Chiropractic & Sciatica

Chiropractic | Sciatica | Manalapan | Red Bank | Lake ComoAnatomically the Low Back is an architectural work of art. It is comprised of 5 Lumbar Vertebrae with 5 cartilaginous discs in between each vertebra. The Sacrum is a triangular shaped bone which L-5 or the lowest Lumbar sits upon. Below the Sacrum is the Coccyx or tailbone which is usually fused by age 21. The Pelvis is connected to the Sacrum by a strong ligament on each side. These structures make up the Sacroiliac joint or joints. There is one S/I joint on each side of the Sacrum. There is a spinal nerve root which exits between each Lumbar Vertebra which supplies the muscles and skin of the lower extremities. These nerves control the muscles of the legs which enable us to be able to walk and control sensation or feeling to the skin of our legs.

For example, if a Vertebrae is misaligned or a disc is bulging or protruding compressing a nerve root the patient may experience weakness or numbness in the leg or legs. Chiropractors are trained to perform an Orthopedic and Neurological examination of the spine to determine the cause of the patient’s pain or symptoms. Imaging studies such as x-rays or an MRI may be required to make a correct diagnosis and rule out other conditions which may not be appropriate for conservative treatment. After the Chiropractor determines the cause of your symptoms he may utilize different procedures to correct the cause of your problem or problems. The Chiropractor may employ different types of modalities to relax the muscles of the spine prior to manipulation or adjustment procedures. Generally, ice or cold packs are used for a new or acute condition which is typically in the first 12-24 hours after an injury. Heat is typically used 48 hours or later to increase circulation of blood and promote healing of soft tissues. The Chiropractor may utilize massage or myofascial release to relax the muscles or break up scar tissue or adhesions prior to spinal manipulation. Other modalities such as ultrasound or electric stimulation may also be employed at different times to promote soft tissue relaxation and healing.

Posted in: Low Back, Physical Therapy

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