How Long Does it Take to Recover From Back Surgery? Recovery Times

spinal stenosis

Back surgery comes in two main forms: traditional open back surgery and minimally-invasive back surgery. The traditional, open back surgery has been around longer as compared to the minimally-invasive variety. Open surgery involves the surgeon making extensive, large incisions in the back and can entail considerable dissection of the back muscles in order to access the problem areas.

Minimally-invasive back surgery has become more popular in recent years. By contrast with open surgery, minimally-invasive surgery involves the insertion of hollow catheters into the back. At that point, other surgical tools are inserted through the catheters while the surgeon views the procedure using fluoroscopy, or a "live x-ray." In fact, minimally-invasive techniques have become so advanced that often the incisions are made using radio waves, heat or laser technologies.

If you are wondering, "How long does it take to recover from back surgery?," the first thing you need to consider is whether the surgery in question is of the traditional, open surgery type or the minimally-invasive type. It goes without saying that minimally-invasive surgeries involve less cutting of major muscle groups, so the recovery time is much faster.

Here are the general recovery times for some common types of back surgery:

1. Cervical spine surgery: about 5 weeks.

2. Lumbar spine surgery: usually 4-6 weeks

3. Recovery from spine surgery: 6-12 weeks or longer

(Ask your doctor for expected recovery times in your case):

Here are some surgery recovery best practices you can follow to speed up your recovery time:

1. Modify your home in small ways before the day of your surgery, including for example adding an extension to your toilet to make it taller and installing rails around your tub or shower for easy gripping.

2. Be sure you have access to loose-fitting clothing and shoes to make it easier to get dressed and undressed.

3. Consult with your doctor before your surgery to ensure that you have discussed your pain management options. Make sure you have plenty of prescribed pain medication on hand.

4. Get into the best-possible physical condition before your surgery. The healthier that you are going into your surgery, the faster your body will heal afterward.

5. Avoid sitting, standing or lying in any single position for too long, which can contribute to aches and pains and can hinder healing. Instead, keep changing body positions every 10 - 20 minutes during waking hours.

6. Avoid any heavy lifting or pushing of large objects.

7. When rising out of bed, lift your head as far as you can off of your pillow, then swing your legs out.

8. Apply ice frequently to your back - especially in the first 48 to 72 hours. This can help you reduce back pain. Heat may also help you keep pain to a minimum.

9. Be sure to get yourself periods of continuous, uninterrupted sleep because it helps the body to heal faster.

10. Light exercise and stretching can significantly speed up the recovery process and decrease the chances of experiencing pain in the future.

Other tips for healing faster after back surgery: avoid smoking or drinking too much alcohol, use chairs with lumbar support, and drink plenty of water.

You will speed up your recovery after back surgery by following these important steps and tips. The healthier you are going into surgery and the better you take care of yourself afterward, the faster you will be back to feeling good again.

What Conditions Can Be Treated With Spinal Decompression Therapy

spinal stenosis

This article answers the question "what conditions can be treated with spinal decompression therapy?" This therapy is a non-invasive, non-surgical treatment for back or neck pain resulting from degenerative disc disease, sciatica, a bulging or herniated disc, and facet syndrome. The therapy works by distracting the spine's vertebral segments to generate a negative pressure, or in the discs between the vertebrae. The created negative pressure enables nutrients and water to be delivered to the needed regions.

FDA Approved, Safe and Effective Treatment

Non-surgical spinal decompression therapy is an FDA approved therapy proven that is effective and safe in treating chronic lumbar (low back) and cervical (neck) conditions. The success of the treatment for a patient would vary with the patient's particular condition, his willingness to follow the recommended treatment plan, how long he has been affected by the disorder, and other factors.

Some of the conditions that can be treated with this therapy are described below:

Spinal Stenosis which is stenosis or abnormal narrowing of the spinal column and is a condition which may occur in any area of the spine. The usual reason for the problem is spinal degeneration that comes about with aging.

Degenerative Disc Disease is a natural outcome of the aging process. With the passage of time, people demonstrate changes in their discs because of a small or great degree of degeneration. The disease varies in nature.

Pinched Nerves are a condition resulting from injury or damage to the nerve from compression or direct compression that makes the nerve incapable of properly sending its signal. The reason for a pinched nerve depends on where the nerve is located.

Sciatica results from compression of a spinal nerve root in the lower back. It affects the hip, back, and outer side of the leg.

Failed Back Surgery - A second spinal surgery is not advisable for a person with failed back surgery syndrome after spinal surgery. So, non-surgical spinal decompression therapy is an option that can be considered.

Facet Syndrome - It is a condition where the joints in the back of the spine deteriorate and consequently cause pain. Facet joints are located at all levels, on either side of the lumbar spine. They are responsible for about 1/5th of the general stability in the low back. The facet joints are so positioned as to provide whatever support is required particularly with respect to rotation.

Arthritis - It is a disorder marked by inflammation of one of more joints. The result is swelling, restricted movement, pain, and stiffness.

Promising Alternative to Medication and Surgery

It can be concluded that there are a number of conditions that can be effectively treated with spinal decompression therapy. The therapy is indeed a viable alternative to surgery and medication.

Treat Bulging Disc Pain And Heal Bulging Disc Problems Permanently - The Right Way

spinal stenosis

So many people are looking for a long term effective way to treat bulging disc pain and heal bulging disc problems permanently. This is a very common problem in today's society. A bulging disc is considered by many to be the first stage in the disc degenerative process. For some the pain may appear suddenly, and for others it will appear gradually. Pain can be associated with a specific injury, or just something that has been progressively worsening over time.

What most don't realize is that the disc bulge is caused from a physical dysfunction of the spine and surrounding structure that stresses the disc to the point where it bulges. We all know what stress can do to our bodies, whether it is physical or mental stress. What we need to do is correct the physical dysfunction that is responsible for the stressful environment the disc is subjected to on a regular basis. I can't stress this enough, to effectively treat bulging disc pain and heal bulging disc problems permanently one must treat and correct the physical dysfunctions, so that our spine is exposed to its intended natural, healthy, and stress free environment.

The term physical dysfunction is a general term that can cover a number of conditions. The most common physical dysfunction associated with a bulging disc relates to poor posture, that can be directly and indirectly attributed to muscle imbalances. A muscle imbalance implies that a muscle or muscle group is in an unnatural or unbalanced state when compared with its opposing muscle or muscle group.

When you think of any muscle in the human body you need to consider its opposing muscle. The opposing muscle is the one responsible for movement in the other direction. Having the proper muscle balance as it relates to the spine is incredibly important. The fact that our bodies were designed to walk on two feet give us many advantages, but it also makes the spinal muscle structure a more critical factor as it relates to the health of our spine.

Muscle imbalances typically involve the following conditions. Consider a muscle that is stronger and shorter than its natural state, now consider the opposing muscle is longer and weaker than its normal state. This type of muscle imbalance creates a postural dysfunction that subjects the spine to a stressful environment. Muscle imbalances are caused from many factors, however environmental factors today play a huge role. We spend far more time sitting and lounging than our early ancestors ever did.

I get very frustrated when I hear someone has consulted a medical professional for how to treat bulging disc pain and heal bulging disc problems, and the recommend treatment is limited to rest, lifting restrictions, anti-inflammatory, and pain medication. To effectively treat disc bulge pain the disc must have its stressful environment eliminated. Correcting the physical dysfunction is the only way to provide long term bulging disc cure which achieves permanent pain relief.

Spinal Decompression: Negative Pressure = Positive Results

spinal stenosis

A mother bends over to pick up her child and feels a sharp pain in her back. A business man is on his lunch break and is rear-ended at a traffic light, causing neck pain and hand numbness. What's the cause of their pain? A disc herniation.

Vertebral discs are found between the bones (vertebrae) that make up your spine. Healthy discs have two primary functions: to act as shock absorbers for the spinal joints; and to act as spacers between the vertebrae where your nerves exit the spinal column.

When discs start to break down (degenerate), movement in your vertebrae decreases and the discs become dehydrated. As they dehydrate, the spaces between your vertebrae narrow at the area where the nerves exit. This disc narrowing can cause nerve compression and pain. Additionally, as the discs in your spine dehydrate and start to tear, the edges of the discs can bulge. This bulging can lead to a disc herniation, creating neck or back pain and, at times, numbness and weakness in the arms and legs.

While some disc herniations require surgery, only about 1% of back pain sufferers are surgical candidates. While surgery may be a possible solution as a last resort, a non-invasive, highly effective alternative does exist. Spinal decompression therapy can eliminate back pain without surgery.

This alternate therapy offers back pain sufferers a non-surgical option that may restore normal function to damaged spines. Spinal decompression melds modern technology with the proven techniques of chiropractic medicine. By using precision computerized equipment, a chiropractor is able to administer targeted therapy to the exact areas that need treatment. Spinal decompression utilizes comfortable traction therapy to relieve back, leg pain, neck and arm pain. During this procedure, by cycling through distraction and relaxation phases and by proper positioning, a spinal disc can be isolated and placed under negative pressure, causing a vacuum effect within the disc.

The vacuum effect accomplishes two things. From a mechanical standpoint, disc material that has protruded or herniated from the disc can be pulled back within the disc, taking pressure off the nerves. When this pressure is relieved by the vacuum effect created within the disc, symptoms such as arm and leg numbness are relieved. In addition, the vacuum effect stimulates blood supply to the disc, secondarily stimulating a healing response. This results in pain reduction and proper healing at the injured site.

Generally, most patients with slipped and/or bulging (herniated) discs, as well as those who have chronic neck and/or back pain, are good candidates for spinal decompression therapy. Patients may also find relief using this therapeutic procedure for other specific conditions including spinal stenosis, sciatica, facet syndrome, degenerative disc disease, spondylosis or even failed spinal surgery.

Spinal Decompression Therapy has been shown to have a 71-90% success rate and has been well received by patients suffering from a variety of conditions. Many people have suffered long-term debilitating pain due to car accidents, the physical nature of their careers or from playing their favorite sports. But with the advent of Spinal Decompression, long-term sufferers are beginning to see the light.

Click the link to for more information on Spinal Decompression Therapy.

How Important is Exercise For Sciatic Nerve and Back Pain Sufferers?

spinal stenosis

For back or sciatic nerve pain sufferers, exercise plays a vital and critical role in building a strong midsection or core and lower back muscles so they can lend support to the spinal column, ligaments, vertebrae, discs and nerves. This added support will take a lot of pressure off these areas and reduce pain.

But is exercise really that important? The answer is an emphatic YES! Exercise is that important because it allows bone and muscle of the spine to grow and strengthen. And bone and muscle will only grow and strengthen if the right kinds of forces are applied to them.

Stronger bones and more active muscles will lend greater support for your spine and reduce back pain. A good analogy is a roof supported by pillars. If the pillars supporting the roof are weak and brittle, the roof will begin to collapse. You need strong pillars of support for your spine. You need strong bones and very active muscles. I say "active" muscles because, for most people, muscles in the lower back, gluteus, and pelvic region are seldom used. This is not their fault. They are seldom used because they are not doing the right kinds of exercises to stimulate these muscles.

Stretching alone is not really effective for relieving back or sciatic nerve pain in the long-term. People say to me, "I stretch all the time and yet I still have back pain. Please help." I'm not surprised. Stretching might help with immediate or temporary relief from back pain but it alone is not a long-term solution for back pain. Why? This is mainly because muscles that are stretched will get tight again without growing or getting stronger. And as far as I know, stretching does not directly increase bone density or strength.

Stretching should be combined with exercise for greatest effect on the body. Warm muscles full of oxygen will stretch much easier than cold muscles without a full supply of oxygen. This is common knowledge for most people but it is extremely important to keep in mind while trying to get rid of back or sciatic nerve pain. For instance, in between a set of squats (I will talk more about squats later) I will always stretch my quads. I will stretch my calves. I will even stretch my back. I will grab a bar above me at the gym and just hang there for several seconds to really stretch my back. This is similar to decompression therapy where you allow your spine and muscles to really stretch out.

Bottom Line: Performing the right kinds of exercises and stretching in between sets stimulates an essential core group of muscles (i.e., quads, hamstrings, adductors, sartorius, piriformis, glutes, abs, back muscles, etc) for maximum gains; conditions the muscles or trains them to become more relaxed and less constricted when you are not exercising; and increases bone density and strength. If you can achieve this bottom line, you are well on your way to a much healthier back that will last a lifetime.

Squats are a great way to strengthen your entire midsection and lower back as well as help you achieve this "bottom line." I find squats to be one of the most challenging exercises. If you can get through an intense workout of squats you can get through any exercise at the gym. At first I was a little hesitant to mention them because you may be turned off by the thought of doing squats. You have to be a little crazy to do them. I have actually dragged myself out of bed on several occasions at 4:30 in the morning to go to the gym and do squats. While most peopleare snoring away, I've got anywhere from 225-345 pounds on my back. And then I still have a long day of work in front of me. It may sound like I'm a glutton for punishment but it helped me build a strong foundation and support system for my lower back.

Now I'm not saying you need to go to the gym at 5 in the morning like me and try to squat a car. Many of you may not feel comfortable doing squats especially if you are suffering from a herniated disk or sciatic nerve pain right now. That is fine. In fact, you shouldn't do squats with added weight right now if you are trying to heal a herniated disk or you suffer with sciatica or sciatic nerve pain. It's just too dangerous; but after your disk(s) heals or your sciatica subsides, you should definitely add them in to your exercise routine to strengthen and maintain all the areas of your spine.

You don't have to do squats at the gym either. You can do them right at home. Just cross your arms, squat down and go right back up. If your back is healthy right now, I would suggest even grabbing a can of food from your pantry, a dumbbell, or a heavy book to use as a weight while doing squat exercises. This will add resistance. Be sure to hold the weight, whatever it is, very close to the middle part of your chest. Just squat down slowly until your thighs are parallel with the floor and rise back up. You must keep your back arched and your weight on your heels or the balls of your feet. Do this as many times as you feel comfortable. Take a break and do them again. Be sure to concentrate on your balance and try to keep your midsection flexed throughout the exercise. If you've never done squats before, have a family member or friend make sure you are doing them correctly.

WARNING: If you are suffering from a back injury of any kind, please be sure to consult your doctor or fitness specialist first before doing squats or any weight-bearing exercise.

If you take full advantage of squats, you will build a stronger midsection, gluteus muscles, lower back, and quadriceps. And besides burning a lot of calories you will achieve the bottom line that we talked about earlier.

Bottom Line: Performing the right kinds of exercises and stretching in between sets stimulates an essential core group of muscles (i.e., quads, hamstrings, adductors, sartorius, piriformis, glutes, abs, back muscles, etc) for maximum gains; conditions the muscles or trains them to become more relaxed and less constricted when you are not exercising; and increases bone density and strength. If you can achieve this bottom line, you are well on your way to a healthier back without sciatic nerve pain that will last a lifetime.

Oh and be sure to use common sense if you are lifting weights. It took me several weeks before I really reaped the benefits from an exercise like squats. Always start out with lighter weights and always wear back support. I have never lifted heavy weights without a back brace for support. If you are lifting real heavy weights at the gym, make sure you have someone there just in case. The point is not to injure your back but to strengthen it.

Non Surgical Herniated Disc Treatment

spinal stenosis

In medical terminology, many terms are used such as bulging disc, pinched nerve, slipped disc or ruptured disc to describe herniated disc condition. Spine damage caused by disease, injury or normal wear and tear can lead to rupture of disc. This condition is the result of inflammation of the disc material caused by aging and compression on the nerve system.

It can occur anywhere in the spine. Back pain is the most common symptom of a herniated disc. The treatment option for this condition is chosen, depending on the nature of the patient's pain and presenting symptoms. In most cases, the doctors opt to treat this in a non-surgical way.

At present, non-surgical herniated disc treatment is widely practiced since it offers positive results for patients with this condition. This non-invasive mode of treatment is intended to bring you back to your day-to-day activities by getting rid of the pain and other symptoms that have developed from the bulging disc. Use non-surgical treatment to lift the pressure on the nerve roots. This treatment plan is not applicable for patients of all age groups. A combination of different non-surgical treatment options is available, and this procedure works best and provides long term relief. Try non-surgical herniated disc treatment plan, which includes:

o A short period of bed rest as part of the treatment plan, followed by a gradual increase in activity
o Physical therapy and exercise program recommended by physical therapists/health professionals to promote circulation, strengthen and relax the muscles
o Medication to control inflammation and pain

Patients with herniated disc disease are relieved from their painful condition after undergoing non-surgical treatment program for 6 or 7 weeks. Non surgical treatment is economical and provides instant relief from disc problems. As per the nature of the case, the treatment frequency varies. So it is generally suggested by professionals to restore normal movement and function.

Three Ways Epidural Injections Are Different Now for Pain Management

spinal stenosis

Epidural steroid injections for pain management are one of the most common and most effective procedures performed to alleviate pain. They are utilized for relief of sciatica due to a disc herniation causing a pinched nerve, they're useful for spinal stenosis, and can be great in the neck as well to alleviate symptoms of radiculopathy.

How are epidural steroid injections different today than they were 20 years ago? One thing that has not changed is their effectiveness. Multiple studies have confirmed that epidural steroid injections for sciatica and radiculopathy maintain at least a 75% average effectiveness rate for pain relief. It may be one injection that does the trick so to speak, or maybe a full series of 3 injections. But the results from epidural started injections are sometimes as high in studies as 90%, which is similar to that seen with lumbar surgery for a disc herniation (without the risks).

Here are 3 ways the procedures for pain management have changed.

1. The standard of care with epidural steroid injections has changed with regards to how they are performed. The use of a real-time x-ray machine known as fluoroscopy has altered the way the epidural injections are performed. A landmark study over a decade ago showed that without the usage of fluoroscopy, injections into the epidural space missed approximately 30 to 40% of the time. If the patient is willing to undergo the procedure and except the small but real risks associated with it, they should be sure of getting the most accurate injection possible. Fluoroscopy allows the most accurate injection possible, so it has become pretty much the standard of care for doing them.

2. Transforaminal epidural steroid injections have become much more popular. Over the last 10 to 15 years, transforaminal injections for relieving pain have increased in popularity due to the fact that the steroid is placed closer to the area of the nerve root impingement. The theory is that with the steroid bathing the area of the pinched nerve and relieving inflammation, the amount of pain relief achieved with a transforaminal injection can be better. Therefore, the procedures popularity has increased exponentially over the older version, which is known as an intralaminar injection.

3. The newest epidural steroid injections have been using steroid material that has less particulate matter than previously. There have been some complications noted with the steroid substances that have heavy amounts of large particulate matter. Therefore a lot of pain doctors are switching to steroid medications that have less amounts present. It's a little bit of a catch 22. You need to particulate matter to have the medication stay around for a while to achieve its anti-inflammatory effect. But you don't want too much or too large of a particulate matter that can cause potential complications. So epidural steroid injections are headed towards a happy medium with just enough particulate matter to keep the medication there for optimal effect with the least amount of complications.

What You Should Know If You Have Neck or Back Pain

spinal stenosis

Back and neck pain are two of the most common health complaints affecting people around the world. Recent investigations into back and neck pain let us know the following facts.

1. People usually begin to feel pain in their 20's, but sadly, up to 50% of children also complain of neck or back pain.

2. Up to 30% of people have back or neck pain at any given moment.

3. Up to 80% of all people develop neck or back pain in their lifetime.

4. Most untreated neck and back problems will get worse, often leading to spinal arthritis. "In Australia, arthritis is the most common cause of profound and severe handicap, with many sufferers requiring help with their activities of daily life"- Arthritis Foundation of Australia.

5. The treatment of neck and back pain is one of the greatest and most inefficient expenditure of health care resources today.

Neck and back pain is such a huge problem that governments from all around the world, in an attempt to help solve this problem, have sponsored leading researchers to find the fastest and most effective treatments for back and neck pain.

The major investigations have been done by the USA, UK and Canadian governments, their aim was to find out the most common causes of neck and back pain and to identify what the best treatment for those problems are. Here is what was found.

1. That there are 3 general types of spinal problems that cause back and neck pain.

(i) Mechanical problems.

(ii) Nerve root pain.

(iii) Serious pathology.

(i) Mechanical: these are problems with the joints, muscles, discs and ligaments of the spine. Here are some of the common types of mechanical problems muscle strains, ligament sprains, increased muscle tension, spinal joint misalignment, abnormal spinal curvatures, disc problems (disc bulges, disc herniation, or "wearing out"), arthritis (spinal degeneration).

Some common signs and symptoms of mechanical problems are aching pains, sharp pains, increased muscle tension and tightness, poor posture, pain usually gets worse with activity, pain is somewhat relieved with rest, the pain can restrict your normal movements.

Mechanical problems have been reported to be the cause of up to 90% of neck and back pain. Most neck and back pain sufferers have a mechanical cause to their pain, and usually they'll have more than on type of problem e.g. someone with back pain may have muscle tension, spinal misalignments and some arthritis.

In fact, the longer someone has an uncorrected problem the more additional problems they will develop e.g. someone develops a spinal misalignment, which causes an increase in muscle tension and some abnormal spinal curvatures, then if these problems are left uncorrected, over time, they can cause some wearing out (thinning) of discs and lead to the early development of spinal arthritis.

(ii) Nerve root pain: This is usually due to leaving mechanical problems uncorrected... The pain felt with these problems is characteristically a very sharp, intense "shooting" pain into the arms or legs (e.g. Sciatica), it is caused by pressure on or irritation of, the spinal nerves. The pressure on the nerves is usually from bulging discs or spinal arthritis (both usually due to uncorrected mechanical problems). Nerve root pain causes about 10% of neck and back pain.

(iii) Serious pathology: This includes fractures, infections, tumors and others. These causes are, fortunately, quite rare causing less than 1% of back and neck pain.

So, the majority of back and neck pain is caused by mechanical problems and the complications of uncorrected mechanical problems (nerve root pain).

These mechanical spinal problems are usually caused by bad postures, repetitive strain injuries, or by trauma. Risk factors for developing mechanical spinal problems are bad posture, bad lifting habits, stressful living and working conditions, a loss of spinal strength and flexibility, a loss of general physical fitness.

USA, UK and Canada government research found the best treatment for most neck and back pain was Chiropractic care. Chiropractic was often found to be the most effective, the safest, the most cost effective, the most successful in the long term and had some of the highest patient satisfaction levels.

The results from scientific studies, from all around the world, done to find the best treatments for neck and back pain:

The "Magna Report," 1993, this study was done by the government of Ontario, Canada in an attempt to find the most effective for low back pain sufferers, here's what they found.

(i) Chiropractic care was shown to be the most effective treatment for low back pain.

(ii) Chiropractic care was the safest treatment for low back pain.

(iii) That spinal manipulation was best (and most safely) performed by Chiropractors.

(iv) That patients were "very satisfied" with Chiropractic care.

(v) Recommendations for Chiropractic to be fully integrated into the hospital system.

The British Medical Research trial, 1990 -1995, this research examined the effectiveness of Chiropractic care compared to the effectiveness of a combination of medical and physiotherapy treatment. This research showed that Chiropractic care produced excellent short and long term results for patients with both acute and chronic pain; and patients with moderate and severe pain. This research showed the superior effectiveness and cost effectiveness of Chiropractic care. The results of this research were endorsed by the British Medical Association.

The "Agency for Health Care Policy and Research," 1994, a 23 member multidisciplinary (all types of health care professionals) expert panel set up and run by the US government recommended spinal manipulation as an appropriate first line approach to the treatment of most people with acute low back pain.

The "Clinical Standards Advisory Group," 1994, a 10 member multidisciplinary expert panel set up and run by the UK government found as above that Chiropractic treatment is an appropriate first line approach to the treatment of back pain.

The "Royal college of General Practitioners," 1996, recommended spinal manipulation as an appropriate first line approach to the treatment of back pain.

Dr William H Kirkaldy - Willis, Orthopaedic surgeon, Professor Orthopaedic surgery, Royal University Hospital, Saskatoon, Canada, reported after his 40 years of distinguished practice and research, that many spinal pain sufferers are greatly benefited from Chiropractic treatment, in fact, in one study he preformed approximately "90% of patients returned to full function with no restrictions for work and other activities," after Chiropractic treatment.

All across the world, experts are recommending Chiropractic care for people with neck and back pain. If want to find out if Chiropractic can help your neck or back pain contact your local Chiropractor.

The Benefits of Pelvic Stabilizers for Back Pain

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Our bodies work best when both sides are equal and balanced; after all, that's how they were designed to work! Yet most of us aren't totally symmetrical. Some of those asymmetries have no effect on our bodies. But when our feet our unbalanced, the result can be back pain. It sounds farfetched, but our bodies are complex machines with plenty of intricate-and interconnected-parts.

How Foot Misalignment Causes Back Pain

Your feet are truly the foundation of your body. And without a strong, level foundation the rest of your body can get a little...off-kilter. Eventually the imbalance in your feet causes imbalances in other parts of your body, like a chain reaction. First your pelvis gets off balance, which in turn pushes your shoulders and spine out of balance.

• A fallen arch causes your foot to flatten and roll (pronate). The connected leg automatically begins to turn inward.
• As the leg rotates excessively, there's extra stress on the knee, along with twisting of the hips and spine. If only one leg is turning, the pelvis becomes off balance, contributing to functional scoliosis.
• Once your pelvis is tilted, there's more tension on the muscles and connective tissue around it-which connect to your back muscles and bones. Eventually this causes chronic back pain.
• Favoring one side over the other when you walk or run can lead to uneven loss of your body's natural "shock absorbers" over time. The extra stress on the foot can travel up the body, causing joint and back pain.

Why Doctors Recommend Spinal Pelvic Stabilizers
A pelvic stabilizer isn't an effective treatment for all kinds of back pain. However, if your back pain originates from a structural imbalance in your skeletal system, it could be an ideal option. A few benefits of spinal pelvic stabilizers:

• Spinal pelvic stabilizers support your foot, preventing excessive turning or twisting of the foot and ankle. This reduces unnecessary stress on the body.
• A pelvic stabilizer provides additional shock absorption, reducing your risk for repetitive stress injuries in joints and muscles and decreasing the symptoms of arthritis.
• Pelvic stabilizers are less expensive and less invasive than many other back pain treatment options. If back pain is caused by a structural or functional problem, stabilizers are often the best option.

Ultimately pelvic stabilizers can do more than simply reduce back and body pain. They can help you improve athletic performance; reduce the occurrence of back, leg, knee or foot problems.

Back Suffering - What Is Osteophyte?

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Osteophytes are little round swelling of more bone that grows around the joints. They are sometimes called bone spurs. They are the effort of the body to recompense for the existing bone and also degeneration of ligament due to aging or injury. Unluckily, the attempt of the body to cure itself through this way is ineffective. They are created by the human body in order to limit or stop the motion in weakening joints that become too loose.

Since the gradual worsening of joint conditions are some features of the aged and athletes, this is disorder is very common in sports related damages or arthritis. In reality, they frequently lead to arthritis, and also a situation identified as spinal stenosis. Other features in the growth of bone spurs include fractures, bone deformations, poor posture and hereditary factors.

Majority of osteophytes are mostly seen along the backbone, but they can be seen in any bone in the human body. Even though they are not sources of pains themselves, they can form pressure in any nerves that stem out from spinal column and result in hurting and occasionally weakening medical situations. In several cases, anybody with bone spurs may not suffer any signs. When symptoms exist, they generally are due to stress on some numbers of nerves of the human body.

Numbness or tingling feelings in the legs, hands, and arms or feet may indicate presence of osteophytes along the spinal column. It is a normal experience also to suffer muscle spasms, cramping or weakness. Sufferers may possibly lose their capacity to move portions of the body; when the disorder is present in the higher portion of the vertebral column of the neckline area, symptoms may include dizziness, headache and general pain in the neck.

Some signs of the disorder depend on the location and size and it is possible that the ability of the patient to move other parts of his/her body will be lost. Some of the signs that are the outcomes from osteophytes are the characteristics also of some other medical illnesses or disorders. In order to be sure that the symptoms are really caused by the said illness, the doctor will advice the patient be examined through x-rays, computed tomography (CT) scans, magnetic resonance imaging (MRI) and electro conductive examinations to evaluate the actual functions of the nerves.

Treatment for this ailment may comprise of anti-inflammatory medicines like cortisone, physical therapy, rest, and ultimately surgery for severe cases. The advice of a physician is really needed before you take any medication.

Spinal Arthritis - Old Age is Not the Only Cause

spinal stenosis

For a lot of older people that are suffering from spinal arthritis feel very debilitated. Most of the people suffering from this disease are older, but there are some younger persons that are already have been struck by a mild form of spinal arthritis. This type of arthritis has a lot of symptoms and most of them are pain related. Most of the time these start out in a mild form but will progress with the years.

When you are diagnosed with spinal arthritis it is no reason to be alarmed then it is not a life threatening or dangerous disease. The biggest problem would be that in time the mobility of the person that hears this diagnosis will become more and more difficult and painful. This being the fact with the years the painkillers will need to be stronger and stronger.

What are the causes

There are not many kinds of this type of arthritis, osteoarthritis, spinal stenosis, degenerative disc disease and arthritis of the facet joints. The causes that are the most common for this type of spine disease is a succumbing to wear and tear, that is age related, of the spine cartilages, normal aging and injury to the bone. This last cause can then go on to cause bone burs which can be very painful.

The spine cartilages are caused to wear down and this results in a friction of these cartilages, but also pain, swelling loss of motion and inflammation. When the spinal arthritis is due to osteoporosis, it will be, for the most part, focused on the neck an lower back region. This kind will come as we become of age and often starts with some pain in the spine and lower back. As the cartilages become more and more degenerated there will start to be an increase of friction between them. The morning and the evening are the times of day that the pain will be the most.

Old age is the biggest cause of arthritis in the spin but a poor diet is another. Most people focus to much on their organs when it comes to their diet and thus overlook the health of bone and cartilage in general.

Some of the symptoms

Pain, joint stiffness, swelling, feeling as if your bones are rubbing together, a feeling of numbness, deforming of the spine and a reduced agility are some of the symptoms you will see with this form of arthritis in the spine and are very similar to what other forms of this disease would show.

There are still people who think that cold weather would aggravate spinal arthritis but there is not much data on this so it is difficult to call this a fact or myth. If you really want to reduce this disease you need to drink a lot of skimmed or non fat milk. Another thing to do is to use calcium supplements but beware because sometimes these can have an undesired effect. Ask your doctor what these are and if you should take them or not.

Understanding Sciatica - 9 Factors Contributing to Sciatic Nerve Pain Or Sciatica

spinal stenosis

What is sciatica? Sciatica is one of the most difficult conditions for medical practitioners, even those experienced in treating back pain and sciatica patients, to identify and treat. Sciatica often presents itself as a tingling and/or numbness, not unlike the feeling one may experience with a pulled hamstring muscle, the biceps femoris at the back of the leg. The sensation may be dull, almost an ache, with periods of tingling and/or numbness occurring during certain activities. The tingling and/or numbness experienced, if not treated, may develop into a full-blown chronically acute phase with pain shooting across the buttocks and radiating down the leg. Sciatica may affect one or both legs, usually one, beginning as a pain radiating from some point in the lower back, the lumbar spine, then across the gluteal muscles (the buttocks), and finally down the back of the leg. In advanced cases, sciatica reaches all the way into the feet and toes, causing discomfort and an eventual loss of feeling.

Interestingly, sciatica is not a specific condition, it is simply a catch-all medical term applied to a constellation of symptoms in order to describe a state the back pain sufferer is in. In this case, sciatica is used to describe a patient's complaint of pain radiating across the buttocks, down the leg, and into the feet and toes...along with the associated tingling and/or numbness. Sciatica may be caused by a number of conditions, from stress and trauma at a specific location on the spine, the lower back or lumbar curvature, to a more generalized condition such as obesity or pregnancy. There are a number of other conditions associated with sciatica, all requiring varying degrees of medical intervention and treatment. Some of the conditions likely to present with sciatica are:

1. Osteomyelitis: An infection of the bone or bone marrow. Osteomyelitis may be debilitating and in extreme cases may even cause death. It is difficult to diagnose and may go undetected for a long time unless appropriate blood tests are ordered and the medical practitioner is well trained in infectious diseases affecting the bones.

2. Tumors on or near the spine: Tumors, particularly tumors or abnormal growth (e.g., scar tissue) affecting the nerves or nerve roots as they exit the spinal canal and intervertebral foramen, will sciatic nerve pain or sciatica.

3. Degenerative Disc Disease: Once again, degenerative disc disease is not a disease any more than sciatic nerve pain, called sciatica, is a specific condition. Degenerative disc disease is a breakdown of the IVDs, the intervertebral discs, and is usually a consequence of aging combined with the any or all of the 5 principal factors affecting the spine as we age.

o Excess weight and/or obesity

o Muscle weakness

o Muscle Imbalance

o Inadequate nutrition and diet

o Inadequate hydration or dehydration

4. Herniated (i.e., ruptured) or bulging disc: This condition may be particularly problematic if the herniated disc or bulging disc is protruding posteriorly (to the back) and into the spinal canal, or impinging on the nerve root at the intervertebral foramen, thus placing pressure on the spine and/or nerve root; and, sciatica is the result in many instances.

5. Piriformis syndrome: We will cover the piriformis syndrome and how it relates to sciatica in depth in a subsequent video and article. Recent research has demonstrated that this little-known syndrome, at least in the lay community, may be a factor in as many as eight out of ten sciatica cases. The piriformis muscle works particularly hard in runners and others who are physically active, often resulting in RMI or repetitive motion injury.

6. Spinal stenosis: This is a narrowing of the spinal canal and/or intervertebral foramen. In fact, any narrowing of a structure can be defined broadly as a stenosis. The stenosis, the narrowing affects and/or obstructs the pathway for nerves, thus exacerbating pain...in this case creating the sciatic nerve pain associated with sciatica.

7. Spondylolysis: In layman's terms, it is a stress fracture at the back of the vertebra, the vertebral body (the front part) breaks away from the back part of the vertebra (everything else). In osteological terms, the break occurs at the pars interarticularis of the vertebra, usually at the fifth lumbar vertebra, the last vertebra before the lumbar spine articulates with the sacrum or tailbone. This is usually associated with spondylolisthesis, the next contributor to sciatic nerve pain.

8. Spondylolisthesis: Usually associated with spondylolysis in younger back pain and sciatica patients but may present without spondylolysis in older adults. Spondylolisthesis is the result of an anterior (forward) shift in the vertebra body, in fact the entire vertebra when spondylolysis is absent, or the vertebral column in relationship to the remainder of the vertebral column below. There are a number of reasons why this condition may occur but in younger patients it is usually found with spondylolysis. We will discuss this condition in depth in a subsequent article and video but suffice it to say that any change in the overall structure of the spine, particularly at the lumbar curvature, will create sciatic nerve pain.

9. Trauma: Trauma and stress go hand in hand when it comes to back pain and sciatica. Trauma may be localized, meaning the spine will take the brunt of the stress at a specific location, or it may be generalized and affect several levels simultaneously. The better equipped we are in terms of muscle strength, muscle balance (or imbalance), and the other factors affecting spine health, the better equipped we will be to handle appropriate levels of stress. The IVDs are remarkably resilient and very strong but if the discs undergo change as a result of any of the 5 factors listed above, or the traumatic event is profound enough, damage to the spine may occur; and, sciatica may be the outcome. In this case, a medical practitioner should always be the first step in any bad back treatment strategy.

In reality, any one of the factors above, or several of the above mentioned conditions together, may cause low back pain and sciatica. Sciatica is, once again, the presentation of a specific type of pain. The actual condition causing the sciatic nerve pain may be any of the above or a number of other conditions not discussed here; these are some of the main ones.

Your medical practitioner may refer to sciatica as radiculopathy, particularly lumbar radiculopathy, because sciatica originates in the lumbar curvature or lumbar region of the spine. This has become a catch-all, in much the same was sciatica has; and, both are used when a more appropriate designation should be applied. But for now, understand that if your medical practitioner refers to sciatica and/or lumbar radiculopathy, he or she is usually referring to pain radiating from the lumbar region of the spine, at times across the buttocks, down the back of the leg, and even into the feet and toes. We will discuss sciatica in much greater depth in upcoming articles and videos.

Causes of Sciatic Nerve Pain - Ouch My Back Hurts!

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Sciatica is not a disorder but a term used to describe radiating pain starting from the lumbar area down to the buttocks and over the posterior side of the lower limbs. Causes of sciatica have been directly associated to several spinal disorders. The disorders of the spine, especially those which occur in the lumbar area, result to the compression of the sciatic nerve which is pinpointed as the main cause of sciatica.

There are five sets of paired nerves which are present in the lumbar spine. These nerves combine to create the sciatic nerve. The sciatic nerve is the longest nerve in the body which runs from the back of the pelvis, under the buttocks and down to the hips into each of the legs. The nerve roots are generally present in the entire nervous system of the body. It functions to transmit nerve impulses to all the other parts of the body.

A herniated or bulging disk is the most common cause of sciatica. The bones in the spine are separated by pads of cartilages called the disks. It acts as cushion and shock absorber to the vertebrae, to protect it as you move. Aging is said to be the main cause of a herniated disk. As you grow older, the disks deteriorate and become more brittle. The gel like substance which is contained on the outer wall of the disk drips out as it develops tiny tears over the course of time. The herniated or bulging disk presses adjacent nerve roots and compresses delicate nerve tissue which is manifested through sciatica. Its danger doesn't end in nerve compression since it can also cause nerve inflammation due to direct exposure to acidic chemical irritants which is contained within the disk. People who have damaged disks on the lower back often experience numbness of the extremity, pain, tingling sensation and weakness of the buttocks or legs.

Spinal Stenosis is another disorder which causes nerve compression. It occurs when certain areas in the spinal canal becomes narrowed. It then creates pressure on the spinal cord and its adjacent nerve roots. When the clogging of the nerve canal occurs at the lower back or lumbar spine it is termed as lumbar spinal stenosis.

The disorder that commonly affects the lumbar spine is called Spondylolisthesis. It is a degenerative disk disease characterized by slipping of one vertebra towards an adjacent vertebra. It often causes leg pain due to the displacement of the bone resulting to nerve root compression.

When the sciatic nerve is compressed by muscle spasm developed in the piriformis muscle it give rise to Piriformis Syndrome. The build up of muscle spasms on the piriformis muscle affects the sciatic nerve which passes through beneath it. A radiating pain felt at the back of the thigh is usually noted.

Spinal tumors, trauma and injury are other probable causes of sciatica. If you are experiencing any of these spinal conditions, immediately consult a spinal specialist for proper medical intervention. Early diagnosis is the key to successful treatment, so start getting treatment for sciatica nerve pain relief. Relieving the pain is the best cure for sciatica.

Spinal Decompression Best Treated Conditions - Herniated Disc, Stenosis, Facets, Sciatica and More

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Spinal Decompression has five conditions (herniated discs, spinal stenosis, facet syndromes, sciatica, and degenerative discs) that respond best to spinal decompression treatment. This article explains each of the five conditions and how spinal decompression therapy helps relieve pain and restore function.

Just imagine you are in a car accident and suffer a severe head injury with multiple lacerations causing massive loss of blood. You need to go directly to the emergency room and stop the bleeding. This is not the time to see the chiropractor, physical therapist, or massage therapist. We know finding a doctor who is experienced and knowledgeable about your injury or condition is huge in getting a good result with any chosen treatment. There is no single treatment that fits all diseases, injuries, or conditions. Proper pairing of doctor, patient, and condition is essential for a successful treatment plan, especially for spinal decompression.

Spinal decompression has been cleared by the Food and Drug Administration (FDA) for the relief of lower back and leg pain and neck and arm pain.

The top five conditions that respond best to spinal decompression include:

Herniated, Protruding, or Bulging Discs

The number one condition that responds best to spinal decompression is herniated, bulging, or protruding disc. Herniated, bulging, and protruding disc are different words used for the same condition. In the past, doctors have tried to differentiate between the types of disc by using different words.

Herniated disc occur when the ring fibers of cartilage in the disc dehydrate, crack, or tear allowing the thick liquid nucleus of the disc to migrate into the crack or tear. Once pressure is placed on the disc, the material of the nucleus causes the weakened cartilage to bulge, protrude, or herniate.

Herniated disc cause pain by making direct contact on a spinal nerve, leak chemicals in and around the spinal nerves causing irritation, or irritating the nerves that connect to the outer layers of the disc.

Herniated, bulging, or protruding disc often cause leg and lower back pain or neck and arm pain. Ninety percent of the time when pain goes below the knee it is due to a herniated disc in the lower back.

Spinal Stenosis

Each vertebra has an anterior joint consisting of the body, a disc, and another body of the vertebra above or below. Posterior joints include four processes of bone(two superior and two inferior on both sides) that allow movement of one vertebra on another.

In between the anterior joint and the posterior joints there is a hole, called the spinal canal. There are also holes (foramen) on the sides, where nerves exit the spinal cord and go out to each area of the body. You suffer spinal stenosis when either the spinal canal or the foramen are too narrow.Spinal stenosis occurs because:

1. Joint hypertrophy (an overgrowth of bone due to arthritis of the posterior joints).


2. Genetic design. Your genetic code dictates the size and diameter of the spinal canal. People often have more narrowed spinal canals at different levels of the spine.


3. Herniated, bulging, or protruding disc also can cause the spinal canals to narrow.


4. Overgrowth of bone in and around the spinal canal due to stress, old fractures, results of an inflammatory process, or due to cancer.


5. Space occupying lesions, such as benign or cancerous tumors in the spinal canal are less common.

Facet Syndromes

The disc and the vertebra make up the anterior joint of the spine. The facets are the posterior joints of the spine. The joints surface of the facet is like the white shiny surface of a fresh drumstick of a chicken leg. The joint surfaces are rich in nerve endings and are extremely sensitive to pressure. Facet syndromes are caused when a joint surface of one facet binds against another. Facet syndromes cause lower back and leg pain.

Sciatica

The sciatic nerve is the longest nerve in your body and often is referred to as the 6 foot neuron. This nerve begins in the lower back and continues down the leg all the way to the toes of the foot. The sciatic nerve is composed of nerves from the L4, L5, S1, and S2 nerve roots and form one large bundle to create the sciatic nerve. Pain radiating down the leg below the knee is referred to as "true sciatica" and 90% of the time is caused from a herniated disc.

Degenerative Discs

Discs dehydrate and lose their water making the ring fibers of cartilage dry and hard much like shoe leather. Not only does the disc dry out but the bone attached to the disc usually has a proliferation of bone spurs. This is a chronic process called degenerative disc disease. Degenerative disc cause pain because the loss of height of the nerve holes (foramen) and a narrowing of the spinal canal. Often degenerative disc herniate, bulges, or protrudes. Whenever this degenerative process puts pressure on the nerve it cause lower back and leg pain or neck and arm pain.

Quick Neck Pain Relief Using the Feldenkrais Method

spinal stenosis

Most people have experienced neck pain. Unfortunately for some, neck pain occurs regularly. As the neck is a complicated structure, chronic neck pain may result from muscular, skeletal, airway, digestive, or nerve problems. Pathology in the neck can also create chronic headaches. Once a serious cause of the pain is eliminated as a possibility, more common problems can be addressed. These include:

• Muscle tightness and neck muscle strain is one of the most common causes of neck pain.


• Prolonged postures such as chair sitting and couch lying may create strain in the neck.


• Jaw clenching and teeth grinding can be felt as chronic neck tightness.


• Arthritis involves degenerative changes in the spine creating inflammation in the neck.


• Spinal stenosis is caused by degenerative changes affecting the spinal canal whereby moving the neck creates pain, numbness, or weakness in the neck, arms or hands.


• Spinal disc disease includes degenerative changes in the discs of the neck which may affect the nerves of the neck, shoulder, and arms.

To achieve relief from chronic neck pain one must understand that neck pain is not prevented by the strengthening of the muscles of the neck or stretching the spinal vertebrae with traction. It's the stability of the neck rather than the strength or flexibility of the neck that protects your neck from harm; and therapy for stability is quite different from strength training.

Wouldn't it be nice to have a therapy method that could relieve your pain completely and stabilize your neck in anywhere from one hour to one week? The Feldenkrais Method can show you how to rid yourself of neck pain for good, without drugs, surgery or machines. Feldenkrais has been used to treat hundreds of people suffering from neck pain, the goals of therapy being to relieve your pain and prevent your neck from being injured again.

The Feldenkrais Method uses simple, gentle movements to reorganize posture, flexibility, strength and coordination. And in doing so, provides an environment within which your chronic pain can heal. Discover what Feldenkrais can do for your sore neck.

Lumbar Laminectomy Surgery

spinal stenosis

A procedure to correct and ease the strain onto your spinal cord or nerve is named Lumbar laminectomy surgery. The lamina which is removed is a procedure called laminectomy. Doctors also call it as lumbar decompression. Suck kind of surgical procedure is best for conditions over the lower back area like stenosis or bulging discs. A back condition that can occur when the canal of your spine begins to narrow down that may lead to spinal nerve compression is called stenosis.

A condition caused by aging process that comes to everyone normally is known as osteoporosis. Bulging or herniated discs occur whenever the paddling within your vertebrae bulges outward or toward the spinal nerves. This disc serves as a shock absorber. There are also few several cases when the paddling moves toward the spinal nerves and pushes it.

Today, the lumbar laminectomy procedure can be done by using minimum invasive surgery in your spine. Such kind of surgery entails dilation of the muscles and small incisions that will allow the surgeons to gently split muscles surrounding your spine and stay away from cutting them. The goal of laminectomy is help the patient ease the strain felt in the spinal cord or nerve through the widening of the spinal canal.

This procedure may be performed through removing or trimming your vertebrae's lamina or roof so that your nerves will have more space. This can be done without the need of fusing the vertebrae and taking other parts of your bulging disc.

Many surgery devices are typically used as screws or rods that help obtain solid fusion. Such devices may also provide support to unstable parts of the spine. Healing rate greatly depends on patient's preoperative condition and age. After the patient's operation, he has to rest inside a medical facility for one to three days. For faster recovery, they are advised to start and practice walking.

A nurse should always look after the patient during his healing process to observe and monitor progress. The patient shouldn't be taken for granted as his condition might worsen. For a rapid recovery, the doctor's advice must always be applied.

Spinal Stenosis - Reasons and Treatment Options

spinal stenosis

Spinal Stenosis is a medical condition that is found mostly in elderly people. The spinal canal, which stretches from the bottom of the head to the top of the pelvis, might become narrow and the spinal cord and nerves get compressed. This causes low back pain, pain or numbness in legs, thighs and buttocks, and sometimes loss of bladder and bowel control in severe cases.

The spinal canal consists of a number of vertebrae aligned together like a stack. The spinal canal may be divided into cervical spine (in the neck), thoracic spine (the mid back) and lumbar spine (the lower back). The spinal cord passes though the spinal canal. There are nerves coming out from the spinal cord and between the openings (known as foramen) in vertebrae, spreading out to the whole body. The nerves from spinal cord in the cervical region control the arms the nerves from spinal cord in the lumbar region control the legs. Spinal Stenosis is more common in cervical and lumbar spine. Lumbar spinal stenosis causes pain and numbness in legs whereas cervical spinal stenosis can cause pain and numbness in arms, shoulders and legs.

The foremost reason for narrowing of the spinal canal is a gradual degeneration of the spine with age. The gradual changes in bony and soft tissues of the spine may result in spinal stenosis. Osteoporosis or a tumor can also put pressure on the spinal cord and nerves. Arthritis can settle in with age and also affect the spine. This can cause cartilage wear and tear between the bones on the joints of the vertebral column. The discs between the vertebrae might bulge out or ligaments can also thicken in some cases. This cramps the space available for spinal nerves and spinal tissues, resulting in pain and numbness in lower back or legs. Such arthritis only worsens with time and if not treated promptly, can result in loss of bladder and bowel control. If one vertebra slips forward on another, that can also cause spinal stenosis.

Treatment for spinal stenosis depends on the severity of the condition. It is always advisable to start with a non operative course. Medication needs to be taken to reduce inflammation and pain. Some medications meant for nerve pain are particularly helpful. Physiotherapy can also be tried as a treatment option. Application of hot and cold packs can also help. Steroid injections for the lumbar spine can provide relief but should be taken in moderation. A corset can be worn to support the abdominal muscles.

If there is no improvement with these treatments or if the patient experiences loss of bladder and bowel control, it is better to opt for surgery to avoid damaging the spinal tissues permanently. Generally, Lumbar Decompression Surgery is needed to remove whatever might be cramping the nerves in the spinal canal or vertebral foramen. A small portion of vertebra may be removed so that spinal tissues are freed. If the number of restrictive structures to be removed is much, it can cause spinal instability. In such a case, a spinal fusion is required to attach the vertebrae together. This surgery can successfully eliminate the pain and numbness in legs.

Sciatica Pain - Issues and Treatments

spinal stenosis

Sciatica pain can be an uncomfortable condition, created through pressure on the sciatic nerve. The sciatic nerve is the largest nerve in the body and runs from the lower back down both legs. The pain can be felt in the lower back, butt, legs or feet and can be a dull ache, a tingle, a numb feeling or acute pain. The severity of the pain is largely dependent upon the amount of irritation and damage caused to the sciatic nerve.

Sciatica pain can be caused by a number of conditions, such as spinal misalignment, slipped disc, injury to the hips, Piriformis syndrome (Piriformis is a muscle that runs from the lower back to the hip bone, and runs across the sciatic nerve). Pregnancy, a tumor, spinal stenosis and spondylolisthesis may also cause the same symptoms.

Pain can become worse with certain movements, here are the most common ones:

• Sitting down or standing up;
• Bending over;
• Whilst in bed sleeping;
• Walking;
• From sudden movements such as coughing, sneezing or laughing.

There are many symptoms that can indicate Sciatica; here are some of the most common:

• Sharp pain particularly in the lower back, possibly also in the hip, down the leg or in the foot;
• Weakness, numbness (as if the leg has gone to sleep) difficulty putting weight on the leg through
discomfort;

The sciatica pain symptoms are typically experienced only on one side of the body, and the pain may be continual or it may occur infrequently and 'flare ups' are experienced.

Sciatica Treatment

Sciatica causes are numerous and therefore there are an equal number of treatments for each. There are a large number of treatments that can one can attempt to try to relieve pain quickly. To be safe, anyone feeling pain from what they suspect is Sciatica should consult a medical practitioner to ensure that there are no serious issues that need to be resolved first.

• To take down the swelling caused by irritation to the sciatic nerve, ice should be applied to the painful area, for example the lower back. Keep applying the ice packs once the pain builds back up (Approximately every hour or so). Applying heat at this point will relax the muscles, but may also increase the swelling once again, so use only if helpful;

• Rest can be good to a point so that no further injury occurs and the swelling goes down. However too much rest and your back and muscles may seize up, so make sure you do some light exercise such as walking for 30 minutes a day if you can do (straight after the incident this might not be possible);

• Stretching of the lower back, and piriformis muscles, including stretching of the hamstrings;

• Exercises may be undertaken to retrain the muscles to better support the spine through greater strength in the core muscles (the back and abdominal muscles)

• Avoid lifting heavy items, and if you do have to lift anything, ensure that you keep your back straight and lift with the legs

Pain Relief Medicines

You can take pain relief medicines if the pain is really bad, but remember that the pain is your body telling you that something is not right, and you should be capable of taking notice of that fact too, otherwise you could make things worse.

Medicines such as ibuprofen to take the swelling down and relieve localized pain, also Aspirin can be used to relieve pain. Since medicines do not in any way address the problem, we recommend that you only take them for a short period of time, and attempt other forms of rehabilitation such as exercises and stretching or other forms of therapy.

Chiropractor

A chiropractor may be able to help you to relieve short-term pain, as well as helping you back to heal in such a way, so as the painful episode may not return. A chiropractor does this by re-aligning the spine, so that it moves back toward the s curve that it should be. When the back is in its natural curved form, it can more ably handle loads, can bend and twist more easily in all directions, and should not pinch nerves since ultimately the discs should return to being equally spaced once more. The short term relief will be due to the vertebra being freed up, so that they are no longer stiff, and held in an uncomfortable or nerve trapping location. These corrections will initially not hold for long before another adjustment is required, but over time will last longer and longer, as your back becomes the shape that it should be.

Physical Therapy

Physical Therapy is another therapy that you might consider that can consist of massage, stretches and exercises that will help to make your joints move in the way that they should do. The massage from a physical therapist is highly likely to provide really good relief from the immediate issues, however if the spine is misaligned, the problem will still exist. Some of the therapies offered may also assist with the body healing itself, and so can be very worthwhile in getting you healthy once more.

Surgical Procedures

When Sciatica pain cannot be relieved by the above measures than surgery is recommended, but only when all other options have failed. You should discuss the options for surgery with your medical practitioner. Note that there are other therapies available which may assist with recovery before surgery is considered but there are more likely to offer temporary relieve of severe problems rather than being a permanent relief. Pain may also be associated with the brain, and therefore it may be that a neurologist can provide a better prognosis than being operated on. These situations are specific to the patient; the problem causing the sciatica may be due to a bigger problem with the spine, which will have its own particular solution.

Cervical Spinal Stenosis Discussed

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The vertebrae are a collection of interconnected bones which forms the cervical spine. The human spinal cord encompasses many of the major nerves and allows the movement of arms and legs, bladder and bowel control and the feeling of sensations.

Cervical Spinal Stenosis is a condition which results when the spinal canal becomes narrowed. The condition is often associated with old age as the discs in the back start to reduce their water content and harden as a result. The discs can become shrunken and may protrude out into the spinal canal. There may also be a possibility of the spinal joints extruding into the spinal canal. A further condition may result known as Cervical Myelopathy as a narrowing of the spinal canal creates pressure on the spinal cord which can have an adverse effect upon the nerve functions.

Strangely enough Cervical Spinal Stenosis often does not have any symptoms. If the condition develops to the stage of Cervical Myelopathy there may be some pain in the neck and arm area, weakness and loss of mobility in these areas. Advanced stages of the disease may produce other symptoms such as incontinence which may be gradual or rapid in onset.

To prevent Cervical Spinal Stenosis and Cervical Myelopathy early detection is vital. This is done by physical examination and diagnostic testing as well as an MRI (magnetic resonance imaging) and CT (computed tomography) scanning which will give a good indication of the degree of narrowing of the spinal canal. Other tests may be undertaken for a more complete diagnosis.

Possible treatments for Cervical Spinal Stenosis.

Treatment will vary depending on how pronounced the condition is. This may be by operative or non operative procedures. When patients are very fragile and suffer pain in the affected areas along with a difficulty in walking, surgery will be required. Physical therapy may be beneficial in less severe cases. Patients should be aware that physical therapy is not a cure and will not reverse the narrowing of the spinal canal. It is more aimed at pain management and the ability to control pain and function effectively without having to resort to surgery.

The initial physical therapy is aimed at increasing general flexibility in the extremities and in the neck and arms and legs which usually involves stretching exercise. Increased circulation and endurance can be achieved with swimming and treadmill type exercise and others of the cardiovascular type. These exercises should also in help to increase overall strength and can be performed with the therapist or at home. The treatment should be undertaken for at least three months and there is no improvement after this period then surgery may be recommended.

McKenzie Method For Chronic Low Back Pain

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Chronic low back pain (CLBP) remains a challenging condition to manage, one that carries a significant socioeconomic burden. There are a plethora of non-surgical treatments for CLBP, which can overwhelm stakeholders such as patients, third party payers, health care providers, researchers, and policy makers. Although all involved should strive for the most effective treatment that utilizes minimal health care resources, there is often clinical uncertainty as to which treatment is most appropriate for the individual patient.

In order to better understand the state of existing literature on non-surgical treatments for CLBP, the North American Spine Society sponsored a special focus issue of The Spine Journal. This review of the McKenzie method was one of the papers featured in this issue. An executive summary of background information and pertinent findings will be presented in this review.

Terminology/History of the McKenzie Method:

• in 1958, the basis for the technique was discovered accidentally, when a patient with leg symptoms inadvertently lay prone in an extended position for about 10 minutes, after which he reported to McKenzie that his leg had not felt as good for weeks
• studies on the McKenzie method began in 1990, including many studies that have been done on the concept of centralization
• the McKenzie method includes both an assessment and an intervention component (NOTE: commonly in general practice and research, the term "McKenzie" is incorrectly applied when referring only to the application of extension exercises)
• the assessment component aims to classify the patient into one of three syndromes, and is commonly referred to as Mechanical Diagnosis and Therapy (MDT)
• the main objective of the assessment is to achieve a pattern of pain response called "centralization"
• Centralization: refers to the sequential and lasting abolition of distal referred symptoms, and subsequent reduction/elimination of spinal pain in response to a single direction of repeated movements or sustained postures
• Directional Preference: refers to a particular direction of lumbosacral motion or sustained posture that cause symptoms to centralize, decrease, or even disappear while the individual's spinal motion simultaneously returns to normal

General Description:

The overall objective of the McKenzie method is patient self-management, which includes three important phases:
1. Educating and demonstrating to patients the benefits of positions and end range movements on their symptoms, and the aggravating effects of the opposite positions.

2. Educating patients in methods to maintain the reduction and elimination of their symptoms.

3. Educating patients how to regain full function of the lumbar spine without symptom recurrence.

Additional Points:

• McKenzie noted that the value of a single direction of movement is frequently not apparent unless repeated a number of times to end range (it should be noted that often the initial attempts in a particular direction may increase symptoms)
• provided that each direction of lumbar motion is tested repeatedly and to end-range, a directional preference can normally be identified
• a regular McKenzie assessment includes a full medical history and physical examination, including assessment of response to repeated lumbar movements

Utilizing this information, patients can be classified into one of three mechanical syndromes proposed by McKenzie:

1. Derangement Syndrome: has the distinctive pain response of centralization with a directional preference.
2. Dysfunction Syndrome: found only in patients with chronic symptoms, characterized by intermittent pain produced only at end range in a single direction restricted movement. Unlike derangement, there is no rapid change in symptoms or ROM as a result of performing repeated motions.
3. Postural Syndrome: typically not seen in chronic LBP, is intermittent in nature, located in the midline and is provoked by sustained slouch sitting. Symptoms are typically abolished by correction of sitting posture (normally restoration of lumbar lordosis).

Management According to McKenzie Syndrome Classification:

• Derangement Syndrome: aim is to rapidly centralize and eliminate all symptoms while restoring normal lumbar motion
• Dysfunction Syndrome: treatment is intentionally aimed at reproducing the symptoms at end range so that the short, painful structure can be adequately lengthened in order to heal and become pain-free over time
• Postural Syndrome: education is aimed at improving posture, which will remove undue physical stress from involved tissue and improve symptoms
• it is important to note that each patient requires individualized exercises, and no generic prescription of exercises will suffice
• for a minority of patients, generally those with chronic LBP, the end range force they can generate will be insufficient to eliminate pain - in these instances, clinicians can provide manual assistance/pressure to the movements, and even progress to spinal manipulation/mobilization in the patient's directional preference

Evidence Surrounding the McKenzie Method and Centralization:

• at least six studies have demonstrated that centralization is a positive prognostic factor for LBP (i.e. those who "centralize" with a particular movement or direction have better outcomes)
• in fact, a recent systematic review1 on centralization concluded that, when elicited, centralization predicts a high probability of positive treatment outcome when treatment is guided by assessment findings
• two studies have demonstrated that centralization is a more important prognostic indicator than fear-avoidance and work-related issues
• further, failure to change pain location on assessment (non-centralization) has been shown to be a poor prognostic indicator and a predictor of poor behavioral response to spinal pain
• although seemingly evident, in the literature there is some indication that those patients with mechanical LBP that is affected by posture will respond favorably to directional exercises
• in many published clinical guidelines, the interventional component of the McKenzie method has been mentioned, while the assessment component has been overlooked
• two systematic reviews2,3 on the McKenzie method have been conducted - both concluding that there was limited evidence relating to chronic LBP, but also suggesting that small benefits were noted versus a variety of comparison treatments
• a third systematic review4 on physical therapy-directed exercise interventions after classification by symptom response methods (included mixed duration LBP patients), concluded that exercise implemented based on patient response was significantly better than control or comparison interventions (4/5 studies investigated McKenzie method, all scored 6+ on PEDro scale indicating high quality)
• studies investigating the reliability of the McKenzie assessment have produced mixed results - further studies are required
• there are numerous ongoing studies on the McKenzie method, including subgroup determination in CLBP, clinical prediction rules, comparative prognostic value studies, anatomical studies, and treatment RCTs

Conclusions & Practical Application:

The McKenzie method certainly has a role to play in the overall assessment and management of low back pain. It has the potential to reliably classify patients into groups based on directional preference, which have distinctly different treatment and self-management needs. It is relatively simple, and straightforward in its approach. Considering the recent emphasis in the literature on sub-grouping LBP patients in the context of a Clinical Prediction Rule (which does include a category for directional exercise), research attention paid to the McKenzie method, MDT, and the centralization phenomenon should continue to rise. Such classification approaches can help guide clinical decision making, and improve treatment outcomes for LBP patients.

Sleeping With Spinal Stenosis, Sciatica Pain and Disc Herniation

spinal stenosis

Sleeping on your side (side sleeping) is the recommended position for proper spine alignment.  Coincidentally, sleeping in this position can lead to other problems, especially given lower back pain and discomfort related to sciatica, herniated discs, and other sciatic nerve irritations.

When sleeping on your side, typically the upper leg will drift during sleep, moving forward and when unsupported by the lower leg, roll forward and down.  In order to accomplish this position, the pelvis must rotate in a twisting motion.  This twist places strain and stressors on the spine sacroiliac joint.  The twists affect the lower vertebrae and discs.  It not surprising that this can create pain and discomfort in the lower lumbar area (lower back) and the thoracic area of the back (middle back).  The muscles in your back tighten when stressed like this, and stretch the spinal ligaments. 

Lower back problems such as sciatica and sciatic nerve pain, especially from herniated discs and/or spinal stenosis, can be greatly aggravated.  The objective is to maintain proper positioning while in the side sleeper position.  This can be accomplished by placing a leg pillow or cushion between the mid-thigh to knee region, to encourage maintenance of the recommended position throughout the night.  Picture the proper alignment of your legs with your spine.  The spine is on a horizontal plane when both legs are extended symmetrically from the body.  The support pillow should maintain the proper height and spacing of the legs, but also ensure the legs stay put and do not drift forward, creating the unwanted "twisting" stressors.

This usually causes pain in the lower back or pain that radiates through the buttocks and down into the legs.  This can also produce an intermittent shooting pain.   Sciatic pain may extend all the way to the feet, often dependent on corresponding nerves in the spinal column.  Interestingly,  sciatic pain usually affects only one side of the body at a time. 

Sciatica related symptoms and sciatic nerve pain may include:

1.    Pain in the buttocks or back of your leg, This pain can become worse after sitting.

2.    Can produce a burning sensation down the leg

3.    Can produce a Weakness and/or numbness in your leg or foot.

4.    May include a constant, persistent pain on one side of legs or buttocks

5.    Sometimes, a shooting pain making it difficult to stand.

Sciatica refers to symptoms of lower back conditions including herniated discs and spinal stenosis.  This pain is connected to an irritation of the sciatic nerve, the largest in the human body, which runs down the upper and lower back down into both legs.  It is the stress on the sciatic nerve which is the underlying root cause of sciatica.

Give this simple solution a try.  Many lower back and leg related discomfort is shorter term and can be effectively improved with proper care and treatment, and a little time. As always, consult a physician for proper medical treatment of all serious and longer term conditions. 

Isolated Stretching Exercises to Reduce Back Pain

spinal stenosis

Herniated Disk Diagnosis

If you have been diagnosed with a herniated disk a few exercises that can be performed if your sciatica pain is being caused by a herniated disk are called "extension exercises" or "press-ups". Some more advanced exercises are the "upper back extension" which helps strengthen the lower back muscle. Another advanced exercise is "Curl-ups" which helps to strengthen the upper abdominal muscles.

Spinal Stenosis Diagnosis

When your sciatica pain is associated with spinal stenosis "flexion exercises" (bending forward) may be recommended. You should do some stretching and strengthening exercises. Stretching can be accomplished by doing some "back flexion". Strengthening exercises would consist of "Hook-lying march" and "curl-ups".

Degenerative Disc Disease Diagnosis

Degenerative disk disease exercises generally require someone instructing you personally as the exercises are a little more complicated and need to be done correctly to obtain maximum results. The recommended exercises include: "Hook-lying march","Hook-lying march combination",and "Bridging".

Isthmic Spondylolisthesis Diagnosis

The exercises that should be done for Isthmic Spondylolisthesis usually requires some personal instruction as they are more difficult to do properly and you don't get as much benefit from them if they aren't done correctly. The recommended exercises usually include:"Pelvic tilt","Curl-ups",and "Hook-lying march".

Piriformis Syndrome Diagnosis

For piriformis syndrome stretching exercises are usually recommended. Some of the recommended ones are: "Supine piriformis stretches" and "Buttocks stretch". These exercises can be easily performed however you may want to check with a medical specialist on the proper form to use when doing these exercises.

Sacroiliac Joint Dysfunction Diagnosis

For sacroiliac joint dysfunction stretching exercises and range of motion are generally recommended. These exercises would include: "Single knee to chest stretch","Press-up" and "Lumbar rotation-non-weight bearing". Proper form should be utilized when performing theses exercises. You may want to check with a physical therapist or other spine specialist on the proper form that should be utilized.

In conclusion, there are several different and specific diagnosis that are causing your sciatica pain. Usually a physical therapist, chiropractor, physiatris, certified athletic trainer (ATC), or other spine specialist will prescribe specific exercises you should do and teach you how to do them. For each diagnosis there are specific exercises that can be done to help relieve your pain and discomfort from sciatica. You should always seek out a diagnosis from your physician to determine the underlying cause of your sciatica pain. To get the most out of your exercise-for-sciatica you should commit to a regular and longterm program. This will not only help alleve your current pain and discomfort but also help to prevent your symptoms from returning.

Facet Injections As a Choice for Back Pain

spinal stenosis

Facet injections are minimally invasive procedures that temporarily relieve pain resulting from an inflammation in a facet joint. Pain associated with a facet joint is not fully understood, but it is believed that it is possible that it stems from one of several causes, injury, arthritis, or degeneration, and it can produce symptoms similar to disc degeneration. A facet injection's benefits only last temporarily; from a mere day up to a year as it is a minimal procedure. Facet injections are usually used in conjunction with physical therapy and/or other forms of treatment such as chiropractic spinal manipulation.

Dual purpose

Facet injections work by introducing a long term corticosteroid, along with an anesthetic agent developed to numb the area, into the facet joint that is painful, either entering the capsule or alongside the surrounding tissue of the joint. The facet injection also has a purpose beyond the temporary pain relief; it can also be used as a diagnostic procedure. The facet injection blocks pain signals sent to the brain by numbing the nerves in that area, patients that benefit from these injections may be candidates for facet rhizotomy, which is a procedure in which the nerve endings in the affected area are deadened by use of an electric current that destroys the nerves and prevents them from signaling the brain for pain.

Candidates for facet injections are patients suffering from (any or all of these symptoms) neck, lower back, arm combined with leg pain, caused by inflammatory response in the joints. Facet injections are often recommended for patients that did not show improvement to other remedies such as rest, anti-inflammatory drugs, physical therapy or back braces.

Facet injections can be used to treat spinal stenosis, spondylolysis, sciatica, herniated disc, arthritis, or post-operative pain. People with active infections, are pregnant, have bleeding problems should not receive these injection. Also, persons with high blood pressure or diabetes should use caution as facet injections may raise levels of blood sugar (this effect last for about 24 hours), and can raise blood pressure levels.

Speedy pain relief

Facet joint injections are administered as an outpatient treatment by surgeons, physiatrists, radiologists, anesthesiologists, and neurologists using a fluoroscope. A fluoroscope is like an x-ray machine that allows the doctor to see the needle to help assure proper placement and a proper path. The patient usually feels a sensation similar to pressure but doesn't really feel pain as the area injected is usually numbed with a local anesthetic prior to the injection. Often the patient will be given drugs to lessen anxiety to help them relax during the injection. Most patients can walk immediately following the injection, but they will need someone to drive them home. The patient should notice pain relief within a week following the injection. If a lessening of pain is not noticed after ten days a second injection may be given, but if after three injections the patient feels no relief they are unlikely to benefit from further treatment. Typically half of patients given facet injections will gain relief from the treatment, and the procedure may be given three times per year.

Lower risks

Risks involved are considered minimal, but there are some; these include internal bleeding, infection at the site, allergic reaction, pounding in the temple, and damage to the nerve. There are also side effects which include fluid retention, hot flashes, mood swings or interrupted sleep patterns, and a rise in blood sugar levels. Diabetics have to be monitored carefully due to this. Also, patients who take anti-clotting or blood thinning medications should discuss the treatments with their family physician before beginning treatment.

Facet injections are a good choice in treatment to try before deciding on an invasive surgery when it comes to combating moderate to severe back pain, as it may just do the trick- with a lowered chance of complications and health risks.

Cures For Sciatica - 5 Characteristics Which Every Worthy Sciatic Nerve Pain Cure Must Possess!

spinal stenosis

Cures for sciatica which are guaranteed to work must possess certain characteristics. These characteristics are what assure you of their efficacy; what guarantees you that, if employed, these cures for sciatica won't fail.

So what are these characteristics? Well, that is the aim of this article. We will be looking at what these characteristics are and what they offer. At the end of this article, you would have discovered what it takes to pick the perfect cures for sciatica. Let's get on with it shall we?

#1. Worthy cures for sciatica must show you proper ways to exercise which are balanced and guaranteed to aid increased blood supply to the sciatic nerve while strengthening your muscles simultaneously. Anything less is unacceptable, period.

Alternatively, it should also possess a method for improving lower back strength...

#2. If a cure cannot give you assurances that it will improve your lower back strength and remove the distortions around it then it is a useless ineffective cure which you have every right to run away from.

There is no point targeting cures for sciatica which have no way of tackling these distortions and you need to know this to choose your perfect cure.

Additionally, it should have techniques guaranteed to relax tensed muscles...

#3. Muscle tension is another very nasty cause of sciatica and must be tackled by any cure out there. A cure must have a way of releasing muscle tension and providing a way to relax the pinched sciatic nerve.

Added to this should be a way to realign your pelvis and spine...

#4. The ability to proffer a method of realigning your pelvis with your spinal column should also be one of the techniques offered by worthy cures for sciatica.

Your piriformis can become tightened by the distortion of your pelvic bones. The piriformis describes the muscle in your buttocks and sits directly on your sciatic nerve. If any cure fails to realign your pelvic distortions, then your sciatica cannot be remedied and any relief you get will be short lived.

It should also have the ability to accurately examine and access the state of your spinal column...

#5. Any cure for sciatica that will eventually be successful must be able to offer a way to assess the state of your spinal column effectively and accurately.

To eliminate your sciatic nerve pain, good cures for sciatica must be able to determine the root cause of your condition by having a way to examine your spinal column and immediate environs.

FACT: Most conventional treatments for sciatica only work as a temporary band aid solution; they all fail to work in the long run!

The Best Way to Relieve Lower Back Pain

spinal stenosis

After suffering from low back pain most of my life and constantly being told by doctors that there wasn't much that could be done about it other than, minimizing my movements, and laying on a heating pad, I decided to look into it myself.

What I found was that the doctors were giving me the wrong advice. First laying on a heating pad, only worsened the inflammation that was causing the low back pain to begin with. Second minimizing my movements did help to keep the pain from getting worse but, did nothing to alleviate it.

When the low back pain is first felt, an ice pack for twenty minutes every two hours or so, helps ease the pain way more than heat. Also, using the correct stretching exercises can help to realign the discs and vertebrae in the lower spinal column which, when out of alignment, pinches the sciatic nerve causing inflammation thus, causing severe low back pain.

The sciatic nerve is the nerve that starts in the very bottom part of the spinal cord and runs down the buttocks all the way to the toes and when pinched or damaged can cause severe pain starting in the lower back and runs down the butt and thighs and can sometimes run all the way down to your toes.

There are many ways the sciatic nerve can become damaged but no matter how it becomes damaged, the damage always causes the nerve to become inflamed. Once you treat the inflammation you will get relief from the pain and the way you treat any kind of inflammation is with cold (ice packs) just as you would for a sprained ankle or wrist.

The other thing that helps me relieve the pain is stretching exercises, designed for spinal extensions or more commonly backward bending, which are often called "McKenzie Extension Exercises." These exercises are designed to strengthen the muscles in the low back which help keep your spinal column in alignment, when one or more of these muscles are weaker than others the spine can become misaligned more easily.

Preforming these exercises regularly has kept me, pain free for quite sometime and it only takes eight to ten minutes a day to stay pain free. So, if you find yourself quite frequently suffering from low back pain due to the sciatic nerve being pinched or damaged quit using heat, try ice packs and look into "The McKenzie Extension Exercises."

Back Pain - Dorn Spinal Therapy, a Revolutionary Treatment for an Old Problem

spinal stenosis

85% of people suffer from some kind of back pain, with numbers rising every year. Australians spend a staggering $9 billion/year for back pain related costs - treatments, medication, loss of productivity etc. I used to be one of them, not here in Australia, but in Germany where the problem is similar. Until I found out about a German farmer who had developed a technique called Dorn Spinal Therapy.

Having studied Natural Therapies in Germany of course I was open to alternative approaches to treat back pain. Although I must say I didn't really think of having the pain treated as it just lived with me. It wasn't anything really really bad, I just couldn't stand or walk comfortably for prolonged periods of time. And I didn't give it much attention as I knew so many other people with back problems not finding any relieve.

And just because back pain is so common many people tend to believe it is normal to have it, to live with it. Back pain is not normal, it is your body's cry for help!

Then a friend told me about this new treatment that she had experienced and with her history of back pain, being excited about a treatment must be something worthwhile taking a closer look at.
The workshop I attended showed me an easy to learn and to apply way to approach and resolve back pain, neck pain and headaches. Although I felt a bit sore and stiff after the weekend workshop it took only 3 days before I realised that my pain had gone and that I now could stand and walk without feeling my lower back aching. It took a while to sink in but I knew this was a treatment I definitely wanted to make my main focus in my work.

Back pain, particularly lower back pain, is often related to a difference in leg length. Many people have some kind of leg length difference without knowing about it or they get their shoes built up or simply inlays to balance the difference. But instead of a mechanical solution Dorn Spinal Therapy uses a manual approach by bringing the joints back into their optimal position, reconnecting them, and by doing so regulating the leg length difference. The idea behind this approach is that due to what ever we do, exercises, walking in a funny way, sitting with crossed legs, sitting in soft chairs or in cars for prolonged periods of time, the joints become "unconnected". This movement in the joints then creates a little gap in the joint which ultimately leads to different long legs. Reconnecting the joints of the longer leg with easy exercises helps in most cases, where the difference is not due to a measured bone length difference.

What happens when you walk on different long legs? The longer leg pushes against the hip and the hip consequently moves either forward, backward or up which creates an instability in the entire hip area and therefor an unstable base for the spine. This instability will lead to lower or upper back pain, even to neck pain and/or headache.

When I heard all this it made my head spin but eventually I understood the concept behind it - and found it quite simple. Just as simple as working with the technique for the leg length balancing which anyone can do. And sometimes it might just be that little movement that helps relieving back pain.

When the legs are balanced the hip sometimes will balance itself out as well. But if not there is a simple way for the practitioner to do so. And then of course there is the spine itself and the individual vertebrae that need attention. And when I felt my course buddy working along my spine I couldn't believe how many spots there were where my vertebrae were not exactly in the position they should be in - all contributing to my general back problem. Every time I felt such a sore spot, I was asked to swing my opposite leg or arm whilst my buddy massaged this deviated vertebra back into alignment. He explained me that the movement relaxes and distracts the muscles and the spine and that then it is much easier for the deviated vertebra to make its way back into the right spot. And that it could not move too far as the muscles on the opposite side were working with the movement and therefor presented a natural barrier. Seemed very logical and nearly too easy to be true. But again - reality proved the technique right and that is what in the end counts: losing pain, the easier the better.

The last part was the neck, no major problem in my case, but in many people it is a big problem and again, Dorn Spinal Therapy offers a simple and very effective approach as I could learn later in many many life cases in my own clinic.

The alignment procedure finished, we finally got to the relaxing part of the treatment which is the Breuss massage. A spinal stretch massage after the famous Dr. Breuss to nourish and relax the spine and support the manual work that had been done prior. Very nice, very relaxing and it takes off the memory of the fact that there might have been a few sore moments during the alignment treatment.

Dieter Dorn, the founder of Dorn Spinal Therapy is a very simple man and found this technique by accident when he himself suffered from a terrible back. But he didn't leave it there, he was curious enough to go ahead and find out how it worked to spread the word and make it available to more and more people, practitioners as well as non practitioners. But as successful as the treatment may be, it still is the individual that has to look after their body, take responsibility for their own wellbeing. A good posture, healthy diet, enough water, good night sleeps, exercise and emotional balance are just as important in treating back problems as the actual treatment itself. Dorn Spinal Therapy includes a number of easy to do exercises, which support the work a practitioner has done and hands back responsibility to the client. In the end we cannot fix anyone who does not take on their own part in the getting better process.

Today Dorn Spinal Therapy is available in more and more countries around the world and therefore more and more clients can benefit from it. In Australia there are around 100 practitioners but this is only the start of a big change in addressing back and neck pain treatment. For more information on treatments and trainings please go to http://www.dornspinaltherapy.com