Eighty percent of people suffer from back pain at some point in their lives. Back pain is the second most common reason for visits to the doctor's office, outnumbered only by upper-respiratory infections. In fact, it is estimated that low back pain affects more than half of the adult population each year and more than 10% of all people experience frequent bouts of low back pain.
The susceptibility of the low back to injury and pain is due to the fact that the low back, like the neck, is a very unstable part of the spine. Unlike the thoracic spine, which is supported and stabilized by the rib cage. This instability allows us to have a great deal of mobility to touch our toes, tie our shoes or pick something up from the ground, but at the cost of increased risk of injury.
As long as it is healthy and functioning correctly, the low back can withstand tremendous forces without injury. Professional powerlifters can pick up several hundred pounds off the floor without injuring their low back. However, if the low back is out of adjustment or has weakened supporting muscles, something as simple as taking a bag of groceries out of the trunk of their car, picking something up off the floor, or even simply bending down to pet the cat can cause a low back injury.
Until recently, researchers believed that back pain would heal on its own. We have learned, however, that this is not true. Recent studies showed that when back pain is not treated, it may go away temporarily, but will most likely return. It is important to take low back pain seriously and seek professional chiropractic care. This is especially true with pain that recurs over and over again. Contact our chiropractor . . . we can help!The Causes of Low Back Pain
There are many different conditions that can result in low back pain, including: sprained ligaments, strained muscles, ruptured disks, trigger points and infamed joints. While sports injuries or accidents can lead to injury and pain, sometimes even the simplest movements, like picking up a pencil from the floor, can have painful results. In addition, conditions such as arthritis, poor posture, obesity, psychological stress and even kidney stones, kidney infections, blood clots, or bone loss can lead to pain.
Due to the fact that there are a whole lot of things that can cause low back pain, and some of those things can be quite serious if left untreated, it is important to seek professional help. Barton Chiropractic Office are the experts at diagnosing the cause and determining the proper treatment for low back pain. Here are some of the most common causes I see:
Subluxations
Whenever there is a disruption in the normal movement or position of the vertebrae, the result is pain and inflammation. In the lumbar spine, these usually occur at the transition between the lower spine and the sacrum. Subluxations can lead to debilitating low back pain. Fortunately, subluxations are easily treatable and often times a significant reduction in pain is experienced almost immediately after treatment.
Disc Herniations
Contrary to popular belief, a herniated disc does not automatically mean that you are going to suffer from low back pain. In fact, one study found that almost half of all adults had at least one bulging or herniated disc, even though they did not suffer any back pain from it. On the other hand, herniated discs can be a source of intense and debilitating pain that frequently radiates to other areas of the body. Unfortunately, once a disc herniates, they rarely, if ever, completely heal. Further deterioration can often be avoided through regular chiropractic care, but a complete recovery is much less common.
Sprains, Strains and Spasms
This is commonly the source of low back pain among the weekend warriors. You know, the type who have very little physical activity during the week, but once the weekend arrives, they push themselves way too much. By the end of the weekend, they are lying flat on their back counting down the hours before they can get in to see their chiropractor. Overworking the muscles or ligaments of the low back can lead to small tears in the tissues, which then become painful, swollen and tight.
Stress
Whenever you become stressed, your body responds by increasing your blood pressure and heart rate, flooding your body with stress hormones and tightening up your muscles. When you are stressed all the time, the chronic tension causes your muscles to become sore, weak and loaded with trigger points. If you are stressed out all of the time and you have low back pain, it is important to do some relaxation exercises, such as deep breathing, as well as to get regular exercise.
Treating Low Back Pain With Chiropractic
Care at Barton Chiropractic Office for low back pain is usually pretty straightforward. Most commonly, it?s simply a matter of adjusting the lower lumbar vertebrae and pelvis to re-establish normal motion and position of your bones and joints.
Chiropractic for the low back has been repeatedly shown to be the most effective treatment for low back pain. In fact, major studies have shown that chiropractic care is more effective, cheaper and has better long-term outcomes than any other treatment. This makes sense because chiropractic care is the only method of treatment that serves to re-establish normal vertebral motion and position in the spine. All other treatments, such as muscle relaxants, pain killers and bed rest, only serve to decrease the symptoms of the problem and do not correct the problem itself.
Wednesday, January 9, 2008
Whiplash
The Following is an Overview of Whiplash type Injuries.
Whiplash is a nonmedical term used to describe neck pain following an injury to the soft tissues of your neck (specifically ligaments, tendons, and muscles). It is caused when an abnormal motion or force is applied to your neck that causes movement beyond the neck's normal range of motion.
Whiplash happens in motor vehicle accidents, sporting activities, accidental falls, and assault.
The term whiplash was first used in 1928, and despite its replacement by synonyms (such as acceleration flexion-extension neck injury and soft tissue cervical hyperextension injury), it continues to be used to describe this common soft tissue neck injury. Your doctor may use the more specific terms of cervical sprain, cervical strain, or hyperextension injury.
Whiplash Causes
The most frequent cause of whiplash is a car accident. The speed of the cars involved in the accident or the amount of physical damage to the car may not relate to the intensity of neck injury; speeds as low as 15 miles per hour can produce enough energy to cause whiplash in occupants, whether or not they wear seat belts.
Other common causes of whiplash include contact sport injuries and blows to the head from a falling object or being assaulted.
Child abuse, particularly the shaking of a child, can also result in this injury as well as in more serious injuries to the child's brain or spinal cord.
Whiplash Symptoms
These signs and symptoms may occur immediately or minutes to hours after the initial injury; the sooner after the injury that symptoms develop, the greater the chance of serious damage.
Neck pain
Neck swelling
Tenderness along the back of your neck
Muscle spasms (in the side or back of your neck)
Difficulty moving your neck around
Headache
Pain shooting from your neck into either shoulder or arm
When to Seek Medical Care
The best time to call your doctor is immediately after the injury. If the patient cannot determine whether an emergency department visit is needed for the symptoms, then contact the doctor and ask for advice. If the doctor is unavailable at the time of the injury, then call 911 for transport to the emergency department. The risks associated with a possible neck injury are far too great to attempt to diagnose and self-treat. See a doctor and have the patient's neck braced to keep the head from moving during transport.
Depending upon the severity of a car accident, emergency medical personnel may take the patient to an emergency department immediately. In this case, a cervical collar will be placed around the patient's neck, and the body will be strapped to a long, firm board to prevent any movements until a doctor sees the patient.
With less severe car accidents, sports injuries, or other accidental injuries, emergency medical services may or may not be involved in the patient's pre-hospital care. You should call the Doctor immediately if the patient develops any of the following symptoms shortly after the injury:
Neck pain
Pain in either or both arms
Shoulder pain
Headache
Dizziness
Weakness, tingling, or loss of function in the arms or legs
Exams and Tests
If the patient is transported to the emergency department with a cervical collar strapped around the neck, the emergency physician will remove the collar when appropriate.
In most cases, the collar will be removed without the need for x-rays if the patient meets all of the following criteria:
Normal level of consciousness or alertness
No muscle weakness or sensation problems
No evidence of intoxication with alcohol or drugs
No tenderness in the back of the neck
No other painful injury elsewhere on the body
Your collar will remain in place if the doctor determines that the patient needs x-rays of the neck.
The doctor will first examine the functioning of the spinal cord in order to determine if any damage is present. The following areas will probably be assessed:
Physical strength in both arms and legs
Ability to sense the touching of the skin in different parts of the body
Reflexes at the joints of the arms and legs
The doctor will also inspect the patient's head and neck for any external signs of trauma including bruises, cuts, and abrasions. The patient's neck will be pressed in specific areas to be sure the patient does not perceive any pain or tenderness. The patient may be asked to move their neck in a controlled way to the left, right, up, and down. Tell the doctor if neck pain, numbness, or tingling in any of the arms or legs, or any other abnormal feelings during these maneuvers is felt.
X-rays may be taken of the neck bones to make sure there are no fractures or signs of other serious injury. The doctor will review these x-rays and order further imaging with a CT scan or MRI if needed. If the patient's x-rays are normal, then the cervical collar will probably be removed, and should not need any further x-rays.
Follow-up
If no serious injury is detected in the emergency department, then the patient will be allowed to return home and will be referred to their doctor for follow-up care.
If you continue to have symptoms from your whiplash injury, contact the doctor. Examine this list of complaints and mention any that the patient may be experiencing:
Neck pain
Headache
Increased fatigue
Shoulder or arm pain
Back pain
Blurred vision
Dizziness
Sleep disturbance or irritability in young children
Depending on the nature and severity of any continuing symptoms, the doctor may refer the patient to another doctor who specializes in the rehabilitation of these types of injuries. The doctor may also encourage physical therapy and monitor the patient for other injuries that may have been aggravated.
Outlook
Most people never recover completely from a whiplash injury. However for a majority, the symptoms will dissapate in the first six weeks. Others' symptoms continue to improve over the course of a year. There is a 40% chance of experiencing some symptoms after three months, and an 18% chance after two years. No reliable way exists to predict the prognosis.
A worse outcome has been reported in people with a more rotated or inclined head position at the time of impact injury.
The amount of time that elapses between injury and the onset of neck symptoms can predict the severity of injury and prognosis. A shorter time signifies a potentially severe injury with more frequent long-term complications.
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