Listen as Dr. Kvedaras discusses your low back pain and your sitting postures
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Check out this video to better understand how your foot wear could be preventing you from the low back pain relief your after.
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Please watch the video below for your quick low back pain relief tip.
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What To Expect With Sciatica
Sciatica is a descriptive term. It means that there is a physical compression on the sciatic nerve and this causes pain/numbness along part/all parts of the nerve. What it does not describe is what is compressing it.
With sciatica there are potentially different causes and thus they will have different manifestations; especially with what positions or activities are causing the nerve irritation. It is important to let the treating practitioner know which positions aggravate to help determine what is the underlying cause/diagnosis.
The position/activity that causes the sciatic nerve compression needs to be respected. Besides being painful, this compression will also cause local damage to the nerve and further propagate the problem. Avoid this position/activity until the respective problem is resolved. Once the compression has been resolved respectively the nerve will need time to heel. Nerves are very slow healing tissue and it might take the better part of a year to get maximum resolution.
During this nerve healing time (assuming the underlying nerve irritation remains resolved), re-strengthening of the involved musculature needs to be addressed. If the initial compression lasted more than 2 weeks than it can be expected that the involved muscles lost conditioning. The longer the initial problem persisted, the more deconditioning occurred.
To get maximum resolution of a person’s sciatica, this re-strengthening phase must be fully completed. If not then the problem or a different new problem will realistically occur. If re-strengthening is attempted while the original compression persists, then local damage to the involved musculature will occur.
Timing is everything.
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Low Back Pain and Chiropractic
There are many different structures that can be primary causes of low back pain. If a person has been living with a problem for an extended period of time; the other structures will develop secondary issues sooner or later.
The traditional chiropractic treatment of an adjustment / manipulation addresses joints that have decreased motion, typically in the lower back region. It is common for there to be joint involvement but it is often not the primary problem. Thus the treatment will often give some relief but it does not deal with the underlying issue. The relief will be short lived but would need to be applied repeatedly. If the joint issue were the primary problem, no more than three applications of the adjustment to the involved joint should resolve it.
Therefore, it is my opinion that traditional chiropractic will often give some relief to low back pain but frequently it does not deal with the underlying cause of the back pain.
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There are many back pain myths. Some of these are found in the general public, and unfortunately some amongst health professions. Here is a list of some of the common ones:
1. Rest i.e. inactivity is good for back pain (including bed rest).
-The normal physiology of back structures is based on proper movement i.e. they are healthiest with activity so rest is counterproductive.
2. Back pain is due to muscle strain
-Often there are muscle components to the different back problems, but rarely are they the root cause or the only component.
3. Heat for sharp / acute low back pain
-If the pain is sharp there is usually an inflammatory component (i.e. swelling) and a reactive spasm. Cold properly applied will slow down the nerves causing the spasm and help with the swelling.
4. Stretching is always harmless for low back pain.
-Some back issues are position sensitive. With a few of the muscular stretches they also stress other structures that could be the primary cause of the low back pain. I have had back patients come into my office directly out of yoga and Pilates studios.
5. With time the pain will go away on its own.
-Pain may subside but rarely does the underlying issue resolve. When a person’s activity stresses the original issue, the pain usually returns.
6. Full sit-ups harm the back
-If all structures are working properly, the spine should be able to tolerate that degree of flexion and the strengthening will also help support. If a full sit-up was bad, how could people tie there shoes?
This has been a sample of some of the back pain myths that persist. There are others and these ideas need to be critically reviewed with a strong dose of common sense.
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