Sciatica and Lower back pain

Sciatica or pain in the back of the leg is a common condition when someone consults a Chiropractor. Sciatica refers to a pain which follows the course of the sciatic nerve down the back of the thigh and into the lower leg. The pain of sciatica may be felt as far down as the foot. Several types of back pain may cause sciatica. One of the key factors in back pain is if the sciatica travels past the knee. If the pain travels past the knee then it may be more likely that the pain originates from the disc. An MRI is the preferred method to visualize the disc but is generally reserved for those who cannot get relief after 30 days of conservative care including Chiropractic. The prefered test used by Chiropractors to determine if someone has a herniated disc is the straight leg raise test. In this test the person lies on their back and one leg is raised while straight. If sciatic pain is caused then a condition effecting the disc is suspected. Other forms of the straight leg raise may be performed while sitting.
Sciatica caused by a disc problem usually results from the nerves being effected as they leave the spine. The concept of a nerve being pinched by a bulging disc is a bit oversimplistic but is the general case. Some lines of though also contend that inflammation caused by the disc problem irritate the sciatic nerve and that direct compression is not the cause.
Most often those suffering from disc caused sciatica have a history of multiple bouts of back pain that have resolved without any leg pain.
Once disc material has herniated out of the disc it does not go back into the disc. It has been theorized that discs may cause sciatica both by directly compressing the nerves to the legs and by causing a type of inflammtion. It is now thought that herniated discs have a natural course of shrinkage and self reduction in size. It has also been observed that symptoms may resolve even when the size of the disc herniation has not been reducted. Disc herniations are quite common and occur in people who have no symptoms of a disc herniation including back pain and sciatica.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. Dr. Etter’s Chiropractic practice focus is back pain, neck pain, sciatica, whiplash and sports injury. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas, Overland Park, Kansas and the surrounding areas.

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Lower back pain and Chiropractic care

Lower back pain is probably the most common condition causing people to seek Chiropractic care. Back pain is often a somewhat mysterious condition that can come on suddenly without exact cause. Chiropractic care has been proven to be effective in both long and short term care of lower back pain. One study by UCLA found Chiropractic care more effective than medical care for lower back pain as based on patient satisfaction.
Many people think of lower back pain as primarily a condition that originates from the disc but other structures play an important role as well. It has been estimated that about 39% of persons suffering from lower back pain have disc involvement with about 5% having a disc herniation. Pain originating in the joints of the lower back (known as the facet joints) can account for up to 40% of back pain and pain from the sacro-iliac joint may account for up to 40% of back pain. The percentages overlap and the causes of lower back pain can be due to a combination at the same time of disc, facet and sacro-iliac joint.
The general recommendation for Chiropractic care for lower back pain is a course of treatment lasting 3-4 weeks. If a person is still suffering from significant lower back pain after 3-4 weeks of conservative care, including Chiropractic, further imagine including x ray or MRI may be needed.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience managing lower back pain, neck pain, whiplash and sports injuries. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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Knee Pain and Chiropractic

Many Chiropractic patients complain of chronically unstable knees that are related to old injuries. Often chronic knee injuries can cause a sensation of instabilility of the knee and the knee may give out at times. These types of problems are usually more pronounced during vigorous exercise such as playing tennis or running on unstable ground. Often a swelling of the unstable knee is present as well.
Injuries to the ligaments of the knee are among the most serious of all knee problems. The ligaments are essential in stabilizing the knee and injuries to the ligaments can contribute to long term instability.
The exact history of injury may be obvious or difficult to pinpoint. Often incomplete tears or sprains are more painful than complete ruptures.
Often the areas of the knee that are tender or swollen following and injury can be big clues to the Chiropractor as to what structures of the knee are involved and what the severity of the injury is.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience treating back pain, neck pain, knee pain, whiplash and sports injuries. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas, Overland Park, Kansas and the surrounding areas.

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Painful Stair Climbing and Chiropractic

Knee pain is one of the most common extraspinal conditions reported to Chiropractors. One of the most common types of knee pain that responds to Chiropractic care are known as patellar tracking disorders.
The knee cap (patella) acts as a pulley and moves up and down in the front of the knee as the legs are flexed and straightened as in climbing stairs. The patella is located inside the tendon of the quadriceps muscle. The back of the patella has a surface of cartilage and acts to glide over the bony surfaces of the knee.
Several conditions can cause patellar tracking problems. One is tendonitis of the patellar tendon. Overtightness of the patellar tendon causes compression of the patellar against the bony surfaces of the knee. The Chiropractic technique known as myofascial release is especially effective in dealing with this type of patellar tracking disorder.
A second type of condition that may predispose to patellar tracking problems is lack of joint motion in the knee which does not allow the normal rotational movement of the bones of the knee.
A second type of pain in the knee cap is lumped under the heading of arthritis. This type of pain in the kneecap may be the result of repeated dislocation of the knee and its effect on the kneecap.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience treating knee pain, back pain, neck pain and whiplash. Dr. Etter’s Chiropractic practice serves Olathe, Kansas, Lenexa, Kansas, Overland Park, Kansas and the surrounding areas.

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The ACL and Knee Problems-Chiropractic topics

The ACL (anterior cruciate ligament) is one of the most commonly injured structures of the knee that may be injured in sports. Often problems with the medial meniscus contribute to ACL tears. The ACL and medial meniscus are usually injured by different mechanisms. The meniscus is most often injured by a twisting of the bent knee while the ACL is injured by abrupt stopping motions of the knee.
Tears of the ACL can result in excess motion at the knee including laxity in back to front movements of the tibia (large bone in lower leg). Excess movement in the front to back motion of the knee may indicate injury to the PCL (posterior cruciate ligament).
Dr. Tom Etter is a Chiropractor with over ten years of practice experience in managing sports injury, back pain, neck pain and sports injury. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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