Low Back Pain: An Ice Pack or the Hot Tub?
January 23, 2012
Many patients do some self-care when they first hurt their lower back, hoping this will keep them out of a
doctor’s office. Home remedies sometimes make the pain go away and sometimes they don’t. It depends on what you try. When the back is first hurt, it’s often a sprain/strain type of injury with accompanying muscle spasm. When a nerve in the low back gets pinched or irritated, the body will protect the delicate nerves by keeping you from moving and risking further nerve injury. The easiest way for the body to do this is to cause the back muscles to spasm and splint the injured area.
Muscle pain can be quite severe and heat can sometimes soothe muscle pain. For this reason, many patients take to the hot water bottle or the hot tub to try and get some relief. This should be avoided in an acute injury because inflammation is present. With inflammation, there is increased heat and the additional heat you provide is like adding gasoline to a fire. The results are usually not good.
A better choice with an acute injury is to ice the area, but this also needs to be done with some caution. The simplest ice pack is ice cubes placed in a plastic bag. While effective, you can cause a frostbite injury if you leave the pack on for too long. When you first ice the area, you will go through several phases before some pain relief is achieved. At first the pack will feel cold. The next phase is a burning sensation and the ice will almost feel hot. This is followed by an aching or throbbing sensation. Just before the area is numbed, a very sharp pain will be experienced followed by the relief you desire. This can take from five to ten minutes to go through all of the phases. Once numbness is achieved, the pack should be removed. You should most definitely not fall asleep while the pack is on.
If this simple procedure does not solve the problem it’s best to get your spine checked by a doctor of chiropractic.
Back pain is one of the most common problems we treat in our office. You can always schedule a complimentary consultation to discuss your health concerns, and the different techniques we use in our office to help get you well again. Just call (201) 339-8889 for an appointment at our Bayonne office and (908) 490-1800 for an appointment at our Scotch Plains office.
Low Back “Do”s and “Don’t”s
January 16, 2012
We all know it’s important to maintain good back health by doing things that help strengthen it and avoid the things that cause harm… this is just common sense. But just what are the things we need to avoid and what are some simple things we can do to prevent back problems from occurring in the first place?
Most people are aware of the “lift with the legs” motto, which means bending your knees when lifting something. But there are also some other gems you need to know to avoid a back injury. First, the back disks are highly pressurized (full of water) first thing in the morning. This makes your back more stiff. It also makes stresses on the disk more substantial with lifts. So if possible, avoid lifting heavy things or in stooped awkward positions, first thing in the morning. If you have a choice of doing laundry first thing in the morning or at night, do it at night.
Another thing to think about when lifting something awkward or heavy is to get some help. There’s no point in trying to be superman or superwoman and test the limits of your back strength. A second person helping could save you a trip to the chiropractor.
Another “don’t” for the low back is to avoid sitting as much as possible. While some jobs make this difficult, there’s no reason to follow eight hours of sitting at the job with four hours of evening sitting at home. The back craves and thrives on motion, especially walking. Why not go for a thirty-minute walk after dinner, instead of being a couch or chair potato? The spine is architecturally designed for walking. This is where it is at its optimum. Sitting in a chair is a very unnatural position for the lumbar spine. The walking, while helpful for the back, can also pay dividends for your heart health and longevity.
Another important “do” for the low back is stretching. Simple stretching for 30 seconds each, the calves (lower legs), hamstrings (back of the thighs) and quadriceps (front of the legs), can help to keep the back flexible. Recall that we are supposed to lift with the legs. If the legs muscles are tight and/or weak, then the low back is going to take up much more of the weight and stress, increasing your risk for injury.
If you’d like to discuss this information more specifically for your spinal type and condition, or have concerns about injuries you’ve suffered in the past, just call (201) 339-8889 for the Bayonne office and (908) 490-1800 for the Scotch Plains office to make an appointment. Consultations are always complimentary. Adhering to a few good spinal “hygiene” principals can do a lot to maintain spinal health and keep your visits to our office to a minimum. Prevention is the key to good health.
What is a Degenerated Disc?
January 11, 2012
A report from your doctor that you have a “degenerated disc” can sound scary! 
However, once you realize that lots of people have degenerated discs and it does not mean surgery. It is important to understand how the disc works in the low back, how it is injured, and how it can be safely treated, to get the best results with your condition.
So what is a disc? A disc is nothing more than cartilage similar to the cartilage in your knee. Cartilage covers bones and connects them allowing a joint to be formed. Cartilage and ligaments are what make motion possible but they also restrain movements that are too large. In the case of the spine, there are 24 individual bones called vertebrae. The disc is a cartilage that connects each of these vertebrae.
The disc can be injured just like a knee or an ankle can be sprained. The injury will stretch the ligaments and cartilage and cause them to tear. Whenever the body is injured, inflammation follows which serves to begin the healing process. Damaged tissue is consumed and scars are laid down.
In the case of the disc, the degeneration is usually at the back portion of the disc, because that is the location of the original injury. The disc also contains a more watery center called the nucleus. When injury to the disc occurs, the joint does not move properly. Lack of movement can be just as detrimental as too much movement. With this lack of motion there is less movement of water, in and out of the nucleus. The nucleus then dehydrates and the disc begins to collapse under the weight of gravity.
You were likely shown an x-ray of the degenerated disc and told that the space between the vertebrae is smaller because the disc material is degenerating. An MRI or CT scan can also show the degenerated disc. However, it does not mean that you need surgery.
The body is meant to handle degeneration of the disc and many people do quite well despite what an MRI or x-ray may show. Other patients have a bulging of the disc along with the loss of height. This bulging, called a herniation, can press on the nerve and cause back or leg pain (sciatica).
If the pressure within the disc can be lowered, then it is possible to create a vacuum that draws the bulging disc away from the nerve. Decompression treatment uses this effect as a treatment for back pain and leg pain caused by a degenerated disc.
When considering treatment for your back pain due to a degenerative disc, our chiropractic and physical therapy clinics in Bayonne and Scotch Plains NJ can offer you relief. Our physicians come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
The Neck and Headache Connection
January 4, 2012
Patients with headaches also commonly complain of neck pain. 
This relationship is the rule, not the exception and therefore, treatment for headaches must include treatment of the neck to achieve optimum results. The term, “cervicogenic headaches” has been an accepted term because of the intimate connection between the neck and head for many years. There are many anatomical reasons why neck problems result in headaches. Some of these include:
- The first 3 nerves exiting the spine in the upper neck go directly into the head. They penetrate the muscles at the top of the neck near the attachments to the skull and therefore, any excess pressure on these nerves by the muscles or spinal joints will result in irritation and subsequent pain.
- The origin or nucleus of the 5th cranial nerve called the Trigeminal, innervates the sensation to the face and is located in the upper cervical region near the origin of the 2nd cervical spinal nerve, which innervates sensation to the back of the head up to the top. Therefore, problems located in the upper neck will often result in pain radiating up from the base of the skull/upper neck over the top of the skull to the eyes and /or face.
- The 11th cranial nerve that innervates the upper shoulders and muscles in the front of the neck arises from the top 5 to 7 spinal cord levels in the neck. Injury anywhere in the neck can result in spasm and pain in these large muscle groups.
- Other interconnections between the 2nd cervical nerve and trigeminal/5th cranial nerve include communication with the 7th cranial / facial nerve, the 9th cranial / glossopharyngeal nerve, and the 10th cranial / vagus nerve. These connections can affect facial muscle strength/movements, taste, tongue and throat movements, and stomach complaints such as nausea from these three cranial nerve interconnections, respectively.
When patients seek treatment for their headaches, a thorough examination of the neck, upper back, and cranial nerves is routinely performed for the above reasons. It is common to find upper cervical movement and vertebral alignment problems present in patients complaining of headaches. Tender points located between the shoulder blades, along the upper shoulders, on the sides of the neck and particularly, at the base of the skull are commonly found. Pain often radiates from the tender point over the top of the skull when pressure is applied in the upper neck/base of the skull area. Tenderness on the sides of the head, in the temples, over the eyes, and near the jaw joint are also common. Traction or pulling the head to stretch the neck is often quite pain relieving and this is often performed as part of the chiropractic visit and can also be applied at home with the use of a home cervical traction unit. Chiropractic adjustments applied to the fixated or misaligned vertebra in the upper neck often brings very satisfying relief to the headache sufferer. Exercises that promote movement in the neck, as well as strengthening exercises are also helpful in both reducing headache pain and in preventing occurrences, especially with stress or tension headaches.
When considering treatment for headaches, our chiropractic and physical therapy clinics in Bayonne and Scotch Plains NJ offer state-of-the art technologies to offer relief from headaches. Our physicians come highly recommended by numerous physicians in Hudson and Union Counties. Feel free to contact us for a Free, In-Office Evaluation. If you are looking for faster service, give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location, call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $145 value).
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