Extension of the spine: It’s good. It’s bad.
So what is up with extension for the spine?
Both are accurate: It’s good. It is
is the job of your Fort Wayne chiropractor to help you decide the role of extension for your Fort Wayne
back pain relief plan and Fort Wayne back pain control plan getting
past the current episode of back pain.
Your Fort Wayne chiropractor at Aaron Chiropractic Clinic is well versed
in the effects – good and bad – of spinal extension and respects its role in spinal
health and motion.
Two of the spine’s most noticeable 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 usually
allows the disc bulge to get away from the
nerve. Extension often permits the disc bulge to compress
the nerves more. Aaron Chiropractic Clinic sets out to help reduce
painful situations like this!
75% of the flexion and extension movement in the low back is
at the L5-S1 level of the lumbar spine. 20% occurs at the
L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine happens
at these two lower disc levels. Here, degenerative disc disease (minor and more
advanced) happens 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. Fort Wayne chiropractic
patients need beneficial extension!
Aaron Chiropractic Clinic respects extension and gets
how it may benefit and harm. The extensor muscles in the
back weaken and degenerate just like 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 be
harmful. Why? In the cervical spine, flexion reduced disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and narrowed the vertebral canal causing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened
the vertebral canal and relieved pain while extension worsened
the stenosis and produced pain. (3) Aaron Chiropractic Clinic understands
the key to eliciting the benefits of extension is in knowing
when to use extension.
Fort Wayne CHIROPRACTIC USE OF EXTENSION
Fort Wayne chiropractic treatment incorporates
extension into the Fort Wayne 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 increased pressures in the lumbar
spine to 1250 mmHg (the highest amount the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Aaron Chiropractic Clinic aims to do for its Fort Wayne back pain
CONTACT Aaron Chiropractic Clinic
Listen to this PODCAST with Dr. David Atiyeh on the Back
Doctor’s Podcast with Dr. Michael Johnson. He shares how he cared for
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 Fort Wayne chiropractic appointment
with Aaron Chiropractic Clinic today. Let us explore
the role extension might play in your back pain recovery and future
back pain control plan.