Back Pain and Chiropractic
Chiropractor | Guy McCammon
Back pain is very common. Most people will suffer one or more episodes during their lives. In many cases, it starts suddenly and gets better quickly, without the need for any treatment.
However, it can be painful, debilitating and persistent, and some people suffer repeated episodes. It can also be associated with other symptoms, such as leg pain or sciatica. It may start following a specific incident, such as bending awkwardly or lifting a heavy weight. Or it can develop gradually, perhaps as a result of poor posture, an uncomfortable work position or repetitive strain.
There are many different types of back pain, with different causes. The key to getting the right treatment is to establish which type of you may be suffering from and to seek advice if it is not improving.
Your spine is one of the strongest parts of your body. It is made of solid blocks of bone known as vertebra, joined together by softer pads or discs which act as shock absorbers and maintain flexibility. Your back is reinforced by strong ligaments, surrounded by powerful muscles for support. It is, in fact, surprisingly difficult to damage your spine.
The majority of people are suffering from what is known as ‘simple’ or ‘mechanical’ back pain. This means that the pain is not related to any serious underlying condition and there are no trapped or compressed nerves. We do not always know the exact tissues that are involved - muscles, joints and ligaments. Simple pain can be caused by poor posture, prolonged sitting in an uncomfortable position, and even muscular tension due emotional or work-related stress.
As we get older, wear and tear may contribute. The shock-absorbing pads or discs between the bones of the back can narrow with age and this can cause stiffness, pain and make it difficult to move.
Simple pain is relatively common. Less frequently, the nerves of the back can sometimes become irritated, compressed or trapped. Again, there can be many reasons why this happens, but slipped discs or wear and tear can lead to pain spreading down the leg, which is commonly referred to as sciatica. This can be accompanied by pins and needles, tingling, numbness and weakness in all or part of the leg and foot.
Why Do People Get Back Pain?
People experience back pain for all sorts of reasons. It might be the way they sit or stand, or because their work or lifestyle causes stress and strain on their back. Worry or stress can cause tension in the back muscles, or can delay recovery. Sometimes an old injury, or wear and tear over time, might also cause problems.
However, there is often no obvious reason why pain develops.
Although it can be very painful, it rarely has a serious underlying cause. Seeing a chiropractor, who is experienced in diagnosing conditions of the back and spine, can help treat, and also identify if a referral or specialist investigations are needed.
Back pain can be very uncomfortable as the tissues and structures of the back are very susceptible to pain.
It can be felt in one or both sides of the back, sometimes between the shoulder blades or from waist level and into the buttocks and down the front or back of the legs. It can be a sharp or dull pain, and can spread into the lower legs and sometimes as far as the feet.
If the pain does not go after a few days, or starts to get worse, it is worth seeking professional advice. Early treatment will help you get better faster.
About half of people who have an episode of back pain will have another episode within a couple of years. But that still doesn’t mean that it is necessarily serious. Between episodes most people return to normal activities within two or three weeks, with few remaining symptoms.
It can be very painful due to inflammation and muscle spasm, and you may need to take it easy for a while. But resting for more than a day or two does not usually help, and may actually do more harm than good. It is best to try to keep moving and seek the help of a chiropractor, if you are finding it difficult to cope, or to speed up recovery.
Your back is designed for movement. The sooner you get back to normal activity, the sooner your back will feel better. The people who cope best are those who stay active and get on with their life despite the pain.
If it does not improve, it is important to seek help. Early treatment will get you better faster.
Chiropractors are best known for spinal manipulation, where they use their hands or an adjusting instrument to free stiff or restricted joints, or mobilisation, which is the gradual moving of joints.
Dr Guy McCammon, Chiropractor may also use other treatments such dry needling, electrotherapy, stretching exercises and rehabilitation, all of which form part of the package of care. He may also offer lifestyle advice to help recovery and to prevent repeated episodes.
Many people who suffer long-term back pain benefit from regular, supportive chiropractic care to reduce the risk of recurrent episodes.
*From British Chiropractic Association