Preston Chiropractic Care Respects Spinal Extension

Extension of the spine: It is beneficial. It is harmful. So what’s with extension for the spine? Both are accurate: It’s beneficial. It is harmful. It’s the job of your Preston chiropractor to help you determine the role of extension for your Preston back pain relief plan and Preston back pain control plan moving past the existing episode of back pain. Your Preston chiropractor at Chiropractic Associates is well experienced in the effects – good and bad – of spinal extension and respects its role in spinal health and motion.

SPINAL CURVES

Two of the spine’s most prominent curves – the cervical and lumbar curves – are lordotic curves meaning they curve inwardly. Flexion flattens these curves. Extension magnifies them. When a disc herniates or bulges, it does so into the concavity of the curve and potentially presses on the spinal nerves resulting in pain. Flexion usually allows the disc bulge to get away from the nerve. Extension often allows the disc bulge to compress the nerves more. Chiropractic Associates wants to help decrease painful situations like this!

SPINAL MOTION

75% of the flexion and extension movement in the low back occurs at the L5-S1 level of the lumbar spine. 20% is at the L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine happens at these two lower disc levels. Here, degenerative disc disease (minor and more advanced) happens most. In the cervical spine, C5-C6 is the spinal level where most of the flexion occurs, and C4-C5 is where most of the extension occurs. Preston chiropractic patients need beneficial extension!

SPINAL EXTENSION

Chiropractic Associates respects extension and gets how it may help and hurt. The extensor muscles in the back weaken and degenerate just like discs do. (1) Extension helps strengthen these muscles to support the spine. Extension is essential for this when the spine is healthy enough to do extension. Extension to a painful spine may hurt. Why? In the cervical spine, flexion reduced disc protrusion and maximizes the sagittal diameter of the vertebral canal while extension increased the disc protrusion and narrowed the vertebral canal causing stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened the vertebral canal and relieved pain while extension exacerbated the stenosis and caused pain. (3) Chiropractic Associates knows the key to eliciting the benefits of extension is in knowing when to apply extension.

Preston CHIROPRACTIC USE OF EXTENSION

Preston chiropractic treatment incorporates extension into the Preston chiropractic treatment plan for its benefits. Cox® Technic applied to the cervical spine reduced intradiscal pressures to as low as 502 mmHg (4) and to as low as -192 mmHg in the lumbar spine. (5) Extension increased pressures in the lumbar spine to 1250 mmHg (the most the transducer could measure). (4) Dropping intradiscal pressures and back pain is what Chiropractic Associates does for its Preston back pain patients.

CONTACT Chiropractic Associates

Listen to this PODCAST with Dr. David Atiyeh on the Back Doctor’s Podcast with Dr. Michael Johnson. He shares how he cared for a patient whose back pain continues after multiple back surgeries with flexion distraction which relieves her pain as the table is flexed not extended.

Schedule your Preston chiropractic appointment with Chiropractic Associates today. Let us discover the role extension might have in your back pain recovery and future back pain control strategy.

 Chiropractic Associates understands the role of extension in spinal motion, its necessity, its benefits and potential harmful effects.  
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