Low back pain is very common- from 60% to 80%
The incidence rate, cost of chronicity and disability and high recurrence rate adds up to a problem of epidemic proportions.
According to existing data, conventional medical treatment of low back pain has failed. Drug therapy such as muscle relaxants and anti-inflammatory meds will give temporary relief, but will not address the cause of the condition at all. Chiropractic has a 95% satisfaction rate in its treatment of low back pain. Why? I will explain what I do with my patients. As I have found out, a complex, holistic approach to the problem gives the best results.
Low back pain can be caused by participation in sports, motor vehicle accidents, or any kind of injury, such as incorrect lifting performed with rotation, a direct mechanism of disk damage. It may be the result of faulty sitting or sleeping positions, faulty movement, repetitive movements at work, incorrect posture, or osteoarthritis. In any of these cases patients will present with low back pain of different degrees of intensity, from light pain to debilitating pain. The most common location is above the sacrum, with frequent radiation to the buttock and hip. Sometimes patients have pain radiating to the knee or even to the ankle. Patients with sciatica will have excruciating pain radiating all the way down the leg.
The cause of these presentations are muscle and ligament strain and sprain, disk bulging and nerve root compression, misplaced vertebra creating acute or chronic subluxations, and less frequently, antherolisthesis or posterolisthesis, conditions in which one vertebra misplaced forward or backward. Some congenital conditions such as spina bifida occulta, a condition where the spinal process was not formed, will be a predisposing factor for the early development of osteoarthritis. We have a flexion-distraction table that we use for patients with disk problems.
Some patients with low back pain have scoliosis, a deviation of the spine to the right or left that can happen in the thoracic and lumbar spine. A lot of patients with low back pain have no idea that their low back pain has an emotional component.
I use gentle adjustment, especially in acute situations, ice to decrease inflammation and edema in acute cases. I also use EMS to relax the muscle, homeopathy to stimulate healing, and I use the Chinese instrument qua-sha for soft tissue massage that gives deep penetration. In some cases I use ultrasound and Acupuncture without needles ( which is very important-patients appreciate it very much, because nobody likes needles). Besides this, I do nutrition response testing (NRT) in order to find out nutritional needs and supplement patients with whole food supplements togive them more nutrients, vitamins and minerals. This will help facilitate and speed their recovery.
Sometimes, low back pain can have emotional component, so for these patients I perform Neuro-emotional technique (NET) and the results are stunning!
If you have any questions about low back pain, call our office at 610-277-3430 or visit http://www.drmitlyansky.com and I will be happy to help you.