evaluation of your work area can give you loads of valuable information that will help minimize the effects of your work environment on your body.

 

Sitting is a sedentary task but like most things in life, if you don’t do it properly there will be undesirable consequences.

 

Work Safe!

 

Dr. Jones

 

http://www.jonespainrelief.com/blog1/

www.JonesPainRelief.com

 

    

Does Chiropractic Work?

Wednesday, November 26th, 2008

As a chiropractor, I am always asked “Does chiropractic really work?” This is an unfair and a loaded question. Chiropractic care is a very effective form of treatment for some things and not for others.

Being a Chiropractor in San Diego, I see sports related injuries all year round. Running injuries, falls from bicycles or rollerblades, golf injuries, basketball injuries – you name it and most likely we have seen it. More often than not these injuries result in typical sprain / strains that result in neck pain, back pain, sciatica etc.

The types of injuries that I just listed are a few of many joint injuries / symptoms that chiropractic care is very effective in treating. You might say that chiropractic care was made for such injuries. The reason that I say this is because of the nature of these types of injuries.

The typical sprain / strain injury usually results when a fall or an accident forces a joint through an excessive or abnormal range of motion. This type of injury stretches the ligaments and muscles that move and support the spine. The result of this type of injury is irritation and inflammation of the joint and scar tissue formation.

Without chiropractic treatment, the scar tissue from sprain / strain injuries restricts and or alters normal joint motion which can cause pain and stiffness. Chiropractic manipulations help to restore full, normal joint motion by breaking down scar tissue that would otherwise cause stiffness and pain.

Chiropractic care is an excellent form of therapy for reducing the effects of postural stress from sitting at a computer, poor lifting habits, poor posture and a variety of other stresses that we expose ourselves to on a daily basis.

So, does chiropractic work? The only way to know is go visit one and see. Chiropractors want their treatment to work and are reluctant to take on cases that may not properly respond to their therapy. No doctor that I know wants to have unsuccessful treatment sessions during the course of their work day. A good chiropractor can look at your history, perform an examination and make a sound determination on how well you will respond to care.

Here’s To Your Health


Dr. Jones

http://www.jonespainrelief.com/blog1/

www.JonesPainRelief.com

Back Pain

Thursday, October 30th, 2008

Have you ever had an episode of low back pain? How about low back pain with sciatica? Neither of these is good.

Many patients are seeking back pain relief when they visit my San Diego based chiropractic clinic.

That is not unusual since most people consider chiropractors as back pain specialists. That being said, we treat patients for a variety of ailments including neck pain, headaches, sciatic pain, carpal tunnel syndrome, etc. While all of these conditions sound like very different conditions, they are actually very similar.

Most of my patients that suffer with headaches also complain of neck pain or stiffness. In fact, many headaches are related to muscle tension that originates in the neck. The muscle tension or spasm in the neck triggers the headache. Therefore, by treating the neck with a combination of chiropractic adjustments, hot packs, ice packs, muscle stimulation and ultrasound; the muscle tension in the neck can be resolved preventing the headache.

This is just an example of how one problem in a specific region of the body can be responsible for symptoms in a separate area. Likewise, sciatica is most often related to irritation of joints and muscle spasms in the lower back. Similarly, carpal tunnel syndrome results from a process involving joints in the wrist and the surrounding muscles and ligaments.

All of the conditions that I listed above as well as many unlisted conditions follow the same path to becoming symptomatic. Either through some specific injury or ongoing trauma (such as keyboarding, mousing or improper lifting techniques), the joint becomes irritated and inflamed causing pain and muscle spasm. If the pain and spasm affects a specific nerve, the patient may experience additional symptoms such as sciatica or arm / hand pain.

Any pain that travels from the back or down down an arm or leg is an indication of a more advanced problem that requires immediate evaluation and treatment.

Your’s In Good Health


Dr. Jones

http://www.jonespainrelief.com/blog1/

www.JonesPainRelief.com