Low Back Manipulation – How Does it Work?

Low back pain (LBP) is such a common problem that if you haven’t suffered from it yet, you probably will eventually. Here are a few facts to consider: 

  1. LBP affects men and women equally.
  2. It is most common between ages 30-50.
  3. Sedentary (non-active) lifestyles are major contributors.
  4. Too much or too little exercise can result in LBP.
  5. BMI around 25 is “ideal” for weight management, which helps prevent LBP.
  6. Other causes of LBP include genetics, occupation, and exercise habits.

What is an Adjustment?

When spinal manipulation is performed in the low-back region, the patient is often placed in a side-lying position with the upper leg flexed towards the chest and the bottom leg kept straight. The bottom shoulder is pulled forwards and the upper shoulder is rotated backward at the same time that the low back area is rotated forwards. This produces a twisting type of motion that is well within the normal range of joint motion. When the adjustment is made, a “high velocity” (or quick), “low amplitude” (a short distance of movement) thrust is delivered often resulting in “cavitation” (the crack or release of gases).

So, WHY do we do this?

Most studies show that when there is back pain, there is inflammation. When we control inflammation the pain usually subsides. That is why the use of “PRICE” (Protect, Rest, Ice, Compress, Elevate) works well for most muscle/joint pain conditions. We have also learned that IF we can avoid cortisone and non-steroidal drugs (like aspirin, ibuprofen, naproxen, etc.), tissues heal quicker and better.

Please see our prior discussions on the use of anti-inflammatory herbs and diets that are MUCH safer than non-steroidal drugs!

Inflamation & Pain

But what does spinal manipulation DO for inflammation and pain?

Different things occur physiologically during a spinal adjustment or manipulation. Mechanical receptors located in muscles, muscle tendons, ligaments, and joint capsules are stimulated by the adjustment. This results in muscle relaxation (reduced spasm or tightness), increased measurable range of motion, and a decrease in pain. One study also reported that inflammatory markers (CRP and interleukin-6) NORMALIZED after a series of nine chiropractic low back manipulations! So, NOT ONLY do spinal adjustments give immediate improvements in pain, flexibility, and muscle relaxation, but they also REDUCE INFLAMMATION without the use of any pharmaceuticals!

So, let’s review what manipulation does for your low back pain: 1) pain reduction; 2) improved flexibility – now you can put on your socks with less pain and strain; 3) improvements in physical function and the ability to perform activities of daily living like sitting more comfortably, getting in or out of your car, bending over to feed the cat, etc.; 4) improved sleep quality; and 5) faster healing time by actually reducing the inflammatory markers in the blood!

If you have low back pain, PLEASE don’t delay – make that appointment with your North Dallas chiropractor TODAY!

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Jonathan Woodward, D.C.

Woodward Chiropractic & Massage 6310 Lyndon B Johnson Fwy Ste 115 Dallas, TX 75240
(972) 490-9888

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