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Sciatica Pain or Subluxated Sacroilliac Joint Pain

August 15, 2011 by drburt

sciatica painLast month I had two patients who came to my clinic because they thought they had sciatica pain. One of the patients has self diagnosed himself and the other patient was diagnosed by a medical doctor. Both of these patients had excruciating pain in their lower back, which radiated down to a lower extremity. It is very common that many patients will wait for their pain to go away with rest, anti-inflammatory and pain medication. As a result, pain symptoms will get worse and get to the point where pain medications will stop working.

The first patient was a male in his early 60’s. He came to my clinic on his crutches. The pain level was so intense that he was not able to support his upper body. The pain would shoot all the way down his right lower extremity past the knee level but did not effect his toes.  After thorough examination it was evident that his right SI (sacroiliac joint) was about 2 inches lower than the left SI joint. All of the nerves that were exiting from sacral foraminas (openings) were very irritated and inflamed. Every time this gentleman would place a load on his legs he would cry and I could see tears of pain on his face. After three sessions of full spine chiropractic adjustment, physical therapy (moist heat and electrical stimulation) and deep tissue massage from my CMT (Certified Massage Therapist) he was completely free of pain. I have recommended him to stop by once or twice a month for maintenance care in order to avoid future flare up and pain.

The second patient was a female in her early 50’s. She has had very similar symptoms as the patient I have mentioned above. Her medical Doctor diagnosed her with sciatica and prescribed her pain medications, which eventually stopped working. The examination finding were very similar to a patient I have mentioned above, except the part that the pain symptoms were on a left side. The pain intensity was so great that it would wake her up at night. The treatment parameters were the same  with addition of stretching to her lower back and some dietary changes. She was also advised on taking more frequent brakes from prolonged sitting that her job required. After 4 sessions she was pain free and was advised on a once a month maintenance care.

Sciatica Pain and Misaligned Sacroiliac Joint are two conditions that can be misdiagnosed or misunderstood by patients and other medical care providers. It takes much longer for a patient with Sciatica nerve entrapment to respond to a care. Often times Sciatic Pain is presented in athletes with intense training. In conclusion I would like to say that it is important to treat the cause of the problem instead of masking it with pain killers and anti-inflammatory medications. The sooner the cause is fixed the faster the road to recovery is.

If you have anything to add to this post, please feel free to Post a comment or share your thoughts through Facebook, Twitter, Google+ or comment section below to join the conversation.

Filed Under: Chiropractic, Low Back Pain Tagged With: biology, chronic pain, Diagnose, general practice, joint, joint pain, low back pain, medicine, nervous system, neurology, nociception, pain, pain medication, pain symptoms, patient, pelvis, sacroiliac joint, sacroiliac joints, sacroilliac, sacroilliac joint, sciatica, sciatica pain, self diagnose

Chronic Lower Back Pain and 6 Natural Ways to Fix It

November 22, 2010 by drburt

low back painMillions of people suffer from excruciating and immobilizing lower back pain form all over the world. It almost seems like world wide epidemic. A large percentage of these people have to go to work every day and concentrate on their tasks with agonizing and boring back ache. There are many different treatments available for lower back pain varying from modern medicine to great alternative therapies.

Chronic lower back pain causes:

Cancer, Osteoarthritis, Osteoporosis, Fibromyalgia, Biomechanical Misalignments, Unbalanced Musculature are the main reasons for lower back pain. Work or sport related injuries or automobile accidents could be the serious cause of lower back pain through out people lives. It can debilitate them for a very prolonged period of time. Sometimes even minor postural abnormalities, sudden jerks or movements, improper exercises and minor falls can be the result of chronic lower back pain

Natural Ways to Counter Severe Chronic Lower Back Pain:

Change Your Posture:

The spine, same as our feet, gets the hardest job in our body as it is used in practically every movement we make and it takes pressure from other body parts such as from the neck, shoulders, head and our arms. As we walk, stand, sit, carry a heavy object or dance, our spine takes the pressure to keep our body erect but at the same time it also has to have the flexibility to make other kinds of movements while keeping our balance.One of the following can be noticed when one has a bad posture: high shoulder, a forward stooping head, a rotated trunk (torso), a hunch back, a high hip, and a side-bent neck and one of the feet will be externally or internally rotated.  Abnormal  posture can result from trauma (like a car accident or fall), repetitive movements (turning your neck towards the monitor), and certain bad postural habits  (sleeping on your stomach). READ MORE …

Get a Good Mattress:

Many patients have been asking my professional advice on which mattress they should buy. There is not a definite answer for every patient. Every single one is going to need a different one in order to get a good night sleep for years to come. Below are some tips and tricks that you can use when buying a new mattress.A mattress should provide uniform support from head to toe. If there are gaps between your body and your mattress (such as at the waist), you’re not getting the necessary support that your body requires. READ AND WATCH MORE …

Get Good Pillows:

When we expect a good night sleep, the majority of us consider mattress characteristic and features, room temperature, room illumination, and noise. Hardly ever we will think about our pillows. There are a lot of options available nowadays. It is important to know that our cervical spine alignment is an important feature of our general well being. Selecting a head support which is equally comfortable to sleep with as well as be able to improve the quality of good night sleep, has to be a necessary foundation for a good nigh sleep. READ AND WATCH MORE …

Use Legs Not Back:

Normally when we lift a weight we put great pressure on our back. Instead, keep your lower back in arched position and lift the load. Bend the knees and put the pressure on your leg muscles. An upright torso while lifting weights can always avoid the risk of chronic lower back pain. READ MORE …

Exercise Routines:

Inclusion of a strict exercise regime for 30 minutes to one hour, everyday can alleviate chronic pain and prevent the occurrence of the same. If you are suffering from chronic lower back and hip pain, it is imperative that you take the advice of a fitness expert. Only a fitness expert can help you with an exercise routine, according to your body condition and physical ability. Body alignment exercises, Bowen therapy and exclusive exercises for the lower back can strengthen the back and abdominal muscles. MORE ABOUT EXERECISES …

Choose Comfort Over Style:

Ladies today choose stylish footwear that are high-heeled like stilettos. They can definitely accentuate your presence but they can damage your back, irreparably. A sturdy shoe and flat footwear can definitely look good on you and save you from many an endless chronic lower back pain treatment. You can stop chronic lower back pain by being cautious and rational.  READ MORE …

Filed Under: Advice, Low Back Pain Tagged With: back, bedding, Chronic, chronic lower back pain, chronic pain, excruciate, hip pain, immobilize, low back pain, lows, mattress, neck pain, nervous system, nociception, pain, people suffering, pillow, san leandro chiropractor, Stop, symptoms, Ways, world wide

Electric Stimulation and Chiropractic Rehabilitation

September 15, 2010 by drburt

Electric stimulation rehabilitation or electrotherapy had been discovered way back in 400 BC with the help of a torpedo fish that produces an electric shock reaching up to 150 volts. People used to take these fish from streams and they place them on the body’s painful area and the electricity produced from the fish controlled the pain.

It was when the gate control theory of pain in 1965 that reintroduced electric stimulation rehabilitation after it had lost the interest of many skeptics in the nineteenth century. The theory suggests that when the large nerve fibers activity increases, it tends to close the gate blocking information or signals of pain to the brain.

Electric stimulation rehabilitation is a form of therapy that introduces electricity to stimulate the muscles and treat the pain & spasms. This type of therapy can be administered to the patient by a professional or you can purchase a home kit and use it at home.

There are three types of the electrical stimulation rehabilitation and they are the general electric therapy, muscular electric therapy and the transcutanous electrical nerve stimulation otherwise known as TENS. The general electric therapy relieves the pain and also heals wounds while the muscular electrical therapy helps in strengthening the muscles by reducing the spasms, while the TENS is used for treating chronic types of pain.

Electric stimulation rehabilitation has several applications. It is used to manage pain either acute or chronic. TENS is most successful in the control of the postoperative incision pain especially if it’s on a small area and self limiting with regards to time, severity and course.

IFC or interference current is another form of the electric stimulation rehabilitation treatment used for pain control. Some clinicians believe that this is more effective in treating muscle pain compared to TENS.

Electrotherapy is also applied to reduce edema of various types. Edema can be a result of trauma that disrupts the blood vessels and the electrical stimulation with voluntary muscle pump activity is effective. Other than this approach, sensory level stimulation is also used but this does not contract the muscles.

Electric stimulation also improves circulation through the neuromuscular electrical stimulation or NMES. It is most effective at a frequency of just 20 to 30 pps with a 10 to 30% contraction at a maximum of 30 minutes of treatment at a time.

Electric stimulation is also applied for a speedier wound healing.

This type of treatment has contraindications. It should not be placed peripherally to the heart or when the patient has a pacemaker. It shouldn’t be placed near the phrenic nerve and must not be used in the presence of malignancy.

If a recently sutured tendon or nerve is present, a superficial metallic implant, pregnancy during the first trimester and active bleeding are experienced by the patient then this type of treatment must also be avoided.

There are several electric stimulators available such as the Z-Stim IF 150 and the H-Wave electric stimulator. The Z-Stim IF 150 produces TRUE interferential therapy by its two channels with 4 pad output. It is used to stimulate the nerves and muscles for edema, acute pain and for rehabilitation of muscles. The H-Wave is an ultra low frequency electric stimulator that helps in pain control and functional restoration. It has a 3-channel and 2-channel models. The 3-channel model is used in clinics while the 2-channel is a home therapy model. Both of these models are available for rehabilitation of our patients.

Question: Have you ever experienced electrical stimulation therapy while rehabilitating your injury?

Filed Under: Ankle, Modalities Tagged With: bc, electric shock, electric stimulation, electric therapy, electrical muscle stimulation, electrical stimulation, electroanalgesia, electrotherapy, fishing, functional electrical stimulation, medicine, neuroprosthetics, neurotechnology, nociception, pain, produce, rehabilitation, sacral nerve stimulation, torpedo fish, transcutaneous electrical nerve stimulation

Neck Pain and Chiropractic Treatment in San Leandro

May 28, 2010 by drburt

neck pain chiropractic treatment in san leandro

Neck Pain and Chiropractic Treatment in San Leandro

Experiencing neck pain is really annoying and can take the focus off your work or activity that you should be paying attention to. It can be a little nuisance no matter if it’s mild or not. It is quite a common problem that many people experience at some point in their lives. Neck pain intensity can be mild to severe and the causes for the pain vary from just a muscular strain to a spinal misalignment (subluxation) or injury. The neck plays a vital role as it connects our head to the upper back. Since it supports the head so it won’t wag down, there are 3 top joints in the neck that provides flexibility and movement for both our neck and head. These joints support the head and if they get affected, the muscles tightening will cause the pain. Of course this is just the most common reason why a person experiences the neck pain. If a patient experiences neck pain, it would be best to consult a health care professional to figure out what caused the pain to begin with. It can just be a symptom and not the actual problem. It can be a referred pain caused by upper back problems or by an acute coronary syndrome. There are different available treatments out there depending on the severity of the neck pain. For many, a conservative treatment of chiropractic is their preferred choice. Chiropractors won’t proceed with chiropractic on the patient without initially diagnosing what caused the problem. A patient’s medical history is important as well as physical examination to test the movement of the patient’s neck ROM as well as to examine the muscles and testing of the nerves, in other words orthopedic and neurolgical examination. Chiropractic treatment may sound scary to some as twisting of the neck may mortify them and fear for the worst that could happen. However, licensed D.C. don’t just twist the neck or snap, one actually performs gentle manipulations of the cervical spine to improve the overall biomechanics which is quintessential to return the motion of the joints to normal. Chiropractors are well-trained and before they get their license, they are already equipped with the right knowledge to do the job well so you are assured that you won’t jeopardize your life if you try the treatment. In fact, you will greatly benefit from it. If the neck pain is caused by an injury, it would be best to have chiropractic rehabilitation along with physical therapy modalities (ultrasound, electrical stimulation and heat, Cold Laser – Erchonia PL 5000), deep tissue massage and possible pain medication. Medications can be prescribed to the patient by a medical doctor depending on the level of pain suffered by the patient. If after 1 or 2 weeks of  chiropractic rehabilitation the pain level goes down to a tolerable level, the patient can stop taking pain medications. Allopathic physician and Doctor of Chiropractic would know what’s best for you, so do ask for the suggestions. Question: What was your neck pain like? What kind of treatment did you choose for your neck pain?

About Dr. Burt
Dr. Burt

Filed Under: Neck Pain Tagged With: alternative medicine, annoying, back, chiropractic, chiropractic in canada, chiropractic treatment, experience, manipulative therapy, medicine, neck pain, necked, nociception, pain, paying attention, referred pain, san leandro chiropractor, treatment, vertebral subluxation

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15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

 

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