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Sciatica Differences Between Facet Syndrome and Lumbar Disc Herniations
The lower lumbar spine is where many disc injuries occur but it’s also where we get a lot of facet sprains. In some of the testing, we can figure out what do you have and not have to go and get an MRI. For example, with a lumbar facet sprain it’s going to hurt when I raise the leg. It’s going to stay pretty localized to that low back. You’ll let me raise the leg and the pain might shoot a little bit into the glutes to the upper hamstring, but it won’t go past the knee. Many times a disc will go all the way past the knee.
The second thing is if I pull the toe back, a disc injury is going to hurt more and the pain will probably shoot down the leg further. It won’t make a difference on a facet sprain. If I bend the knee, turn it and move it around, a facet sprain is probably going to hurt a little bit more localized at the low back. A disc injury isn’t going to change that much at all.
Low Back Pain Part 6 Degenerative Disc Disease DDD
soft rock music Degenerative disc disease is almost universal. It’s essentially, what I like to call, wear and tear on the spine. The discs within the spine are.
how I describe it, like a jelly donut. There’s a jelly in the center and hard caritlage rings around the outside. These are the discs in between the bones. These are the cushions, the shock absorbers.
This is where the deterioration first occurs. Where we have drying of the discs, narrowing of the spaces. As the discs be more narrow, the nerve holes, where these nerves exit, be narrow.
And the central canal, which is where the spinal cord and spinal nerves are, that bes narrow as well. The symptoms of degenerative disc disease, or DDD as we call it, can span just about any other cause of back pain.
You can have pure back pain in the center of the lower back, which is typical of pain in the disc, in and of itself, You can have pain radiating out along the beltline, which is typical of muscular pain or jointrelated pain, those structures will be painful as the wear and tear occurs.
You’ll have joint pain in the facet, or facet, or zjoints of the spine as the muscles try to splint and get tight to try to stabilize the spine, you’ll get muscle pain, muscle spasms. You can also, with narrowing of the spaces around the nerve, because of collapse of the spine with the wear and tear, you can also have nerve pain.
Which then radiates or can radiate down down the leg, even past the knee towards the foot or the ankle. You can also have positional diforts. Things like, It hurts me more when I stand and walk, versus, It hurts me more when I sit, It hurts me more getting up out of the chair but once I’m up and moving, it’s a bit better. Essentially any pain that anyone can have in the lower back could be related to degenerative disc disease.
So as part of my usual examination after watching the patient walk into the room, and see how they walk, see how they move, see how they do things like sit on the chair, stand from the chair, get on and off the table, we do a basic neurologic examination to make sure that the nerves are working properly.
And that’s things like strength, sensation, and reflexes. The most important point, or part of the examination, is actually the history taking. That’s when the doctor should just listen and hear the story and I believe that if you allow the patient to tell their story the majority of patients will actually tell you what’s wrong and you can get thatrmation through their history as to whether or not you think it may be more of a disc pain, or a nerve pain, or a joint pain.
We then test motion of the spine in forward bending and bending backwards and side bending and that can give us an indication as to whether or not it’s more likely a disc pain or a joint paint, or a muscle pain.
And then once we get in to things like physical therapy, we start to test people more in the realm of strength and functional ability. Imaging studies are both crucial and not important all in the same time.
One of the biggest problems that peoplee to me and my partners with is that they’re labeled because of an imaging study. If you take the population over forty, fifty years old off the street, and put everyone through an MRI you’re going to find degenerative disc disease on nearly everyone but that certainly doesn’t mean that it has to hurt, doesn’t mean that it doesn’t.
So the imaging study really should be used as a secondary means to take a look at what you are thinking is going on. Treatment options certainly very and cover the entire spectrum of lower back care.
The reason is is because, again, the main question is what is the pain generator, what’s the source of the pain. That DDD label is not a pain source. If someone’s suffering from disc pain or joint pain or muscle pain, and those treatments may vary.
Typically we use some ice, some antiinflammatory medications, some pain relievers, some muscle relaxers and those are designed to treat the symptoms. And then we’ll begin things like physical therapy or chiropractic care.
Physical therapy is a great way to gain flexibility, it’s a great way to provide better posture, make sure the pelvis is working properly, it’s tipped properly, everything is angled properly. Range of motion is very important to make sure you’re not restricting the limbs or the pelvis or the spine in terms of its motion.
And then strengthen those areas in the proper position to more properly stabilize the spine. Chiropractic can be very helpful in manipulating the spine, in repositioning the bones, in loosening the restrictions of the joints in the back of the spine, to gain better mobility as well as a great deal of muscular work that the chiropractors can perform to loosen the muscular restrictions in that area as well.
Then based on imaging studies and possibly electrical testing, we can move into the realm of interventional treatment, or injection treatments, which can be epidural steroid injections which are antiinflammatory injections performed over a painful nerve or and inflamed nerve.
We can also do several different procedures including both steroid injections into the joints of the spine, as well as nerve blocks to the nerves that supply the painful sensations of the joint to rid someone of the joint pain of degenerative disc or degenerative spine disorder.
Lower Back Pain Causes 360 6924264 Adams Chiropractic Silverdale WA HD
If you suffer from lower back pain, your injury may steam from threemon causes. I’m doctor Kurt Adams i’ve been in practice here in Kitsap County for 28 years. In this tutorial we’re going to explain these causes and offer you a safe effective nondrug treatment option to help rid you of your pain. The first type of condition we see heremonly are strains and sprains. This is usually caused by lifting and twisting, slips and falls and motor vehicle accidents. Ligaments and muscles have been stretched and torn causing vertebrae to be misaligned or hyper mobile.
We address these problems with with chiropractic adjustments that help realign the joints and improve spinal function. Leading to decreased pain, inflammation and swelling. Our team of Licensed Massage Therapist also help this kind of condition tremendously by addressing these inflamed soft tissues and ligaments. If you are sedentary or sit at aputer for long periods of time this can often lead to a second type of condition we effectively treat which is Sciatica.
This is caused by discs bulging onto a large nerve that runs from your lower back down the back or side of your leg all the way to your feet. Chiropractic helps this tremendously by improving joint function and alignment. Thereby decreasing disc bulging. We also utilize traction and dpression of the disc that offers patients tremendously amounts of relief.
And the last but certainly not least is hip and pelvis pain. This is usually caused by un level legs andor pelvis that can cause un do stresses when we walk. This can often lead to hip, knee and even feet pain. We use a specially designed table that will gently and safely correct these pelvic and leg imbalances. In some cases we will prescribe you heel lifts or custom orthotics to help aid your stabilization.
So whether it sprains or strains, sciatic neuralgia caused by bulged discs or hip and pelvic imbalances that effect our stride and the way we walk, chiropractic is often a safe, effective first choice for many of our patients. If you or someone you know are experiencing these problems we would love to help. Call us to schedule and appointment today. When you do, mention this tutorial and you will receive aplementary consultation.
Sciatica Back Pain Chiropractic Las Vegas NV 702 2229066
Dr. Dave Williams Back Care Chiropractic Las Vegas, Nevada You know, I get asked this question frequently in my office, Hey Doc, can you help me with my sciatica And I have to honestly say that most of the time we are able to help people who suffer from sciatica pain in the low back, that goes into the rear end, and all the way down the leg. The worse the sciatic situation is, the further down the leg the pain bes. We are able to help with that by way of what we call the chiropractic adjustment.
Our form of care does not involve medication. it does not involve surgery. Here in Las Vegas, I use my hands or an instrument to move the joints and bones of the spine to allow the nerve system to function without interference. It’s very, very effective. We’ve worked on people for over fifteen years, and have a very good success rate with all types of sciatica, with the exception of sometimes a disc can give sciatic problems, and there are occasions where we do have to refer for further diagnostic tests or other assistance withplicated sciatic situations. However, most of the time we are able to help with sciatica.