Extension of the spine: It’s valuable. It is harmful.
So what’s with extension for the spine?
Both are accurate: It’s good. It’s
is the job of your Peoria chiropractor to help you decide the role of extension in your Peoria
back pain relief plan and Peoria back pain control plan in the future.
Your Peoria chiropractor at Carter Chiropractic & Acupuncture is well experienced
in the effects – good and bad – of spinal extension and respects its role in spinal
health and motion.
Two of the spine’s most prominent curves –
the cervical and lumbar curves – are lordotic curves meaning they curve concavely.
Flexion flattens these curves. Extension magnifies them. When a disc herniates
or bulges, it does so into the concavity of the curve and potentially presses
on the spinal nerves resulting in pain. Flexion often
permits the disc bulge to get away from the
nerve. Extension often permits the disc bulge to compress
the nerves more. Carter Chiropractic & Acupuncture intends to help reduce
painful situations like this!
75% of the flexion and extension movement in the low back occurs
at the L5-S1 level of the lumbar spine. 20% happens at the
L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine occurs
at these two lower disc levels. Here, degenerative disc disease (minor and more
advanced) occurs most. In the cervical spine, C5-C6 is the spinal
level where most of the flexion takes place, and C4-C5 is where
most of the extension takes place. Peoria chiropractic
patients need beneficial extension!
Carter Chiropractic & Acupuncture respects extension and gets
how it may benefit and hurt. The extensor muscles in the
back weaken and degenerate just as discs do. (1)
Extension helps strengthen these muscles to support the spine. Extension is necessary
for this when the spine is healthy enough to perform extension. Extension to a painful spine may hurt. Why? In the cervical spine, flexion decreased disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and narrowed the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened
the vertebral canal and reduced pain while extension worsened
the stenosis and caused pain. (3) Carter Chiropractic & Acupuncture knows
the key to getting the benefits of extension is in recognizing
when to use extension.
Peoria CHIROPRACTIC USE OF EXTENSION
Peoria chiropractic treatment incorporates
extension into the Peoria chiropractic treatment plan for its benefits.
Cox® Technic used with the cervical spine reduced
intradiscal pressures to as low as 502 mmHg (4) and to as low as -192 mmHg in
the lumbar spine. (5) Extension escalated pressures in the lumbar
spine to 1250 mmHg (the highest amount the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Carter Chiropractic & Acupuncture does for its Peoria back pain
CONTACT Carter Chiropractic & Acupuncture
Listen to this PODCAST with Dr. David Atiyeh on the Back
Doctor’s Podcast with Dr. Michael Johnson. He shares how he helped
a patient whose back pain continues after multiple back
surgeries with flexion distraction which relieves her pain
as the table is flexed not extended.
Schedule your Peoria chiropractic appointment
with Carter Chiropractic & Acupuncture today. Let’s figure out
the role extension might play in your back pain recovery and future
back pain control strategy.