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Lower Back Pain   Specific lists for Lower back Pain include; Sciatica. Slipped Disc, Trapped Nerve. Back Injury.

Eighty percent of people suffer from back pain at some point in their lives. Back pain is the second most common reason for visits to the doctors. In fact, it is estimated that low back pain affects more than half of the adult population each year and more than 15% of all people experience frequent bouts of low back pain.

The susceptibility of the low back to injury and pain is due to the fact that the low back, like the neck, is an unstable part of the spine, unlike the thoracic spine, which is supported by the rib cage. This instability allows us to have a great deal of mobility to touch our toes, tie our shoes or pick something up from ground level, but at the cost of increased risk of injury.

The low back can withstand tremendous forces as long as it is healthy and functioning correctly. However, if the low back is out of alignment or has weakened supporting muscles, something as simple as putting a bag or suit case in and out of the boot of a car, picking something up off the floor, or simply bending down can cause a low back injury.

Studies have shown that when back pain is not treated, it may go away temporarily, and is very to likely return. The importance to take low back pain seriously cannot be stressed enough. The professional chiropractic care is one of the best ways to care for your back.

The Causes of Low Back Pain

Sprained ligaments, strained muscles, ruptured disks, trigger points and inflamed joints are the many of different conditions that can result in low back pain. While sports injuries or accidents can lead to an injury and pain, sometimes even the simplest movements, like picking up a pencil from the floor, can have painful results. In addition, conditions such as poor posture, stress, arthritis, kidney stones and kidney infections, can be the cause of low back pain.

There may be many other things that can cause low back pain, and some of those things can be serious if left untreated. Chiropractors are the experts in diagnosing the cause and determining a proper course of treatment for low back pain. Following are some of the most common causes.

Subluxations

When a disruption in the normal movement or position of the vertebrae occurs it results in pain and inflammation. In the lumbar spine these occur at the transition between the lower spine and the sacrum. Subluxations can lead to debilitating low back pain, however, subluxations are easily treatable and there is often a significant reduction in pain experienced almost immediately after treatment.

Disc Herniations

A herniated disc does not automatically mean that you may suffer from low back pain. In one study almost 60% of all adults had at least one bulging or herniated disc, even though they did not experienced any back pain. However, herniated discs can be a source of severe and debilitating pain, which may radiate to other areas of the body. Unfortunately, when a disc herniates, they rarely, completely heal. Further deterioration can be avoided through chiropractic care, but a complete recovery is less common.

Sprains, Strains and Spasms

Sprains strains and spasms, are the most common source of low back pain. Overworking the muscles or ligaments of the low back may lead to tears in the tissues, which become painful, swollen and may even ache, with a tightening to the area affected.

Stress

When you become stressed, your body responds by increasing the levels of stress hormones leading to the rise of blood pressure and heart rate and tightening up of your muscles. By becoming stressed all the time your muscles will become weak and painful loaded with trigger points.

Chiropractic treatment for the low back has been repeatedly shown to be the most effective treatment for low back pain. Major studies have shown that chiropractic treatment is more effective, and has better long-term outcomes than any other treatment. Why? This makes sense is because chiropractic treatment is the only method of treatment that works to re-establish normal vertebral motion and position in the spine. All other treatments, such as muscle relaxants and pain killers, will only decrease the symptoms of the problem and do not correct the problem itself.

Chiropractic treatment for low back pain is normally straight forward, and simply a matter of adjusting the lower lumbar vertebrae and pelvis to re-establish normal motion and position of your bones and joints. ( View our Cold/ Low LevelLaser Therapy Section .)

Sciatica

The sciatic nerve is the longest nerve in your body. It runs from your pelvis, through your hip area and buttocks and down each leg. The sciatic nerve branches into smaller nerves as it travels down the legs providing feeling to your thighs, legs, and feet as well as controlling many of the muscles in your lower legs. The term sciatica refers to pain that radiates along the path of this nerve.

What causes Sciatica?

Sciatica is actually a sign that you have an underlying problem putting pressure on a nerve in your lower back. The most common cause of this nerve compression is a bulging or herniated lumbar disc. Piriformis syndrome is another common cause of sciatica. The piriformis is a muscle that lies directly over the sciatic nerve. If this muscle becomes tight or if you have a spasm in this muscle, it puts pressure directly on the sciatic nerve. Occasionally, sciatic pain in men is caused by sitting on a wallet.

How do I know if I have sciatica?

Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. Sciatica may be accompanied by numbness, tingling, and muscle weakness in the affected leg. This pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Sometimes it may feel like a jolt or electric shock. Sciatic pain often starts gradually and intensifies over time. It’s likely to be worse when you sit, cough or sneeze.

How is Sciatica Treated?

The vast majority of the time, sciatic pain can be relieved through a combination of stretches, deep tissue massage of the piriformis muscle and chiropractic care. Occasionally, in cases where chronic spasm of the low back or piriformis muscles is causing the sciatic pain, it may be necessary to do a procedure called a trigger point injection, where a medical pain specialist injects a small amount of anaesthetic directly into a spasmed muscle to break the spasm cycle.

(View our Cold/Low Level Laser Therapy Section.)

Complementary and alternative medicine

Complementary and alternative medicine (CAM) refers to medical and health care systems, practices, and treatments that aren’t currently part of conventional medicine, i.e. the care you receive in your primary care doctor’s surgery. Many of these therapies and treatments are being studied intensely, and some have proved to help alleviate back pain.

• Chiropractic is a system of treatments which is based on the philosophy that restricted movement in the spine may lead to reduced function and pain. Spinal adjustment (manipulation) is one form of therapy chiropractors use to treat restricted spinal mobility. The goal is to restore spinal movement and, as a result, improve function and decrease pain.Chiropractors manipulate the spine from different positions using varying degrees of force. Manipulation doesn’t need to be forceful to be effective. Chiropractors may also use massage and stretching to relax muscles that are shortened or in spasm.Some studies done on spinal manipulation have found it to be as effective and safe as standard treatments, especially for initial pain relief, though the optimal number of treatments depends on individual case.

Recent research has shown that 75% to 80% percent of patients suffering with chronic sciatica benefit from chiropractic treatment

• Massage. To conduct an objective clinical trial in massage can be difficult due to variances in practitioners and in massage types however, studies that have been conducted suggest that massage may ease low back pain symptoms by reducing muscle spasm.

Risk factors

The greatest risk factors for sciatica include:

• Age related changes in the spine are a common cause of sciatica. You’re likely to have some deterioration in the discs in your back by the time you’re in your late 20s, and most people who develop herniated discs are in their early 30s and 40s and Previous injuries from sport and work related, activity are also common factors.
• Occupation jobs that requires you to twist your back, and carry heavy loads, driving a motor vehicle for extended periods makes you more prone to develop sciatica.
• Prolonged sitting People who sit for prolonged periods or have a sedentary lifestyle are more likely to develop sciatica than people with active lifestyle.
• Diabetes. This condition, which affects the way your body uses blood sugar, increases your risk of nerve damage.

When to seek medical advice

Seek immediate medical treatment if:

• You experience sudden, severe pain in your low back or ether or both legs and numbness or muscle weakness in either or both of the legs
• The pain follows a injury, from a traffic or work related accident
• You have trouble controlling your bowels or bladder.
• Seek medical advice urgently.

Screening and diagnosis of sciatica;

To help diagnose sciatica and pinpoint which nerves, if any, are affected, your chiropractor will ask about your medical history and perform a thorough physical exam, paying special attention to your spine and legs.

You’re also likely to have some basic tests that check your muscle strength and reflexes. For example, you may be asked to walk on your toes or heels, and, while lying on your back, lift your legs one at a time straight in the air. Pain that results from sciatica will usually become worse during this examination.

If your pain lasts longer than four weeks or is very severe, or you have another serious condition such as cancer, you may have one or more imaging tests to help identity why the sciatic nerve is compressed and to rule out other causes for your symptoms.

These tests include:

• Spinal X-ray.Because ordinary X-rays can’t detect herniated disc problems or nerve damage, they’re not usually helpful for pinpointing the cause of sciatica. A spinal X-ray can show most cancers affecting the bony structures of the spine, narrowed discs and spondylolisthesis, however, and can help rule out other causes of nerve root impingement.
• Magnetic resonance imaging (MRI). This is probably the most sensitive test for assessing sciatic nerve pain. Instead of X-rays, MRI uses a powerful magnet and radio waves to produce cross-sectional images of your back. The test can detect damage to your discs and ligaments as well as the presence of tumors. MRI is non-invasive and has no harmful side effects.During the test, you lie on a movable table inside the MRI machine, which is essentially a large magnet. If you have a hard time lying still for the required period of time or you’re anxious about the enclosed space, you may be given a sedative. Some MRI units may be wider, shorter or open on all sides, which may be more comfortable for you, although the quality of images taken with these systems may vary.
• Computerized tomography (CT) scans. This test uses a narrow beam of radiation to produce detailed, cross-sectional images of your body. When CT is used to image the spine, you may have a contrast dye injected into your spinal canal before the Digit – X-rays are taken a procedure called a CT myelogram. The dye then circulates around your spinal cord and spinal nerves, which appear white on the scan.

Complications of sciatica

Although people recover from sciatica, sciatica can potentially cause permanent nerve damage. Depending on what’s causing the nerve to be compressed, other complications may occur,

They included

• Loss of feeling, may affected one or both or legs.
• Loss of movement may affected one or both legs
• Loss of bowel or bladder function

Different Treatment of Sciatica Include;

Physical therapy for a disc Injuries known as “Slipped” Prolapsed, Bulging or herniated disc, physical therapy can play a role in your recovery. Once acute pain is reduced and range of movement improves a physical therapist or Chiropractor can design a rehabilitation program to help prevent further injuries.

Rehabilitation includes exercises to help correct your posture, strengthen the muscles supporting your back and improve your flexibility. Physical therapy, exercises should be Started as early as possible.

Prescription drugs most doctors may prescribe an anti-inflammatory medication along with a muscle relaxant. Narcotics also may be prescribed for short-term pain relief. Antidepressants and anticonvulsant drugs can be used in easing chronic pain. They may help by blocking pain messages to the brain or by enhancing the production of endorphins, the body’s natural painkillers.

More invasive treatment

Epidural steroid injections.In some cases, doctors may inject a corticosteroid medication into the affected area. Corticosteroids mimic the effects of the hormones cortisone and hydrocortisone, which are made by the outer layer (cortex) of your adrenal glands; Corticosteroids suppress inflammation around the irritated nerve thus giving pain relief.

Their usefulness in treating sciatica remains a matter of debate. Some research has found that corticosteroids can provide short-term symptom relief, but that these medications aren’t a long-term solution. In addition, corticosteroids can have side effects, so the number of injections you can receive is limited usually no more than four per joint.

Surgery usually occurs when the compressed nerve causes significant weakness, bowel or bladder incontinence, (when this occurs seek medical advice urgently) or you have pain that gets progressively worse or does not improve.

Surgical options include lumbar laminectomy and microdiskectomy. In lumbar laminectomy with diskectomy, surgeons remove a portion of a herniated disc that’s pressing on a nerve. most of the disc is left intact to preserve as much of the normal anatomy as possible. Sometimes a surgeon will perform this operation through a small incision while looking through a microscope (microdiskectomy).

Success rates of standard diskectomy and microdiskectomy are about equal, but you may have less pain and recover more quickly with microdiskectomy. Discuss which option might be best for you with your doctor, and carefully weigh the potential benefits of surgery against the risks as surgery is not always successful.

(Always get a second opinion).

Prevention

Exercise regularly. This is the most important thing you can do for your overall health as well as for your back. Pay attention to your core muscles the muscles in your abdomen and lower back that are essential for proper posture and alignment. For cardiovascular benefits, try using a exercise bike or treadmill. Swimming is also recommended.

Maintain proper posture when you sit. A good chair should comfortably support your hips, and the seat should not press on the back of your thighs or knees. If the chair does not support the natural curve in your lower spine, place a rolled towel or pillow behind your back.

When working at a computer, adjust your chair so that your feet are flat on the floor and your arms rest on your desk or the chair’s arms, with your elbows bent at a right angle. Take frequent breaks every 20 minutes, even if it’s just to walk around your office a little stretching will also help.

Driving, before setting off adjust your seat to keep your knees and hips level, and move the seat forward to avoid overreaching for the pedals.

Consider using body mechanics. Being aware of how you stand and lift heavy objects and even how you sleep can go a long way toward keeping your back healthy. That’s because poor posture stresses your back, leading to fatigue and stress on joints and nerves. Always hold reading material at eye level instead of bending forward, and if you’re standing for long periods rest one foot on a raised object about the height of a foot stool.

Before you lift something heavy, decide where you’ll place it and how you’ll get it from A to B. Bend at your knees, not your back, so that your legs do the lifting. Carry objects close to your body at about waist level. If possible, set the object down on a surface between shoulder and knee height to avoid lifting objects over your head or bending over too far. Don’t twist at your waist. Instead turn by pivoting your feet.

Be careful moving heavy things when you become tired, Tiredness can cause you to move more awkwardly than normal. Heavy loads are the greatest risk to your spine, so know your limitations. Don’t attempt to lift something that is beyond your normal ability.

Try the following measures:

• Cold packs. Initially, using cold packs may be able to reduce inflammation and relieve discomfort. Wrap an ice pack in a thin towel and apply to the painful areas for 15 to 20 minutes at least 7 times a daily.
• Stretching. Stretching exercises for your low back can help you feel better and may help relieve nerve root compression. Avoid or sudden movements and twisting during the stretch and try to hold the stretch as long as possible. Around 40 seconds per stretch if possible.
• Medications.Pain killers (analgesics) fall into two categories those that reduce pain and inflammation and those that only treat pain. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, and acetaminophen (Tylenol,) will be helpful for sciatica.Although they provide real relief, both types of medication have a limit to how much pain they can reduce. If you have moderate to severe pain, exceeding the recommended dosage will not provide any additional benefits. In addition NSAIDs can cause side effects such as nausea, stomach bleeding or ulcers, and acetaminophen can cause liver problems.If you’re using these medications, you should talk to your GP so that you can be monitored for any arising problems. Periodically reassess whether you still need drug treatment or not. Exercise, stretching, massage and other none drug treatments can often provide the same benefits without side effects.
• Regular exercise.It may seem counter-intuitive to exercise when you’re in pain, but regular exercise is one of the best ways to combat chronic discomfort. Exercise prompts your body to release endorphins chemicals that prevent pain signals from reaching your brain. Exercise in moderation.In the early stages of sciatica, swimming or other low-impact exercise such as an exercising bicycle will help you stay active without worsening your symptoms. Later, as you improve and the pain becomes less combining aerobic activity with strength training and core stability exercises that improve the strength of your back muscles can help limit the effects of degenerative changes in your spine.Start out slowly and progress to at least 45 minutes every day to prevent further injury, learn proper lifting techniques.

Trapped Nerve or “Pinched” Nerve.

Having a Trapped  nerve  hurts often  feeling like  severe, sharp, excruciating and intense pain. Trapped  nerves  could  happen nearly anywhere affecting  nerves that go to the arms, fingers, wrists, neck, head, back, shoulders, legs, muscles and internal organs. “Pinched” or trapped nerves can affect your health, posture, vitality, resistance to disease, even your emotional health. “Pinched”/trapped nerves can make life a misery.

Trapped?

Do nerves really get trapped? Actually directly trapping the nerve  is quite rare. Much more common is what chiropractors call the vertebral subluxation complex or subluxations. Other terms for this are: nerve impingement, nerve irritation, nerve lesion, spinal stress and meningeal tension.

Even though there may be no actual trapping, people like the word because it’s so descriptive. It can really feel like something is being trapped in there. Some health professionals even use it. People at times seeing a chiropractor’s saying their GP, osteopath, massage therapist referred them because they had a trapped nerve and should visit a chiropractor to get  the trapped nerve freed.

What Can Cause Subluxations?

Nearly any kind of stress can cause a subluxation: a fall or an accident, even a very small one that happened years ago; a poor sleeping position; poor posture; fatigue; emotional stress; poor nutrition or a combination of stresses. A subluxation need not happen all at once. It could set in the body over time. 

 Trapped Nerves Don’t Normally Hurt

Chiropractors sometimes say that people with painful Trapped nerves might be considered lucky-they know they have a problem and they (hopefully) will go to a chiropractor.

 If  You  don’t Experience The pain From a  Trapped Nerve?  What Would Be The Outcome?

Some patients may watch their body suffer and their health deteriorate for years without the faintest idea that the problem may be coming from their spine. These people desperately need to see a chiropractor but because they don’t have spine or nerve pain they may never receive the care they need. This is the big job facing chiropractors today educating people   about vertebral subluxations and the need  for periodic spinal checkups.

Treatment Of Trapped Nerves

Trapped nerves do not get untrapped by themselves. No amount of painkillers or muscle relaxants can fix them. Only doctors of chiropractic are able to analyze your spinal column for trapped nerves or vertebral subluxations and use spinal adjustment techniques to gently realign the spine, release the internal stress and free the body from the trapped nerves.

Chiropractors are heath care practitioners who are most experienced in freeing body of vertebral subluxations.

Nerves  Travel Through the Body?

Individual nerve fibers are tiny. Although they may be many inches long they are so thin you need a powerful microscope to see them. Nerve fibers are also found in large bundles called nerves. Billions of nerve fibers are bundled inside your spinal cord – an extension of your brain, which passes through the spinal column. Nerves branch off from spinal cord and exit spine through openings between the vertebrae to connect to every cell in the body.

Life without Nerves

Without nerves you couldn’t see, hear, touch, taste or smell or feel hot, cold, pleasure or pain, and no messages could come in and no messages could go out; without nerves no muscles could move.

Nerves Keep the Body Alive and Healthy

Nerve messages also help regulate the body’s activities such as breathing, heartbeat, digestion, excretion,  blood pressure and immune system so that the body can respond to germs, changes in temperature and all kinds of stress. In addition to nerve impulses, nutrients flow over your nerves to nourish the muscles and tissues. If this flow is blocked it may cause your muscles to waste away.

If the nerves are trapped, “impinged” or otherwise interfered with, the flow of messages and nutrients over them can be disrupted and the body can become “diseased” or weakened. When you are diseased you have less energy and vitality and are less able to deal with physical and emotional stress.

Lowered resistance to disease, infection, colds, flu, allergies, ulcers, constipation, diarrhoea, asthma, fevers, headaches, seizures, bedwetting, hearing, balance or visual disturbances and many other health problems have been related to an unhealthy nervous system.

How Do Nerves Get Impinged or Trapped

The skeletal system, especially the spinal column, protects the spinal cord and other nerves. If  the spinal bones (vertebrae) are misaligned even slightly they may “pinch,” impinge, irritate, compress or stretch the nerves they are supposed to protect.

This in turn can affect other structures in the area including blood vessels, discs, ligaments, joints, muscles, fascia, tendons and meninges. As mentioned earlier, this is referred to as a subluxation.

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Call 024 7622 2002  Back Pain treatment with Cold Laser Therapy for pain relief and healing to injuries such as;

Bulging disc, Prolapsed disc, Herniated disc or Slipped discs, disc Degeneration, Spinal Stenosis, Spondylolysis, Spondylolisthesis, Sacroiliac joint, Facet Joints, Muscles and  Ligaments,   Ankylosing Spondylitis

Call 024 7622 2002 .Reg’d with BUPA. AXA  PPP. HSA.  AVIVA. Simplyhealth. Standard Life. Pru  health. Cigna. Mercia health. Medisure.  Medicash.  All health insurance accepted.

Causes of back pain, Muscles/Ligaments        

Among the many causes of back pain, the most common by far is a sprain or strain of muscles or ligaments. Muscle spasm can occur after twisting or bending awkwardly, or from a simple sneeze or cough. The majority of muscle spasms tend to get better over time. Severe cases of muscle spasms are treated with medication, physical therapy, also cold laser therapy, see our cold laser therapy section under “Treatments”. 

Disc Degeneration

Disc problems are common causes of back pain. After an injury, or as we age, discs lose fluid content and deteriorate in a process called disc degeneration.

The earliest form of injury to a disc is in the form of tears or fissures in the annulus fibrosis (outer portion) of the disc. The annulus fibrosis is very much is like a large round ligament that prevents the nucleus pulposus (inner gel-like portion) of the disc from protruding outward. Tears in the annulus heal by scar formation weakening the tissue. The repetitive annular tears which heal by scar formation lead to a disc that begins to degenerate.

As degeneration progresses the disc becomes stiff, narrow, and losses its ability to act as a shock absorber. Loss of shock absorbing capacity of the disc leads to increased stress being put on the bones of the spine causing formation of bone sours or osteophytes. If bone spurs get large enough, they may cause pressure on nerves in the spinal canal which would present as numbness and weakness in the arms or legs depending on the spinal level being affected. The combination of disc degeneration and bone spur formation in the spine is called spondylosis. Any narrowing within the spinal canal, from bone spur formation or from any other cause such as disc prolapsed of thickening of the ligaments of the spine is called spinal stenosis. Spondylosis or spinal stenosis can occur at any region in the spine: cervical, thoracic or lumbar.

Bulging Disc, Protruding Disc, Prolapsed Disc, Herniated Disc, Extruded disc, Slipped Discs.

The above terms generally describe a disc that is displaced beyond the limits of the intervertebral disc space i.e. the borders of annulus fibrous (the outer fibrous part of the disc)

Disc prolapse or herniation is the protrusion of the central portion of the disc through a tear in the outer annular wall of the disc. If disc prolapsed results in the compression (direct or indirect) of the nerve root it would cause symptoms of pain, numbness, or weakness. In some individuals however, disc protrusions will not cause any symptoms. A disc extrusion is a severe version of a disc protrusion in which a large portion of the nucleus pulposus is displaced through the wall of the disc. A disc extrusion is almost always would result in the symptoms of nerve root compression.

Facet Joints

Facet joints irritation is another cause of back pain. Facet joints are small pairs of joints on the back of the spinal column where the vertebrae meet. Facet joints provide stability to the spine by interlocking two adjacent vertebrae. Facet joints also allow the spine to bend forward (flexion), bend backward (extension), and twist. 

Inflammation of facet joints can occur from injuries, excessive stress put on the spine or a form of arthritis. Facet joint problems are functional problems and would not be visualised on the x-rays of the MRI scan.

Spinal Stenosis

The term stenosis describes any narrowing of the spinal canal. Among many causes of spinal stenosis the most common one is degenerative changes or oseoarthritis of the spine, which occurs almost inevitably as a part of the aging process.

Canal stenosis can be caused by many factors such as enlargement of the facet joints due to degenerative changes; hypertrophy (enlargement) of the ligamentum flavum – the main ligament of the spinal canal; the protrusion or herniation of intervertebral discs into the canal and forward slippage of vertebrae in a condition called spondylolisthesis – all contribute into narrowing of spinal canal on their own or in conjunction with each other.

Main symptoms of spinal stenosis in lumbar spine is pain in the back and legs aggravated by standing and walking and relieved by sitting or stooping forward. Legs pain induced by walking is known as neurogenic claudication (from the Latin claudico, to limp). Neurogenic claudication must be distinguished from is vascular claudication, or leg pain on walking caused by insufficient blood flow to the legs. The features which help to distinguish neurogenic from vascular claudication are the following: 

In neurogenic claudication pain occurs after varying amounts of exercise, with standing, or with coughing. Vascular claudication is reliably produced with a fixed amount of exercise, such as walking a certain number of blocks, and is rare at rest. The main distinguishing feature of neurogenic claudication and vascular claudication is the pain relief with sitting and stooping in cases of neurogenic claudication while vascular claudication pain is usually quickly relieved by resting in a standing position. Sensory loss of neurological claudication is in a nerve root distribution, while with vascular insufficiency it is in a stocking-glove distribution. Signs of vascular insufficiency should be absent in neurogenic claudication: diminished pulses, foot pallor on elevation, and decreased temperature of the feet.

Spondylolysis and Spondylolisthesis

Spondylolysis and Spondylolistheses are the most common causes of lower back pain in adolescents. Spondylolysis is a  fracture in one  or both pedicles  of the vertebrae that make up the spinal column. It usually affects either the fourth or the fifth lumbar vertebra in the lower back. The fracture site is called a pars defect.

If the bone is unable to maintain its proper position, the top vertebrae can shift forward on top of the bottom vertebrae. This condition is called spondylolisthesis.

For adults, a spondylolisthesis is normally caused from degenerative changes in the spine. When too much movement or slippage occurs, the bones may begin to press on nerves and surgery may become necessary to correct the condition.

Causes such as genetic, overuse or degenerative changes can contribute to development of spondylolisthesis. 

Sacroiliac Joints

Another very common cause of lower back pain is a dysfunction of sacro-iliac joints. The sacroiliac joint connects the sacrum (the triangular bone at the bottom of the spine) with the pelvis (iliac crest).

The inflammation of sacroiliac joint can result from an acute injury or from chronic postural abnormalities such as undue stress on the joint following lower back fusion surgery, degenerative changes of the hip and knee joint as well as from fallen arches of the foot. Pain distribution from sacroiliac joint abnormalities is in the low back, buttock/hip, abdomen, groin or legs.

Ankylosing Spondylitis

Ankylosing spondylitis is an inflammatory condition affecting the spine. With ankylosing spondylitis, the joints and ligaments that normally permit the spine to move become inflamed and stiff. with time the bones of the spine may fuse together, causing the spine to become rigid and inflexible.

Other rare causes of back pain include:

Benign or malignant tumours of the spine or spinal cord Problems of the digestive tract, genitourinary or gynaecological problems can cause referred low back pain Infections.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Back pain, lower back pain

Slipped disc, Prolapsed disc, Herniated disc,

Trapped nerves.

Hip Pain, Sacroiliac Joint inflammation.

Athletic Injuries

Lower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Wound Management including Skin Ulcers, Pressure Sores and Burn

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders including Arthritic pain relief and Tenosynovitis.

Chronic pain such as Trigeminal Neuralgia and Neck and Back pain.

“Whiplash” (WAD) injury Neck Pain and injuries

For further in depth information on Back Pain, Sciatica, Lower Back Pain, please go to top left corner under “Pain” or “Conditions”.

Call 024 7622 2002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simplyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Coccyx Pain.

Tailbone or coccyx pain can be both severe and chronic condition which can last for many months or even years. Due to the sensitive nature of the coccyx area, people suffering from this pain may develop prohibited behaviours because of pain symptoms. People suffering with coccyx pain often have trouble sitting or lying down and even develop insomnia due to the inability to find comfortable sleeping position. Painful coccyx is especially serious for people who spend long periods of time sitting due to the nature of their occupation such as office workers, drivers etc.

The most common cause of Coccyx Pain a fall or a blow to the lower back. The tailbone is very sensitive, and can bruise and fracture easily. Fracture of the coccyx can be extremely painful. Many injuries occur from slips on a wet surface, causing fall directly to the coccyx, and resulting in chronic pain at the base of the spine (coccyx). 

Coccyx and Pelvic Pain can also occur after the childbirth. The coccyx becomes mobile closer to the end of pregnancy designed to allow an easier birth for the baby. However, in some cases the coccyx sometimes gets in the way during birth process and can be fractured.

Back pain Relief. Cold/Low Level Laser Therapy for Pain Relief.

Cold/Low Level Laser Therapy is a treatment modality whereby a cold laser is utilized to treat chronic and acute pain. Cold laser therapy is used management of back and neck pain, bursitis, joint pain associated with arthritis, musculoskeletal pain, tendonitis, neuropathy, Achilles tendon pain, sprains and strains, migraine headaches, carpal tunnel and other associated pains. Cold/low level laser therapy is also used to treat conditions such as TMJ (Jaw) pain, reflex sympathetic dystrophy (RSD) and other inflammatory and scarring conditions.

Cold/low level laser therapy stimulates production of serotonin thus allowing the body to heal itself. One of the benefits of the cold laser therapy is that it is non-thermal and non-invasive. Cold/low level laser therapy is not only significant in reducing treatment times; it is cost effective as well.

Cold/Low Level Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Lower Back Pain. Coccyx. Disc injuries. Slipped, Bulging, Herniated and Prolapsed disc’s
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief and Muscle Spasm
Relief of Muscle and joint Pain

Skin infections.

Relief of Stiffness the Promotion of Muscle Relaxation, and Cell Restoration.

Wound Management  Including Skin Ulcers, Pressure Sores and Burns.

Soft Tissue Injuries  Including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders and Conditions Including Arthritic pain relief and Tenosynovitis.

Chronic pain including Trigeminal Neuralgia and Neck and Back pain 

For further in depth information on Cold/Low Level Laser Therapy, back pain, sciatica. Please go to top left corner listed under “pain” or “Condition” and ”Treatments” for more on Cold/Low Level Laser Therapy.    

 

Call 02476 222002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simplyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Coccyx Pain.

Tailbone or coccyx pain can be both severe and chronic condition which can last for many months or even years. Due to the sensitive nature of the coccyx area, people suffering from this pain may develop prohibited behaviours because of pain symptoms. People suffering with coccyx pain often have trouble sitting or lying down and even develop insomnia due to the inability to find comfortable sleeping position. Painful coccyx is especially serious for people who spend long periods of time sitting due to the nature of their occupation such as office workers, drivers etc.

The most common cause of Coccyx Pain a fall or a blow to the lower back. The tailbone is very sensitive, and can bruise and fracture easily. Fracture of the coccyx can be extremely painful. Many injuries occur from slips on a wet surface, causing fall directly to the coccyx, and resulting in chronic pain at the base of the spine (coccyx). 

Coccyx and Pelvic Pain can also occur after the childbirth. The coccyx becomes mobile closer to the end of pregnancy designed to allow an easier birth for the baby. However, in some cases the coccyx sometimes gets in the way during birth process and can be fractured.

Back pain Relief. Cold Laser therapy for pain relief

Cold Laser Therapy is a treatment modality whereby a cold laser is utilized to treat chronic and acute pain. Cold laser therapy is used management of back and neck pain, bursitis, joint pain associated with arthritis, musculoskeletal pain, tendonitis, neuropathy, Achilles tendon pain, sprains and strains, migraine headaches, carpal tunnel and other associated pains. Cold laser therapy is also used to treat conditions such as TMJ (Jaw) pain, reflex sympathetic dystrophy (RSD) and other inflammatory and scarring conditions.

Cold laser therapy stimulates production of serotonin thus allowing the body to heal itself. One of the benefits of the cold laser therapy is that it is non-thermal and non-invasive. Cold laser therapy is not only significant in reducing treatment times; it is cost effective as well.

Low Level Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic Injuries

Lower Back Pain. Coccyx. Disc injuries. Slipped, Bulging, Herniated and Prolapsed disc’s
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief and Muscle Spasm
Relief of Muscle and joint Pain

Skin infections.

Relief of Stiffness the Promotion of Muscle Relaxation, and Cell Restoration.

Wound Management  Including Skin Ulcers, Pressure Sores and Burns.

Soft Tissue Injuries  Including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders and Conditions Including Arthritic pain relief and Tenosynovitis.

Chronic pain including Trigeminal Neuralgia and Neck and Back pain 

For further in depth information on Cold laser therapy, back pain, sciatica. Please go to top left corner listed under “pain” or “Condition” and ”Treatments” for more on Cold Laser Therapy.    

 

Call 02476 222002.Reg’d with BUPA. AXA PPP. HSA. AVIVA. Simplyhealth. Standard Life.Pru health. Cigna. Mercia health. Medisure. Medicash.All health insurance accepted.

Back pain and injuries.  

Cold or low level Laser Therapy for pain relief and recovery for back injuries such as Bulging,Prolapsed,  Herniated or Slipped discs. Disc Degeneration. Spinal Stenosis. Spondylolysis Spondylolisthesis. Sacroiliac joint. Facet Joints. Muscles. Ligaments. Ankylosing Spondylitis.

Causes of Back Pain.   Muscles/Ligaments

Among the many causes of back pain, the most common by far is a sprain or strain of muscles or ligaments. Muscle spasm can occur after twisting or bending awkwardly, or from a simple sneeze or cough. The majority of muscle spasms tend to get better over time. Severe cases of muscle spasms are treated with medication, physical therapy, also cold laser therapy, see our cold laser therapy section under “Treatments”. 

Disc Degeneration

Disc problems are common causes of back pain. After an injury, or as we age, discs lose fluid content and deteriorate in a process called disc

The earliest form of injury to a disc is in the form of tears or fissures in the annulus fibrosis (outer portion) of the disc. The annulus fibrosis is very much is like a large round ligament that prevents the nucleus pulposus (inner gel-like portion) of the disc from protruding outward. Tears in the annulus heal by scar formation weakening the tissue. The repetitive annular tears degeneration.which heal by scar formation lead to a disc that begins to degenerate.

As degeneration progresses the disc becomes stiff, narrow, and losses its ability to act as a shock absorber. Loss of shock absorbing capacity of the disc leads to increased stress being put on the bones of the spine causing formation of bone sours or osteophytes. If bone spurs get large enough, they may cause pressure on nerves in the spinal canal which would present as numbness and weakness in the arms or legs depending on the spinal level being affected. The combination of disc degeneration and bone spur formation in the spine is called spondylosis. Any narrowing within the spinal canal, from bone spur formation or from any other cause such as disc prolapsed of thickening of the ligaments of the spine is called spinal stenosis. Spondylosis or spinal stenosis can occur at any region in the spine: cervical, thoracic, or lumbar.

Bulging Disc, Protruding Disc, Prolapsed Disc, Herniated Disc, Extruded disc, Slipped Disc.

The above terms generally describe a disc that is displaced beyond the limits of the intervertebral disc space i.e. the borders of annulus fibrous (the outer fibrous part of the disc)

Disc prolapse or herniation is the protrusion of the central portion of the disc through a tear in the outer annular wall of the disc. If disc prolapsed results in the compression (direct or indirect) of the nerve root it would cause symptoms of pain, numbness, or weakness. In some individuals however, disc protrusions will not cause any symptoms. A disc extrusion is a severe version of a disc protrusion in which a large portion of the nucleus pulposus is displaced through the wall of the disc. A disc extrusion is almost always would result in the symptoms of nerve root compression.

Facet Joints

Facet joints irritation is another cause of back pain. Facet joints are small pairs of joints on the back of the spinal column where the vertebrae meet. Facet joints provide stability to the spine by interlocking two adjacent vertebrae. Facet joints also allow the spine to bend forward (flexion), bend backward (extension), and twist. 

Inflammation of facet joints can occur from injuries, excessive stress put on the spine or a form of arthritis. Facet joint problems are functional problems and would not be visualised on the x-rays of the MRI scan.

Spinal Stenosis

The term stenosis describes any narrowing of the spinal canal. Among many causes of spinal stenosis the most common one is degenerative changes or oseoarthritis of the spine, which occurs almost inevitably as a part of the aging process.

Canal stenosis can be caused by many factors such as enlargement of the facet joints due to degenerative changes; hypertrophy (enlargement) of the ligamentum flavum – the main ligament of the spinal canal; the protrusion or herniation of intervertebral discs into the canal and forward slippage of vertebrae in a condition called spondylolisthesis – all contribute into narrowing of spinal canal on their own or in conjunction with each other.

Main symptoms of spinal stenosis in lumbar spine is pain in the back and legs aggravated by standing and walking and relieved by sitting or stooping forward. Legs pain induced by walking is known as neurogenic claudication (from the Latin claudico, to limp). Neurogenic claudication must be distinguished from is vascular claudication, or leg pain on walking caused by insufficient blood flow to the legs. The features which help to distinguish neurogenic from vascular claudication are the following: 

In neurogenic claudication pain occurs after varying amounts of exercise, with standing, or with coughing. Vascular claudication is reliably produced with a fixed amount of exercise, such as walking a certain number of blocks, and is rare at rest. The main distinguishing feature of neurogenic claudication and vascular claudication is the pain relief with sitting and stooping in cases of neurogenic claudication while vascular claudication pain is usually quickly relieved by resting in a standing position. Sensory loss of neurological claudication is in a nerve root distribution, while with vascular insufficiency it is in a stocking-glove distribution. Signs of vascular insufficiency should be absent in neurogenic claudication: diminished pulses, foot pallor on elevation, and decreased temperature of the feet.

Spondylolysis and Spondylolisthesis

Spondylolysis and Spondylolistheses are the most common causes of lower back pain in adolescents. Spondylolysis is a  fracture in one  or both pedicles  of the vertebrae that make up the spinal column. It usually affects either the fourth or the fifth lumbar vertebra in the lower back. The fracture site is called a pars defect.

If the bone is unable to maintain its proper position, the top vertebrae can shift forward on top of the bottom vertebrae. This condition is called spondylolisthesis.

For adults, a spondylolisthesis is normally caused from degenerative changes in the spine. When too much movement or slippage occurs, the bones may begin to press on nerves and surgery may become necessary to correct the condition.

Causes such as genetic, overuse or degenerative changes can contribute to development of spondylolisthesis. 

Sacroiliac Joints

Another very common cause of lower back pain is a dysfunction of sacro-iliac joints. The sacroiliac joint connects the sacrum (the triangular bone at the bottom of the spine) with the pelvis (iliac crest).

The inflammation of sacroiliac joint can result from an acute injury or from chronic postural abnormalities such as undue stress on the joint following lower back fusion surgery, degenerative changes of the hip and knee joint as well as from fallen arches of the foot. Pain distribution from sacroiliac joint abnormalities is in the low back, buttock/hip, abdomen, groin, or legs.

Ankylosing Spondylitis

Ankylosing spondylitis is an inflammatory condition affecting the spine. With ankylosing spondylitis, the joints and ligaments that normally permit the spine to move become inflamed and stiff. with time the bones of the spine may fuse together, causing the spine to become rigid and inflexible.

Other rare causes of back pain include:

Benign or malignant tumors of the spine or spinal cord Problems of the digestive tract, genitourinary or gynaecological problems can cause referred low back pain Infections.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic and Physiotherapy Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Back pain, lower back pain

Slipped disc, Prolapsed disc, Herniated disc, Bulging disc.

Trapped  nerve.

Hip Pain Sacroiliac joint inflammation 

Athletic InjuriesLower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic Pain relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Wound Management including Skin Ulcers, Pressure Sores and Burn

Soft Tissue Injuries including

Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders including Arthritic pain relief and Tenosynovitis.

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Whiplash Associated Disorder (WAD) “Whiplash” injury Neck Pain and injuries.

For further in depth information on Back Pain, Sciatica, Lower Back Pain, please go to top left corner under “Pain” or “Conditions”. 

 

Call 02476 222002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simpleyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Chiropractic treatment for Back Pain and injuries.  Cold Laser Therapy for pain relief, for back injuries such as Bulging, Prolapsed, Herniated or Slipped discs. Disc Degeneration. Spinal Stenosis. Spondylolysis Spondylolisthesis. Sacroiliac joint. Facet Joints. Muscles. Ligaments. Ankylosing Spondylitis.

Causes of back pain  Muscles/Ligaments

Among the many causes of back pain, the most common by far is a sprain or strain of muscles or ligaments. Muscle spasm can occur after twisting or bending awkwardly, or from a simple sneeze or cough. The majority of muscle spasms tend to get better over time. Severe cases of muscle spasms are treated with medication, physical therapy, also cold laser therapy, see our cold laser therapy section under “Treatments”. 

Discs.   Disc Degeneration

Disc problems are common causes of back pain. After an injury, or as we age, discs lose fluid content and deteriorate in a process called disc

The earliest form of injury to a disc is in the form of tears or fissures in the annulus fibrosis (outer portion) of the disc. The annulus fibrosis is very much is like a large round ligament that prevents the nucleus pulposus (inner gel-like portion) of the disc from protruding outward. Tears in the annulus heal by scar formation weakening the tissue. The repetitive annular tears degeneration.which heal by scar formation lead to a disc that begins to degenerate.

As degeneration progresses the disc becomes stiff, narrow, and losses its ability to act as a shock absorber. Loss of shock absorbing capacity of the disc leads to increased stress being put on the bones of the spine causing formation of bone sours or osteophytes. If bone spurs get large enough, they may cause pressure on nerves in the spinal canal which would present as numbness and weakness in the arms or legs depending on the spinal level being affected. The combination of disc degeneration and bone spur formation in the spine is called spondylosis. Any narrowing within the spinal canal, from bone spur formation or from any other cause such as disc prolapsed of thickening of the ligaments of the spine is called spinal stenosis. Spondylosis or spinal stenosis can occur at any region in the spine: cervical, thoracic, or lumbar.

Bulging Disc, Protruding Disc, Prolapsed Disc, Herniated Disc, Extruded disc, Slipped Disc.

The above terms generally describe a disc that is displaced beyond the limits of the intervertebral disc space i.e. the borders of annulus fibrous (the outer fibrous part of the disc)

Disc prolapse or herniation is the protrusion of the central portion of the disc through a tear in the outer annular wall of the disc. If disc prolapsed results in the compression (direct or indirect) of the nerve root it would cause symptoms of pain, numbness, or weakness. In some individuals however, disc protrusions will not cause any symptoms. A disc extrusion is a severe version of a disc protrusion in which a large portion of the nucleus pulposus is displaced through the wall of the disc. A disc extrusion is almost always would result in the symptoms of nerve root compression.

Facet Joints

Facet joints irritation is another cause of back pain. Facet joints are small pairs of joints on the back of the spinal column where the vertebrae meet. Facet joints provide stability to the spine by interlocking two adjacent vertebrae. Facet joints also allow the spine to bend forward (flexion), bend backward (extension), and twist. 

Inflammation of facet joints can occur from injuries, excessive stress put on the spine or a form of arthritis. Facet joint problems are functional problems and would not be visualised on the x-rays of the MRI scan.

Spinal Stenosis

The term stenosis describes any narrowing of the spinal canal. Among many causes of spinal stenosis the most common one is degenerative changes or oseoarthritis of the spine, which occurs almost inevitably as a part of the aging process.

Canal stenosis can be caused by many factors such as enlargement of the facet joints due to degenerative changes; hypertrophy (enlargement) of the ligamentum flavum – the main ligament of the spinal canal; the protrusion or herniation of intervertebral discs into the canal and forward slippage of vertebrae in a condition called spondylolisthesis – all contribute into narrowing of spinal canal on their own or in conjunction with each other.

Main symptoms of spinal stenosis in lumbar spine is pain in the back and legs aggravated by standing and walking and relieved by sitting or stooping forward. Legs pain induced by walking is known as neurogenic claudication (from the Latin claudico, to limp). Neurogenic claudication must be distinguished from is vascular claudication, or leg pain on walking caused by insufficient blood flow to the legs. The features which help to distinguish neurogenic from vascular claudication are the following:

 

In neurogenic claudication pain occurs after varying amounts of exercise, with standing, or with coughing. Vascular claudication is reliably produced with a fixed amount of exercise, such as walking a certain number of blocks, and is rare at rest. The main distinguishing feature of neurogenic claudication and vascular claudication is the pain relief with sitting and stooping in cases of neurogenic claudication while vascular claudication pain is usually quickly relieved by resting in a standing position. Sensory loss of neurological claudication is in a nerve root distribution, while with vascular insufficiency it is in a stocking-glove distribution. Signs of vascular insufficiency should be absent in neurogenic claudication: diminished pulses, foot pallor on elevation, and decreased temperature of the feet.

Spondylolysis and Spondylolisthesis

Spondylolysis and Spondylolistheses are the most common causes of lower back pain in adolescents. Spondylolysis is a  fracture in one  or both pedicles  of the vertebrae that make up the spinal column. It usually affects either the fourth or the fifth lumbar vertebra in the lower back. The fracture site is called a pars defect.

If the bone is unable to maintain its proper position, the top vertebrae can shift forward on top of the bottom vertebrae. This condition is called spondylolisthesis.

For adults, a spondylolisthesis is normally caused from degenerative changes in the spine. When too much movement or slippage occurs, the bones may begin to press on nerves and surgery may become necessary to correct the condition.

Causes such as genetic, overuse or degenerative changes can contribute to development of spondylolisthesis. 

Sacroiliac Joints

Another very common cause of lower back pain is a dysfunction of sacro-iliac joints. The sacroiliac joint connects the sacrum (the triangular bone at the bottom of the spine) with the pelvis (iliac crest).

The inflammation of sacroiliac joint can result from an acute injury or from chronic postural abnormalities such as undue stress on the joint following lower back fusion surgery, degenerative changes of the hip and knee joint as well as from fallen arches of the foot. Pain distribution from sacroiliac joint abnormalities is in the low back, buttock/hip, abdomen, groin, or legs.

Ankylosing Spondylitis

Ankylosing spondylitis is an inflammatory condition affecting the spine. With ankylosing spondylitis, the joints and ligaments that normally permit the spine to move become inflamed and stiff. with time the bones of the spine may fuse together, causing the spine to become rigid and inflexible.

Other rare causes of back pain include:

Benign or malignant tumors of the spine or spinal cord Problems of the digestive tract, genitourinary or gynaecological problems can cause referred low back pain Infections.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic and Physiotherapy Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Back pain, lower back pain

Slipped disc, Prolapsed disc, Herniated disc, Bulging disc.

Trapped  nerve.

Hip Pain Sacroiliac joint inflammation 

Athletic InjuriesLower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic Pain relief, Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Wound Management including Skin Ulcers, Pressure Sores and Burn

Soft Tissue Injuries including Ligaments. Tendons. Sprains. Ruptured Ligaments.

Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders including Arthritic pain relief and Tenosynovitis.

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Whiplash Associated Disorder (WAD) “Whiplash” injury Neck Pain and injuries.

For further in depth information on Back Pain, Sciatica, Lower Back Pain, please go to top left corner under “Pain” or “Conditions”. 

 

Call 02476 222002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simplyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted. 

The cause of Back Pain and Disc Injuries. Cold Laser Therapy for pain relief and recovery.  Bulging disc, Prolapsed Herniated Slipped discs, disc Degeneration Spinal Stenosis Spondylolysis Spondylolisthesis Sacroiliac joint, Facet Joints Muscles Ligaments Ankylosing Spondylitis. 

Causes of Back Pain   Muscles/Ligaments 

Among the many causes of back pain, the most common by far is a sprain or strain of muscles or ligaments. Muscle spasm can occur after twisting or bending awkwardly, or from a simple sneeze or cough. The majority of muscle spasms tend to get better over time. Severe cases of muscle spasms are treated with medication, physical therapy, also cold laser therapy, see our cold laser therapy section under “Treatments”. 

Discs.  Disc Degeneration 

Disc problems are common causes of back pain. After an injury, or as we age, discs lose fluid content and deteriorate in a process called disc degeneration.The earliest form of injury to a disc is in the form of tears or fissures in the annulus fibrosis (outer portion) of the disc. The annulus fibrosis is very much is like a large round ligament that prevents the nucleus pulposus (inner gel-like portion) of the disc from protruding outward. Tears in the annulus heal by scar formation weakening the tissue. The repetitive annular tears which heal by scar formation lead to a disc that begins to degenerate. 

As degeneration progresses the disc becomes stiff, narrow, and losses its ability to act as a shock absorber. Loss of shock absorbing capacity of the disc leads to increased stress being put on the bones of the spine causing formation of bone sours or osteophytes. If bone spurs get large enough, they may cause pressure on nerves in the spinal canal which would present as numbness and weakness in the arms or legs depending on the spinal level being affected. The combination of disc degeneration and bone spur formation in the spine is called spondylosis. Any narrowing within the spinal canal, from bone spur formation or from any other cause such as disc prolapsed of thickening of the ligaments of the spine is called spinal stenosis. Spondylosis or spinal stenosis can occur at any region in the spine: cervical, thoracic, or lumbar. 

Bulging Disc, Protruding Disc, Prolapsed Disc, Herniated Disc, Extruded disc, Slipped Disc. 

The above terms generally describe a disc that is displaced beyond the limits of the intervertebral disc space i.e. the borders of annulus fibrous (the outer fibrous part of the disc) 

Disc prolapse or herniation is the protrusion of the central portion of the disc through a tear in the outer annular wall of the disc. If disc prolapsed results in the compression (direct or indirect) of the nerve root it would cause symptoms of pain, numbness, or weakness. In some individuals however, disc protrusions will not cause any symptoms. A disc extrusion is a severe version of a disc protrusion in which a large portion of the nucleus pulposus is displaced through the wall of the disc. A disc extrusion is almost always would result in the symptoms of nerve root compression. 

Facet Joints 

Facet joints irritation is another cause of back pain. Facet joints are small pairs of joints on the back of the spinal column where the vertebrae meet. Facet joints provide stability to the spine by interlocking two adjacent vertebrae. Facet joints also allow the spine to bend forward (flexion), bend backward (extension), and twist. 

Inflammation of facet joints can occur from injuries, excessive stress put on the spine or a form of arthritis. Facet joint problems are functional problems and would not be visualised on the x-rays of the MRI scan. 

Spinal Stenosis. 

The term stenosis describes any narrowing of the spinal canal. Among many causes of spinal stenosis the most common one is degenerative changes or oseoarthritis of the spine, which occurs almost inevitably as a part of the aging process. 

Canal stenosis can be caused by many factors such as enlargement of the facet joints due to degenerative changes; hypertrophy (enlargement) of the ligamentum flavum – the main ligament of the spinal canal; the protrusion or herniation of intervertebral discs into the canal and forward slippage of vertebrae in a condition called spondylolisthesis – all contribute into narrowing of spinal canal on their own or in conjunction with each other. 

Main symptoms of spinal stenosis in lumbar spine is pain in the back and legs aggravated by standing and walking and relieved by sitting or stooping forward. Legs pain induced by walking is known as neurogenic claudication (from the Latin claudico, to limp). Neurogenic claudication must be distinguished from is vascular claudication, or leg pain on walking caused by insufficient blood flow to the legs. The features which help to distinguish neurogenic from vascular claudication are the following: 

In neurogenic claudication pain occurs after varying amounts of exercise, with standing, or with coughing. Vascular claudication is reliably produced with a fixed amount of exercise, such as walking a certain number of blocks, and is rare at rest. The main distinguishing feature of neurogenic claudication and vascular claudication is the pain relief with sitting and stooping in cases of neurogenic claudication while vascular claudication pain is usually quickly relieved by resting in a standing position. Sensory loss of neurological claudication is in a nerve root distribution, while with vascular insufficiency it is in a stocking-glove distribution. Signs of vascular insufficiency should be absent in neurogenic claudication: diminished pulses, foot pallor on elevation, and decreased temperature of the feet. 

Spondylolysis and Spondylolisthesis. 

Spondylolysis and Spondylolistheses are the most common causes of lower back pain in adolescents. Spondylolysis is a  fracture in one  or both pedicles  of the vertebrae that make up the spinal column. It usually affects either the fourth or the fifth lumbar vertebra in the lower back. The fracture site is called a pars defect, if the bone is unable to maintain its proper position, the top vertebrae can shift forward on top of the bottom vertebrae. This condition is called spondylolisthesis. 

For adults, a spondylolisthesis is normally caused from degenerative changes in the spine. When too much movement or slippage occurs, the bones may begin to press on nerves and surgery may become necessary to correct the condition. Causes such as genetic, overuse or degenerative changes can contribute to development of spondylolisthesis. 

Sacroiliac Joints. 

Another very common cause of lower back pain is a dysfunction of sacro-iliac joints. The sacroiliac joint connects the sacrum (the triangular bone at the bottom of the spine) with the pelvis (iliac crest). 

The inflammation of sacroiliac joint can result from an acute injury or from chronic postural abnormalities such as undue stress on the joint following lower back fusion surgery, degenerative changes of the hip and knee joint as well as from fallen arches of the foot. Pain distribution from sacroiliac joint abnormalities is in the low back, buttock/hip, abdomen, groin, or legs. 

 Ankylosing Spondylitis. 

Ankylosing spondylitis is an inflammatory condition affecting the spine. With ankylosing spondylitis, the joints and ligaments that normally permit the spine to move become inflamed and stiff. with time the bones of the spine may fuse together, causing the spine to become rigid and inflexible. 

Other rare causes of back pain include: 

Benign or malignant tumors of the spine or spinal cord Problems of the digestive tract, genitourinary or gynaecological problems can cause referred low back pain Infections. 

Cold Laser Therapy/Treatment. 

The lasers used at Central Chiropractic and Pysiotherapy Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe. 

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle. 

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; 

Upper and Lower Back Pain. Sciatica. 

Slipped disc, Prolapsed disc, Herniated disc, Bulging disc. 

Trapped  nerve. 

Hip Pain Sacroiliac joint inflammation. 

Athletic Injuries
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief and Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections. 

Wound Management including Skin Ulcers, Pressure Sores and Burn 

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas. 

Joint Disorders including Arthritic pain relief and Tenosynovitis. 

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain. “Whiplash” (WAD) injury Neck Pain and injuries 

For further in depth information on Back Pain, Sciatica, Lower Back Pain, please go to top left corner under “Pain” or “Conditions”.  

  

Cold/Low Level Laser Therapy for Pain Relief and Recovery. Sciatica Risk factors. When to seek medical advice Seek immediate medical treatment if:  

Call 024 7622 2002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simplyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted. 

Sciatica the Risk factors.

The greatest risk factors for sciatica include:

o Age related changes in the spine are a common cause of sciatica. You’re likely to have some deterioration in the discs in your back by the time you’re in your late 20s, and most people who develop herniated discs are in their early 30s and 40s and Previous injuries from sport and work related, activity are also common factors.

o Occupation. jobs that requires you to twist your back, and carry heavy loads, driving a motor vehicle for extended periods makes you more prone to develop sciatica.

o Prolonged sitting. People who sit for prolonged periods or have a sedentary lifestyle are more likely to develop sciatica than people with active lifestyle.

o Diabetes. This condition, which affects the way your body uses blood sugar, increases your risk of nerve damage.

When to seek medical advice Seek immediate medical treatment if:

o You experience sudden, severe pain in your low back or either or both legs and numbness or muscle weakness in either or both of the legs

o The pain follows a injury, from a traffic or work related accident

o You have trouble controlling your bowels or bladder.

o Seek medical advice urgently.

Screening and diagnosis of sciatica.

To help diagnose sciatica and pinpoint which nerves, if any, are affected, your chiropractor will ask about your medical history and perform a thorough physical exam, paying special attention to your spine and legs.

You’re also likely to have some basic tests that check your muscle strength and reflexes. For example, you may be asked to walk on your toes or heels, and, while lying on your back, lift your legs one at a time straight in the air. Pain that results from sciatica will usually become worse during this examination.

If your pain lasts longer than four weeks or is very severe, or you have another serious condition such as cancer, you may have one or more imaging tests to help identity why the sciatic nerve is compressed and to rule out other causes for your symptoms.

These tests include:

o Spinal X-ray.Because ordinary X-rays can’t detect herniated disc problems or nerve damage, they’re not usually helpful for pinpointing the cause of sciatica. A spinal X-ray can show most cancers affecting the bony structures of the spine, narrowed discs and spondylolisthesis, however, and can help rule out other causes of nerve root impingement.  

o Magnetic resonance imaging (MRI).This is probably the most sensitive test for assessing sciatic nerve pain. Instead of X-rays, MRI uses a powerful magnet and radio waves to produce cross-sectional images of your back. The test can detect damage to your discs and ligaments as well as the presence of tumors. MRI is non-invasive and has no harmful side effects. During the test you lie on a movable table inside the MRI machine, which is essentially a large magnet. If you have a hard time lying still for the required period of time or you’re anxious about the enclosed space, you may be given a sedative. Some MRI units may be wider, shorter or open on all sides, which may be more comfortable for you, although the quality of images taken with these systems may vary.

o Computerized tomography (CT) scan.This test uses a narrow beam of radiation to produce detailed, cross-sectional images of your body. When CT is used to image the spine, you may have a contrast dye injected into your spinal canal before the X-rays are taken a procedure called a CT myelogram. The dye then circulates around your spinal cord and spinal nerves which appear white on the scan.

Complications of Sciatica.

Although people recover from sciatica, sciatica can potentially cause permanent nerve damage. Depending on what’s causing the nerve to be compressed, other complications may occur,

They included

o    Loss of feeling, may affected one or both or legs.

o    Loss of movement may affected one or both legs

o    Loss of bowel or bladder function  

Different Treatment of Sciatica Include following:

Physical therapy.

For a herniated disc, physical therapy can play a role in your recovery. Once acute pain is reduced and range of movement improves a physical therapist or Chiropractor can design a rehabilitation program to help prevent further injuries. Rehabilitation includes exercises to help correct your posture, strengthen the muscles supporting your back and improve your flexibility. Physical therapy, exercises should be Started as early as possible.

Prescription drugs.

Doctors may prescribe an anti-inflammatory medication along with a muscle relaxant. Narcotics also may be prescribed for short-term pain relief. Antidepressants and anticonvulsant drugs can be used in easing chronic pain. They may help by blocking pain messages to the brain or by enhancing the production of endorphins, the body’s natural painkillers. 

More invasive treatment Epidural steroid injections.

In some cases, doctors may inject a corticosteroid medication into the affected area. Corticosteroids mimic the effects of the hormones cortisone and hydrocortisone, which are made by the outer layer (cortex) of your adrenal glands; Corticosteroids suppress inflammation around the irritated nerve thus giving pain relief. Their usefulness in treating sciatica remains a matter of debate. Some research has found that corticosteroids can provide short-term symptom relief, but that these medications aren’t a long-term solution. In addition, corticosteroids can have side effects, so the number of injections you can receive is limited usually no more than four per joint. 

Surgery.

This is usually occurs when the compressed nerve causes significant weakness, bowel or bladder incontinence, (when this occurs seek medical advice urgently) or you have pain that gets progressively worse or does not improve.Surgical options include lumbar laminectomy and microdiscectomy. In lumbar laminectomy with discectomy, surgeons remove a portion of a herniated disc that’s pressing on a nerve. Most of the disc is left intact to preserve as much of the normal anatomy as possible. Sometimes a surgeon will perform this operation through a small incision while looking through a microscope (microdiscectomy).

Success rates of standard discectomy and microdiscectomy are about equal, but you may have less pain and recover more quickly with microdiscectomy. Discuss which option might be best for you with your doctor, and carefully weigh the potential benefits of surgery against the risks as surgery is not always successful. 

(Always get a second opinion).

Prevention  Exercise Regularly.

This is the most important thing you can do for your overall health as well as for your back. Pay attention to your core muscles the muscles in your abdomen and lower back that are essential for proper posture and alignment. For cardiovascular benefits, try using an exercise bike or treadmill. Swimming is also recommended.

Maintain proper posture when you sit.

A good chair should comfortably support your hips, and the seat should not press on the back of your thighs or knees. If the chair does not support the natural curve in your lower spine, place a rolled towel or pillow behind your back. When working at a computer, adjust your chair so that your feet are flat on the floor and your arms rest on your desk or the chair’s arms, with your elbows bent at a right angle. Take frequent breaks every 20 minutes, even if it’s just to walk around your office a little stretching will also help.

Driving.

Before setting off adjust your seat to keep your knees and hips level, and move the seat forward to avoid overreaching for the pedals. 

Using body mechanics.

Being aware of how you stand and lift heavy objects and even how you sleep can go a long way toward keeping your back healthy. That’s because poor posture stresses your back, leading to fatigue and stress on joints and nerves. Always hold reading material at eye level instead of bending forward, and if you’re standing for long periods rest one foot on a raised object about the height of a foot stool. Before you lift something heavy, decide where you’ll place it and how you’ll get it from A to B. Bend at your knees, not your back, so that your legs do the lifting. Carry objects close to your body at about waist level. If possible, set the object down on a surface between shoulder and knee height to avoid lifting objects over your head or bending over too far. Don’t twist at your waist. Instead turn by pivoting your feet.

Be careful moving heavy things when you become tired, Tiredness can cause you to move more awkwardly than normal. Heavy loads are the greatest risk to your spine, so know your limitations. Don’t attempt to lift something that is beyond your normal ability.

Try the following measures:

o Cold or ice packs. Initially using cold packs may be able to reduce inflammation and relieve discomfort. Wrap an ice pack in a thin towel and apply to the painful areas for 15 to 20 minutes at least 7 times a daily.

o Stretching. Stretching exercises for your low back can help you feel better and may help relieve nerve root compression. Avoid or sudden movements and twisting during the stretch and try to hold the stretch as long as possible. Around 40 seconds per stretch if possible.

o Medications. Pain killers (analgesics) fall into two categories those that reduce pain and inflammation and those that only treat pain. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, and acetaminophen (Tylenol,) will be helpful for sciatica. Although they provide real relief, both types of medication have a limit to how much pain they can reduce. If you have moderate to severe pain, exceeding the recommended dosage will not provide any additional benefits. In addition NSAIDs can cause side effects such as nausea, stomach bleeding or ulcers, and acetaminophen can cause liver problems.

If you’re using these medications, you should talk to your GP so that you can be monitored for any arising problems. Periodically reassess whether you still need drug treatment or not. Exercise, stretching, massage and other none drug treatments can often provide the same benefits without side effect. 

Regular exercise.

It may seem counterintuitive to exercise when you’re in pain, but regular exercise is one of the best ways to combat chronic discomfort. Exercise prompts your body to release endorphins chemicals that prevent pain signals from reaching your brain. Exercise in moderation. In the early stages of sciatica, swimming or other low-impact exercise such as an exercising bicycle will help you stay active without worsening your symptoms. Later, as you improve and the pain becomes less combining aerobic activity with strength training and core stability exercises that improve the strength of your back muscles can help limit the effects of degenerative changes in your spine.

Start out slowly and progress to at least 45 minutes every day to prevent further injury.

(For Further information on Back Pain or Lower Back Pain, Please go to top left corner under “Pain “or “Conditions”)

Cold laser Therapy/Treatment.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as Athletic and sports injuries;  

Back Pain and injuries.

Lower back Pain.

Slipped disc.

Prolapsed disc.

Herniated disc.

Bulging disc.

Sciatica. 

Trapped Nerves.

Stiff Back.
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief and Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections, including cold sores
Relief of Stiffness and the Promotion of Muscle Relaxation and Cell Restoration

Wound Management  including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuriesincluding Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders and Conditionsincluding Arthritic pain relief and Tenosynovitis

Chronic painincluding Trigeminal Neuralgia. Neck and Back pain.

Cold Laser Therapy is used at our clinic for pain relief and treatment of ligament and tendon injuries, muscle sprains by reducing pain and accelerating the healing process.

 For further in depth information on “Back Pain, lower back pain”  “Conditions”  “Treatments” and “Cold Laser Therapy”. Please go to top left corner. 

 

Call 024 7622 2002. Reg’d BUPA. AXA PPP.  HSA .AVIVA. CIGNA. Simpleyhealth. Standard life health. . Pru health. Mercia health, all health insurance accepted.

 

What Sciatica Causes Sciatica? How do I know if I have sciatica? How is Sciatica treated?

 

 

The sciatic nerve is the longest nerve in your body. It runs from your lower back, through your hip area and buttocks and down each leg. The sciatic nerve divides into smaller nerves as it travels down the legs providing feeling to your thighs, legs, and feet as well as controlling the muscles in your lower legs. The term “Sciatica” refers to pain that radiates along the length of this nerve.

What causes Sciatica?

Sciatica is a sign of underlying problem resulting in pressure being applied on sciatic nerve along its course. The most common cause of this nerve compression is a bulging or herniated disc (in lumbar spine). Piriformis syndrome is another cause of sciatica. The piriformis is a muscle that sits directly over the sciatic nerve. If this muscle becomes tight or if you have a spasm in this muscle, it puts pressure on the sciatic nerve. 

How do I know if I have sciatica?

Pain that radiates from your lower back to your buttock or buttocks and down the back of your leg or legs is the hallmark of sciatica. Sciatica can be accompanied by numbness, tingling, and muscle weakness in the affected leg or legs. This pain can vary from a mild ache to a sharp or burning sensation or excruciating discomfort. Sometimes it may feel like a sharp stabbing pain or electric shock. Sciatic pain often starts gradually and intensifies over time. Normally it gets worse when you sit.  

How is Sciatica Treated?

The majority of the time, sciatic pain can be relieved through a combination of stretches, deep tissue massage of the piriformis muscle and chiropractic manipulation on lumbar spine. Occasionally, in cases where chronic spasm of the low back or piriformis muscles is causing the sciatic pain, it may be necessary to do a procedure called a trigger point injection, where a medical pain specialist injects a small amount of aesthetic directly into a spasmed muscle to break the spasm cycle. However, this is typically not necessary.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Sciatica,

Back pain/ Lower back pain

Piriformis syndrome 

Slipped disc,

Prolapsed disc

Herniated disc

Trapped nerves.

Sacroiliac Joint inflammation 

Hip Pain

Athletic Injuries

Lower Back Pain.
Knee Heel and Foot Pain
Shoulder injuries and conditions
Carpal Tunnel Syndrome
Arthritic pain relief and Muscle Spasm
Relief of Muscle and Joint Pain.

Skin infections. 

Wound Management including Skin Ulcers, Pressure Sores and Burns.

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders including Arthritic pain relief and Tenosynovitis.

Chronic pain such as Trigeminal Neuralgia and neck and back pain.

For further in depth information on Back Pain Sciatica, Disc injuries, please go to top left hand corner under “Pain” or “Conditions “and “Treatments” for Cold Laser Therapy is very effective in pain relief and healing

 

Sciatica  Pain Relief and Treatment 

The sciatic nerve is the longest nerve in your body. It runs from your lower back, through your hip area and buttocks and down each leg. The sciatic nerve divides into smaller nerves as it travels down the legs providing feeling to your thighs, legs, and feet as well as controlling the muscles in your lower legs. The term “Sciatica” refers to pain that radiates along the length of this nerve. 

What causes Sciatica? 

Sciatica is a sign of underlying problem resulting in pressure being applied on sciatic nerve along its course. The most common cause of this nerve compression is a bulging or herniated disc (in lumbar spine). Piriformis syndrome is another cause of sciatica. The piriformis is a muscle that sits directly over the sciatic nerve. If this muscle becomes tight or if you have a spasm in this muscle, it puts pressure on the sciatic nerve. 

How do I know if I have sciatica? 

Pain that radiates from your lower back to your buttock or buttocks and down the back of your leg or legs is the hallmark of sciatica. Sciatica can be accompanied by numbness, tingling, and muscle weakness in the affected leg or legs. This pain can vary from a mild ache to a sharp or burning sensation or excruciating discomfort. Sometimes it may feel like a sharp stabbing pain or electric shock. Sciatic pain often starts gradually and intensifies over time. Normally it gets worse when you sit.   

How is Sciatica Treated? 

The majority of the time, sciatic pain can be relieved through a combination of stretches, deep tissue massage of the piriformis muscle and chiropractic manipulation on lumbar spine. Occasionally, in cases where chronic spasm of the low back or piriformis muscles is causing the sciatic pain, it may be necessary to do a procedure called a trigger point injection, where a medical pain specialist injects a small amount of anesthetic directly into a spasmed muscle to break the spasm cycle. However, this is typically not necessary.  

Cold/Low Level Laser Therapy/Treatment 

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe. 

Cold/Low Level Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells  and includes, ligament, nerves, cartilage and muscle. 

Cold/Low Level Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as; Sciatica 

Sciatica, lower back pain  

Chronic Back pain,  

Piriformis syndrome,  

Slipped disc, Prolapsed disc, Herniated disc,  

Trapped nerves. 

Sacroiliac Joint Inflammation. 

Wound Management including Skin Ulcers, Pressure Sores and Burns 

Soft Tissue Injuries  including Sprains and Strains, Tendonitis and Haematomas 

Joint Disorders  including Arthritic pain relief and Tenosynovitis 

Chronic pain such as Trigeminal Neuralgia and Chronic Back Neck Shoulder Pain. 

For further in-depth information, please go to the left top corner under “pain” or “conditions” and for Cold/Low Level laser therapy, please go to “Treatments,” Cold/Low Level Laser Therapy is very effective for both pain relief and healing. 

Sciatica for further information on back pain,  lower back pain, trapped nerve or disc Prolapses, for in depth  information,, please go to top left corner under “Pain” and “Conditions” and ”Treatments” for Cold/Low Level Laser Therapy, is very effective in rain relief and healing