Sciatica refers to pain that runs down the leg and may have several causes. Disc problems are commonly linked to sciatica but other causes are possible as well. Disc problems are often characterized by multiple episodes of back pain followed by an episode of back pain with sciatica or sciatica alone.
In some cases pain in the buttocks and leg may develop gradually over several weeks without an type of injury. In such cases the cause is often the piriformis muscle. The piriformis is a muscle that is located along the side of the buttocks and turns the leg out. The sciatic nerve may be compressed by the piriformis muscle. In about 15% of the population the sciatic nerve runs through the muscle which maked the nerve more likely to be compressed.
Myofascial release techniques are the most helpful Chiropractic technique for treatment of sciatica caused by the piriformis muscle. Chiropractic adjustments of the sacro-iliac joints are also helpful.
Problems with the Sacro-iliac joints may also cause pain to run down the leg but the pain does not typically travel past the knee. In piriformis compression of the sciatic nerve the pain may travel past the knee.
Posted in Chiropractic Care, Chiropractor Blog Entry, Sciatica, Uncategorized
Tagged back pain, bad back, chiropractic, chiropractor, hip pain, lenexa chiropractor, ponca chiropractor, sciatica, slipped disc
Neck pain that involves pain that runs into the arm is often an indicator of disc pressure on the nerves of the neck. In such cases patients often have multiple episodes of neck pain following minor injury. Often weakness in the hand is a concern as well. The pain is often described as a deep ache. Sometimes holding the hand over the head is a position that allows some relief.
In adults over 40 the likelihood of a true disc herniation causing nerve pressure becomes decreased due to drying out of the interior of the disc. In some cases bone spurs may also cause nerve compression.
Disc herniations in the neck cause a limited range of motion often more on one side than the other. Sometimes the pain may be felt between the shoulder blades.
MRI is often used to evaluate neck pain when disc herniation is suspected but usually only after a trial of conservative, Chiropractic or medical management.
Thoracic outlet syndrome and joint pain in the neck are other causes of pain involving the neck that may radiate down the arm.
Shoulder pain is one of the most common conditions in Chiropractic practice. Shoulder pain may be the result of chronic instability of the shoulder, overuse conditions or injury. Pain in the shoulder may also be caused by problems in the neck. For most types of shoulder pain conservative management for up to 6 months is recommended.
In older populations long term wear and tear may lead to pinching of the rotator cuff in a condition called shoulder impingement. Older persons may also loose motion in the shoulder in a condition known as adhesive capsulitis or frozen shoulder.
Trauma to the shoulder or previous surgery may be associated with early degeneration of the joint (arthritis). Arthritis may be a primary cause of shoulder pain even if it is still to early to be visible on x rays. Arthritis may also be associated with past surgeries. Rheumatoid arthritis is another condition which can be associated with shoulder pain. Advanced rheumatoid arthritis is a known cause of rotator cuff rupture.
Sports injury may be a cause of shoulder separations or rotator cuff tears. Dislocation of the shoulder is associated with shoulder instability. Dislocations of the shoulder commonly cause tears of the labrum (a stabilizing structure of the shoulder). Labrum tears are a cause of chronic instability.
Rotator cuff tear is a common sports injury of the shoulder. Chronic weakness of the shoulder is the most apparent sign of outright tear of the rotator cuff. The rotator cuff may also be the site of overuse injury or impingement of the rotator cuff. Such sports as swimming, weight lifting and throwing sports are known to contribute to shoulder impingement.
The effectiveness of Chiropractic care for lower back pain is well known. Chiropractic adjustments are particularly effective in the treatment of sacro-iliac joint pain as well as pain due to locking of the joints of the lower back (facet joints).
Chiropractors are trained to recognize signs of back pain that may relate to fractures, disc herniations, infection and tumors.
Severe accidents and injuries always are cause for concern and x rays are most often the first course of action. A fever in association with lower back pain may indicate an infection of the spine. Numbness in the crotch are is a sign of nerve impingement and is often an indication of more severe problems. Bladder disfunction in association with lower back pain is also cause for concern and referral for immediate medical care. Pain that is worse at night or does not vary in character or intensity with position may indicate more serious problems.
Pain that extends into the legs is often known as sciatica. Sciatica is a condition which may be intermittent in nature and is often associated with a herniation of the lumber disc. Problems walking or with lifting a foot off the ground during a walking stride may indicate the nerves of the back are being impinged. Pain that is worse with coughing or sneezing is another indication of lower back pain associated with a disc problem.
Pain in the upper back, shoulders and neck is one of the most common complaints of those who sit at a desk for multiple hours a day. Often pain is felt as a constant aching pain in the middle and upper back. The pain is usually relieved by activity and made worse by working at a desk.
The position of leaning over a desk or a computer causes an imbalance between the muscles of the chest and back. The forward “hunched” head position also puts stress on the muscles and joints of the neck. The muscles of the chest may become chronically shortened and the muscles of the back weakened. Often the mid back may become overly rounded. Trigger points or tender spots in the muscles of the upper back and neck are common in this condition.
Chiropractic adjustments to the neck and upper back are highly effective in treatment of the upper back and neck. Trigger point or myofascial release therapy is also highly effective in dealing with muscular pain.
Exercises such as rowing type motions are effective as well. Stretching of the chest muscles is helpful.
Acupuncture treatment with electronic stimulation of the needles is an effective treatment for upper back pain that involves multiple trigger points.