Lower Back Pain – Diagnosis and Treatment
Low back pain is one of the most common ailments afflicting society today. In the United States alone, back pain accounts for more than 7,000,000 new cases and 250,000 surgeries each year. In fact, nearly all of us will experience some degree of back pain at least once in our lifetime. Our lower back is especially vulnerable to this malady, mostly due to increased weight bearing, mechanical stress, and the lack of rib support to this region.
There are many causes of lower back pain but the most common cause is mechanical stress. Mechanical stress can be considered the action of movement under the presence of weight. For instance, when you bend forward with the knees straight, pick up an object, and twist while lifting that object, you apply a great deal of mechanical stress to the lower back. This is especially true if you lift the object with your arms away from your body.
The lower back is especially susceptible to this malady. This is because the lower back receives more weight and has less support from the mid back region, due to the lack of ribs. To make matters worse, the lowest part of the lower back usually houses the largest nerve with the smallest space for that nerve to exit the spine. This nerve is called the L5/S1 or Sciatic Nerve. It can be the source of lower back and/or leg pain (commonly called Sciatica) when the lower back is out of alignment, becomes diseased, or the muscles and tissues surrounding the spine become inflamed.
These are the most common lower back pain conditions we treat:
- Disc Conditions
- Degenerative Arthritis
- Herniated Disc
- Chiropractic Care During Pregnancy
At Mountain View Pain Center our chiropractors specialize in the diagnosis of low back pain conditions and Sciatica treatment. Our doctors will perform a full examination including x-rays to determine the root cause of your low back pain. After your exam our chiropractors will design a treatment plan to help you get out of pain and stay out of pain. Please feel free to call one of our offices and we will be more than happy to help you.
What Is Sciatica and How Do I Treat It?
Sciatica refers to pain that radiates down the path of the Sciatic Nerve. This pain can feel like a shooting, burning, or aching type sensation down the back of the upper leg but sometimes extends past the knee. The Sciatic Nerve is derived from the L4-S3 spinal nerve roots. To give you an idea of where, exactly, those nerves are located here is a quick anatomy lesson. The L4-S3 spinal nerve roots exit the spinal cord at those levels of the spine, so in general terms; it’s the low back region of our spine.
The L refers to the Lumbar spine which starts just below the bottom of the rib cage and goes down just below the top of the pelvic bones. The S refers to the Sacral region, which is the tailbone portion of the spine. The contribution of nerve fibers from the low back region join up in the buttocks region to form the large nerve that is commonly called the Sciatic Nerve. This nerve and the term “Sciatica” get much recognition due to the high number of people that have radiating pain down it’s chosen path which follows a course from the buttocks all the way down the back of the leg to its branches in the foot.
What Causes Sciatica Pain?
As we mentioned earlier, Sciatica pain is a general term relating to pain down the path of the Sciatic Nerve. However, there are many different reasons why that nerve becomes irritated and painful. It can develop from issues involving the discs in the Lumbar region of the spine (remember the nerve roots that make up the Sciatic Nerve), maybe there was compression of that nerve from an injury, or maybe you have trigger points and inflammation in the muscle tissue around that nerve.
A typical scenario that we see in the office is a person who has pain in the low back region and is also experiencing the “Sciatica” symptoms of radiating pain into the leg, typically down the back of the leg. The L4-L5 and L5-S1 discs are usually the most common discs of the low back to become injured due to the anatomy of our bodies, it’s just an area that seems to take on more stress and strain than the discs above it.
You may be wondering how the disc plays a role in causing symptoms of Sciatica. The discs are cartilaginous structures that exist between every vertebrae of our spine. They are designed to act as shock absorbers, load distributors, and cushions. If a disc starts to wear away or “degenerate”, then the opening for the nerve root that is exiting out of the spinal cord on either side of our spine will not have as big of an opening to get thru and can therefore get compressed upon by the bony structures of the spine.
Also, the disc itself could be “bulging” or “herniated”. If this is the case, the mechanism is that the disc has worn away from the inside-out, and has allowed the jelly-like substance of the central portion of the disc to actually protrude thru the disc wall. If this occurs, the protrusion can compress on the nerves or spinal cord and thus create symptoms down the path of that particular nerve root, which in most cases of low back pain, is the nerves that contribute to the Sciatic Nerve.
There are also sometimes hyper irritable spots in muscle that we call “trigger points” that can sometimes refer or cause pain that mimic Sciatica type pain. These can be located in the Glutes or butt muscles and refer pain down the leg as in Sciatica. In this instance there are still treatment options available but a thorough examination by the medical provider will help to determine if this is the cause of the symptoms.
In any case, the biggest factor to understand with Sciatica is that there is some compressive force, or irritant to that nerve. It is up to your medical provider to help in determining what is causing and where that compression is coming from.
How To Treat Sciatica
There are many ways to help you treat the symptoms of “Sciatica”. The first step is determining what is causing the compression on the nerve. A thorough examination and history can be performed to help detect what may be causing these symptoms. Sometimes special imaging studies can be performed as well to aid the medical provider’s diagnosis of your problem. This could include performing X-Ray, or MRI to detect if there are problems relating to the disc, bony spurring, or other issues that the provider may not be able to see upon examination and testing.
At Mountain View Pain Center, we treat the symptoms of Sciatic Nerve pain almost every day. The treatments that seem to work most effectively for this type of pain are spinal decompression therapy, electrical stimulation, spinal manipulative therapy, ice, instrument assisted soft tissue mobilization, massage therapy, rehabilitative exercise, and dry needling. Often times we use all of these treatment techniques, and modalities in combination to achieve the best results but we also do it on a case by case basis to determine what the correct treatment for your particular situation is.
If you or someone you know may be experiencing these types of symptoms it is important to have an examination performed to determine the cause and get the right treatment. Prolonged compression of a nerve or nerve root can lead to permanent damage of that particular nerve. Feel free to call us to schedule an appointment so that a diagnosis and treatment plan can be rendered.
Chiropractic Treatment of Disc Conditions
Of all the biomechanical (structural) ailments of the spine, a disc condition can be one of the hardest to treat. It requires the longest amount of healing time, approximately twelve weeks. In contrast, a muscle strain will usually heal in two to four weeks and a ligament strain in four to six weeks.
The lack of a direct source of blood supply is the main reason the disc takes so long to heal. A disc only receives nutrients when the motion of the bones above and below the disc causes some blood within that bone to be pumped into the disc. However, this pumping action actually becomes hindered due to the attendant back muscle spasms, which develop to protect the back from further injury.
Diagnosis of Disc Conditions
Disc problems require special attention. A proper examination and diagnosis is essential to determine the best treatment guidelines. Chiropractors have special training in the care of the spine and intervertebral disc. Your chiropractor can help you determine if you have a spinal disc condition. If so, a treatment plan that is right for you can then be established to help you recover.
The intervertebral disc is made up of two components, an outer ligamentous wound covering, called the annulus and an inner jelly like substance called the nucleus pulposus. The nucleus provides the main cushioning effect while the annulus acts as the container that holds the disc between the vertebrae and keeps the jelly like nucleus in place.
The design of intervertebral disc is such that it can withstand a tremendous amount of compressive pressure. In fact, under heavy lifting with the spine straight, you would fracture the vertebra before you would ever rupture a normal disc. However, the high load capacity of our discs do not do well when we subject them to shearing (twisting) force.
Bending while lifting and twisting is the most difficult stress for the disc to handle. When a person bends forward, the pressure in the discs of the lower back is nearly doubled. When an object is lifted, especially far away from the body, this stress is multiplied even more. If the person begins to turn as the object is lifted, shearing force is transferred into the disc and the fibers that make up the outer covering of the disc may begin to tear.
Tearing of the annular fibers (outer covering) of the disc can happen slowly and gradually or abruptly in a traumatic situation. Small tears may or may not exhibit pain. This is because the nerves that reach the disc are very small and do not cover a lot of the area. Sometimes when minor tearing occurs, the pain will be described as a twinge. On the other hand, severe tearing almost always results in sudden, prolonged, and worsening pain, which is accompanied by muscle spasm and possibly referred pain into an extremity (arm or leg, depending on where the disc damaged occurs.)
When tearing becomes extensive enough that the nucleus pulposus can no longer be contained within the center of the disc, the jelly like substance that makes up the nucleus begins to migrate out. This shifting of the nuclear material causes the joint to function poorly. This in turn places the joint under added stress with during movement and makes the disc even more susceptible to repeated stress injuries.
If annular tearing continues slowly, a condition called degenerative disc disease may result. This is a disc condition where the disc slowly looses its elasticity through a repeated process of wear and tear. The result is a thin disc that functions poorly as part of the joint complex and also functions poorly as a shock absorber for the spine.
If annular tearing occurs quickly, or if a weakened disc receives enough stress to tear through an already compromised area, the result will be a shift of the nucleus from the center towards the outside of the disc. This condition is referred to as a disc bulge or herniated disc (slipped disc.) A small migration of nuclear material, 3mm outside the disc or less, may be called a disc bulge or protrusion. A disc herniation is generally larger. If disc material actually escapes and separates from the outer edge of the disc a prolapsed disc is the correct diagnosis.
Acute Disc Conditions
Acute injuries can happen from any sudden tearing of the disc fibers. Common activities and situations that injure discs are bending, lifting, or twisting the spine, falls, or automobile accidents. The symptoms will vary due to level, location, and size of the disc injury. A herniation can happen in any part of the spine cervical (neck) thoracic (middle back) or lumbar (low back) region. Of these, herniation’s in the thoracic region are very uncommon. Disc injuries to the lower back (slipped disc) are more common from lifting and cervical disc injuries are an all too common in severe whiplash injuries. A little known fact is that lifting a heavy can actually cause a cervical disc herniation if the disc was already weakened.
Chronic Disc Conditions
Chronic disc conditions can be the result of a poorly healed injury or from excessive and repetitive stress. As more wear occurs, the disc becomes dehydrated (dries out) and becomes thin. Calcium salts may try to invade the disc and the surrounding tissue. This is the way the body tries to stabilize the weakening disc. The result over time is joint spurs (arthritis) and a poorly functioning back joint. Stiffness and dull aching pain are usually reported in these classic cases of chronic disc disease.
Discs that are bulging, herniated, or prolapsed often create sharp pain, which may radiate into the extremities. A cervical disc herniation may cause pain down and arm. Likewise, a lower back herniation may send pain down a leg. The area the pain travels to is an important clue as to the level of the disc injury. For instance, if the last lumbar disc is herniated, pain may travel down the back of the right leg and into the little toe. If the middle of the lumbar spine is damaged at the third lumbar disc level, the pain will travel more towards the front of the leg.
In the lower back, the position of the herniation also determines the symptoms. For instance, if the disc herniation is near the center of the spine, the pain may only be experienced in the back. The pain with this type of herniation gets a bit better when you lean into the side of pain and worsens when you lean away from the side of pain. A disc herniation on the lateral side (away from the center of the spine.) may only cause leg pain. The pain from this type of herniation decreases when you lean away from the side of pain and worsens when you lean into the side of pain.
Treating Disc Conditions
Your chiropractor is specially trained in the treatment of the spine and through careful history, examination, and imaging (x ray and MRI) your chiropractor can diagnose and treat most disc disorders. Your chiropractor can also discuss with you any need for surgical intervention, should your diagnosis warrant a more radical surgical solution. Conservative chiropractic care for disc conditions may involve the use of ice and or ultrasound to reduce any initial swelling and inflammation during the acute phase. Guarded stretching of certain muscles groups may also be started. Also, manipulation may be used to restore lost joint integrity, and traction to the disc can be done to help reduce (suck back in) some of the migrating nucleus material.
Your chiropractor may also recommend and fit you with a special back brace to prevent re injury and reduce pain. Nutritional recommendations should also be followed to aid in the healing process.. For instance, a substance called glucose amino chondroitin sulfate is lost from injured discs and may be replaced to a degree with supplements. Remember that disc injuries take approximately twelve weeks to heal. Patience is required to cope with the expected ups and downs; however, with successful treatment and time, the results can be a welcome alternative to the use of drugs or back surgery.
Chiropractors also frequently treat degenerative disc conditions. With manipulation and other supportive measures such as applications of moist heat, stretching, massage therapy, and proper exercise, the pain and discomfort of degenerative joint disease can be greatly eased.
With proper continued care, the arthritic process can be slowed or halted. Remember that if you have suffered from a previous disc condition in the past, it would be wise to take good care of your spine and see your chiropractor as recommended. A disc can never heal as good as new but with good care, strengthening and support to the surrounding tissue, your back may be spared the early onset of joint arthritis, which so commonly follows a disc injury.
The following is the opinion of the Mountain View Pain Center, and these are some of the options we offer our patients. It is important to start conservatively and measure the improvements before heading into the surgery. This means working with the body to begin the healing process, before using drugs, or removing something through surgery. Of course, there are several different ways this injury can affect someone, and surgery maybe the only option, but the philosophy of the Mountain View Pain Center is to explore natural ways to heal the body, using surgery as a last option.
Typical Causes of Herniated Discs
The most common cause of a herniated disc injury is poor biomechanics (moving improperly, which we are all guilty of doing). Discs are most commonly torn by lifting a weight while twisting; getting something heavy out of the backseat of your car is an example. As we all know in the game of baseball, especially at the plate, the body goes through some twisting and contouring with a driving force.
Typical Symptoms and Non-Surgical Treatments for Herniated Discs
The first step is to determine what symptoms we have and address them accordingly. The most common types of pain from a herniated disc injuries are low back pain and/or radiating pain into an extremity. We are using low back pain as our example, but radiating pain into the leg is often experienced with this type of injury. In many cases you can just have leg pain and no back pain. The reason the pain is referred to as “radiating” is because the disc material will bulge out causing inflammation and put pressure on a nerve, and the pain will follow that specific nerve’s pattern. For example, a herniation of the L3 disc will put pressure on the L4 nerve, causing pain to radiate down the posterior (back) of a leg.
To determine if a herniated disc is causing you pain, your doctor will perform an examination and orthopedic tests. If your doctor determines that a disc is the problem, the next step is to take a simple X-ray to rule out any underlying problem with the bones or joints. The next step is an MRI; from here you will be able to see the level and severity of the herniation. It is also important to know that the size of the herniation does not necessarily correspond to the severity of pain. In fact, some people can have a large herniation with no symptoms at all, and some can have a very small lesion and experience immense pain. From the results, the doctor will be able to determine if your herniated disc can be treated with natural therapy or if surgery is required.
The initial phase of such an injury is often described as a patient saying, “I heard a pop and then all of a sudden I was in incredible pain.” The pop they heard is the tearing of the annular fibers of the disc. In the acute stage, or a few days after the injury, a patient can be in a lot of pain, and experience some inflammation and swelling. The patient comes in saying, “Doctor, just get me out of pain, please!” To immediately address the pain, the first step is to reduce swelling by cooling the area with ice, being careful not to put the ice directly on the skin. (Yes, you can get a burn from ice!) You can alternate ice on and off twenty minutes at a time. DO NOT use heat; it will increase swelling and you will regret it. At the Mountain View Pain Center, in this situation we like to use a therapy called Hi Volt, which is an electronic modality. The purpose of this modality is to decrease pain and move that edema (swelling) out of the affected area.
Once the initial pain is relieved, we can begin treatment of the injury. A treatment we often choose to begin with at the Mountain View Pain Center is a method called flexion distraction treatment, coupled with other therapies to reduce swelling. The flexion distraction treatment works by widening the disc space and causing the herniation to essentially get “sucked back into the disc”. This treatment can be done by utilizing chiropractic techniques to relieve pressure on the herniated disc.
Another technique we use is called traction therapy, otherwise known as long axis distraction. Here the doctor will use a DTS machine (decompression therapy) set to specific settings unique to each patient. The machine will gradually begin to pull and will slowly separate the two vertebrae pushing on the disc. The purpose here again is to relieve the pressure on the disc. Many patients have found that treatment with a DTS machine is a safe and cost-effective treatment, and have found relief without the need for surgery.
Once the patient is out of pain, the rehabilitation can begin. It is important to remember that just because the pain is no longer there; it does not mean the disc is back to normal. A full disc recovery can take up to 3 months. The purpose now switches to restoring the body back to its normal function. This is done by low back exercise and simple core exercises. A set of very popular exercises used for disc treatment are called Mackenzie exercise (extension exercises). Your physician will be able to instruct you on the proper way to perform these.
Another preventative step that can be taken is supplementation to strengthen the discs or joints, or supplements that help with inflammation. Check with your doctor or physician before taking any supplements to see what is right for you and make sure there are no risks to taking these vitamins.
Some supplements for simple joint care are:
- Glucosamine sulfate (500mg) with MSM (methylsulfonylmethane) (250mg): Glucosamine sulfate helps to stimulate specific components of your cartilage. MSM helps with pain and has been shown to be an anti-inflammatory
- Omega fatty acids: Many are known as fish oils, they have multiple benefits besides anti-inflammatory, and they also build cell membranes, and help improve neurologic and cardiovascular function. Omega fatty acids are not just good for your discs, they are essential to life.
- Quercetin/Bromelain: Also have anti-inflammation effects. These can be found naturally in vitamins, but not usually in the amounts useful to aid in inflammation.
These come in several brands, and we are not here to recommend specific brands of vitamins or supplements, just to inform the sports fans on injuries they see in themselves or many of their favorite athletes. If you decide you would like to know more about a specific vitamin or advice on the supplements we use, feel free to call, and we can point you in the right direction.
At Mountain View Pain Center we have seen and experienced that for the most effective pain recovery, conservative treatments should be utilized first before epidural injections and back surgery. However it is important for your doctor to acknowledge the importance of co-treating patients in their best interest for recovery. Our primary care is chiropractic and physical therapy, however if we determine a patient can benefit from another provider’s care we will refer them with no questions asked. The goal is to get the patient pain-free and restore them to healthy function in the manner that is most suitable to the patient.
Epidural Injections for Treating Pain
Joe Crede had the option to get an epidural injection, what is that? An epidural injection is the administration of medication that can cause both a loss of sensation (anesthesia) and a loss of pain (analgesia), by blocking the transmission of signals through nerves in or near the spinal cord. It is used to treat swelling, pain, and inflammation associated with neurological conditions that affect nerve roots, such as a herniated disc and radiculopathy (radiating pain).
The injections themselves can be painful and produce uncertain results. Studies show that epidural injection may provide short-term pain relief for patients when conservative treatments have failed. Simply put, epidural injections do not produce long term results hence the patient has to keep getting them to reduce the symptoms they are having. Possible side effects of epidural shots can be increased pain, loss of sensation, infection, and nerve damage. Follow the link to learn more about the side effects of using epidural injections to treat pain.
Herniated Disc Surgery
When it became clear the injury would not heal on its own, or that natural methods would be unsuccessful in correcting the problem, the choices Joe Crede faced were epidural shots or surgery. Prior to 2007, Crede had been able to manage the pain through at least four epidural treatments. However, in 2007, Crede determined that the temporary relief provided by the epidurals was not enough. At that point he opted for the microdisectomy, and then unfortunately experienced a re-herniation of the same area. Thus, the microdisectomy had to be repeated again a year after the first surgery.
In some circumstances it may be determined that back surgery is the best option. However, surgery is not always needed, and unfortunately many surgeries are unnecessary and cause further complications. Studies have shown that more than half of lower disc surgeries do not successfully relieve symptoms. As mentioned above, at the Mountain View Pain Center we believe that surgery should always be a last-resort option. For Joe Crede, surgery finally came three years after the initial onset of the injury. Despite the relative lack of success Crede experienced with the first surgery for his herniated disc, both he and the Minnesota Twins are hoping that the second microdisectomy will allow him to move forward and have a healthy, productive season.
Stiffness in the joints is a common condition that increases with aging. When the stiffness worsens to the point of being painful, arthritis may be the diagnosis. Arthritis is breakdown of normal cartilage caused by either excessive joint wear and tear or from an autoimmune disease called rheumatoid arthritis. Degenerative arthritis will usually occur on one side of the body as opposed to rheumatoid arthritis which is commonly bilateral. This form of arthritis is chiefly due to wear and tear or repetitive injury to the same joint or joints. Degenerative arthritis is defined as a non-inflammatory joint disease that may affect almost any joint in the body.
Early detection of arthritis is essential. Once damage to a joint surface begins, little can be done to restore it back to the original condition. This is because cartilage, the material that makes up the surfaces of the joint, has a poor blood supply. Although cartilage will heal to a degree, it simply will not heal as well as muscle or skin. The good news is that with proper care and supervised rehabilitative exercises, the surrounding support tissues can be strengthened to compensate for many of these joint disorders.
As cartilage continues to be worn down, the joint has increasing difficulty functioning. A simple analogy to this is to go loosen the hinges on a door and see how poorly it opens and closes. Even if the swelling could be entirely removed from a very arthritic joint, the lack of proper joint motion would cause so much additional stress to the joint that the swelling would quickly return.
It is important to reduce and control the swelling of arthritis as swelling itself contributes to the destruction of the cartilage. People who suffer from degenerative arthritis commonly experience swelling after activity. It is important to use arthritic joints as disuse also leads to more arthritic changes; however, it is vital to not over stress an arthritic joint; otherwise, the swelling may significantly worsen. Here at Mountain View Pain Center, your Doctor of Chiropractic will help guide you before you begin any exercise program or commit to any significant physically related lifestyle changes.
Chiropractic Treatment For Degenerative Arthritis
Chiropractors see many patients with degenerative arthritis. The spine is especially susceptible to this disorder. In fact, you may have the early signs of spinal degenerative arthritis but just have not noticed the symptoms yet. Simple palpation (feeling) of the vertebrae while the spine is slowly being moved can discover joints that do not move as freely as other joints do. This is one finding that could lead to a diagnosis of degenerative arthritis. Another revealing procedure is a simple x- ray. An x-ray film can reveal the bony changes associated with either degenerative or rheumatic arthritis.
The chiropractic treatment for the two types of arthritis is similar. Both require ice, passive motion (the practitioner moves the joint while the patient remains relaxed) and or the use of ultrasound to help control the swelling. Moist heat is also needed to help increase circulation. Paraffin wax baths are helpful for hands and wrists while moist hot packs are used for the spine, shoulders, and knees. Arthritic hips may require deep heat sources like microwave or short wave diathermy. This is because the hip joints are seated to deeply in the pelvis to reach with more commonly used therapies. At Mountain View Pain Center we can provide, prescribe, or recommend these therapies as needed. The application of spinal and or extremity manipulation may also be used to help you gain control over your arthritic condition. Nutritional counseling, exercise instruction, and lifestyle changes may additional considerations during your course of care.
Chiropractic Care During Pregnancy
Chiropractic care during pregnancy reduces the length of time a woman spends in labor, reduces breech positions, and helps in delivering your baby naturally. Chiropractic care is health maintenance of your spine, discs, related nerves, and muscles without the use of drugs or surgery. Chiropractic care is the art and science of adjusting misaligned joints of the body, especially of the spine, which reduces the stress put on spinal nerves and therefore promotes health throughout the body.
Chiropractic care can significantly reduce the time spent in labor!
Chiropractic care during pregnancy has been shown to significantly reduce the length of time a woman labors. Adjustments result in easier pregnancy, significantly decreased mean labor time, and assists new mothers back to prepartum health. First time moms averaged a 24 percent shorter labor, while mothers who have already given birth experienced a 39 percent reduction in the average labor length, compared to controls (Fallon, 1991). In addition, 84% of women report relief of back pain during pregnancy with Chiropractic care. Chiropractic adjustments during pregnancy can also reduce the likelihood of experiencing back labor (Diakow, 1991). Regular chiropractic adjustments can safely continue up until the time of birth (Penna, 1989).
Why should I have chiropractic care during pregnancy?
During pregnancy, there are several physiological and hormonal changes that occur in preparation for creating the environment for the developing baby. The following changes could result in a misaligned spine or joints:
- Pelvic alterations
- Postural adaptations
- Ligament laxity and muscle weaknesses
- Protruding abdomen and increased low back curve
Establishing pelvic balance and alignment is another reason to obtain chiropractic care during pregnancy. When the pelvis is misaligned it may reduce the amount of room available for the developing baby causing intrauterine constraint. When the pelvis is misaligned it often makes it difficult for the baby to get into a normal position for delivery. This abnormal position can affect the mother’s ability to have a natural, non-invasive birth. Breech and posterior positions interfere with the natural ease of labor and lead to interventions such as c-sections.
The nervous system is the master communication system to all the body systems including the reproductive system. Keeping the spine aligned helps the entire body work more effectively.
What are the benefits?
The potential benefits of chiropractic care during pregnancy include:
- Maintaining a healthier pregnancy
- Relieving back, neck or joint pain
- Improve balance and alignment in your spine and pelvis
- Controlling symptoms of nausea
- Reducing the time of labor and delivery
- Prevent a potential cesarean delivery (C-Section)
Can chiropractic care help with breech deliveries?
The late Larry Webster, D.C., Founder of the International Chiropractic Pediatric Association(ICPA), developed a specific chiropractic analysis and adjustment which enables chiropractors to establish balance in the pregnant woman’s pelvis and reduce undue stress to her uterus and supporting ligaments. This balanced state in the pelvis has been clinically shown to allow for optimal fetal positioning. The technique is known as the Webster Technique. The Chiropractors at Mountain View Pain center can not only help relieve back pain, but can also make sure your baby is in the optimal position for natural birth.
The Journal of Manipulative and Physiological Therapeutics reported in the July/August 2002 issue an 82% success rate of babies turning when doctors of chiropractic used the Webster Technique. Further, the results from the study suggest that it may be beneficial to perform the Webster Technique as soon as the mother finds out she’s in a breech presentation.
Currently, the International Chiropractic Pediatric Association (ICPA) recommends that women receive chiropractic care which can help improve balance and the alignment in your spine and pelvis. This can help your baby assume an optimal birthing position, optimize the room a baby has for development, and reduce the risk of having a breech baby. Regular chiropractic care will provide a more comfortable pregnancy and delivery for both mother and baby. It stimulates the nervous system to enable proper functioning of your reproductive organs, thus supporting the needs of your baby throughout pregnancy and during delivery.
The chiropractors here at Mountain View Pain Center are trained in the needs of women who are pregnant and can provide you with exercises and stretches that are safe to use during pregnancy. Many women seek chiropractic care to relieve neck or back pain that can result from weight gain and altered bio mechanics during pregnancy, but even if you’re not in pain, you can benefit from visiting a chiropractor.
Talk to Your Health Care Provider
As more women are seeking the benefits of chiropractic care throughout pregnancy, more health care providers are seeking trained doctors of chiropractic in their communities to refer their pregnant patients to. Discuss these options with your health care provider. If they are not yet familiar with chiropractic care during pregnancy, ask them to find out more about its many benefits. If you have any questions please feel free to contact us.