Chiropractic for low back pain is suggested by the AMA and others. In a recent article published by the Journal of the American Medical Association (JAMA), it was recommended that patients looking for alternative treatment for low back pain first try chiropractic care before considering surgical procedures. The article states that many individuals can benefit from conservative chiropractic care, and that surgery is often only necessary when other more conservative treatments fail. Previous research has shown that chiropractic care for low back pain is more cost effective than either surgery or drug therapy, and saves patients money. The first phase is often pain relief, and the second phase is to correct the problem. The goal is to help patients maintain a healthy, pain-free back. The information in the JAMA article reinforces the American Chiropractic Association’s (ACA) position, which states, “Conservative care options should serve as a first line of defense against pain.”

According to the Global Burden of Disease Study 2010, low back pain is the single leading cause of disability worldwide. Half of all working Americans admit to having back pain symptoms each year.

It is one of the most common reasons for missed work, and the second most common reason for visits to the doctor’s office. More than $50 billion each year is spent on low back pain, and experts estimate that as many as 80% of us will experience a back problem in the future.

At Mountain View Pain Center, our dynamic team of doctors treats low back pain, mid back pain, neck pain and extremity pain. We combine expert advice, the highest quality of chiropractic care available, advanced soft tissue work, and state-of-the-art rehabilitation programs. We use various diagnostic methods to discover the state of your health, focusing on your spine and bone structure. Spinal manipulation and other manual adjustments can help your body heal itself.

The Causes of Low Back Pain

The back is a structure composed of bones, joints, ligaments and muscles. Pain can occur from a wide range of imbalances, such as sprained ligaments, strained muscles, ruptured disks, and irritated joints. Sports injuries, improperly treated injuries, accidents, poor posture, bending, and lifting can cause acute (sudden) back pain. Chronic pain can result from disease, such as kidney stones, kidney infections, blood clots, inflammatory arthritis, infection, fracture, cancer, or osteoporosis. Conditions such as obesity and psychological stress can also cause, complicate, or aggravate low back pain.

Alternative Approaches for Low Back Pain

Samuel Moon, MD, MPH, associate director of education at the Duke Center for Integrative Medicine, weighs in on alternative treatments for back pain:

1. Physical Therapy: Physical therapy for low back pain can include the use of machines or traction, stretching exercises, or hands-on techniques. “The types of physical therapy shown to be most helpful for chronic low back pain are hands-on soft tissue mobilization where the therapist moves the soft tissues of your back, as well as education about posture and home exercise,” says Dr. Moon. “Effective physical therapy should be goal oriented. It should always include learning what to do at home, and then doing it.”

2. Chiropractic Care: A chiropractic physician is a neuromusculoskeletal expert who is trained in the treatment and management of low back pain. They use their hands to manipulate the joints and spine to help relieve the pain, and provide strategies for back-strengthening exercises and injury prevention. “Chiropractic is generally considered to be as good as physical therapy, and as good as patient education, in relieving back pain,” says Dr. Moon. “And, like physical therapists, chiropractors can be very good educators about back health.”

3. Acupuncture: Acupuncturefor back pain involves inserting very thin needles into specific points on your body. This traditional Chinese therapy is thought to balance the flow of energy in your body, and is generally considered to be very safe. Dr. Moon commonly recommends acupuncture for low back pain. “There is definitely some evidence that it’s effective,” he says.

4. Therapeutic Massage: Various massage techniques are used to relieve low back pain. “Combined with other approaches, I think it can be useful,” says Dr. Moon.

5. Mind-Body Therapies: Mind-body therapies for low back pain include: Guided imagery, Hypnosis, Biofeedback, Relaxation therapy, and Talk therapy. Research has shown that these kinds of therapies can be effective in treating back pain. “For persistent back pain, I almost always recommend some type of mind-body therapy,” Dr. Moon says.

The doctors at Mountain View Pain Center are committed to relieving your pain and restoring you to good health and wellness. Whether it’s a specialized rehabilitation program, chiropractic care, muscle stimulation, or nutritional counseling, we will find the right option to suit your individual needs. Although several approaches may work, our goal is to find the method that is safe, effective, and works best for you.

Dr. Mehmet Oz, cardiothoracic surgeon at New York-Presbyterian/Columbia, states that nearly 60% of people suffering from low back pain claim they get badly needed relief from chiropractic treatment. He says that over time, chiropractic treatments for low back pain may make a difference and are just as effective as pain medication. “The difference is that painkillers don’t eliminate the problem; they just cover up the symptoms. Spinal realignment, which forms the foundation of chiropractic care, can get to the root cause and fix an irritated nerve.”

American Chiropractic Association Tips to Prevent Low Back Pain

  • Maintain a healthy diet and weight.
  • Remain active, under the supervision of your doctor of chiropractic.
  • Avoid prolonged inactivity or bed rest.
  • Warm up or stretch before exercising or other physical activities.
  • Maintain good posture.
  • Wear comfortable, low-heeled shoes.
  • Sleep on a medium firm mattress to minimize any curve in your spine.
  • Lift with your knees, and do not twist.
  • Quit smoking, as it impairs blood flow to spinal tissues.
  • Ensure that your computer workstation is ergonomically correct.

If you are experiencing acute or chronic low back pain, feel free to contact us. One of our specialists will diagnose your pain and create a treatment plan that is right for you.


Low Back Pain: Denise M. Goodman, MD, MS; Alison E. Burke, MA; Edward H. Livingston, MD

JAMA. 2013;309(16):1738. April 24, 2013, Vol. 309, No. 16.

Global Burden of Disease Study, 2010

Back Pain Facts and Statistics

Back Pain: Complementary and Alternative Therapies

How Effective Are Chiropractors for Treating Back Pain?

In the world of Chiropractic, Physical Therapy, and Sports Medicine, there is much debate and discussion revolving around the topic of “core strength.”  The reason this topic has been so highly discussed is usually in regards to the fact that research has shown us that individuals possessing greater core strength and stability often have reduced incidences of things like low back pain, sports injuries, and postural dysfunction.  With this article I would like to discuss exactly what the core is and the role it plays in helping us stay injury and low back pain free.

Core Muscles

The core is made up of a lot of different muscles and tissues all working in synergy to provide a solid foundation for the body to operate upon.  One thing that people often mistake about the core is the actual muscle groups it incorporates.  It is not just the abdomen that needs to be strong in order to have a strong core; in fact it is much more than that.  The core does include the abdominal musculature like the rectus abdominis, and the obliques, but the back or posterior part of your body needs to be equally if not greater in strength and stability.   Having strong back muscles, along the spine as well as having deep “stabilizer” muscles will help your body better react to everyday forces that are applied to it.  Along with having strong back muscles, having strong and flexible leg muscles is also extremely important.  The hamstrings need to be flexible and firing properly, along with the big muscles like the gluteus maximus or your “butt muscles.”  Yes, there should be muscle there, not just a seat cushion!  If muscles like the gluteus maximus and hamstrings are strong and doing their job, they will help stabilize the pelvis, which in turn will help decrease some of the forces and load that is placed on the lumbar spine or “low back.”

Need back pain help?

The chiropractors at Mountain View Pain Center are well trained in identifying weaknesses in your core musculature.  If low back pain is your problem, it is very possible that there is dysfunction in your core.  Through soft tissue treatments and rehabilitative exercises, core dysfunction can be treated successfully and ultimately lead to you having less pain, and having increased ability to do the things you want to do in life.  If you have questions or concerns related to your posture, pain, or core weakness, don’t hesitate to contact us!

This week’s discussion deals with facet syndrome. Facet syndrome is one of the most common causes of pain originating from the spine. In order to understand facet syndrome we must first start by defining what facet syndrome is by looking at the anatomy of a typical spinal vertebrae.

The facets are on the posterior section of the vertebral body and are made up of two articulating surfaces the inferior articular process and the superior articular process. The facet joint is formed when the superior portion of a lower vertebral body meets the inferior portion of the vertebral body above it.  The facet joint is further held together a capsule of ligaments forming a joint commonly known as the zygapophyseal joint (z-joint). When these joints are jammed together from either injury, inflammation, or degeneration we get the facet syndrome. Causes of this jamming could lead from trauma, excessive weight, decreased disc height, and an increased lumbar curvature. Degenerative changes and bad posture caused by muscle imbalance is the leading reason why people develop facet syndrome.

 Signs and Symptoms of Facet Syndrome

Common symptoms of facet syndrome is neck pain and low back pain that hurts more during rest, extension, or is relieved with motion. The neck pain will be aggravated by extension, rotation and repetitive movements. Low back pain is aggravated by extension, rotation, prolonged sitting and repetitive movements. Most patients describe facet pain as sharp and in a well-defined area, normally feels superficial and one sided.

People also report that they have diffuse morning stiffness. As we can see the signs and symptoms of facet syndrome is every similar to those of a herniated disc. This is why it’s so important to get the proper diagnosis so you can receive the proper treatment for you problem.

Treatment Goals for Facet Syndrome

At Mountain View Pain Center our chiropractors have a number of treatment options to help with your problem. We offer myofacial release therapy, physical therapy, decompression therapy, massage, and chiropractic therapy. Our treatment goals are to promote soft tissue healing; we do this by removing scar tissue and promote healing with micro current. Restore normal strength and stability to joint structure. Most importantly we want to make sure you get out of pain as quick as possible so you can return to normal daily function without pain. If you have questions or concerns about your condition please feel free to call and one of our doctors will be more than happy to answer any question you might have. We have two locations one in Centennial CO and Aurora CO, please feel free to contact us. If you would like more information please read our about us page.

Did you know that one of the most common causes of numbness, weakness, and pain down your arm could be related to a herniated cervical disc?

Other signs and symptoms of a Cervical disc injury in patients are pain/numbness starting in the lower neck which can radiate to the chest, trap, shoulder, and even down through the arm into the hands and fingers.

Definition of a Herniated Cervical Disc

Most commonly defined as a rupture of the annulus fibrosus (commonly known as the rings of the disc that hold the nucleus made up of a jelly like substance in the center). When this rupture occurs the nucleus will herniate/bulge pinching the cervical nerves causing the pain or numbness to occur. This herniation is most commonly one sided and often occurs at C5 or C6.

Causes of Herniated Cervical Disc

There are several reasons why discs herniate. One of the more common causes of a disc herniation/bulge is progressive degeneration. As we continue to age there is increased pressure, and decreased function of the spine which causes a higher risk for injury. Bad posture, trauma, and whiplash injuries are just some of the mechanism of injury that can cause a herniated disc. These factors show how important it is to take care of your spine.  Even a minor sports injury can cause decreased function of the neck, which as we mentioned early puts the disc at risk and increase likelihood of further injury .

Treatment of Herniated Cervical Disc

One of the most critical steps to take in the treatment of your symptoms is locating a facility that provides the type of care you need to get back to living a healthy life. At Mountain View Pain Center or goal is to not only free you from symptoms, but to correct the issue to prevent from further injury. We can obtain these goals with our state of the art equipment and doctors with extensive knowledge of spinal injuries.  We use traction therapy, scar tissue removal, soft tissue mobilization, physical therapy, and chiropractic care to achieve the desired results.

If you have questions about your condition please feel free to contact us and we will be more than happy to help. We have offices located in Centennial, CO and Aurora, CO and we accept all major insurances as well as affordable cash plans.

One of the most common causes of low back pain is dysfunction of the Sacroiliac joint (also knows as the SI joint). The sacroiliac joint is one of the largest joints in the body, and is an articulation of the sacrum and the iliac bone (a portion of the pelvis). This bone can become restricted in several ways such as acute trauma, repetitive motion, pregnancy, or poor posture.

When this joint becomes restricted it causes inflammation in the joint, which can cause a very sharp pain directly over the area. Due to the muscle attachments in the area, inflammation in the joint may also cause low back pain, hip pain, or even radiating pain in the leg.  Any condition or injury to the leg that causes an altered stride can also affect the joint. For example an ankle injury can cause someone to alter the weight they put on that leg. This can cause more pressure on the opposite SI joint, rotation of the pelvis, or a functionally short leg. If the joint has suffered chronic restriction and inflammation this area can degenerate rapidly causing chronic low back pain that can cause an altered gate pattern or limp.

Treatment of Sacroiliac Joint Pain

At Mountain View Pain Center we can resolve this area quickly combining our chiropractic and physical therapy treatments. Our doctors will determine what has caused this dysfunction and develop a treatment plan that best suits you for quick and effective results. With our state of the art equipment we can remove the inflammation from the joint as well as decrease pain. This will allow the doctor to remove scar tissue and adhesions from the joint as well as restore full range of motion to the area. If you think you may be suffering from an sacroiliac joint dysfuntion, call us to get evaluated by one of the Chiropractors at Mountain View Pain Center.

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