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.

Types of Back pain

As any good chiropractor would tell you, there is no single cause of back pain. This is because back pain can occur due to various reasons, and affect different areas. It is important that you have an understanding of the nature of your ailment before going to the chiropractor for treatment.

Location Of The Pain

Back pain is classified in two categories, depending on where the pain occurs.

Upper Back Pain

Pain in the upper back, shoulders or neck is termed as upper back pain. There can be certain causes of upper back pain, such as stretched tendons or damaged ligaments due to strenuous physical work. Upper back pains aren’t as common as lower back pains, and can be treated by taking pain relievers such as Paracetamol or by visiting a Chiropractor.

Lower Back Pain

Like the name suggests, lower back pains are directed at the base of the back, and occur due to the overstretching of muscles in the lower back or direct injury to that area. This pain can be caused by a variety of reasons, such as lifting something heavy or bending in an awkward position. Treatment for lower back pains is the same as for upper back pains.

Duration Of The Pain

Besides location, pain can also be classified according to duration.

Acute Back Pain

A short term pain, lasting from a few days to weeks, is called an acute back pain. There may be numerous causes of this pain, the most common being blunt trauma caused by Ankylosing spondilytis, arthritis or other medical conditions.

The symptoms of this pain can range from muscular aches and incorrect posture to shooting pains in the buttocks and back of the legs. Acute back pain can lead to serious problems, but is generally harmless, and most people tend to let it heal itself.

Chronic Back Pain

If the pain lasts for more than 3 months, it is termed as chronic back pain. The cause of chronic back pain can rarely be determined without the help of a Chiropractor or other medical professional. This long term pain gets progressively worse with time; immediate treatment is necessary to prevent further complications.

Now that you know what type of back pain you suffer from, you can act on them by looking up for home treatments online, or doing exercises which may stimulate the back. It is also recommended that you visit your nearest chiropractor who could suggest you treatment options.

Image used under Creative Commons Licensing: Posterior view of lumbar region for electrostimulation electrode placement.jpg

Back Problems in Teens

Will a chiropractor ever treat an adolescent during his professional career? Junior took a baseball right in the back. Julie fell off the human pyramid during cheerleading practice and landed on her back. Needless to say, parents of athletic adolescents are usually first in line at the chiropractic office.

Can Teens Suffer from Back Problems?

While back problems are more common in adults, they are a rarity in teens since the latter is more flexible and agile. That is why any backaches that accompany any athletic event (such as contact sports) should be immediately checked by a chiropractor.

Back Conditions in Teens

Back conditions that can affect teens or kids include –

Any pain that worsens by performing gymnastic activities such as handsprings or the butterfly stroke in swimming may be indicative of spinal conditions such as Spondylolysis. Younger athletes have more chances of developing the condition than older kids who take part in sporting activities. The condition is often caused by over-use that causes constant trauma and is one of the most common causes of back pain in kids.
This is also why the condition has more chances of occurring during a teen’s growth spurt, which is also why it is more common in boys rather than girls. A chiropractor might diagnose Spondylolysis in teens who are aged between 15 and 16.
Any type of backache that causes compromises a teen’s balance or coordination may be caused by a problem in the spinal cord.

Adolescents and teens might put themselves in dangerous situations more than the average five year old, but the fact remains that they are still kids. In other words, they tend to be more aggressive in their activities than younger children. A four year old will probably not stick his hand in a light socket if he has been electrocuted once. However an adolescent will have to keep stressing his back especially if he is pressured to make a tackle or prevent a touchdown in order for his team to win.

Parents cannot stop commercial advertising or peer pressure that expects their kids to push the envelope, but they can educate on taking better care of themselves. A teenager can always be grounded if he/she doesn’t comply to the rules, but parents will be helpless if a backache worsens or worse, ends up paralyzing their child.

Image used under Creative Commons Licensing: Heelstretch Pyramid.jpg

Spinal Disc Herniation – Disc Injuries and Chiropractic Therapy

Spine and disc injuries are more common in individuals who lie in the 40 to 60 age bracket. While young individuals who engage in different strenuous work activities (which involve the lifting of heavy loads and operating on machinery for long hours) experience spine, neck and disc injuries which cause great pain. These injuries cause hindrance in the movement of the back and the neck, and are aggravated by continuous involvement in different laborious activities. Spinal disc herniation is a medical condition experienced by individuals because of over-exertion on the back and neck parts of the body. Chiropractors offer different treatment methods to relieve the pain and facilitate movement of the affected individual.

What Is Spinal Disc Herniation?

Spinal disc herniation is a medical condition in which a tear appears on the outer fibrous layer of the vertebra disc, which causes the inner soft nucleus material to bulge and squeeze out from the torn area of the disc.

The tear in the disc is usually attributed to old age in individuals, but may also be caused because of any trauma, straining and lifting injuries, experienced by a young individual, because of different work related and other everyday activities. The nature of the tear in the disc might cause inflammation in the surrounding area, which might put pressure on the nerves, resulting in pain for the individual. The bulging out of the inner pulpous material from the ruptured or torn disc results in a pressure on the spine and disc which causes extreme pain.

Spinal disc herniation is also called a slipped disc condition, though the disc is securely intact in between the vertebra. Individuals suffering from a minor case of spinal disc herniation are able to recover within a few weeks, with suitable rest. But, in cases of extreme damage to the spinal disc, the patient sometimes requires surgical treatment, which does not always provide good results.

Patients with acute spinal disc herniation in the upper, central or lower part of their spinal cord require physical therapy and medications for quick recovery.

Chiropractic Therapy for Spinal Disc Injuries

Chiropractors provide treatment and therapy for the effective recovery of individuals suffering from different forms of spine and disc injuries. They mobilize and manipulate the muscles of the spine and the neck, adjusting the different joints and muscles, to relieve the individual of the excruciating pain experienced because of the different musculoskeletal disorders.

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

Back Pain – Understanding Spinal Manipulation Techniques

The time comes when every home remedy you’ve experimented with simply doesn’t get rid of that nagging back pain, and you’re left with no choice but to get a professional opinion.

Lucky for you, chiropractors are well-versed experts who have been trained in the art of remedying back problems and it certainly pays to get to know some of the spinal manipulation techniques that are employed.

Spinal Manipulation Vs Spinal Mobilization

Remedial techniques essentially zero in on a common objective – restoring or improving joint function by significantly reducing joint inflammation as well as general discomfort due to back pain. Certain approaches make use of more force, such as spinal manipulation, while others are comparatively more gentle – spinal mobilization.

What originally came to be known as spinal manipulation is referred to by many chiropractors as “high-velocity, low-amplitude thrust (HVLA). Newer spinal adjustment approaches entail a variation of existing techniques and often borrow their names from the chiropractor responsible for developing them.

Specific treatment plans are adapted to meet individual needs of every patient. In order to curb back pain, forceful and less forceful spinal adjustment techniques are administered either in a single visit or multiple ones.

Let’s take a closer look at spinal manipulation and mobilization techniques commonly practiced today.

Spinal Manipulation – HVLA

The HVLA thrust is the most frequently used technique in spinal manipulation today. Your practitioner uses his/her hands to apply a controlled force that is quick and focused, resulting in an audible “pop”. You will be asked to position your body a certain way so as to target a specific joint.

Spinal Mobilization – Low-force / Gentle Chiropractic Techniques

Certain pre-existing conditions like osteoporosis and patient-specific factors – comfort level, size, pathology, preference – warrant a gentler approach. Also, some patients and even clinics simply prefer going with mild spinal mobilization techniques that leave twisting the body or a forceful thrust, out of the equation.

Apart from manipulation, a lot of chiropractors make use of adjunctive therapy like ice or heat. Other physical modalities include electric stimulation and ultrasound that form part of the overall program. As a patient, you need to discuss your symptoms and preferences beforehand, so that a thorough examination can be conducted to determine an ideal course of action.

Chiropractors are among the most well-trained, learned and experienced health care practitioners who serve as a homing beacon for those suffering from continuous back pain and other more serious conditions.

Image used under Creative Commons Licensing: chiropractic technique by Michael Dorausch

Potentially Serious

Nerve Problem

Non-Specific

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