Lower Back Pain

A Look at Spinal Manipulation Therapy and Back Pain

If you’ve ever been to a chiropractor or had a professional “crack your back,” you may have been a recipient of spinal manipulation therapy (SMT). Spinal manipulation, also called spinal manipulative therapy or manual therapy, is used in both Western and traditional East Asian medicine; in North America, it’s typically performed by chiropractors, osteopathic physicians, and physical and occupational therapists. Over 100 types of adjustment techniques are known throughout the world, but typically chiropractors will focus on eight to 10 varying approaches within their practice. Spinal manipulation therapy uses force, while spinal mobilization therapy is gentler. Some conditions such as osteoporosis, the patient’s size, or simply patient comfort may require spinal mobilization therapy. Chiropractic treatment can be extremely effective for acute neck or back pain due to muscle spasm, strain or sprain, and inflammation. If you’ve never experienced it before, it can be surprising just how much force can go into the manipulation of different joints of the spine. The most frequently used technique in SMT is the high-velocity low-amplitude thrust, which often results in an audible “pop.” A more sophisticated technique relies on using a flexion distraction technique that is somewhat gentler and safer. The goal of these techniques

April 8, 2015

Acupuncture and Back Pain

Does acupuncture work for pain relief? It’s a question that’s been debated by the medical community for some time, but of late, more and more physicians have come down on the side of supporting it, or at least maintaining that it does no harm. In 1998, the National Institutes of Health (NIH) stated that there was enough evidence to show that acupuncture has beneficial, pain-relieving qualities for adults suffering from postoperative dental pain, the nausea of chemotherapy, lower back pain, headache, myofascial pain, osteoarthritis, and carpal tunnel syndrome. There have been several important studies that report acupuncture is effective in reducing chronic pain. Most recently, a study in the Journal of Clinical Pain suggests that people being treated for lower back pain with acupuncture are less likely to gain benefit from treatment if they have low expectations for its effectiveness – an interesting twist to the earlier findings on pain relief. Emotion and attitude seem to have quite an impact on acupuncture’s efficacy. Dr. Felicity Bishop, author of the study, wrote: People who started out with very low expectations of acupuncture – who thought it probably would not help them – were more likely to report less benefit as treatment

April 1, 2015

10 Years Later: James’ Patient Experience

Meet James, a former patient of mine. James’ story began when he was lifting paving stones and felt a sudden shooting pain in his back, eventually traveling to his legs and toes. Knowing something was wrong, he immediately consulted a physician, but doctor after doctor couldn’t figure it out. He had undergone prior surgery for a herniated disk about 15 years ago. After receiving five different opinions with no clear answer, James was left with more uncertainty: “Five different guys didn’t seem clear on where my problem was. They thought it was scar tissue from a previous surgery I had 15 years ago or a herniated disc. Three of the doctors consulted each other and thought some kind of implant would be best for me.” James continued to look for someone who could provide a better answer. He didn’t want rods put in his back. When a friend recommended my services, James did his research and made his appointment the next day. What I did differently from the previous doctors was to get a high quality MRI and special Xray views. Once I got the results back, I assured him that the pain was not due to scar tissue left

March 3, 2015

Winter’s Effect on Back Pain

It’s no secret that this winter has been unbearably cold. With record lows this February in many cities along the Eastern Seaboard, including here in New York, you might be wondering: what exactly is this bitter cold doing to our backs? Winter in itself can make your joint pain worse – and in some cases it can be debilitating. In fact, some people with rheumatoid arthritis and psoriatic arthritis suffer from cold allodynia, which means they can predict approaching colder weather by how much pain they are in. In colder temperatures, the tissues in your body shrink, causing them to pull on nerve endings, which for many can result in joint pain. Also, cold weather can lead to muscle tightness, exacerbating lower back spasm. Additionally, many cold weather activities can cause back aches and pain – from the repetitive bending and twisting associated with shoveling snow to the chance of slipping on a sheet of ice, winter-related slips and falls are highly common. With Winter Storm Pandora on its way out and the potential for more still on the horizon before spring finally hits, protect yourself from extra pain with these helpful tips: Bundle up, including layers, hats, scarves, and

February 24, 2015

Back on the Dance Floor: Kathryn’s Patient Experience

Kathryn is a former patient of mine who has left a lasting impression. Her back pain began when she hurt her L3/L4 disc after a spinning class, and she believes she aggravated the injury during a subsequent game of golf. Initially, Kathryn told me she didn’t think too much of it because she’s athletic and used to pushing herself outside her comfort zone. Kathryn thought this was something she could deal with – so she sought a massage treatment, iced her lower back area, and rested. Afterwards, she continued to play golf and attend spinning class. Unfortunately, what Kathryn didn’t do was listen to her body and get help when she needed it. I see this in a lot of patients; a good rule of thumb is if the pain persists, starts to travel down your arm or leg, and/or keeps you up at night, it’s time to see a physician. Unfortunately, the pain took a turn for the worse when Kathryn further exacerbated her injury lifting a mattress while vacuuming. Kathryn contacted my office and met with me to discuss different options that would work for her injury. Because she had severe nerve compression in her lower back due

February 3, 2015

The Benefits of Stretching

Stretching is a great way to prevent and ease back pain. It’s also a great way to relieve stress and relax. Stretching involves controlled movement, controlled breathing, and a level of concentration that helps your mind to cancel out the day-to-day chatter in order to focus on the stretch. Many people feel completely invigorated after stretching! The best part is that you don’t need a lot of space, heavy equipment, or anyone to assist you to get a good stretch in. Before you start, though, here are some tips to keep in mind: Stretching should be pain-free; do not force the body into difficult positions Move into the stretch slowly and avoid bouncing, which may actually tear muscles Hold stretches long enough (20-30 seconds) to allow muscles or joints to become loose Wear comfortable clothes that won’t bind If you’re looking for a few stretches to start with, Spine Universe has a few great ideas for stretches that help prevent or relieve back pain. Spine Universe recommends doing them 3 to 5 times each for optimal results. Remember it’s also important to breathe during the stretch, and of course, consult a doctor before starting any new exercise or stretching routine.

December 16, 2014

Top Products for Easing Back Pain

It’s that time again: the season of giving! It can be tough to give gifts that are both thoughtful and useful – no one wants to give something that’s going to get tossed the next day – but if you know the recipient well enough, a product that can help ease their back pain might just hit the spot. While the cause of back pain is different for everyone, we’ve spotlighted some of the top products that patients have said help them to prevent or calm existing back pain in their daily lives. And while you’re browsing, think about how these could help your own back pain, too.

December 3, 2014

Traveling with Back Pain: 5 Tips for Better Comfort

Packing and holiday delays can make travel stressful, but traveling with back pain can be especially taxing. Long periods of sitting and heavy luggage are just some of the obstacles facing travelers with back pain. Here are 5 tips to make your trip more comfortable and less painful. Move as much as you can. It sounds counterintuitive, but you need to move every 20 to 30 minutes. On bus rides, the driver won’t pull over for you to stretch, but on longer flights, walk around the cabin if the fasten seatbelt sign is off. Pull over for a quick stretch if you’re driving your own car. You don’t have to move a lot—even 10 seconds of movement will make things better. In addition to moving around, you should stretch as well. Hip flexors and hamstrings get especially tight during long periods of sitting. Here are two great examples to follow: To relieve stiffness in the neck, bring the ear to the shoulder or simply move your head side to side. Watch your posture. The right posture can go a long way towards easing back pain. Make sure you’re sitting properly, so your spine is straight and your back is

November 25, 2014

Your Hips and Back Pain

From day to day, as we walk, run, sit, and lie down, it can be easy to forget about our hips – that is, until they suddenly start to hurt. They need care, especially in relation to the rest of the back; the spine rests on the hips, so the hips have a very important job when it comes to alignment and posture. In fact, pain you feel in your hip may signal a problem in your back – and tight or weak hips can disrupt your back’s proper alignment. Some hip and back pain may be the result of lumbar spinal stenosis, a condition that becomes more common as we age past 50. In this condition, the spinal canal narrows, squeezing the nerves inside. In milder cases, symptoms can be treated with a combination of medications, physical therapy, and injections. In cases with severe narrowing of the spinal canal, surgery is necessary to get symptom relief. With arthritis of the hip, decreased range of motion can occur, which can put increased stress on the lower back. Also if one leg is shorter than the other, that can cause pelvic tilt which can induce scoliosis and abnormal stress on the vertebra and disks of the lower back. For muscular forms of hip pain, exercise can likely address the problems. Consider them part

October 7, 2014

Lower Back Pain and Core Strength

With over 31 million Americans suffering from lower back pain, this persistent ailment is one of the most common health problems plaguing adults in the United States. While some severe cases are the result of a deeper issue, temporary back pain is quite normal and can be reduced or eliminated through proper exercise and postural techniques. One way I recommend to reduce minor low back pain is through strengthening your core. The core encompasses all of the muscles from your hamstrings up to your neck, from your abdominals to your back muscles. Since all of these muscles work together to support your spine, keeping the core engaged and strong can eliminate minor back , improve posture, and reduce the risk of greater injury down the road. Yoga and pilates, two very popular forms of exercise, focus on engaging and strengthening core muscles. Yoga works the core muscles methodically through balance, flexibility, and relaxation. The core components of pilates are control, concentration, and centering the body. These are all achieved through engaging core muscles and, over time, building strength that can help reduce minor pain. Swimming is also a great way to engage your deep core muscles and hit different muscle

March 5, 2014

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