Disc herniations cause back pain and
leg pain for some. Dr. Le's Chiropractic & Wellness, L.L.C. welcomes those disc herniation pain patients. Gentle, relieving treatment
without surgery is what we deliver. Auburn back
pain patients are relieved when they find us!
DISC HERNIATION: Size, Weight, Sleep
What matters when a disc triggers back
pain? Its size? Its weight? Its effect on quality of life? Spinal researchers have
generated data and described that how the
painful disc appears on imaging doesn’t really matter. The shape and size of an intervertebral
spinal disc’s protruded nucleus pulposus has no tie to
a patient’s clinical presentation or symptomatology
or how a patient feels. (1) The weight of a disc fragment did not relate to the duration of symptoms or severity
of pre- or post-operative leg pain nor post-operative leg pain or back pain improvement,
the percentage of spinal
canal occupation, herniation classification, or vertebral level. The size
of the lumbar disc herniation didn’t have much effect on patient
outcomes. (2) Chronic lower back pain and sciatica due to lumbar disc
herniation adversely affected sleep quality. Treatment benefitted
patient perception of pain in visual analog scale (VAS) scores as well as
in the PSQI Pittsburg Sleep Quality Index scores. (3) Pain lessening
chiropractic treatment of a pain-producing disc involves
decreasing the risk of recurrent back pain episodes as well as reducing
the pain of the current episode.
MANAGING BACK PAIN AND RISK OF ITS RECURRENCE
Once you have felt back pain related to a
disc herniation,
you do not want it again! Dr. Le's Chiropractic & Wellness, L.L.C. gets
that and shares that managing - as conservatively as
possible - the disc herniation is more realistic than curing it.
6.05% of lumbar discectomy surgery patients had a re-current disc
herniation. What prompted this? On their own, factors
like age, BMI, current smoking status, heavy lifting, degenerative facet joint
disease, operation time, and the time it took to ambulate
after surgery affected the risk of recurrent disc herniation.
Combined, older age, male sex, high body mass index (BMI), and early ambulation
were significant factors in the experience of a recurrent
lumbar disc herniation. Managing weight, not lifting heavy
items, and exercising were proposed risk reducers. (4) One new
study reported that the amount of sedentary time probably did not raise
the chance of a new bout of low back pain
as much as the amount and type of physical activity. (5) Pain relief comes
more as a roller coaster than a straight hill to pain relief. A
disc herniation is like a bruise on an apple making the apple (and
by comparison, the spine) never quite the same again. That is
where Dr. Le's Chiropractic & Wellness, L.L.C. comes in with a treatment plan that ensures
you understand the disc herniation, how
to feed it nutritionally, how to get it
back to being strong with exercise and keeping it that way, and how to do activities
of daily living to avert (re)injury. A recent
systematic review of ways to approach the management
of back pain revealed 10 approaches:
manipulation/mobilization, psychological/behavioral, advice to stay active/bed
rest, reassurance, antidepressants, NSAIDS, opioids, muscle relaxants, and
paracetamol. (6) Dr. Le's Chiropractic & Wellness, L.L.C. encourages walking, moving,
careful lifting, and especially being treated with gentle, safe, effective Cox®
Technic spinal manipulation!
CONTACT Dr. Le's Chiropractic & Wellness, L.L.C.
Listen to this PODCAST
with Dr. Robert Patterson on The Back Doctors Podcast with
Dr. Michael Johnson as he describes the realistic expectations
back pain patients can expect with The Cox® Technic System of Spinal
Pain Management.
Make your Auburn chiropractic
appointment soon. Disc herniation sufferers are invited
to our practice for relief and a plan for controlling its future impact
on life.