Dec 2014

Pregnant? Have Back Pain?

50-80% of pregnant patients will have back pain. It is so common, that it is actually considered a “normal” part of pregnancy!1 While it may be common, fortunately you don’t have to go through your pregnancy suffering.

In a study from the
American Journal of Obstetrics and Gynecology, researchers looked at standard OB care versus a multidimensional (multimodal) treatment approach performed by a chiropractic physician. The multidimensional treatment approach utilized myofascial release (massage), stretching, spinal manipulation and stability exercises. Both spinal manipulation and stability exercises were performed on an as needed basis. The standard OB approach used rest, heat, acetaminophen and possible referral to orthopedic surgeon for debilitating cases.

Results from this study were astounding! As you can imagine, the patients who received the multimodal treatment approach had drastic positive changes, pain dropping from a 6 to a 2 with minimal amount of visits needed. Those in the standard OB group had “no significant changes” in their pain.

So if you have back pain and are pregnant, you don’t have to wait. Call your local chiropractic orthopedist and schedule an appointment.

Peterson et al.: Outcomes of pregnant patients with low back pain undergoing
chiropractic treatment: a prospective cohort study with short term, medium term
and 1 year follow-up. Chiropractic & Manual Therapies 2014 22:15.

2. George JW, Skaggs CD, Thompson PA, et al. A randomized controlled trial
comparing a multimodal intervention and standard obstetrics care for low back
and pelvic pain in pregnancy. Am J Obstet Gynecol 2013;208:295.e1-7.

Will my disc ever heal?

Have you ever heard the question, “Will my disc ever heal?”  Well the answer may be yes.  According to a JMMT case report by Takasaki in 2010; migration of the nucleus pulposus is possible using McKenzie Directional Therapy.
“The McKenzie management strategy of mechanical diagnosis and therapy (MDT) is commonly used for the assessment and management of spinal problems. Within this system, ‘derangement syndrome’ is the most common classification, for which the conceptual model is an intra-discal displacement. However, the reduction of an intra-discal displacement by MDT has never been documented. The purpose of this study was to compare, using magnetic resonance imaging (MRI), the nucleus pulposus (NP) profiles before and after the use of this approach.” Using directional therapy the authors were able to reduce the disc protrusion and abolish low back pain while centralizing buttock pain.   Initially, the MRI showed a portion of the NP displaced right and posteriorly towards the side of pain, and an overall NP position in the coronal plane shifted to the left. The patient was managed with a 1-month course of the McKenzie management strategy. One month later, the displaced portion of the NP was no longer present and the left-shifted NP was centrally located. These intervertebral disc changes coincided with centralization and abolition of symptoms. This case may support the conceptual model of MDT.