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October 10, 2008

Back Pain
What Causes Back Pain?
Is it Sciatica A Disc or Arthritis?
Do I Need Surgery?
By Dr. William Booker, D.C.

There are several causes for low back pain, but the key to remember is that the
genesis of most back pain is the same, heavy lifting or hard living. The damage
caused by heavy lifting can be the same as the damage caused by the repetitive
stress of hours of poor sitting posture. Eventually the result is the same, loss of
disc height resulting in lack of joint motion and ultimately pressure to the nerves
of the low back, including the sciatic nerve.

There are 5 common causes of back pain:


Dr. William Booker D.C.
BULGING AND HERNIATED DISCS
Dr. William Booker D.C. holds a
Doctorate of Chiropractic from the Discs are the located between each vertebra and provide flexibility and shock
Cleveland College of Chiropractic, absorption for the spine. Picture in your mind a delicious jelly doughnut sitting
Los Angeles. He completed his
on your desk, plump with cherry filling. Now imagine someone accidentally
undergraduate studies at the
University of Virginia, where he
setting a heavy book on top of you delicious jelly doughnut. What happens? The
graduated with a major in jelly oozes out under the pressure. When a disc ruptures or herniates, the same
psychology and a minor in Biology. thing happens, except, unlike the jelly doughnut, a herniated disc can be repaired!
That´s where Spinal Decompression comes in. Over 90% of the herniated discs
After completing his internship in occur in the lower two levels of the lumbar spine, between L4-L5 and L5-S1.
Philadelphia, Dr. Booker relocated
to Arlington to open the first SCIATICA
Capitol Rehab inside of Gold’s
Gym. Dr. Booker established
a. Sciatica is the sensation of pain, tingling, or numbness in the buttocks and/or
Capitol Rehab-Arlington as the
flagship for what would be the
legs produced by irritation of the sciatic nerve. The sciatic nerve is formed from a
eventual opening of eight group of nerves that extend from the spinal cord between the vertebrae and come
additional Capitol Rehabs located together to form a common nerve, the sciatic nerve. The sciatic nerve descends
throughout Virginia, West Virginia into the buttocks and down each leg to the ankles and the feet. The primary
and Maryland. causes of sciatica are herniated, bulging or degenerated discs, which induce
pressure on the spinal nerve roots.

b. Other causes include small, bony growths on the spine (bone spurs or arthritis),
joint dysfunction or compression of the nerves through injury. In rare cases, the
sciatic nerve may be irritated by conditions such as piriformis syndrome, tumors,
or pregnancy.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : drbooker@capitolrehab.com
Back Pain
SPINAL STENOSIS
What Causes Back Pain?
Is it Sciatica A Disc or Arthritis? Stenosis is a narrowing of the spinal canal due to the encroachment of the disc
Do I Need Surgery? material or bony growths that squeeze and irritate the spinal cord and/or
extending nerve roots. This can lead to pain, numbness, tingling, or weakness in
continued the legs, feet or buttocks. Spinal stenosis is commonly a contributing cause for
sciatic symptoms.

DEGENERATIVE DISC DISEASE

Technically, degenerative disc disease is not a disease, but rather a state of disc
dehydration and deterioration due to a combination of cumulative trauma, poor
diet and exercise habits, and aging. As disc degenerate they become more prone
to failure from physical stress, which may tear disc fibers and result in more
complications, such as osteoarthritis, disc bulging, disc herniation, and stenosis.
Without proper treatment, pain will progressively worsen, resulting in decreased
physical activity and gradual weakening of the supportive spinal muscles, leading
to accelerated disc degeneration.

FACET SYNDROME

a. Facet syndrome, an inflammation of the facet joints, is one of the lesser-known


causes of back pain. Facets are the bony wing-like protrusions extending from the
Dr. William Booker D.C. back of the vertebrae that align the vertebrae above and below. Facets function as
guides for the spine and are not designed for bearing weight like the vertebrae
Dr. William Booker D.C. holds a and discs.
Doctorate of Chiropractic from the
Cleveland College of Chiropractic, b. As a result of lost disc height for one reason or another, the spine may shift its
Los Angeles. He completed his weight, adding pressure to facet joints. Adhesions over the joint surface usually
undergraduate studies at the form over time, leading to loss of mobility and breakdown of facet cartilage.
University of Virginia, where he Symptoms are usually deep ache in the lower back that may extend to the
graduated with a major in
buttocks, hip and even below the knee. Facet syndrome is often associated with
psychology and a minor in Biology.
degenerative disc disease and soft tissue damage in the lumbar spine.
After completing his internship in
Philadelphia, Dr. Booker relocated
to Arlington to open the first If you continue to experience pain and discomfort, consider a second opinion
Capitol Rehab inside of Gold’s from an integrated practice that incorporates the best in physical therapy,
Gym. Dr. Booker established chiropractic and rehabilitation.
Capitol Rehab-Arlington as the
flagship for what would be the For more information feel free to visit us at our website, www.CapitolRehab.com
eventual opening of eight or call or email me directly at 703.527.5492 or DrBooker@CapitolRehab.com.
additional Capitol Rehabs located
throughout Virginia, West Virginia
and Maryland.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com