bilateral sciatic and femoral neuropathies - 3 Simple Tests for Back Pain
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3 Simple Tests for Back Pain

Back Pain affects over 80% of adults at some stage. Yes you have heard and seen this countless times before. You may be reading this is pain right now and are one of these statistics. But...


In some obese patients, the spine can become tilted and suffer additional stress. Over time, this can deprive the back of proper support and an unnatural curvature of the spine may develop.

Sciatica is caused by a sciatic nerve irritation. This is most commonly caused by a disc bulge in the lower back. What is the sciatic nerve?


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 bilateral sciatic and femoral neuropathiesRunning down through the middle of the spine is a channel called the spinal canal, its here that the spinal cord sits. The spinal cord is the main structure that passes messages from our brains to our bodies.

Sciatica or sciatic nerve pain is a term often used to describe all sorts of back pain. In fact, less than 5% of people who suffer from lower back pain will have sciatica.

If you are experiencing back pain now, you should aim to correct it now before it becomes worse or chronic. If you are not experiencing back pain, and one of these tests is positive, then you should correct the imbalances now. After all prevention is easier than cure. Learn to correct your back pain issues before they become painful.

What causes sciatic nerve pain? The most common cause of sciatica is a disc bulge. The disc is a very misunderstood structure; it has been blamed for back pain ever since it was discovered. Over the years we have started to believe that the disc is a really weak and vulnerable structure.

People who are overweight carry a high risk of chronic musculoskeletal pain, specifically low back pain. As well as osteoarthritis and other degenerative conditions, a number of other pain and problems in the low back may be aggravated by obesity. Back pain frequently occurs as a result of the excess weight pulling the pelvis forward which strains the lower back. Recent research from the American Obesity Association indicate that women who are obese or who have a large waist size are especially at risk for lower back pain.

Lie on your back and raise one leg slowly as far as you can. Rest your leg down gently and then do the same for the other side. Notice if it is easier to lift one leg compared to the other. Is there any pain or stiffness performing this test? Can you lift one leg higher than the other?

Exercise Therapy Exercise therapy refers to the implementation of exercise with a specific goal in mind. An exercise therapy program may be supervised or unsupervised. Supervised exercise is usually part of a physical rehabilitative program. Patients may be provided with simple exercises, which they can perform at home. Home exercises are often provided to help improve flexibility and restore the strength required to stabilize a joint region. Some exercises are provided to help reduce the risk for injury or re-injury. A spinal stabilization exercise program is often used to strengthen muscles around the spine to reduce excessive or abnormal joint and spinal region movement patterns. Physical Therapy Physical therapy often includes the application of modalities such as ultrasound, electrical stimulation, heat, cold and iontophoresis in an attempt to reduce pain and inflammation. In some cases a combination of these approaches may be used. Manual approaches such as joint mobilization or joint manipulation may be applied during the course of physical therapy. The patient may be entered into a progressive exercise program to improve flexibility, muscular strength and endurance. The patient may be referred to an outside facility for aquatic therapy. Work Injury Rehabilitation Evaluation of the injured worker may require a functional capacity evaluation (FCE). The findings serve as a baseline of physical performance capacity at the workplace. If significant deficits are found a course of work conditioning/work hardening may be implemented. This involves the implementation of postural retraining and a course of specific exercises. Onsite or simulated job analysis may be recommended to help design the best therapeutic approach. An ergonomic or workplace assessment may be implemented to provide further insight into the rehabilitative requirements and to assist in the implementation of preventive measures. The practice of chiropractic and acupuncture is based on providing care without drugs or surgery. At LSRC, our doctors are well trained in disease prevention, clinical nutrition and the science of tissue recovery and repair. Our doctors understand the steps required to promote maximum musculoskeletal tissue recovery and repair and return you to an active lifestyle! "

Unfortunately this can often led to a self destructive circle leading people to become depressed and complacent with their weight which can lead to more weight gain. Obese people may stop going out doors, therefore they receive less exercise, which leads to weight gain, which lead to less exercise and so forth. This low self-esteem has the ability to manifest itself in a way that makes it increasingly difficult for a person to motivate himself or herself in order to make an improvement in their life.

To live this overweight and obese life can be difficult, people have to face every new day with the fear of prejudice from others making it hard to live in the world which demands perfection and looks down upon them. It's a sad reality that many people have to face, a reality, which comes at a great personal cost.

Spinal Manipulation Joint manipulation is used to help promote an optimum the tissue repair process through the various stages of healing. Tissues tend to recover and remodel consistent with the stresses placed upon them during the healing process. Some movement is required for the tissues to heal strong and flexible enough to allow normal joint movement and to adequately withstand physical loads placed upon the tissue. In each stage of repair, methods are used to lessen pain, reduce extent of injury, aid in remodeling of granulation tissue, break adhesions as they develop, and most important, attempt to prevent chronic joint stiffness and /or a potential chronic pain syndrome from developing. Spinal manipulation is most effective if it is used in combination with muscle therapy, correction and maintenance of proper posture, home and in-office exercises and stretching, and proper work and home ergonomics.

Why are so many people given the diagnosis of sciatica? Very often, as soon as anyone has any lower back or leg symptoms they are told that have sciatica. However, there are other things that can cause leg pain; a strained facet joint for example can cause pain in the buttock and thigh. But if the sciatic nerve is not irritated then it is not sciatica.

Dr Graeme Teague is an expert in the structural field, and has been in practice since 1991. His newly launched web site The Back Pain Advisor - http://www.back-pain-advisor.com - strives to give you valuable and expert advice, tips and information on your back pain issues.

In severe cases the leg may feel weak and the strength may be reduced. Often, disc bulges cause no back pain at all; the symptoms are felt only in the legs.

To understand this you need to have a bit of an idea about human spine anatomy. The spine is made up of large bones called vertebra. These bones are separated from one another by spinal discs. Each vertebra overlaps the next at the back to form a joint called a facet joint.

Relationships can be very difficult for obese people to enjoy when they are overweight. Sex can be become awkward with couples becoming self-conscious about their bodies. The extra weight in the bedroom can make performing very difficult and excessive sweating is probably not the sexiest thing either. If they don't already have a partner it can be difficult for obese people to find a lover. The fact that they do not go out to social events as often as they should coupled with their low self esteem often results in many people giving up.

At least 80% of us will experience some form of Back Pain in our lives and more than 1 in 4 people will become clinically obese in their lifetime, don't let it be you!

At each vertebra the spinal cord braches out to form a nerve root, these nerve roots leave the spine via a gap between each vertebra and then bundle together to form much larger nerves.

An important thing to know is that many people have disc bulges and have no symptoms at all. There are some other conditions that can cause sciatic nerve pain but they are much less common. These include degenerative disc disease, severe osteoarthritis, spinal stenosis or spondylolisthesis. Fractures, tumours and infection can also cause sciatica.

If any of these occur, the test is positive which indicates there is pelvic and lower back imbalance and muscular imbalances. Lower back pain, sciatica or back pain in general is likely to occur.

For more information on lower back pain issues just visit Lower Back Pain - http://www.back-pain-advisor.com/lower-back-pain.html

Receive a free e-book on back pain when you subscribe to our newsletter, just click here - Back Pain Adviser - http://www.back-pain-advisor.com/back-pain-adviser.html

"Located in Plano, TX the Legacy Spine and Rehabilitation Center provides a variety of non-surgical therapeutic approaches to help address conditions ranging from Cervical spine disorders, Degenerative disc disease, Degenerative spinal conditions, Herniated disc, Ligament strain, Lumbar spine disorders, Muscle strain, Myelopathy, Osteoarthritis, Sciatica, Scoliosis and deformity, Spinal stenosis, Spondylolisthesis, Thoracic spine disorders, Trauma and Whiplash. From simple procedures to more complex ones, LSRC have been serving the Plano community for years, yielding the most positive results.

Back Pain Test 2: Lie on your back and slide the back of your hands under your pelvis at belt height. Notice if one side is easer to place your hand under. There may be a height difference or it may appear that there is more weight crunching on one hand.

In the legs there are two main, large nerves, the femoral nerve at the front and the sciatic nerve at the back. The sciatic nerve passes down through the buttock area into the back of the thigh and leg.

What if you are not experiencing back pain now. Is there a simple and reliable way to determine if back pain is likely to occur? After all if you know it is going to happen you can do things to avoid it or remove it before it happens.

 
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So if you have any of these tests positive, and it could be one or all of them, back pain is likely to occur. It may be weeks or even months, but it will happen.

Detailed information on our services are as follows: Non-Surgical Therapeutic Approaches (Chiropractic Services Summaries) Spinal Disc Decompression An FDA approved treatment of herniated and degenerative discs WITHOUT surgery, which has been shown to be both SAFE and PAINLESS. More than 86% effective in relieving lower back pain and sciatica. Designed to correct the underlying problem, not just relieve the symptoms. An effective treatment for herniated disc, degenerative disc, sciatica, facet syndrome, spinal stenosis, Pre/Post surgical patients. Clinical Nutrition There are numerous ways, which healthcare specialists use to assess the unique nutritional needs of an individual which include taking a thorough history, reviewing dietary habits, physical examination and the performance of laboratory tests such as blood, stool and urine analysis. An individualized nutritional approach will promote health and tissue recovery. Specific supplemental recommendations may be provided to help facilitate anabolic recovery of compromised tissues. Special attention may be placed on recommending neuroprotective strategies in those cases where there is neurological compromise or disease. Physiotherapy Physiotherapy if often one of the earliest approaches taken in a physical medicine setting. It can be used to help an individual gain strength, improve flexibility, reduce pain, and promote greater independence. It is commonly used to treat conditions that affect muscles and nerves. One of the primary applications is the rehabilitation from stroke or injury. Physiotherapy approaches include the use of heat, cold, electric stimulation, ultrasound, iontophoresis, traction and massage. Physical Rehabilitation During the physical rehabilitative approach, attention is placed on the health and integrity of bone and soft tissues, biomechanical function of the affected joint or joints, and the patient's psychosocial response. Physical rehabilitation may be used in conjunction with functional restoration techniques such as physical mobilization or manipulation of joints and related tissues. Adjustive techniques often help promote mobility during the healing process while also promoting quicker and more enduring results. Weight Management Weight management refers to the application of methods to help an individual lose weight. This may involve dietary counseling, nutritional supplementation, exercise therapy or recommendations and behavioral counseling. Acupuncture

It has been proposed that acupuncture may stimulate a local immune response and also contribute to the release of special chemicals within the central nervous system referred to as endorphins and enkephalins, both, which are natural pain reducing compounds. Acupuncture has been used by millions of American patients and performed by thousands of physicians, dentists, acupuncturists, and other practitioners for relief or prevention of pain and for a variety of health conditions. After reviewing the existing body of knowledge, the U.S. Food and Drug Administration removed acupuncture needles from the category of ""experimental medical devices"" and now regulates them just as it does other devices, such as surgical scalpels and hypodermic syringes, under good manufacturing practices and single-use standards of sterility. Over the years, the National Institutes of Health (NIH) has funded a variety of research projects on acupuncture, including studies on the mechanisms by which acupuncture may produce its effects, as well as clinical trials and other studies. Dietary, lifestyle, and exercise recommendations may accompany the acupuncture approach.

If you want to deal with your obesity problem you need to motivate yourself. But even then motivation may not be enough, outside support is mandatory. Other people helping you can make the difference between succeeding and failing; these people also often stop you from eating that extra food you should be avoiding.

When the nerve is irritated by the disc bulge it can become inflamed. Remember what it feels like to hit your finger with a hammer or catch it in a door for a moment. Following the nasty sharp pain you are left with a dull ache. The finger may become red and swollen; there may be some heat or warmth there. After a while, those symptoms settle and everything gets back to normal. Its very similar with the sciatic nerve. It becomes very sore and can give you a lot of pain, even though it is not actually trapped or squashed.

The disc can and does cause problems however. Sometimes the central area of the disc bulges, usually backwards and sideways. This can cause an irritation of the nerve root as it leaves the spine. Occasionally the bulge is severe enough to actually squash or trap the nerve but this is fairly rare.

Becoming obese is the easiest part but now you have to lose those pounds and this is the hard part. It will be a struggle at first, but you need to stay strong, the health, social and emotional benefits of the new you will be unbelievable. A life of less food and more exercise sounds scary to a lot of people but it doesn't have to be, if you make sure you have good support it will be easier to achieve this goal. Just think how good you will feel when you look into the mirror and walk down the street with your new body and new confidence.

What are the symptoms of sciatica? If someone has true sciatica then they often have pain in the legs, usually in the buttock, back of the thigh or calf. There may also be pins and needles and numbness in parts of the leg.

Food addiction can be a very difficult thing to overcome; when someone who eats a lot first cuts back the body can have withdrawal symptoms from sugars and fats, often leading to depression. The extra support around for this week or two can make a world of difference.

Persons self image and their self-esteem depends almost entirely on how other people perceive them, or perhaps how other people perceive them. It is very hard to totally ignore the criticism and not care about the opinions of others. With excess weight, of course, the more you weight the harder it will get. People will stare at you no matter where you go, not to mention that snickering and jokes are a real way of helping to lower your self-esteem.

Back Pain Test 1: Look at your self in a mirror. Stand without trying to get into the perfect position. Just stand in a relaxed fashion and observe any postural differences.

This will save you a lot of pain, time, money and grief, as back pain affects your daily enjoyment of your working and social life. The following is a simple testing procedure to work out if you are likely to suffer back pain in the not too distant future. It could be lower back pain, sciatica, upper back pain or even neck pain, but if these tests are positive, then back pain is likely to occur.

Recent studies by (Fishman L., Ardman C. Back Pain: How to Relieve Low Back Pain and Sciatica) explains how obese patients may incur sciatica and low back pain from a herniated or "slipped" disc. This type of back pain in the lumbo-sacral spine occurs when discs and other spinal structures are damaged from having to adjust to the pressure of extra weight on the back. In addition, when excessive weight is pushed into spaces between bones in the low back area, the patient can experience compressed nerves and even piriformis syndrome. (Deep Pain in Your Buttocks)

People, who are overweight, or worse obese, face many consequences, which have the ability to become a daily nightmare. For some it is their lifestyle choices, which has led them to become obese, others perhaps have gathered the extra weight through no fault of their own.

If your pelvis is twisted, when you lie down one side will put more pressure on your hand and less on the other side. This indicates a mis-alignment in the pelvis and lower back. This will commonly lead to back pain, whether it is lower back pain or sciatica.

Back Pain Test 3: This is called a straight leg raise. If at any time performing this test you notice any pain, stop it immediately. Perform this test gently and slowly...

The term slipped disc makes it sound as if it can slip about inside. In truth the disc cant slip anywhere, it is firmly fixed at the top and at the bottom to the vertebrae above and below.

You may notice one shoulder higher than the other, one shoulder may be turned inwards compared to the other. Take note of any difference in the gap between your arm and your body - it may be greater on one side.

The best way to tell if it is sciatica is to undergo a series of test that your physiotherapist or doctor can perform. These simple clinical tests will be enough to identify if the problem is an irritated sciatic nerve. Paula Fitzpatrick is a British trained physiotherapist specialising in the treatment of back pain. Visit The Lower Back Pain Toolkit for up to date, reliable information about the causes and treatment of lower back pain. Learn more about sciatica and sciatic nerve pain.

Sadly one of the most common musculoskeletal symptoms experienced by an estimated 8 out of 10 people, chronic low back pain may be caused by a range of diseases (inc. obesity) and disorders affecting the lumbar spine. Low back pain is often accompanied by sciatica, a disabling pain from an entangled sciatic nerve, which is typically felt in the thighs as well as lower back and buttocks.

Terry O'Brien

www.BackTrouble.co.UK.


Anna R. Guidry

 
 
     
 
 





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