Articles in Category: Chiropractic

Incidence Of Low Back Pain

Written by Don Williams BSc, MChiro, ICSSD. on Wednesday, 13 February 2013. Posted in General Health, Chiropractic

Incidence Of Low Back Pain

  • 79.2% of Australians Suffer Low Back Pain at some point in their life. (J Manipulative Physiol Ther. 2004 May;27(4):238-44.)
  • 67.6% suffer mild low back pain in any 12 month period
  • In any 6 month period around 10% suffer significant disability from low back pain
  • Most frequently seen musculoskeletal condition in general practice.

Is My Scoliosis a Reason for Concern?

on Wednesday, 06 March 2019. Posted in Newsletters, General Health, Ergonomics, Chiropractic

Scoliosis

I’m sure most of us know or have heard of 'SCOLIOSIS’ but for those of you where this word is foreign, scoliosis is a term used when your spine is not straight or is curved to the side.

Now that we know what scoliosis means, did you know that there are different types/causes of scoliosis? Rather than bombarding your brains with too much information, we will discuss the two most common types of scoliosis; Adolescent Idiopathic Scoliosis and Degenerative Scoliosis.

1. Adolescent Idiopathic Scoliosis

Adolescent Idiopathic Scoliosis is by far the most common form of scoliosis affecting children between the ages of 10 to 18 years old. Unfortunately, we still have no idea what the single cause is however we know sometimes this form of scoliosis can be correlated with lower back pain.

Not all children with scoliosis will have pain/symptoms so these are some of the signs to look out for:

1.One shoulder is higher than the other

2.One hip is higher than the other

3.Their head will not look centred with the body

4.When bending forward, a hump is obvious

Scoliosis

2. Degenerative Scoliosis

Degenerative Scoliosis or also known as Adult Onset Scoliosis; is a type of spinal deformity that progresses overtime when we are adults. Therefore, people who don’t have a history of adolescent scoliosis can develop it from spinal degeneration (wear and tear of the spinal bones), Osteoporosis (loss of bone density) or Osteomalacia (softening of bones).

Unlike Adolescent Scoliosis, there is usually no obvious physical deformity. You are likely to experience more back pain (probable to be from the degenerative spine) and numbness/tingling down the arms/legs that initiates patients to have it checked by a health practitioner.

A QUICK ASSESSMENT (ADAM's SIGN)

If you are questioning whether you or your child may have scoliosis, this is a simple test to perform and identify it at home:

1.Start with the person in a standing position.

2.Have the person bend forward from the waist until the back is in a horizontal plane.

3.Keep the feet together, knees extended and arms at the side.

If a rib hump is visible while the person is bending forward, it is an indication of scoliosis.

Scoliosis 2

Physical examination is just the initial testing for scoliosis. Ideally an X-ray is required to have a better idea of the severity/degree of the deformity. Moral of the story is if you aren't sure; have it checked out by a professional!

 

Written By Iris Tan

B.App Sc (Chiropractic) M.Clin Chiropractic

Reference:

Low Back Pain (LBP) associated with Leg Pain/Discomfort

on Thursday, 14 February 2019. Posted in Newsletters, General Health, Ergonomics, Chiropractic

Low Back Pain (LBP) associated with Leg Pain/Discomfort

Practitioner: “Can you please describe your problem for me?”

Patient: “Yes. I have this Chronic Lower Back Pain that if it triggers, I can feel in my leg(s) as well. I start work from 9am, the pain will start crawling in after an hour of sitting, and then I can feel the pain down into my leg(s) after that. But, if I stand up and walk around a little bit, the pain will ease. This is why I have been putting treatment off for so long.”

 

Does this sound familiar?

The question is why does the LBP sometimes follow with leg pain? If the LBP is already a pain in the backside, why does the leg pain love to join the party?

If we look into the User’s Manual for the human body – lower body in particular, the question can easily be answered.

 

The difference between disc origin and muscular origin is if the pain travels below the knee. This is the reason why most practitioners are critical to the pain below or above the knee. If the pain travels below the knee, it is suggested to be disc lesion. If the pain does not travel below the knee, it is suggested to be muscular-related. Unfortunately, there is a User’s Manual 1.1 that specifies that each person is unique, and there could be an occasional case where the above situation differs.

 

Studies have shown that younger patients experience more discomfort in a sitting position due to increased disc pressure, but gain relief by standing up and walking (Souza, 2014). Whereas older patients have trouble when walking or standing due to gravity pull with a compressive effect that applies pressure onto the posterior (back) aspect of the region (Souza, 2014).

 

The patient sometimes describes the pain only in one leg or both legs at the same time. The difference between the two is disc-related pain for one leg and stenosis-related (narrowing) leg pain for both legs.

 

Pain below the knee is suggested to be caused by a disc lesion; chiropractic treatment usually has a beneficial effect and is able to achieve a good result.

 

Pain above the knee is suggested to be muscular-related. A trigger point is a term used to describe a tender area of the body that is irritated by a particular muscle group and has created a referral pattern to another area of the body. An example such as, an iliopsoas trigger point can cause referral pattern down to the front of the thigh, a piriformis trigger point can cause referral pattern down to the back of the thigh, or a Tensor Fascia Lata (TFL) can cause referral pattern down to the side of the thigh. These three muscles are located either deep inside our lumbar region or on the side of our hip region, which can mimic LBP. If by adding trigger point patterns into the equation, we have a lower back pain associated with leg pain/discomfort symptom.

 

Therefore, finding a practitioner with the advanced ability to diagnose this is essential to determine which type of treatment is most suitable for the patient. Once the partitioner is found, it would be wise to stick with them. If the partitioner provides effective treatment, plus a strong ethical view, it is considered hitting the jackpot.

 

 

Written by David Hsu

Dip Remedial Massage, Bachelor Rn. Diploma Osteopathy (Canada)

 

Reference:

Souza, T. (2014). Differential Diagnosis and Management for Chiropractors. Burlington: Jones & Bartlett Learning, LLC.