San Diego Chiropractic Blog

My Chiropractic office in San Diego, California provides treatment for many patients who complain of lower back pain that is accompanied by leg pain. The term for this leg pain is sciatica and it implies that the leg pain is due to a compression of the sciatic nerve.

More often than not, sciatica is due to compression of the nerve at the point where it exits the spine. The typical scenario is that one of the five joints in the lower part of the spine will become misaligned, irritated and inflamed, putting pressure on the sciatic nerve and causing leg pain.

Because so many cases of sciatic pain are caused by spinal misalignments, in many cases this condition is effectively treated with chiropractic care.

Chiropractic treatment for sciatica can involve spinal adjustments, hot packs, ice packs, electrical muscle stimulation, ultrasound, traction and specific stretches / exercises. Typically, chiropractic treatment for this condition requires a course of care rather than a single visit.

Although many cases of sciatica are due to simple spinal misalignments, there are other causes of this condition that must be examined. Some of the other leading causes of sciatic pain are as follows.

1) Bulging Disc: A bulging disc is also known as a slipped disc. This means the gel-like center of the disc bulges up against the nerve root. Disc bulges can cause pain, numbness, tingling, and muscle weakness. Typically, disc bulges generate pain with sitting, bending and twisting motions.

2) Lumbar Spinal Stenosis: Spinal stenosis is a type of nerve compression that most often affects older people. Leg pain similar to sciatica can occur as a result of lumbar spinal stenosis. The pain is usually brought on by activities such as standing or walking and relieved by sitting down.

3) Spondylolisthesis: Spondylolisthesis is a disorder that is characterized by one vertebra slipping forward over the vertebra below it. When the vertebra slips and becomes displaced, spinal nerve root compression occurs and often causes sciatic leg pain. Spondylolisthesis has many possible origins including developmental (found at birth, develops during childhood) or acquired as a result of degeneration, trauma or physical stress.

4) Trauma: Sciatica can result from nerve compression caused by external forces from such things as motor vehicle accidents, falls, work injuries and sports injuries.

5) Piriformis Syndrome: Piriformis syndrome derives its name from the piriformis muscle and the pain that arises when the muscle irritates the sciatic nerve. The sciatic nerve runs beneath the piriformis muscle and develops pain when muscle spasms develop compressing the sciatic nerve. It may be difficult to diagnose and treat due to the lack of x-ray or MRI findings.

6) Spinal Tumors: Tumors are abnormal growths that are either benign or cancerous. Fortunately, spinal tumors are rare. When a tumor develops in the lower back, there is a possibility for sciatica to develop as a result of nerve compression.

More Coming Soon

Dr. Jones

www.JonesPainRelief.com

Are You A Runner?

I used to be. I ran all through high school, college and up to about six months ago. I was finally forced to stop because of ongoing ankle pain, knee pain, low back pain and sometimes even neck pain. I was pain free and healthy if I kept my running to grassy areas or on the beach. A serious lack of free time kept my runs on asphalt and concrete which finally took their toll. I have read that with each stride a 200 pound runner can generate over 2000 pounds of impact force through the legs and into the low back. I suppose that 30 years of running was all I could take.

Over the years, my San Diego Chiropractic Center has provided treatment for hundreds of people suffering from back pain, neck pain and leg pain that is easily attributed to their running habits. I have read in various journal articles that running becomes detrimental if your distance is greater than 15 miles per week or further than 3 miles per run. The conclusions that these articles drew to is that running beyond the guidelines previously mentioned does the joints more harm than the aerobic benefit of the exercise does your body good. It seems that these studies indict long distance running as an exercise of diminishing returns.

That being said, for those of you who do run, there is good news concerning the health benefits of running. Researchers reported in the July 2001 issue of American Journal of Public Health that men in their 30s who jog a minimum of ten times monthly develop a bone density that is at least 5 percent higher than that of men who jog less frequently.

The study analyzed answers to questions in a health survey of over 4,000 men, including 954 joggers and 3,300 who did not jog at all. The study included results of hip joint X-rays taken of each man to determine bone density. The researchers then compared the findings from joggers with results from non-joggers.

Dr. Michael E. Mussolino, a researcher at the National Center for Health Statistics, part of the Centers for Disease Control and Prevention office said the results showed that, “The men who were jogging nine times a month were doing much better than those who were jogging only one to eight times a month. Even those who jogged eight or fewer times a month had a higher bone density than those who did not jog at all.” He also noted that the study showed that it does not require marathon-like running to build strong bones.

The National Institutes of Health estimates that 10 million Americans have osteoporosis and another 18 million are at risk of the disease. Eighty percent of these people are women. The NIH estimates that one out of every two women and one in eight men will break a bone as the result of osteoporosis within their lifetime. The report states that building dense strong bones in young adulthood is considered by experts to be an important factor in preventing osteoporosis.

The bottom line is this, if you are a runner, run smart. Keep your runs fairly short and off of hard surfaces. Running is like most other things in life. Running can be healthy but if you take it to an extreme it can become detrimental to your well being.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com