Back Pain – Being Prepared for Your First Visit to a Chiropractor

Folks are often faced with this dilemma: I feel discomfort in my back, but it’s probably nothing, right? It’ll just go away in a matter of days or weeks. I probably just need to rest more or eat better.

It’s true that a handful of back pain dilemmas arise from notably bad posture, a poor or inadequate diet, bad sleeping habits or even using bad form while exercising. Unfortunately, the average individual is not qualified to properly diagnose these problems, which can often prove to be fatal down the road.

It may be wise to consult a Chiropractor at this stage; an expert who can provide extensive knowhow and diagnoses into each and every kind of back-related issue. This article aims to prepare you somewhat, so you know some of the things to expect when you visit a Chiropractor for the first time.

In the event that your back pain turns out to be more serious than just symptoms of discomfort or overuse, here’s how a Chiropractor would generally diagnose causes:

Potentially Serious

This can range from conditions like tumors, infections, a local open wound or burn to major neurological problems such as cauda equina – a rare but serious condition nevertheless that’s best described as extreme pressure and swelling of the nerves at the lower tip of the spinal cord. This is considered a serious medical emergency and may need urgent surgical attention.

Other conditions in this category include prolonged internal bleeding and joint infection.

Nerve Problem

In cases where the nerve root in the lower back is compressed or pinched, you experience sciatica. One of the typical causes of this condition is a lumbar herniated disc or spinal stenosis – with age, the general makeup of the spine often changes, leading to degeneration of the bones, muscles, ligaments and discs surrounding the spinal cord. A common symptom of this condition is leg pain. This pain is often accompanied by a tingling sensation in the buttocks and legs.

Non-Specific

This can be categorized as “mechanical back pain” in the lumbar region; also known as axial back pain, this is categorized as either a sharp or dull pain and can be either felt intermittently or constantly. It’s referred to as mechanical since the lower back pain can get worse with certain physical movements such as sports. Or symptoms can worsen as a result of sitting long hours for example. This is also a common type of back pain and is typically non-specific.

Understanding Ergonomics – How Seat Design Plays a Vital Role

It is estimated that at least 50% individuals in the industrialized world suffer from some kind of back problem, most notably due to a poor or inadequate seat design. How we sit all day in front of our workstations has a marked impact on the overall health of our spine. As a result of bad posture, the lumbar region in the back bone is what takes the most pounding. Here’s what you need to know, and many chiropractors will stand by it.

There is no universal seat that’s designed to accommodate every single person. But there are a number or ergonomic factors that come into play when we’re talking seat design. These generally work well for the average person.

Seat height should be set in a way so as to support a knee angle of 90 degrees. This takes undue stress off the thighs and buttocks. A chair that’s too high will increase the pressure at the underside of the knees, reducing blood flow and increasing unnecessary pressure on the nerve.

A chair that’s too low places pressure on the ischial tuberosities – this is where the upper thigh originates in the gluteus maximus region. Normally, the glutes cover them in the upright position, but they are exposed and at an ergonomic disadvantage when we’re sitting.

Optimal seat depth is recommended at 16.5”; between 14” and 18.5” for adjustable seats.

You should avoid hard seats. Seat pan contouring and cushioning should be designed in a way so that pressure is distributed over a larger area and the pelvis rotates forward – this encourages better posture.

Ideal seat cushioning is about 2” thick. The cushioning needs to be firmer and thicker in the back, while being less firm and thinner at the front. Too much cushioning and your body is going to sink into the chair, restricting movement. A soft chair may be very welcoming and comfortable at first, but it goes against basic ergonomic sense; as the body sinks, blood flow is reduced and skin temperature rises as you experience more compression under the thighs. At the end of the day – more discomfort.

A seat width that’s between 20” and 23” generally works well.

An ideal seat angle helps you maintain good contact with the backrest; a 5 to 10 degree angle is good.

There many more ergonomic factors related to optimal seating, and these are just some of them at a glance. A good chiropractor can help you determine exactly what type of chair best suits your body type.

Image used under Creative Commons Licensing: FreedomChair.jpg

Lumbar Disc Condition

What is Lumbar Disc Herniation?

Structure

The backbone is comprised of several discs that are fixed between two vertebras. The spongy material can be compared to a jelly donut, which has an outer cover and is filled with a soft jelly on the inside. Similarly, a disk has a strong outer covering and a soft substance as a filling.

The Leak

Several times the outer coating of the disc is ruptured, causing an opening for the inner jelly like substance to seep out. Once out of its protective outer laying, the leaked material interferes with the normal functioning of the spinal nerves. The already narrow spacing of the spine, through which nerve roots runs, is narrowed further and puts pressure on the nearby nerves.

Lumbar Specific Herniation

Lumbar region is found in the lower back and is considered to be the strongest area of the spine. It is said to bear a large portion of the weight of the body. Sciatic nerve is said to be a conglomeration of nerve roots running down from the lumbar spine. Therefore, lumber disc injuries can cause pain in the legs and feet.

Symptoms

As the lumbar region is strongly associated with the leg and feet area, one of the significant signs of lumbar disc injuries includes pain in the legs. Another symptom common to this condition is the tingling sensation in the feet. Feet might also feel weak and numb at times following a lumbar disc herniation.

The lumber region falls in your lower back area, therefore lower back pain is another common sign and symptom. Almost every body part below the lumbar region easily gets affected by lower back disc injuries. A weak bladder or loss of control of bowel movement and pain in the buttocks are considered to be symptoms of this condition as well. Other common indications include muscle weakness, groin pain as well as atrophy.

Visiting a Chiropractor

Considered to provide a conservative treatment, chiropractors can alleviate lumbar disc injuries. A case study of a 26 year old man is a validation for the success of recovery associated with visiting a chiropractor. Within a period of 90 days, the patient, who suffered from a lumbar herniated disc due to an athletic injury, completely recovered from the condition. Utilizing activator adjustment instrument (AAI), a controlled mechanical force was applied to the location of concern. A follow up after 12 months indicated successful long term recovery.

Image used under Creative Commons Licensing: Lumbar vertebrae anterior.png

Types of Diets Recommended by Chiropractors

Chiropractic Care gives great importance to a healthy and balanced diet. A lot of ailments and diseases can be avoided just by adhering to a proper diet. A good diet can help a person to lead a long, healthy life, control weight, blood pressure and heart rate.

It is a fact that Americans are overfed, while being undernourished. Scores of fast food chains have made unhealthy eating habits a part of the American lifestyle. Such high cholesterol foods coupled with a sedentary lifestyle can lead to obesity. With obesity come a lot of complications including heart diseases and blood pressure problems.

There is no doubt that a well-balanced diet consists of a lot of fresh fruits and vegetables, a reduction in caffeine intake and saturated fats.

A chiropractor may recommend one of the following diets based on your body’s needs:

High Protein Diet

A high protein diet is recommended for those who aim to build muscles without accumulating too much fat. High protein foods include:

Turkey breast
Fish
Cheese (low fat varieties)
Beef (low fat)
Tofu
Beans
Eggs
Milk
Nuts

Heart-Healthy Diet

A heart healthy diet usually consists of a lot of vegetables and fruits along with large intakes of whole grains. It may also contain low-fat meats, including fish and poultry. Special emphasis should be given to fish as it is a very healthy source of protein, Omega 3 and little fat.

Following combination of fruits and vegetables are extremely nutritious and a healthy choice for heart-healthy dieters:

Pineapples
Broccoli
Tomatoes
Blueberries
Watermelon
Oranges

Vegetarian Diet

A vegetarian diet can be recommended for those who prefer to lead a meat-free lifestyle, for whatever the reason. Several types of diets are based on vegetarianism:

Lacto-Vegetarian: These diets include no meat of any kind or eggs. However they do include dairy products like butter, milk, cheese and yogurt.

Ovo -Vegetarian: This diet contains no red meat, seafood, poultry or even dairy products, however it does include eggs.

Vegan: The strictest of all, excludes all meats, fish, eggs and dairy products.

Flexitarian: As its name implies, this diet is flexible. It mainly consists of vegetables and fruits, with occasional consumption of meat, fish or poultry.

No matter which diet is recommended by a chiropractor or dietician, a balanced lifestyle that includes plenty of activities can go a long way in extending the life of a person.

Image Used under Creative Commons license. Photo Credit: Blueberry Maple Quinoa by SweetonVeg

Disc Injuries -Thoracic Disc Herniation and Chiropractors

The demanding activities and tasks at the workplace and the lifting of heavy objects at home, causes pain in the back and neck region of the body, which if not treated appropriately, can result in serious disc injuries. Thoracic spine herniation is a medical condition, for which chiropractic offers effective treatment methods.

What Is Thoracic Disc Herniation?

Thoracic disc herniation is a type of disc injury in which the upper back region of the body is affected and a tingling pain permeates throughout the affected area. In some cases, the patient might feel pain in his chest and rib cage, which might be because of the pressure exerted on the nerves in the area.

The thoracic spine of the body consists of 12 vertebra, referred to by doctors as T1 to T12. The thoracic spine begins at the base of the neck, and continues until the end of the rib cage, where the T12 vertebra joins with the first vertebra of the lumbar region.

Thoracic disc herniation is a medical condition caused by the bulging or swelling of the pulpous and nerve material, located in the center of the disc. The material squeezes out of its narrow space and becomes exposed. The pressure exerted by the disc on the exposed nerves causes extreme pain to the individual which hampers him in engaging in different everyday activities.

Disc generation is also a probable cause of thoracic disc herniation, as the disc experiences wear and tear due to age and strenuous usage. This medical condition is more likely to develop in individuals who are in the 40 to 60 year age bracket.

Medical professionals conduct MRI scans in order to determine that there is no pressure and damage to the spinal cord because of the degeneration of the disc. In extreme cases, where the herniated disc exerts pressure on the spinal cord and the nerves, an individual can even suffer from a paralysis in the lower region of the body.

If the disc herniation is more to the side, it might cause pressure or impingement on the nerve root, causing pain in the abdomen and chest walls. In other cases, the pressure on the nerves might cause a combination of different symptoms ranging from upper back pain to tingling sensations all down the spine.

Chiropractic and Disc Injuries

Chiropractic offer non-invasive treatment methods for different spine, neck and disc injuries. They provide services for joint adjustment and relief from various musculoskeletal disorders. Chiropractic is gaining popularity for effective treatment of different painful muscle strains and disorders.

Image used under Creative Commons Licensing: the neck thing. ouch. no really…ouch! by Beth Punches

Potentially Serious

Nerve Problem

Non-Specific

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