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Low Back Pain and Sciatica

Low back problems account for more than 12 million visits to doctors each year.

Source: American Academy of Orthopedic Surgeons, www.orthoinfo.aaos.org.

According to the American Academy of Orthopedic Surgeons,
8 out of 10 people will experience low back pain at some point in their lives.

Source: American Academy of Orthopedic Surgeons, www.orthoinfo.aaos.org.

Besides the common cold, low back pain results in more lost work days than any other physical affliction in persons under the age of 45.

Source: American Academy of Orthopedic Surgeons, www.orthoinfo.aaos.org.

Back pain not only affects adults but children as well.

chiroweb. Significant risk factors included: age.C. ChiroWeb. Too. .com.com. nearly 51% of school children suffered from low back pain. P.. www. amount of time spent in front of the TV and involvement in competitive sports. Source: Kids Need Chiropractic.According to a recent study in the Scandinavian Journal of Rehabilitative Medicine. gender. D. Fysh.

nlm.htm .gov/medlineplus/ency/article/003108.nih. Source: http://www. For this reason it is the second most common cause for Americans to see a doctor.Low Back Pain is the most common type of back pain due to the fact that the lower back supports the majority of your body weight.

When the nerve involved goes down the leg.Low back problems can lead to nerve irritation. . a condition called Sciatica can develop.

numbness. It is caused by injury to or compression of the Sciatic nerve. Source: http://www.nlm.gov/medlineplus/ency/article/000686.nih.htm . weakness. or tingling in the leg.Sciatica is a condition involving pain.

According the Academy of Orthopedic Surgeons. Source: AAOS.com . American Academy of Orthopedic Surgeons. Sciatica is most likely to occur around ages 30-50 and about 80-90 percent of people get better without surgery.

The primary cause of back pain comes from misalignments of the spine causing swelling and pressure on the nerves that exit the spine. .

When a segment of the spine. becomes misaligned. . it causes a condition called a sub (minor) luxation (dislocation) or Subluxation. called the vertebra.

A disc is the pad that sits between the bones of the spine so they do not rub each other.Another cause of back pain is the bulging of a disc. .

.Discs can bulge or protrude onto nerves with direct nerve pressure causing pain.

Pain anywhere in the body is caused by nerve endings that become excited or irritated. .

Why do so many Americans have problems with their backs? .

There are four reasons: • Lack of exercise • Poor posture • Physical trauma • Emotional stress All are aggravated if you are overweight. .

There have been thousands of studies outlining the benefits of regular exercise. .

Unfortunately. Americans continue to avoid exercise. thinking it might exhaust them. . The opposite is true.

.Anyone who exercises will tell you they actually have more energy.

relaxing and watching TV rather than being active? .What’s the result of all the sitting.

Each year.Statistics don’t lie. Todd Joachim. Thirty-one million Americans have low back pain at any given time. Guest Columnist . by Dr. SOURCE: The Marion Star. 2005. The cost of this care is estimated to be a staggering $50 billion yearly. One third of all Americans over age 18 had a back problem in the past five years. one half of all working Americans admit to varying degrees of back pain. severe enough for them to seek professional help. January 15.

64% of women and 50% of men experienced back pain. 22% said it was uncomfortable to drive. 2005. SOURCE: Maumee Bay Health Online: Jan. “Back Pain Epidemic” . 17. Nearly 33% reported difficulty lying in bed. The North American Spine Society surveyed 1.One in six adults suffers from chronic back pain. more than 25% of respondents said back pain made it too difficult to engage in vigorous physical exercise and 32% were unable to lift heavy objects.014 adults with back pain about the condition of their backs within the past 30 days.

.Poor posture is the second cause of back problems.

The proper shape of the spine has four curves. .

.Your body has curves so you can spring when you walk.

You can lose the normal curves of the spine through accidents. . lack of exercise or poor posture.

and failure to exercise contribute to improper posture. .Bad habits such as slouching. watching TV in unusual positions.

the force of gravity can cause wear and tear on spinal joints leading to inflamed nerves and pain. When the spine is misaligned. .Gravity exerts pressure down on the body.

Physical trauma such as lifting heavy objects. car accidents and even childhood playground injuries can affect you years after the incident. .

The American Chiropractic Association recently ranked the jobs that are most likely to contribute to the onset of back pain: • Truck drivers: Drivers are subjected to constant compression and vibration as well as prolonged sitting. repetitive motion. twisting and turning. • Construction workers and landscapers: These workers are subjected to awkward positions. heavy lifting. .

and make sudden reactionary movements that may result in injury. etc. 2004. • Nursing home workers: Lifting patients can cause these workers to twist their backs.com. 2004. www. October 15. SOURCE: Ergonomics Today. • Farmers and delivery drivers: These workers are subjected to heavy lifting. lose their balance.etrucker.• Emergency personnel: Prolonged sitting. carrying heavy loads and equipment. eTrucker. sudden movements. .

President of the Chiropractic Association of Australia. Unless these injuries are addressed.au/media/info .caa. Tassell. “Parents need to be better educated on the effects of playground injuries and poor posture on growing spines. said.” SOURCE: www.com. Dr. they may suffer long term recurring back problems throughout their adult years.Spinal trauma can affect us from a young age up through adulthood.

and when treated. researchers selected children suffering from low back pain. such as sports-related injuries. Nearly 50% of the pain was due to trauma. 90% of the children reported significant improvement.1-8 . They were diagnosed with subluxations. SOURCE: Journal of Manipulative and Physiological Therapeutics.According to a recent study in the Journal of Manipulative and Physiological Therapeutics. 2003:26(1). pp.

pp. 10. October 2001. This study shows that there is more than just ergonomic or physical causes of stress. SOURCE: American Journal of Public Health. 91. No. Vol. 1671-1678 . A recent study by the American Journal of Public Health showed that the psychological stress a person is subjected to early in life can cause low back pain a decade later.Stress is also a factor.

1671-1678 . And. those who smoked a half a pack of cigarettes or more a day had an even higher risk of low back pain a decade later. 91.5 times more likely than their peers to have low back pain 10 years later. 10. Vol. Researchers suggest that minimizing stress now can potentially reduce future occurrences of pain.The results of the study showed that patients who reported stress at age 23 were 2. SOURCE: American Journal of Public Health. pp. No. October 2001.

The best solution is moderate activity.A common misconception about back pain is that you need to rest and avoid activity for a long time. Source: http://www.htm . “bed rest” is not recommended.gov/medlineplus/ency/article/003108. In fact.nih.nlm.

Since weak muscles contribute to the misalignment of the spine. strengthening muscles should be part of any program to help restore normal function to the lower back.Proper exercise can actually help with lower back problems. .

. you lose. muscles and ligaments become weak and fail to hold your body in its proper alignment.What you don’t use. If you don’t exercise.

writes in his book Low Back Syndrome: “Mild exercise such as walking or swimming 20 minutes a day can help eliminate and prevent certain forms of back pain. Cailliet. R..1995. Cailliet. MD.” Source: Low Back Syndrome. Edition 5. .Dr. M.D..

Since every person is different. your exercise program should be determined by a doctor familiar with different forms of exercise. .

What can you do to eliminate back pain? .

There are three common remedies: • Drugs • Surgery. or • Physical treatment. . which would include spinal adjustments (specific manipulation of the spine). posture correction and lower back exercises.

There are two problems with drugs or medications: 1. There are side effects that can be worse than the original problem. . 2. They fail to address the cause of the problem so there is no permanent solution.

Nonsteroidal Anti-inflammatory Drugs. Their use can also lead to infertility and increased clotting of the blood. p. hepatitis. which could increase the risk of heart attacks and strokes. 1. 7. .” Dr. Celebrex® has caused acute pancreatitis. Source: “Watch Out for New Pain Prescriptions. Sherry Rogers’ Total Wellness Newsletter. November 2000. abdominal pain and diarrhea. which can be fatal.NSAIDs1 (over-the-counter medications to relieve pain and inflammation) cause gastrointestinal hemorrhage.

Often surgery is considered after medication has failed. if possible. exercise and other safe. alternative treatments have been tried. . should be postponed until nutrition. However. surgery.

Of those patients.632 had a history of low back surgery.A study was conducted to determine the health of patients after surgery versus patients who had no surgery.29(17):1931-7 What is pain rehabilitation? . Whitecloud III TS.000 patients with back pain who were entered into the database from January 1998 to April 2000. 1. Myers L. The National Spine Network reviewed more than 18. Source: Hee HT. 3. The effect of previous low back surgery on general health status. Sept. 2004. Spine.

compared to those patients with no prior history of spine surgery. general health and mental health. Whitecloud III TS. Myers L. Spine. 2004. “Previous back surgery is associated with significantly worse general health status than those without surgery among patients with low back pain…” Source: Hee HT. Sept. The effect of previous low back surgery on general health status. 1.Results showed that patients with a history of lumbar spine surgery fared significantly worse in areas such as physical functioning.29(17):1931-7 What is pain rehabilitation? .

Foundation for Chiropractic Education and Research. Callahan & Cianciulli.A study by Callahan & Cianciulli shows that 70% of those who have had surgery for low back pain still report pain 4 to 17 years after surgery. . Publication #9676. Source: “Chiropractic for Low Back Pain: An Alternative to Surgery”.

Since low back pain is physical in nature. . it often responds best to a physical form of treatment.

gradually increasing after the first 2 weeks of pain. December 8. in which they found that for Low Back Pain. spinal manipulation was the best and they recommended: 1. 2. Thursday. 1994. More rigorous “conditioning exercises” for the trunk muscles to start. 3.The Agency for Healthcare Policy and Research conducted a government study. Source: Chicago Sun-Times. Spinal manipulation by a chiropractor. swimming or biking. if the problems are “mild or “moderate”. Low-stress exercise such as walking. .

www. According to the survey..news.chiroeco. Source: Foundation of Chiropractic Progress.chiroweb.In a survey conducted in 2002 by Media General Research.com. And. Too.com. news release. February 21.wcanews. Kids Need Chiropractic. www. March 2002. www.com.C. 2002. Chiropractic was rated the #1 natural healthcare choice. HealthWatch Newsletter. Fysh. Chiropractic treatment was rated the most effective. according to the Agency for Health Care Policy and Research. 42% of the participants had experienced back pain within the last 12 months. P. 91% who had seen a chiropractor rated the effectiveness of Chiropractic as being satisfactory to excellent. ChiroWeb. . for patients with recent onset low back pain.com. D.World Chiropractic Alliance.

1993.” Source: USA Today. safer.A study released by the Ontario Ministry of Health and published in USA Today cited: “The best clinical studies show that spinal adjustment is more effective. . “Chiropractors Hope Back Study Will Bring Relief from Bias”. October 29. and more cost-effective than other conventional treatments for low back pain.

Source: Chiropractic: The Right Choice (video). microbiology. biochemistry. Foundation for Chiropractic Education and Research 1995. Like the curriculum of medical schools. pathology. a chiropractor’s education is devoted to scientific subjects such as anatomy. . and health sciences. All 50 states license chiropractors to treat patients. Chiropractors are trained in premed. public health diagnosis. then four years of Chiropractic College. clinical disciplines.Many people are unaware that a Doctor of Chiropractic is required to complete an education very similar to that of a Medical Doctor.

. In two days. One month ago. St. Jr. FL./Kretschmar Chiropractic. I would normally have missed a week of work. I experienced my worse incident ever. Walls.W. Petersburg. My chiropractor relieved my intense pain within one week! By the end of the second week. June 1999. This pain relief in such a short period of time has proven [Chiropractic’s] effectiveness. I couldn’t even remember hurting my back. I was able to slowly return to my job. It’s incredible!” -D. SOURCE: Donald G.“A bulged disc in my lower back has provided me a history of needing care.

and facet syndrome. degeneration.Decompression Therapy A relatively new procedure. called “Spinal Decompression Therapy” is available. This process is designed specifically for disc injuries. 56 .

.Because chiropractors work with their hands and are trained to find and correct physical conditions. they are used by some of the world’s greatest athletes and entertainers.

Paul McCartney. the San Francisco 49ers football team. Cher. and to stay in top physical shape. Kirstie Alley. . Billy Jean King. and the Minnesota Vikings. seek regular Chiropractic treatment to prevent injuries. to name just a few. Madonna. Mel Gibson. Clint Eastwood. Bruce Willis.Famous people such as Tiger Woods. John Travolta.

A Gift Our purpose is to help as many people as possible. Simply call our office at 685-9391 and mention that you read this power point. . Thank you. therefore we would like to offer a free consultation for you to determine if we may be able to help. and would like a free consultation.