Tender nodules in the Back and Chiropractic treatment

The lower back is frequently the site of small fat nodules in the skin that are referred to as lipomas. These are normal and non cancerous tumors that are very common. The nodules can be pain sensitive and even refer pain into other areas of the back or buttocks. Many patients who seek the car of a Chiropractor may think theses nodules are related to a disc herniation condition but they are not related. There are several other areas of the back and hips that may be the source of tender spots that are not related to fat nodules.
One of the most common areas of the back and hips and may become pain sensitive and tender to the touch is the area over the sacro-iliac joint. The sacro-iliac joint lies just towards the center of the bump felt on both sides of the back just below the beltline. Tenderness of this area often indicates a problem with the sacro-iliac joint. The sacro-iliac joint is estimated to account for up to 40% of the cases of lower back pain. Sacro-iliac joint problems are often highly responsive to Chiropractic care. Sacro-iliac joint problems may develop quickly and even radiate pain into the thigh and buttocks. It is often difficult to differentiate a disc problem from a problem with the sacro-iliac joint.
A second area that is often tender in the lower back is the areas just to the outside of the two bumps felt just below the beltline. Pain or tenderness in this area may indicate a muscle tear to the gluteal muscles. Tears to the gluteal muscles are common following minor trauma or lifting too much.
Dr. Tom Etter is a Chiropractor and graduate of Palmer College of Chiropractic in Davenport, Iowa. Dr. Etter’s Chiropractic practice focus is the treatment of back pain, neck pain and muscular injuries. Dr. Etter is an approved Chiropractic provider for the following insurances: Blue Cross, UHC, Aetna, Cigna, Medicare, Coventry and others.

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The nerves and Chiropractic

The skin of the human body is arranged in sensory areas called dermatomes. A dermatome is a sensory area supplied by one set of spinal nerves. An example that Chiropractors deal with regularly is the spinal dermatomes of the lower back. Certain types of lower back pain can cause areas of numbness or pain on either the side, top or outside of the foot. The area of numbness or pain may correspond with a certain spinal level.
The nerves that exit the spine are particularly sensitive to pressure (especially from such sources as a herniated lumbar disc). Pressure on the nerve can lead to temporary disfunction of the nerve. Pressure on the nerve root can lead to a loss of muscle tone and mass. Diabetes may also be the cause of neuropathy that effects muscle tone and mass.
The peripheral nerves aren’t as susceptible to pressure as the nerves coming off the spine. Many peripheral nerve conditions are successfully treated by the Chiropractic technique of myofascial release. One such condition that is often responsive to Chiropractic myofascial release is pronator teres syndrome in the arm.
One of the most serious conditions effecting the nerves is known as RSD or reflex sympathetic dystrophy. RSD can be a consequence of any condition that causes pain or injury. RSD is considered to follow as a secondary condition to an injury or condition that causes 4 months of unrelenting pain. Often changes in the skin accompany RSD. The skin may become smooth and lack tone. In RSD pain in the effected area is quite severe and can be aggravated by virtually any touching of the area. Motion may also aggrevate the pain of RSD. Pain may start in one area and spread to effect the entire limb as well. The pain may be made worse by actively or passively moving the joints. Tenderness of the area is always present and is much more severe than one would expect.
RSD is a very challenging condition to treat. Acupuncture is one alternative medicine treatment that may be of benefit to the RSD patient.
Dr. Tom Etter is a graduate of Palmer College of Chiropractic in Davenport, Iowa and has over ten years of practice experience as a Chiropractor. Dr. Etter’s Chiropractic practice focus is back pain, neck pain and painful conditions of the shoulders, knees and hips. Etter Chiropractic also features acupuncture. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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Herniated discs and positions that aggrevate the disc: Chiropractic

Lower back pain is one of the most common conditions treated by Chiropractors. Disc problems in the lower back are quite common and it is estimated that a third of all persons have some kind of irregularities in the discs of the lumbar spine. Typically, disc herniations are preceeded by several episodes of lower back pain that resolve without causing sciatica. When sciatica accompanies lower back pain a disc herniation is often the cause. Position is a factor in increasing or decreasing pain associated with a lumbar disc problem. The most irritating motions involve any type of weight bearing (standing), walking, and sometimes sitting. Resting in bed is generally helpful. Disc pain can also be aggravated by coughing or sneezing. Physical activity generally aggravates pain from a disc herniation. This is often a complicating factor in managing lower back pain. Activity tends to increase a persons threshold for pain and inactivity lowers the threshold for pain. In managing lower back pain mild physical activity is recommended up to the point of aggravating pain. Pelvic tilt exercises performed on a gym ball are often quite helpful and can strengthen the abdominals.
Often a position in which the person is slightly bend forward reduces pain in persons suffering from lumbar disc problems.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. Dr. Etter’s Chiropractic practice serves Olathe, Kansas and surrounding areas including Lenexa, Kansas and Overland Park, Kansas. Dr. Etter is an approved Chiropractor for the following insurances: Medicare, Blue Cross,Aetna, Cigna, and others.

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Ongoing Back Pain and Chiropractic treatment

Many patient with a history of lower back pain episodes may be experiencing a conditions known as lumbar spondylosis. Spondylosis is a medical term which basically means spinal condition. Spondylosis would be a technical term for the layman’s term arthritis. Degenerative disc disease is another way of refering to spondylosis. Usually spondylosis effects those over 50. The chief symptom of spondylosis or arthritis of the back is lower back pain without sciatica. The pain in the back is usually described as aching in nature. There may also be areas of point tenderness. Usually activity increases pain in lumbar arthritis and the pain is eased with rest. If there is pain running down the leg (sciatic) it is more of a generalized ache in one or both legs.
Most people with spondylosis (arthritis) of the back will have limitations to movement of the back. Leaning back is usually the most limited movement. The curve of the lower back also can become more flattened and muscle spasms to the side of the spine are common as well.
Spinal stenosis is a common condition in older persons. Stenosis is a narrowing of the spaces where the nerves exit the spine. Often stenosis accompanies arthritis of the back. Usually people with a history of stenosis and arthritis have a history of multiple episodes of moderate intensity back pain that spans years. One key feature of stenosis is that it is usually uncomfortable to lie on the stomach while sleeping. The most comfortable position to sleep in with stenosis is on the side with the knees up. Often pain in leaning back or extending the spine is the most common feature of stenosis/arthritis.
One of the most effective exercises recommended by Chiropractors for the condition of stenosis/arthritis/spondylosis is the gym ball. Flexion or crunch type exercises on the ball are often effective. A modified pelvic tilt exercise is also effective while done on the gym ball.
The comfort of the back is highly dependent on the strength of the abdominals. The gym ball is probably the best way to effectively strengthen the muscles of the abdominals.
Dr. Tom Etter a graduate of Palmer College of Chiropractic and has over ten years of practice experience as a Chiropractor. Dr. Etter’s Chiropractic practice focus is back pain, neck pain, whiplash and sports injuries. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas, and Overland Park, Kansas.

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Muscle injuries and Chiropractic

Many sports and work injuries involve the tearing of muscles. Usually the rupture of a muscle is felt as a tearing sensation. Swelling and tenderness at the area of the rupture occurs withing hours. Bruising usually takes about 24 hours to appear. A muscular rupture usually produces a gap or defect in the muscle that can be felt with the hands. When the muscle is flexed the belly of the muscle is usually more prominent. The most common muslces effected by rupture are the quadriceps and hamstrings.
A charley horse is swelling or hematoma in a muscle that is the result of direct trauma to a muscle or rupture.
Untreated muscular injuries result in loss of extensibility of the muscle due to formation of scar tissue or calcification in the muscle. The most effective Chiropractic technique in treating scar tissue within the muscles is myofascial release.
Tight muscles in children may often indicate underlying conditions of the spine. Tight hamstrings especially may indicate spondylolisthesis. Spondylolisthesis is a condition in which the front and back parts of the vertebrae do not fuse properly. The condition is found in under 10% of all people. X rays are often performed on young persons with very tight hamstrings that limit motion for this reason.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. His Chiropractic practice focus is back pain, neck pain and sports injuries. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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