Low Back Pain & Work Injuries
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Nasa Area Chiropractor comments: About 1/3 of patients with low back pain will consult a doctor of chiropractic. People who injure their low back on the job also often consult a chiropractor. One study (J Occup Environ med 2007;49:1124;Wasiak R, Kim J, Pransky GS) looked at these on-the-job injuries and how chiropractic care was used. In this report from Massachusetts, about 89% of workers initiated chiropractic care within 30 days of the injury and about half (48%) were done with their care in the same time frame.
At work and during lifting the lower spine and disks are especially vulnerable to injury. Heavy loads or simply awkward or stooped positions can be risks and should be avoided. Of interest, more people tend to injure their back in the first two hours of a work shift. This may be because the disks swell up with water during sleep and are more 
pressurized first thing in the morning. Or perhaps we’re not as attentive to lifting with good form, first thing in the morning.
If you’ve suffered a back injury it’s important to get checked soon so that you have the best chance for getting back on
the job quickly. Bed rest and staying inactive are usually not healthy options for treating the low back. Inactivity can make back sprains worse by causing the muscles to weaken. Walking keeps pressure off of the disks and keeps the muscles engaged. If walking aggravates your pain, then it has to be avoided in the short term. Of course lifting following a back injury has to be limited. It’s important to lift with your legs and to avoid twisting motions.
Chiropractic adjustments are designed to improve the mobility of the spinal joints, improve posture and decrease tension on the delicate ligaments and nerves. In many studies chiropractic care has exceeded the results seen with conventional medical treatments such as medications or surgery.
When a back injury occurs, commonly the vertebrae move out of their normal position from the stretch of the supporting ligaments. Simply leaving the ligaments in this stretched-out position may not be healthful in the long run. Since the ligaments are injured, the vertebral joints tend to move abnormally. This is called a mechanical back problem and is one of the most common diseases of the lumbar spine.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Can Chiropractic Help the Post-Surgical Patient?
Clear Lake Chiropractor Comments: Low back pain (LBP) accounts for over 3 million emergency department visits per year in the United States alone. Worldwide, LBP affects approximately 84% of the general population, so eventually almost EVERYONE will have lower back pain that requires treatment! There is evidence dating back to the early Roman and Greek era that indicates back pain was also very prevalent, and that really hasn’t changed. Some feel it’s because we are bipedal (walk on two legs) rather than quadrupedal (walk on four limbs). When comparing the two, degenerative disk disease and spinal osteoarthritis are postponed in the four-legged species by approximately two (equivalent) decades. But regardless of the reason, back pain is “the rule,” NOT the exception when it comes to patient visits to chiropractors and medical doctors. Previously, we looked at the surgical rate of low back pain by comparing patients who initially went to spinal surgeons vs. to chiropractors, and we were amazed! Remember? Approximately 43% of workers who first saw a surgeon had surgery compared to ONLY 1.5% of those who first saw a chiropractor! So, the questions this month are, how successful IS spinal surgery, and what about all those patients who have had surgery but still have problems – can chiropractic still help them?
A review of the literature published in the Journal of the American Academy of Orthopaedic Surgeons showed that in most cases of degenerative disk disease (DDD), non-surgical approaches are the most effective treatment choice (that includes chiropractic!). They report the success rate of spinal fusions for DDD has been only 50-60%. The advent of artificial disks, which originally proposed to be a “cure” for symptomatic disk disease, has fared no better with possible worse long-term problems that are not yet fully understood. They state, “Surgery should be the last option, but too often patients think of surgery as a cure-all and are eager to embark on it.” They go on to write, “Also, surgeons should pay close attention to the list of contraindications, and recommend surgery only for those patients who are truly likely to benefit from it.” Another study reported that, when followed for 10 years after artificial disk surgery, a similar 40% of the patients treated failed and had a second surgery within three years after the first! Similar findings are reported for post-surgical spinal stenosis as well as other spinal conditions.
So what about the success rate of chiropractic management for patients who have had low back surgery? In a 2012 article, three patients who had prior lumbar spinal fusions at least two years previous were treated with spinal manipulation (three treatments over three consecutive days) followed by rehabilitation for eight weeks. At the completion of care, all three (100%) had clinical improvement that were still maintained a year later. Another study reported 32 cases of post-surgical low back pain patients undergoing chiropractic care resulted in an average drop in pain from 6.4/10 to 2.3/10 (that means pain was reduced by 4.1 points out of 10 or, 64%). An even larger drop was reported when dividing up those who had a combination of spinal surgeries (diskectomy, fusion, and/or laminectomy) with a pain drop of 5.7 out of 10 points!
Typically, spinal surgery SHOULD be the last resort, but we now know that is not always practiced. IF a patient has had more than one surgery and still has pain, the term “failed back syndrome” is applied and carries many symptoms and disability. Again, to NOT utilize chiropractic post-surgically seems almost as foolish as not utilizing it pre-surgically! GIVE US A CALL!!!
We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend, or family member requires care for back pain, we would be honored to render our services. . Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please e-mail them to [email protected]
Why Does My Neck Hurt So Much But My Car Only Got a Dent?
Clear Lake Area Chiropractor Comments: Whiplash pain can be much different from other types of injuries. When a car accident is severe, the pain will come on right away. If the injury produces a mild or moderate sprain, sometimes it takes a few days for the pain and inflammation to reach its maximum. Sometimes it is stiffness that is the prominent symptom and the patient notices this in the first few weeks after the accident. The delay in pain is often seen in low speed collisions where typically there is very less damage to the vehicles.
There are a lot of factors that determine the extent of injury following a low speed whiplash. One of these is the neck posture prior to impact. Was the head turned? This can occur if the patient was looking at the rear view mirror during the collision. Low speed collisions can occur in parking lots. If the patient was turned to see if a space was clear, this can make a simple trauma result in a significant injury.
Besides the position of the patient prior to the collision, the speed and amount of vehicle damage are sometimes good criteria for the severity of the trauma. However, it may not be in many cases because of crumple zones. Cars are built with crumple zones. These areas are crushed during the collision and absorb the energy of impact. In some low speed collisions, there is less crumple and more of the force is transmitted to the occupants. This is but one reason why vehicle damage won’t always equate with the spinal damage.
Another factor in whiplash is whether the head-rest was properly positioned. A proper head-rest should be close to the back of the head and its high point slightly above the top of the head. The reason for the high position is that in a rear-end collision, the patient who is being hit will rise slightly with impact. If the head- rest is too low, then the neck will bend around it like a fulcrum causing even more injury. The same thing happens if the seat is reclined too far and the head whips backwards before hitting the head-rest.
Because symptoms can come on slowly and minor vehicle damage is not a good indicator of injury, a thorough examination is required. It is important to be checked by a chiropractor or other competent health care provider after any motor vehicle collision.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Neck Pain and Pinched Nerves
Clear Lake City Chiropractor Comments: “I woke up yesterday morning with severe neck pain that radiates down my right arm to my hand and I can barely move my neck without producing the shooting arm pain.” Or, “…for the last few months, I’ve had this nagging pain in my neck and when I look up, my arm goes numb.” Or, “Every time I bend my head to the left, my left arm goes numb. I’ve noticed when I lift weights; I can only curl 15 lbs with my left arm compared to 35 lbs with the right.” These are common histories describing a classic “pinched nerve in the neck.” So, what is a “pinched nerve?” To answer this, let’s first look at what a “nerve” is.
In the diagram to the left, the nerves come off the spinal cord. Those in the neck region go down the arm and those in the low back go down the legs. The spinal cord is the “highway” that brings information from the nerves in the arms, legs, trunk, etc., to the brain where information is processed. The bony spine houses and protects the spinal cord and skull protects the brain but there is no bony protection for the nerves. Nerves bring information to the brain allowing us to feel, taste, smell, see, and move our legs and arms to perform complex movements like dancing, running, gymnastics, and so on. Information is constantly going to and from the brain to allow us to function normally. The nerve can get “pinched” anywhere along its course, including the wrist (carpal tunnel syndrome), elbow (cubital tunnel syndrome), shoulder (thoracic outlet syndrome), and/or neck (herniated disk and/or arthritis). This results in a slowing down of information transmission to/from the brain and numbness, pain, throbbing, as well as weakness in strength can occur.
There are two types of conditions that commonly pinch nerves, which generally occur at different times of life – those with a herniated disk (younger > older patients) and those with arthritis (older > younger patients). A combination of the two conditions producing the pinching effect on the nerve can also occur making the diagnosis process a little trickier. The following diagram helps explain these conditions:
The nerves exit the spine through holes that can be narrowed if the jelly central part of the disk herniates outward and into the nerve pushing it against the bone that makes up the hole through which it exits the spine. A “bone spur” (as shown in the diagram to the left, coming off the left facet joint) pushing into the nerve or the thickening of the ligaments that run inside the spinal canal (eg., ligamentum flavum) can also crowd these sensitive nerve structures and cause similar symptoms.
Both of these conditions are commonly treated by chiropractors. If you, a family member or a friend requires care, we sincerely appreciate the trust and confidence shown by choosing our service. We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and look forward in serving you and your family presently and in the future.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
