Extension of the spine: It’s good. It’s bad.
So what is up with spinal extension?
Both are accurate: It’s valuable. It is harmful. It
is the job of your Plymouth chiropractor to help you figure
out the role of extension in your Plymouth
back pain relief plan and Plymouth back pain control plan getting
past the existing episode of back pain.
Your Plymouth chiropractor at Atiyeh Chiropractic and Functional Neurology is well versed
in the effects – good and bad – of spinal extension and respects its role in spinal
health and mobility.
Two of the spine’s most prominent curves –
the cervical and lumbar curves – are lordotic curves meaning they curve inwardly.
Flexion flattens these curves. Extension magnifies them. When a disc herniates
or bulges, it does so into the concavity of the curve and potentially pushes
on the spinal nerves resulting in pain. Flexion often
allows the disc bulge to move off of the
nerve. Extension often allows the disc bulge to press on
the nerves more. Atiyeh Chiropractic and Functional Neurology sets out to help decrease
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 occurs
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 occurs, and C4-C5 is where
most of the extension occurs. Plymouth chiropractic
patients need beneficial extension!
Atiyeh Chiropractic and Functional Neurology respects extension and gets
how it may benefit and harm. The extensor muscles in the
back weaken and degenerate just like discs degenerate. (1)
Extension helps strengthen these muscles to support the spine. Extension is essential
for this when the spine is healthy enough to perform extension. Extension to a painful spine may hurt. Why? In the cervical spine, flexion reduced disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension increased the disc protrusion 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 exacerbated
the stenosis and produced pain. (3) Atiyeh Chiropractic and Functional Neurology knows
the key to getting the benefits of extension is in knowing
when to apply extension.
Plymouth CHIROPRACTIC USE OF EXTENSION
Plymouth chiropractic treatment incorporates
extension into the Plymouth chiropractic treatment plan for its advantages.
Cox® Technic used with the cervical spine dropped
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
Atiyeh Chiropractic and Functional Neurology does for its Plymouth back pain
CONTACT Atiyeh Chiropractic and Functional Neurology
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 Plymouth chiropractic appointment
with Atiyeh Chiropractic and Functional Neurology today. Let’s explore
the role extension might have in your back pain recovery and future
back pain control plan.