High School Volleyball Players and Back Pain

High School Volleyball Players and Back Pain. Questionnaires completed by 123 elite high school male and female volleyball players revealed that nearly half (48%) had back pain. Interestingly, further analysis showed that players who experienced an ankle injury in the previous year were more likely to report current back pain. Journal of Physical Therapy Science, August 2019

Neck pain with numbness and tingling?

Manual Therapies Can Help Patients with Cervical Radiculopathy. A recent study compared the effects of manual traction, manual intervertebral foramen opening technique, and a combination of the two techniques for three weeks in 40 patients suffering from cervical radiculopathy. The findings revealed that all treatment approaches were equally effective at decreasing pain and disability levels, and improving cervical mobility among participants. Chiropractors are known to utilize many manual therapy techniques when managing cervical radiculopathy patients. Journal of Pakistan Medical Association, September 2019

Is It My Low Back Or My Hip?

When patients present with low back pain, it is not uncommon for pain to arise from areas other than the low back, such as the hip. There are many tissues in the low back and hip region that are susceptible to injury with have overlapping pain pathways that often make it challenging to isolate the truly injured area. Hip pain can present in many different ways.

 

When considering the anatomy of the low back (lumbar spine) and hip, and the nerves that innervate the hip come from the low back, it’s no wonder that differentiating between the two conditions is often difficult. Complaints may include the inside, outside, front, or back of the thigh, the knee, the buttocks, the sacroiliac joint, or the low back and yet, the hip may truly be the pain generator with any of these presentations. To make diagnosis even more complex, the hip pain patient may present one day with what appears to be sciatic nerve pain (that is, pain shooting down the back of the leg to the knee if mild or to the foot if more severe) but the next visit, with only groin pain.

 

When pain radiates down a leg, the almost automatic impression by both the patient and their healthcare provider is, “…it’s a pinched nerve.” But again, it could be the hip and NOT a pinched nerve that is creating the leg pain pattern. Throwing yet another wrench in the works is the fact that a patient can have more than one condition at the same time. So, they truly MAY simultaneously have BOTH a low back problem AND a hip problem. In fact, its actually unusual to x-ray the low back of a hip pain patient without seeing some low back condition(s) like degenerative disk disease, osteoarthritis (spurs off the vertebrae), or combination of these. So, how do we differentiate between hip vs. low back pain when it is common for both low back and hip pain to often coincide?

 

During our history, we often ask the question, “…what activities make your pain worse?” If the patient replies that weight bearing activities like standing, walking, getting up from sitting, etc., provoke the pain (and they point to the front or side of the hip), a hip-related diagnosis is favored but it STILL may be arising from the low back or both! If they say, “…crossing my right leg over the other hurts in my groin,” then that’s getting more hip pain-specific as hip rotation is frequently lost before the forward flexion motion.

 

When we ask the hip pain patient to point to the area of greatest discomfort, they usually point to the front of the hip or groin, and less often to the inner and/or anterior thigh or knee. Non-weight bearing positions like sitting or lying are almost always immediately pain relieving. When there is arthritis in the hip, motion loss is often reported and may include a shorter walking stride and pain usually gets worse the longer these patients are on their feet. Initiating motion often hurts, sometimes even in bed when rolling over. During the chiropractic examination, with the patient lying on the back with the knee and hip both bent 90°, moving the bent knee outwards or inwards will almost always reproduce hip/groin area pain. Pulling on or applying traction to the affected leg usually, “…feels good.” Knee & ankle reflexes and sensation are normal but muscle strength may be weak due to pain. Bending the low back into different positions does not reproduce pain if the pain is only coming from the hip.

 

Though sometimes challenging, doctors of chiropractic are well-trained to be able to differentiate between hip and low back pain and will treat both areas when it is appropriate.

Pumpkin Season is Here!!!

Pumpkin Pulp and Seeds Reduce Blood Pressure in Animal Study.

Rats fed a diet that included pumpkin pulp and seeds for eight weeks had blood pressure 20% lower than rats on a control diet. Researcher Dr. Soweto Thomas notes, “With the animal model we can never really fully say that what we see is exactly what is going to happen in a human trial… But there is a slew of dietary intervention studies that have shown that, overall, a healthy diet can make real changes in someone's health.”

Journal of the American College of Cardiology, September 2019

What is Spinal Decompression?

Spinal decompression is the desired outcome of a comfortable and controlled pulling force on the spine that essentially "decompresses" the spinal joints.  This pulling force enables the spinal discs the opportunity to create negative intradiscal pressure, which has been demonstrated on advanced imaging studies, with the outcome of pain relief and decreased pressure on the spinal nerves.  Conditions that respond favorably to this treatment are disc herniations, spinal stenosis, chronic back pain, pinched nerves and sciatica, facet syndrome, and degenerative disc disease.

But wait...Not all spinal decompression programs are the same!  The success of this procedure is largely based on the training of the physician applying the therapy and the decompression device is almost equally important.  Patient selection is another important factor to determine who will benefit most from decompression and maintain it's nearly 90% success rate.  If the proper protocols are applied to a patient that is an ideal candidate for the procedure results are very reproducible.

If you are considering surgery for back or neck pain, especially cases where the spinal discs are involved, spinal decompression may afford you the opportunity to avoid invasive spinal surgery.