Wednesday, January 18, 2017

Chiropractic and Reducing Stress

Take a Break! 
Pop quiz - how long have you been sitting in that chair? Half-an-hour? An hour? Two hours? More?!!!

Or, basically, how long have you been working at the same task without taking a break?

Most likely, the answer is "too long"!

Everybody's in the same boat. There's so much to do and so little time. That may not be the real reality, but it certainly is

our experience. We drive ahead, force ourselves to keep going, and forget to "stop and smell the roses".

But "smelling the roses" is critical to our health and well-being.

Taking a break, relaxing for just five minutes every hour, makes all the difference.
We certainly live in stressful times. It's not easy to assess whether our era is the most stressful, but we do have plenty of daily stress. The job, the home, the kids, the relatives, and the economy - all these stresses add up and yet we wonder why we have so many aches and pains.

So many ailments are stress-related. Americans are notoriously overweight. Overeating is a stress-coping mechanism.1 Headaches and backaches are often associated with increased stress. There's a strong correlation between high blood pressure and stress, ulcers and stress, and even cancer and stress.

What can we do? The external stresses in our lives aren't going away. Our activity-filled lives are busy and complex - there's always going to be stress. The key is to help avoid or ease the physical effects of stress. Interestingly, chiropractic treatment can be of great assistance in reducing the effects of stress on the body.

In general, stress causes muscles to tighten. This is an unconscious reaction. Tight muscles cause a cascade of further muscle tightening, shortening of muscles and ligaments, and a resulting decrease of mobility in joints, particularly shoulder joints, hip joints, and joints of the spine.2,3

This overall mechanical effect of stress has a number of additional consequences. All the extra unconscious muscle activity wastes precious nutritional resources and uses up energy needed for critical body functions. Lactic acid accumulates, irritating nerve endings and further increasing muscular tightness. And, importantly, the losses in spinal joint mobility lead directly to increased levels of pain. This, of course, leads to more stress.

This vicious circle of stress, muscular tightness, and pain can be relieved and reduced by chiropractic treatment.4 Chiropractic therapy is specially designed to improve joint mobility of the spine and pelvis. This gentle, effective treatment gradually restores maximal spinal motion. Muscle tightness is alleviated, metabolic processes begin to return to normal, and nutrients become more available to help maintain healthy functioning. Levels of pain are reduced, and we become better able to withstand the physical effects of stress.

Your chiropractor will explain the many benefits of treatment, and will provide instruction in stretching techniques and specific exercises that help maintain the positive results of therapy.

There will always be stress. We can learn how to reduce the physical effects of stress, and become stronger, healthier, and happier in the process.

Take a Break! A few quick tips -
  • Get up out of your chair or leave your workbench and walk over to an open window. Change your point-of-view. Breathe some fresh air.
  • Go for a five-minute walk, either in the corridors of your building or out-of-doors.
  • Call a friend and chat for five minutes.
  • Close your eyes, clear your mind, and take an imaginary vacation - relaxing on a warm beach, deep-sea fishing on a beautiful yacht, or skiing down a gorgeous mountain.

These short, focused breaks will help reduce muscular tightness and physical stress, and also help your brain recharge so you can be more creative and productive!
Dr. Dave Edenfield, "Your Jacksonville Chiropractor", and Lakewood Chiropractic offers the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies. Now accepting VA patients. For more information visit:
Lakewood Chiropractic
Jacksonville, Florida 32217
904-733-7020

http://www.lakewoodchiropracticjax.com/
https://www.facebook.com/lakewoodchiropractic
https://twitter.com/AskDrEdenfield


1Marchesini G, et al: Psychiatric distress and health-related quality of life in obesity. Diabetes Nutr Metab 16(3):145-154, 2003
2Weickgenant AL, et al: Coping activities in chronic low back pain: relationship with depression. Pain 53(1):95-103, 1993
3Burns JW: Arousal of negative emotions and symptom-specific reactivity in chronic low back pain patients. Emotion 6(2):309-319, 2006
4Hurwitz EL, et al. A randomized trial of chiropractic and medical care for patients with low back pain. Spine 31(6):611-621, 2006

Tuesday, December 20, 2016

Childhood Sports Injuries



 Kids and Fitness
 It's never too early to get your kids into a fitness routine. This is a habit that will last a lifetime.

Without regularly scheduled exercise and sports activities, children will automatically default to watching television, playing on the computer, and playing video games. These pastimes are great for stimulating creativity and developing hand-eye coordination, but contribute nothing to a child's level of fitness.

One out of three American children are overweight, obese, or at risk for being overweight. This appalling public health information indicates a much greater risk of diabetes and heart disease as the child becomes a young adult.

Regular exercise and good nutrition will help a child maintain an appropriate weight and will promote long-lasting health benefits.
Kids get hurt all the time. They're running, they're jumping, they're crashing into things. Kids want to have fun, and when they play, they play full-out.

So, when kids play real sports, stuff happens.1,2 Whether your kid plays soccer, baseball, football, or studies karate, a broken bone, sprained ankle, or twisted knee is just the natural fallout of learning new skills and having a good time.

The treatment for most childhood sports injuries is straightforward and standard.3 For strains and sprains that involve only mild to moderate swelling and pain, the time-honored RICE protocol is followed - rest, ice, compression, and elevation.

Pediatric orthopedists get involved when the injury is more severe or when an arm or leg bone is broken.

But there are other issues, and every parent needs to be aware of these possibilities. In one of the unusual chains of circumstances that make the practice of medicine and the practice of chiropractic so interesting, a physical trauma (like a sports injury) can reveal an underlying serious problem.

In other words, various disorders of bone may not show themselves in terms of symptoms until a physical trauma makes them apparent. Such problems include metabolic disorders, growth and development problems, and even benign and malignant tumors.

What would make a parent suspect such an issue? First, if the child's pain seems out-of-proportion to the degree of injury. A mild knee sprain - for example, caused by tripping over second base while trying to stretch a double into a triple - should not be causing significant pain.

Also, mild-to-moderate injuries should not be warm to the touch. A parent can evaluate this. And, a child should not be running a fever after an activity-related injury.

It would also be suspicious if the pain did not improve daily. For the majority of injuries, pain that lingers beyond several days suggests an underlying problem. Children are resilient. Healthy kids heal quickly. They want to shrug off an injury, forget it happened, and get back to playing.

If your child isn't getting better in a few days, seems lethargic, or feels ill following an injury, warning bells should go off.

Your family chiropractor is familiar with all such conditions and scenarios. He or she is always alert to unusual situations and will recommend the appropriate steps to take, including a complete physical and x-ray examination. If necessary, your chiropractor will be able to recommend appropriate specialists for follow-up, including hematologists, endocrinologists, and pediatric orthopedists.

These more serious problems are uncommon. And, of course, well-informed parents help their kids grow up healthy and strong.

Dr. Dave Edenfield, "Your Jacksonville Chiropractor", and Lakewood Chiropractic offers the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies. Now accepting VA patients. For more information visit:
Lakewood Chiropractic
Jacksonville, Florida 32217
904-733-7020
http://www.lakewoodchiropracticjax.com/
https://www.facebook.com/lakewoodchiropractic
https://twitter.com/AskDrEdenfield

1Caine D, et al: Incidence and distribution of pediatric sports-related injuries. Clin J Sport Med 16(6):500-513, 2006
2Emery CA: Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med 13(4):256-268, 2003
3Demorest RA, Landry GL: Prevention of pediatric sports injuries. Curr Sports Med Rep 2(6):337-343, 2003

Friday, December 9, 2016

Back Pain - Am I At Risk?


 Your Family and You
For the most part back injuries are caused by mechanical issues, and the tendency to get such injuries is not inherited.

However there are family-related behavioral tendencies, and these behaviors - while not "inherited" as such - may easily be passed down from parents to children. When we grow up, these ingrained habits of daily living may lead to back injuries.

Poor posture, lack of interest in exercise, and a tendency to be overweight are all patterns of behavior we learn from our parents. As adults, its valuable for us to make conscious efforts to revise these unhealthful patterns, being proactive in developing new behaviors that support our goals of health and well-being.


And, various health issues that actually may be inherited can increase a person's susceptibility to back pain and back injury. Your chiropractor will be of assistance in identifying such additional risk factors.
Are there risk factors for back pain? And, if there are, what can I do to keep myself healthy and well? Your chiropractor can help answer these questions and more.

One primary risk factor relates to exercise. Everyone has heard, "if you don't use it, you lose it". If you're not exercising regularly, your back muscles are deconditioned and much more susceptible to injury - the strains and sprains we're accustomed to calling "back pain".

Muscles get stronger when they're required to do work. Also exercise helps "train" the soft tissues around a joint - the ligaments and tendons - these supporting structures "learn" how to withstand mechanical stresses and loads without becoming injured. Basically, when you exercise - when you do any kind of exercise - your body gets "smarter" and you're less likely to get those annoying back problems.1

A related risk factor is weak abdominal muscles. When you were a kid, at some point one of your gym teachers probably told you to "suck in your stomach". Actually, it turns out that was pretty good advice. Your abdominal muscles support the muscles of your lower back. If your abdominals are weak or if you're not using them - letting them hang out and droop instead of keeping them activated - your body weight has to be held up by the muscles of your lower back. They're not designed to do that - they're designed to move your spine around. And eventually, these lower back muscles will give way under the excess strain. The result is a very painful lower back injury.

There are many easy-to-do exercises for your abdominal muscles. The key is to actually do them - and do them after you're finished doing the rest of whatever exercises you've scheduled for that day. How often? Three times a week is plenty. Abdominal routines are quick - no more than 10 minutes. And, remember to use your abdominal muscles throughout the day. Imagine your abdominals are being pulled in and lifted up. This is not a "tightening" - your thought should be "activate". Your body will know what to do, once you've started adding consistent abdominal training to your exercise routine.

Risk factors for back pain may also be found in your personal and family medical history.2,3 During your initial visit your chiropractor will ask you about accidents and surgeries you've experienced, and discuss any important elements in your family history. For example, surgery to remove an inflamed gallbladder or appendix or to repair a hernia may result in weakened abdominal muscles. A motor vehicle accident or a fall from a height may have caused injuries that healed with soft tissue scarring.

Learning about potential risk factors and taking appropriate action will help ensure a stronger, more flexible, and healthier lower back.

Dr. Dave Edenfield, "Your Jacksonville Chiropractor", and Lakewood Chiropractic offers the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies. Now accepting VA patients. For more information visit:

Lakewood Chiropractic
Jacksonville, Florida 32217
904-733-7020

http://www.lakewoodchiropracticjax.com/

https://www.facebook.com/lakewoodchiropractic

https://twitter.com/AskDrEdenfield

1Jones MA, et al. Recurrent non-specific low-back pain in adolescents: the role of exercise. Ergonomics 50(10):1680-1688, 2007
2Cherniack M, et al. Clinical and psychological correlates of lumbar motion abnormalities in low back disorders. Spine J 1)4):290-298, 2001
3Plouvier S, et al. Biomechanical strains and low back disorders. Occup Environ Med 2007 (in press)

Thursday, October 27, 2016

Informed People Make Healthy Choices

 Staying Healthy and Well
 Many hospitalizations could be prevented by making changes in six main risk factors -
  • Tobacco use
  • Alcohol abuse
  • Accidents
  • High blood pressure
  • Obesity
  • Gaps in screening and primary healthcare

Overall, good health is maintained by
  • Proper nutrition
  • Moderate exercise
  • Avoiding harmful behaviors and substances
  • Paying attention to early warning signs
  • Protecting ourselves from accidents
Being an informed patient is an empowering concept.1 In the modern healthcare marketplace, the doctor-patient relationship has become a two-way street. It's no longer a situation in which the doctor tells the patient what to do. Today, patients can be full partners in managing their care and well-being.2

What does it take to be an informed patient, one who can participate in a meaningful way and not be merely the passive recipient of the doctor's instructions and recommendations?

The first key is to identify a doctor - a chiropractor or family physician, depending on the circumstances - in whom you have confidence. Here are a few essential points to consider
  • The doctor has spent enough time with you on the first visit
  • The doctor has focused on you, and has not been distracted by all the other things happening in the office
  • The doctor has satisfactorily answered all your questions
  • The doctor's recommendations are clear, and you understand what the next steps are going to be

The questions you ask are not just to keep talking and capture more of the doctor's time spent with you. An informed patient does some preparation - some homework - before the actual office visit. The Internet offers a lot of valuable information on both chiropractic and medical treatment. And, it's important to remember that not all information is accurate and authoritative - consider the source of the "information".
  • Consider the author's background and affiliations
  • Consider the potential for bias
  • Is the site itself up-to-date - for example, are there "dead links" on the site

Do your best to evaluate the doctor's recommendations. First, what are the expected results? How quickly should you begin to feel better? Are there potential side-effects of the recommended treatment? What are the alternatives?

Alternatives may include other forms of therapy within the doctor's office and may also include consultation with another specialist. The main point is not to be left with a confusing array of choices, but to have enough information to go forward with a treatment plan that makes the most sense, both to your doctor and to you.

If a prescription is involved, make sure you write down the exact spelling of the medication and the exact dosage and frequency. Prescriptions are usually scribbled, and both doctors and pharmacists can make a mistake. Don't let your doctor simply hand you an illegible piece of paper. Insist on ensuring that you understand what is being prescribed, and be sure to ask your doctor about potential side effects, risks, and interactions with any other medicines you may be taking.

As in all relationships, the doctor-patient relationship is based on clear communication and mutual trust and understanding. You can help your doctor help you by being informed and participating in the decision-making process.

Dr. Dave Edenfield, "Your Jacksonville Chiropractor", and Lakewood Chiropractic offers the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies. Now accepting VA patients. For more information visit:
Lakewood Chiropractic
Jacksonville, Florida 32217
904-733-7020
http://www.lakewoodchiropracticjax.com/
https://www.facebook.com/lakewoodchiropractic
https://twitter.com/AskDrEdenfield

1Informed Consent. "Ethics in Medicine". University of Washington School of Medicine. http://depts.washington.edu/bioethx/topics/consent.html#ques1
2"Be an active healthcare consumer". Agency for Healthcard Research and Quality. http://www.ahrq.gov/path/beactive.htm

Friday, October 21, 2016

How Safe is Chiropractic Care?

How Safe is Chiropractic Care?


 
Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of back pain, neck pain, joint pain of the arms or legs, headaches, and other neuromusculoskeletal complaints.  Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects.
The risks associated with chiropractic, however, are very small.  Many patients feel immediate relief following chiropractic treatment, but some may sometimes experience mild soreness or aching, just as they do after some forms of exercise.  Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours.1
In addition to being a safe form of treatment, spinal manipulation is incredibly effective, getting patients back on their feet faster than traditional medical care. A March 2004 study in the Journal of Manipulative and Physiological Therapeutics found that chiropractic care is more effective than medical care at treating chronic low-back pain in those patients who have been experiencing the symptoms for one year or less.  In addition, a study published in the July 15, 2003, edition of the journal Spine found that manual manipulation provides better short-term relief of chronic spinal pain than a variety of medications.

Neck Adjustments


Neck pain and some types of headaches are sometimes treated through neck adjustment. Neck adjustment, often called cervical manipulation, works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension. Neck adjustment is a precise procedure that is generally applied by hand to the joints of the neck. Patients typically notice a reduction in pain, soreness, stiffness, and an improved ability to move the neck.
Neck manipulation is a remarkably safe procedure. Although some reports have associated upper high velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, there is not yet a clear understanding of the connection. While we don’t know the actual incidence of stroke associated with high-velocity upper neck manipulation, the occurrence appears to be rare—1 in 5.85 million manipulations2— based on the clinical reports and scientific studies to date.
To put this risk into perspective, if you drive more than a mile to get to your chiropractic appointment, you are at greater risk of serious injury from a car accident than from your chiropractic visit.
It has also been suggested that sudden, severe upper neck pain and/or headache, which may indicate a pre-stroke condition, could cause someone to visit a doctor of chiropractic. In addition, some common activities, such as stargazing, rapidly turning the head while driving, and having a shampoo in a hair salon may cause an aneurysm—a widening of an artery resulting from the weakening of the artery walls—of the neck arteries, resulting in stroke. Such events remain very difficult to predict.
It is important for patients to understand the risks associated with some of the most common treatments for neck and back pain—prescription non-steroidal anti-inflammatory drugs (NSAIDS)—as these options may carry risks significantly greater than those of manipulation.  Per a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen.3
Furthermore, surgery for conditions for which manipulation may also be used carries risks many times greater than those of chiropractic treatment. Even prolonged bed rest carries some risks, including muscle atrophy, cardiopulmonary deconditioning, bone mineral loss and thromoembolism.4
If you are visiting your doctor of chiropractic with upper-neck pain or headache, be very specific about your symptoms.  This will help your doctor of chiropractic offer the safest and most effective treatment, even if it involves referral to another health care provider. If the issue of stroke concerns you, do not hesitate to discuss it with your doctor of chiropractic. Depending on your clinical condition, he or she can forego manipulation, and instead can recommend joint mobilization, therapeutic exercise, soft-tissue techniques, or other therapies.

Research Ongoing

The ACA believes that patients have the right to know about the health risks associated with any type of treatment, including chiropractic.  Today, chiropractic researchers are involved in studying the benefits and risks of spinal adjustment in the treatment of neck and back pain through clinical trials, literature reviews and publishing papers reviewing the risks and complications of neck adjustment.
All available evidence demonstrates that chiropractic treatment holds an extremely small risk. The chiropractic profession takes this issue very seriously and engages in training and postgraduate education courses to recognize the risk factors in patients, and to continue rendering treatment in the most effective and responsible manner.
Dr. Dave Edenfield, "Your Jacksonville Chiropractor", and Lakewood Chiropractic offers the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies. Now accepting VA patients. For more information visit:
Lakewood Chiropractic
Jacksonville, Florida 32217
904-733-7020
http://www.lakewoodchiropracticjax.com/
https://www.facebook.com/lakewoodchiropractic
https://twitter.com/AskDrEdenfield

References

  1. Senstad O, et al.  Frequency and characteristics of sideeffects of spinal manipulative therapy. Spine 1997 Feb 15;435440.
  2. Haldeman S, et al.  Arterial dissection following cervicalmanipulation: a chiropractic experience. Can Med Assoc J 2001;165(7):905-06.
  3. Lanas A, et al. A nationwide study of mortality associated withhospital admission due to severe gastrointestinal events and those associated with nonsteroidal anti-inflammatory drug use.
Am J Gastroenterol 2005;100:1685–1693.
  1. Lauretti W. The Comparative Safety of Chiropractic. In DanielRedwood, ed., Contemporary Chiropractic. New York: Churchill Livingstone, 1997, p. 230-8.

Wednesday, October 19, 2016

A Problem of Epidemic Proportions


Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of tens of thousands of people in the United States. According to the Centers for Disease Control and Prevention (CDC), as many as one in four patients who receive prescription opioids long term for non-cancer pain in primary care settings struggles with addiction. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Further, deaths involving opioids have quadrupled since 1999; in 2014 alone, more than 14,000 people died from overdoses involving the drugs. That same year, another 2 million people abused or were dependent on opioids.
Beyond the risks of addiction and overdose, prescription drugs that numb pain may convince a patient that a musculoskeletal condition is less severe than it is or that it has healed. This misunderstanding can lead to overexertion and a delay in the healing process…or even permanent injury.
Rising Recognition of the Value of Non-drug Approaches to Pain
There is a growing body of research that validates the effectiveness of chiropractic services, leading many respected health care organizations to recommend chiropractic and its drug-free approach to pain relief. The Journal of the American Medical Association, in a 2013 patient page on low-back pain, suggested patients consider chiropractic treatment before resorting to surgery. In 2015, the Joint Commission, the organization that accredits more than 20,000 health care systems in the U.S. (including every major hospital), recognized the value of non-drug approaches by adding chiropractic to its pain management standard. Most recently, in March 2016, the CDC, in response to the opioid epidemic, released guidelines for prescribing opioids that also promote non-pharmacologic alternatives for the treatment of chronic pain.
Conservative Care First: A Common Sense Approach
ACA encourages patients and health care providers to first exhaust conservative forms of pain management, when appropriate, before moving on to riskier, potentially addictive treatments such as opioids. To this end, ACA delegates met in Washington, D.C., in 2016 and adopted a policy statement proposing a solution to the dual public health concerns of inadequate pain management and opioid abuse. ACA’s policy statement supports
  1. The investigation of non-pharmacologic interventions for pain treatment across a variety of patient populations and healthcare delivery setting
  2. The promotion of evidence-based non-pharmacologic therapies within best practice models for pain management
  3. The improvement of access to providers of non-pharmacologic therapies
  4. Interprofessional education to augment the training of pain management teams
  5. And public health campaigns to raise awareness of drug-free treatment options for pain syndromes. 
Dr. Dave Edenfield, "Your Jacksonville Chiropractor", and Lakewood Chiropractic offers the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies. Now accepting VA patients. For more information visit:
Lakewood Chiropractic
Jacksonville, Florida 32217
904-733-7020
http://www.lakewoodchiropracticjax.com/
https://www.facebook.com/lakewoodchiropractic
https://twitter.com/AskDrEdenfield

Tuesday, October 18, 2016

Back Pain and Herniated Discs




Back Pain and Leg Pain
Much more commonly, when lower back pain is accompanied by radiating pain, the radiating pain only travels into the buttock and thigh, and doesn't travel below the knee.

And, most commonly, the thigh pain is found in the back of the thigh, rather than in the front of the leg.

Most of the time, this radiating pain does NOT come from a herniated disc, and does NOT mean the problem is sciatica (caused by an inflamed sciatic nerve, likely caused by a disc herniation).

This type of pain that travels into the buttock and the back of the thigh is usually caused by mechanical changes in the sacroiliac joint and the spinal joints of the lower back. These mechanical changes relate to tight spinal muscles and inflamed spinal ligaments and tendons, with resulting loss of full mobility.

The good news is such problems are treatable with chiropractic health care. The underlying problems are structural, related to the joints and surrounding soft tissues, and chiropractic treatment is designed to restore balance and function. Symptoms typically begin to improve quickly.

In addition to treatment, your chiropractor will likely recommend stretches and exercises to help solve the problem and maintain physical health.
A 30-year-old mom bends over to pick up her four-year-old and feels a sharp stabbing pain in her lower back. A 60-year-old man bends over to pick up his five-year-old grandchild and feels an electrical shooting pain in his lower back. For both, the pain is so severe they need to sit down.

The next day, both the mom and the grandfather notice they now have pain and numbness radiating down one leg, and they are having trouble walking.

What's going on, how did it happen, and what can be done about it?
 First of all, a little basic anatomy is useful. Spinal discs are weight-bearing shock absorbers. They contain a gel-like ball-bearing center, which is surrounded by tough fibrous cartilage, arranged in concentric, criss-crossing circles.1

As a person gets older, the discs naturally lose some of their water content, and cracks and fissures naturally develop in the fibrous cartilage. If a weight-bearing stress is unusual and unexpected, the gel-like material in the center of the disc can push through one of the fissures and possibly irritate a spinal nerve.

If enough of this material pushes through, the nerve can become inflamed and cause symptoms such as radiating pain and/or numbness, and possibly weakness, in one leg.

Typically, such pain and/or numbness radiates down the leg, traveling below the knee and possibly into the foot.

Such symptoms, with or without back pain, are highly suggestive of an inflamed spinal nerve. In fact, the person will usually say the leg symptoms are much worse and of greater concern than any back pain that may be present.

If the MRI confirms the disc herniation and suggests an inflamed nerve, the diagnosis is complete. What's next?

In the best scenario, conservative treatment may be sufficient and the nerve inflammation improves with time.2,3 Anti-inflammatory medication may be helpful. Chiropractic conservative therapy may include physical therapeutic modalities and gentle trigger point therapy to relieve associated muscle spasms.

A spinal surgeon should be consulted to provide an additional opinion and input. If pain is severe and there is neurologic loss, surgery may be the best option.

Of course, the best management, as always, is prevention. Pay attention to safe lifting procedures. Exercise regularly and get sufficient rest. Your chiropractor will be able to provide guidance and recommend effective protocols to help you achieve and maintain good health and wellness.
Dr. Dave Edenfield, "your Jacksonville Chiropractor", and Lakewood Chiropractic offers the most advanced treatments for back pain, sciatica, neck pain, whiplash and headaches. They also treat auto accident victims with state-of-the-art technologies. Now accepting VA patients.

For more information visit:
Lakewood Chiropractic
Jacksonville, Florida 32217
904-733-7020
http://www.lakewoodchiropracticjax.com/
https://www.facebook.com/lakewoodchiropractic
https://twitter.com/AskDrEdenfield
1Postacchini F: Lumbar Disc Herniation. Springer, 2004, Chapter 2.
2Rothoerl RD, et al: When should conservative treatment for lumbar disc herniation be ceased and surgery considered? Neurosurg Rev 25(3):162-165, 2002.
3Lumbar Disc Herniation. New Engl J Med 347(21):1728-1729, 2002.