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Diagnosing Disc Problems
Here at Spaulding Chiropractic clinic the diagnostic processes for both degenerative disc disease and a herniated disc include a range of methods that confirm the disc as the pain source, as well as the mechanics and anatomy behind how pain is occurring.
We Review Medical History and Specific Symptoms
Our diagnostic process typically begins with a collected medical history and a review of current symptoms. A complete review of symptoms will include:
- The location of the pain, including whether it is confined to the neck or back, or whether it includes arm or leg pain
- A description of how the pain feels, such as searing, sharp, or stabbing vs. dull or achy
- Whether certain activities, positions, or treatments make the pain feel better or worse
Collecting your full medical background can rule out or identify other possible conditions that may cause pain. Your medical history may include information on recurring health problems, previous diagnoses, and past treatments and their effectiveness. Information on sleep, dietary, and exercise habits is usually also collected.
Physical Examination
A physical exam for diagnosing disc pain may include one or more of the following tests:
- Palpation. Palpating (feeling by hand) certain structures can help identify the pain source. For example, worsened pain when pressure is applied to the spine may indicate sensitivity caused by a damaged disc.
- Movement tests. Tests that assess the spine’s range of motion may include bending the neck or torso forward, backward, or to the side. Additionally, if raising one leg in front of the body worsens leg pain, it can indicate a lumbar herniated disc (straight leg raise test).
- Muscle strength. A neurological exam may be conducted to assess muscle strength and determine if a nerve root is compressed by a herniated disc. A muscle strength test may include holding the arms or legs out to the side or front of the body to check for tremors, muscle atrophy, or other abnormal movements.
- Reflex test. Nerve root irritation can dampen reflexes in the arms or legs. A reflex test involves tapping specific areas with a reflex hammer. If there is little or no reaction, it may indicate a compressed nerve root in the spine.
If you are suffering from back pain here in Fairbanks, AK, call Spaulding Chiropractic Clinic today at 907-456-4234.
Herniated Disc – Pinched Nerve – Bulk Disk
There can be two causes of pain, pinched nerve vs disk pain and there are two main ways a spinal disc can cause pain.
• Pinched nerve. In most cases a herniated disc itself is not painful, but rather the material leaking out of the disc pinches, inflames, or irritates a nearby nerve, causing radicular pain. Radicular pain (also called nerve root pain), describes sharp, shooting pains that radiate to other parts of the body, such as from the low back down the leg or from the neck down the arm. Leg pain from a pinched nerve is commonly called sciatica.
• Disc pain. A spinal disc itself may be the source of pain if it dehydrates or degenerates to the point of causing pain and instability in the spinal segment (called degenerative disc disease). Degenerative disc pain tends to include a chronic, low-level pain around the disc and occasional episodes of more severe pain.
A herniated disc and degenerative disc disease typically occur in the cervical spine (neck) and lumbar spine (lower back). Disc pain tends to be most common in the lower back, where most of the movement and weight-bearing in the spine occurs. These conditions are uncommon in the mid-back (the thoracic spine).
If you are suffering from a herniated disc here in Fairbanks, AK, call Spaulding Chiropractic Clinic today at 907-456-4234.
Herniated Disk
A herniated disk refers to a problem with one of the rubbery cushions (disks) between the individual bones (vertebrae) that stack up to make your spine.
A spinal disk is a little like a jelly donut, with a softer center encased within a tougher exterior. Sometimes called a slipped disk or a ruptured disk, a herniated disk occurs when some of the softer “jelly” pushes out through a tear in the tougher exterior.
A herniated disk can irritate nearby nerves and result in pain, numbness or weakness in an arm or leg. On the other hand, many people experience no symptoms from a herniated disk. Most people who have a herniated disk don’t need surgery to correct the problem.
Symptoms
Most herniated disks occur in your lower back (lumbar spine), although they can also occur in your neck (cervical spine). The most common signs and symptoms of a herniated disk are:
• Arm or leg pain. If your herniated disk is in your lower back, you’ll typically feel the most intense pain in your buttocks, thigh and calf. It may also involve part of the foot. If your herniated disk is in your neck, the pain will typically be most intense in the shoulder and arm. This pain may shoot into your arm or leg when you cough, sneeze or move your spine into certain positions.
• Numbness or tingling. People who have a herniated disk often experience numbness or tingling in the body part served by the affected nerves.
• Weakness. Muscles served by the affected nerves tend to weaken. This may cause you to stumble, or impair your ability to lift or hold items.
You also can have a herniated disk without knowing it — herniated disks sometimes show up on spinal images of people who have no symptoms of a disk problem.
If you are suffering from these symptoms in Fairbanks, AK, call Spaulding Chiropractic Clinic today at 907-456-4234.
Manual therapies for migraine: a systematic review
“The results of this study support previous results showing that some people report significant improvement in migraines after chiropractic adjustments. A high percentage (>80%) of participants reported stress as a major factor for their migraines. It appears probable that chiropractic care has an effect on the physical conditions related to stress and that in these people the effects of the migraine are reduced.”
“Migraine occurs in about 15% of the general population. Migraines are usually managed by medication, but some patients do not tolerate migraine medications due to side effects or prefer to avoid medications for other reasons. Non-pharmacological management is an alternative treatment option. Researching random clinical trials (RCTs) on manual therapies for migraines we found that the RCTs suggest that massage therapy, physiotherapy, relaxation and chiropractic spinal manipulative therapy might be equally effective as propranolol and topiramate in the prophylactic management of migraines.”
A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Tuchin PJ, Pollard H, Bonello R. J Manipulative Physiol Ther. 2000 Feb;23(2):91-5
Chaibi A, Tuchin PJ, Russell MB. J Headache Pain. 2011 Apr;12(2):127-33
Migraines and Chiropractic: What The Research Shows
Migraines and Chiropractic: What The Research Shows
Many research studies support the use of chiropractic for the management of migraine headaches. Let’s take a look at the conclusions from few of these research articles.
In an Evidence Report published by Duke University Evidence-Based Practice Research Center for Clinical Health Policy Research, the effects of drug-free options for headache are discussed. The authors concluded the following: “Cervical spine manipulation was associated with improvement in headache outcomes in two trials involving patients with neck pain and or/neck dysfunction and headache. Manipulation appeared to result in immediate improvement in headache severity when used to treat episodes of cervicogenic headache when compared with an attention-placebo control. Furthermore, when compared to soft tissue therapies, a course of manipulation treatments resulted in sustained improvement in headache frequency and severity.”
McCrory DC, Penzien DB, Hasselblad V, Gray RN. Evidence Report: Behavioral and Physical Treatment for Tension-Type and Cervicogenic Headache. Duke University Evidence-Cased Practice Research Center for Clinical Health Policy Research.
“There was no advantage to combining amitriptyline and spinal manipulation for the treatment of migraine headache. Spinal manipulation seemed to be as effective as a well-established and efficacious treatment (amitriptyline), and on the basis of a benign side effects profile, it should be considered a treatment option for patients with frequent migraine headaches.”
The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache. Nelson CF, Bronfort G, Evans R, Boline P, Goldsmith C, Anderson AV.
J Manipulative Physiol Ther. 1998 Oct;21(8):511-9.
“Evidence suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic headaches.”
Evidence-based guidelines for the chiropractic treatment of adults with headache.
Bryans R, Descarreaux M, Duranleau M, Marcoux H, Potter B, Ruegg R, Shaw L, Watkin R, White E.
J Manipulative Physiol Ther. 2011 Jun;34(5):274-89.
If you are suffering from headaches in Fairbanks, AK, call Spaulding Chiropractic Clinic today at 907-456-4234.