There are many spinal stenosis treatment options you should consider before resorting to surgery. Most patients with spinal stenosis respond well to non-surgical treatments such as medication, physical therapy, and gentle chiropractic care. Spinal stenosis is a narrowing of the spinal canal, typically caused by age, injury, or congenital disorder. The condition can cause difficulty […]
Treatment of Injuries In a Car Accident in Stuart, Florida
If you live or work in Stuart, Florida, and you haven't been in a car accident recently, you probably know of someone who has. Just because we live in paradise here in Martin County, Florida doesn't mean life here is perfect - or predictable.
Below is an archive of the articles we've published to help you learn more about recovering from the injuries that are common in car accidents.
Gentle Chiropractic for Car Accident Injuries
Florida car accidents are happening more frequently these days. Stressed drivers are causing injury and fatality rates to climb.1 If you’ve been in a car accident, you should choose gentle chiropractic care for those injuries.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
Gentle Chiropractic Care for Car Accident Injuries
There are 3 Compelling Reasons to Choose Chiropractic Care after a Car Accident, When choosing a chiropractor, you’ll want to choose one that practices effective gentle chiropractic care.
Injured in a Florida car accident?
The chiropractor you choose can make a difference!
What is Gentle Chiropractic?
Many patients in pain are afraid of the traditional spinal manipulation methods. They don’t want to be twisted, snapped or “crunched.” Different chiropractic techniques and patient positioning are used to deliver effective, gentle chiropractic care. This will allows for optimal recovery after a car accident.
One gentle chiropractic modality is the Activator Method. This provides a gentle spinal manipulation for patients in severe pain. This chiropractic technique uses a small, hand-held Activator Adjusting Instrument to deliver a gentle impulse force to the spine. This gentle modality is beneficial for patients who have suffered a traumatic injury. It avoids the twisting and contortion frequently involved in traditional manual adjustment modalities.
Gentle chiropractic adjustments can to help you get back to living the life you love.
Gentle Chiropractic replaces high-velocity adjustments with low-velocity, low amplitude manipulations. There’s no twisting you into a pretzel or snapping movements.
Gentle chiropractic can treat pain in your neck, back, wrists, shoulders, hips and knees.
Gentle chiropractic care is more comfortable and provides maximum benefit from minimal visits.
Car accidents are often violent. The force of the accident places a lot of pressure on the neck and back. The neck and back are easily injured by the force. It’s no surprise that the 4 most common car accident injuries are all forms of soft tissue injuries.
- Headaches
- Neck Pain and Whiplash
- Shoulder Pain
- Back Pain
Gentle chiropractic care can prevent long-term, chronic pain conditions from developing.
If you or someone you know has been in a car accident, you need gentle chiropractic treatment. Call Advanced Wellness Solutions at 855-509-5400 to schedule an appointment.
3 Reasons to Choose Chiropractic Care after a Car Accident
If you live in Stuart, Palm City or Hobe Sound Florida, and are injured in a car accident here are 3 reasons to choose chiropractic care after a car accident.
Car accidents can not only cause injury but anxiety as well. Even if your car accident was minor, your injuries could be serious, even life altering. According to a study published in the Society of Automotive Engineers, 1 vehicle crash damage does not directly correlate to the degree of occupant injury.
Unfortunately, it’s common for people to develop chronic issues as a result of a seemingly minor accident. What’s worse, you may not be aware that you’ve been injured immediately following the accident.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
Chiropractic care is the best option for musculoskeletal injuries, including those suffered in car accidents. Many of these injuries can be effectively treated without drugs or surgery. Fortunately, the injuries suffered in most minor auto accidents don’t require surgery and drugs.
Here are the top three reasons to choose chiropractic care after a car accident in Martin County, FL
#1: Imaging can’t catch micro-tears that are caused by a car accident.
Unfortunately, medical imaging such as X-rays or MRIs can’t detect the micro-tears in ligaments and muscles after a traumatic injury like those resulting from an auto accident. These microscopic tears in the muscle are why you may wake up with severe pain the day after an accident. Whiplash is a soft tissue neck injury that occurs when the neck snaps back and forth in a rapid motion. That rapid snapping back and forth causes microscopic tears in the neck muscles.
Soft-tissue injuries (a.k.a. micro-tears in ligaments and muscles) like whiplash can take a long time to heal. One study found that more than 70 percent of people who visited the emergency room after a car accident were still in pain six weeks later. Other researchers have noted that nearly half of whiplash sufferers continue to experience symptoms three months later, while 25 percent remain symptomatic for six months.2
Traumatic injuries such as those suffered in a car accident often include micro-tears and micro lesions. These cause inflammation which in turn causes pain. 3 Studies show that chiropractic adjustments help the body release anti-inflammatory Interleukin 6 (IL-6)4. Interleukin 6 (IL-6) plays an integral role in the body’s healing ability, including trauma, burns, cancers and infections.5
#2: Chiropractic Care After a Car Accident Helps Heal Internal Scar Tissues
When you hear the word “scar tissue” you might think of the scar from a nasty fall off your bike when you were young. Your body also forms this special type of tissue inside your body when your ligaments and muscles are injured. Just as the scar tissue you see on your skin doesn’t look or act like your undamaged skin, the scar tissue inside your body doesn’t have the same elasticity or mobility of uninjured soft tissue.
When scar tissue forms in the ligaments, especially those in your neck or back, it can lead to long term pain and reduced mobility. Scar tissue continues to grow and change throughout the recovery process which may take from twelve to eighteen months.6 Prompt chiropractic care after a car accident is very effective at remodeling scar tissue. Chiropractic treatment and stretching of scar tissue helps align the collagen fibers, allowing it tolerate daily activities. 7
Studies show that car accident victims treated within one week of their accident saw the best overall improvement. 8 Many chiropractors refer to this time period as the “golden week” because the inflammatory reaction which occurs during this period, if left unchecked, will produce scars and adhesions that make future management more difficult.
#3: Chiropractic Care After a Car Accident Releases Pain Relieving Hormones
Studies also show that chiropractic care helps release pain reducing hormones.9 These hormones provide natural pain relief from both acute and chronic pain. They will help relieve the pain from the acute injuries suffered in a car accident. Fortunately, they don’t stop there! They will also help any other areas that were causing pain before the accident.
Unfortunately, turning to pain pills can actually make pain worse in the long run. Contrary to marketing messages that imply otherwise, pain medications do not speed up the healing process. Pain medications (both OTC and prescription) can be very beneficial for the first 7 – 10 days after a traumatic injury. Used in the short term, these can provide symptomatic relief while chiropractic care breaks up scar tissue and adhesions, relieving stiffness, pain and the discomfort it causes.
We’re learning that you won’t find the solution to pain – even chronic pain – in a pill. Not only are opioid medications dangerous and addictive, they can actually cause your pain to worsen. Studies show that when you use an opioid pain reliever, it sets off a chain of immune signals in the spinal cord that amplify pain rather than dulling it, even after the drug leaves the body. 10
Prompt Chiropractic Care is Key
Gentle chiropractic care will help prevent long-term, chronic pain conditions and allow you to achieve optimal recovery after an auto accident. Gentle Chiropractic Care is a newer method of chiropractic care. It replaces high-velocity adjustments with low-velocity, low amplitude manipulations. It is performed with a gentle touch, targeting a specific area. Gentle chiropractic care is more comfortable and provides maximum benefit from minimal visits.
If you or someone you know has been in a car accident and you need gentle chiropractic treatment, call 855-509-5400 to schedule an appointment.
Effective Gentle Chiropractic Care
Dr. Danielle Hurd, DC is a Stuart, Fl chiropractor who offers effective gentle chiropractic care, a unique style of chiropractic spinal and joint adjustments.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
Gentle chiropractic care allows patients to get the maximum benefit from a minimal number of visits.

WHAT IS GENTLE CHIROPRACTIC?
In Florida, a chiropractor is a primary care physician who treats spinal and musculoskeletal problems using manual manipulation to restore joint function and support the nervous system. Chiropractic care can reduce pain, increase movement and improve performance which may mean avoiding unnecessary drugs or surgery.
What does gentle chiropractic mean? Gentle chiropractic care is the subtle, gentle, manipulation of the neck, back and joints.
Gentle chiropractic care is performed with a gentle touch, targeting a specific area. Pain in your neck, back, wrists, shoulders, hips and knees can all be treated with gentle chiropractic manipulations. Dr. Danielle uses different techniques and patient positioning to deliver gentle chiropractic care. Gentle chiropractic care provides the same benefits seen from traditional spinal adjustments.
This approach allows patients to get the maximum benefit from a minimal number of visits.
WHAT IS THE DIFFERENCE BETWEEN TRADITIONAL CHIROPRACTIC CARE AND GENTLE CHIROPRACTIC CARE?
Gentle chiropractic adjustments can be performed on the neck, back and every joint in the body. To show the difference between a “traditional” chiropractic adjustment and a gentle chiropractic one, let’s look at how the neck is adjusted.
A traditional chiropractic neck adjustment begins with the patient lying face up on a table. The chiropractor cradles your head and performs a quick, thrusting movement. Being put into this position combined with the quick snapping motion causes some people to be afraid of seeing a chiropractor.
A gentle chiropractic neck adjustment is different. The first difference you’ll notice is in how you are set up for the adjustment. A gentle chiropractic neck adjustment begins with the patient lying face down on the table. Next, Dr. Danielle will carefully position your head followed by a gentle, downward pulse. There’s no twisting or snapping involved. Many of Advanced Wellness Solutions patients prefer the gentle face down prone approach to chiropractic neck adjustments.
Chiropractic neck adjustment help to
- improve the mobility of the spine
- restore range of motion
- increase movement of the adjoining muscles.
GENTLE CHIROPRACTIC FOR EFFECTIVE DRUG FREE PAIN RELIEF
If you are in pain, you probably don’t need to be sold on the benefits of gentle chiropractic care. Many people who’ve been seriously injured in an auto accident or are suffering from chronic pain are anxious during their first visit, especially if they’re not aware of the difference between traditional chiropractic adjustments and gentle chiropractic care.
The Activator Method is one of the effective, gentle chiropractic care techniques used at Advanced Wellness Solutions. Dr. Danielle uses a small, hand-held instrument to deliver a gentle impulse force to the spine with the goal of restoring motion to the targeted spinal vertebra or joint. There’s no twisting or popping with this gentle modality which makes it ideal for anyone suffering from severe acute or chronic pain.

About Dr. Danielle Hurd, DC, Chiropractor in Stuart, Fl.
Dr. Danielle provides gentle chiropractic care because knows what it’s like to be injured in a serious car crash. She suffered serious injuries causing her to have severe headaches and trigeminal neuralgia. Known as “the suicide disease,” some consider trigeminal nerve pain to be the worst pain known to medicine.1
Dr. Danielle found a chiropractor who used effective, gentle chiropractic care to treat her injuries. Her chiropractor was able to relieve her trigeminal neuralgia by effectively treating the injuries she suffered in her automobile accident.
Dr. Danielle’s injuries helped her to choose her career as a chiropractor. After graduating from Palmer College of Chiropractic, she worked in two high volume personal injury clinics. After treating thousands of patients who had suffered traumatic injuries, she opened Advanced Wellness Solutions. Her goal has always been to provide gentle, effective pain relief to people who have been seriously injured like she was.
Advanced Wellness Solutions has two gentle chiropractic locations in Stuart, Florida.
Accepting new patients. Call (772) 403-7640 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
After a Car Accident
After a car accident, it’s natural to focus on your physical injuries. After all, even in a minor fender bender, your body is exposed to powerful and violent forces. Even if you were lucky enough to escape the accident without serious or life threatening physical injuries, you might be surprised by the flood of emotions that can come after a Florida car accident.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
Emotional Turmoil After a Car Accident
It’s natural to experience strong emotions such as shock, guilt, grief, helplessness, confusion, and fear after a car accident.
Some patients report continuing to feel afraid even though they know the danger has passed. Others report experiencing mood swings or having periods of crying uncontrollably. The feelings of sadness or depression after a car accident are very common, and can be intense. Be sure to tell your chiropractor if these feelings are stopping you from doing your normal daily activities.
Increased anxiety is another natural and common reaction to your car accident. You may also feel anger, irritability, and agitation. These feelings may be directed at the other driver (even if you were at fault) or you may take your anger out on your loved ones, friends and co-workers.
On the other end of the spectrum are feelings of guilt, shame, and self-blame (even if you weren’t at fault). You may find yourself ruminating on what you could have done or not done to prevent the accident.
Immediately after your car accident, it is normal to feel a flood of emotions, like those listed above. However, if you are still battling these post-accident emotional symptoms more than 3 months after your accident, you may be suffering from PTSD (post-traumatic stress disorder). This is a condition that can develop after any type of traumatizing event.
Car accidents can trigger PTSD symptoms including experiencing flashbacks of the accident. In fact, research 1 has shown that an estimated 39.2% of motor vehicle accident survivors develop PTSD as a result.
Many suffering with PTSD also simultaneously have an intense fear of driving and/or a related anxiety disorder.
Returning to driving after a car accident
If your injuries won’t prevent you from driving for the rest of your life, at some point you’ll have to get back behind the wheel of a car. You’ll probably feel some anxiety the first time behind the wheel. You may even feel anxiety riding as a passenger in the car. Rest assured that this is natural.
Once back behind the wheel, you’ll probably find that you drive more cautiously than before. If your accident was at night, you may experience extra high anxiety around night driving.
If you’ve been in a car accident, you probably have questions. Fortunately, Dr. Danielle Hurd, DC of Advanced Wellness Solutions has many of the answers you need including:
- Is what I’m experiencing normal?
- How long will it be until I feel better?
The Chiropractor You Choose Makes a Difference
Dr. Danielle Hurd, DC knows first hand the emotional aftermath of surviving a car crash. While attending USF to obtain her BS in biomedical science, she was injured in a car accident– a near head on collision on part of SR 60 that is only 2 lanes. The other driver had tried to pass a semi-truck on his way to work. It was early morning, so when she saw the other driver’s headlights emerge from behind the semi-truck, she veered off the road quickly. Had she not reacted as quickly as she did, the other driver would have hit her head on. Instead, his pick-up truck struck her just behind the driver’s door, tearing a hole in the rear door of the mini-van she was driving.
She didn’t realize she was seriously injured until the next day when the adrenaline rush wore off.
Dr. Danielle’s car accident caused serious injuries and headaches. The pain forced her to leave school for a semester. The silver lining is that it helped her to choose her career. Thanks to the care she received from her chiropractor (who encouraged her to attend Palmer College of Chiropractic), she was able to return to USF the next semester and complete her bachelor’s degree. She went on to graduate in 2014 from Palmer College of Chiropractic in Port Orange Florida.

The chiropractor you choose makes a difference!
Dr. Danielle makes it a point to create a soothing, nurturing office environment at Advanced Wellness Solutions. She survived a serious car accident and has experienced the intense feelings that follow. It’s why her office has an “office dog.” William seems to know when patients need emotional support, even though he stays behind the glass door in the front desk area.
The doctor you choose makes a difference. If you or someone you know has been in a car accident, call 855-509-5400 to make an appointment with Advanced Wellness Solutions.
What To Do After an Accident in Stuart, Fl
Florida has a reputation for “bad” and “aggressive” drivers. For those who live or work in Stuart, Florida, if you haven’t been in a car accident recently, you probably know someone who has. Just because we live in paradise doesn’t mean life here is perfect – or predictable. Being an accident is scary and confusing. That’s why we’ve created this checklist to help you know what to do after an accident in Stuart, Florida.
Being in a car accident, even a minor one, can be traumatic and frightening. The moments during a car crash are often violent. Your body is subjected to extreme forces that can affect your body in unexpected ways. Even a seemingly minor fender bender can result in injuries that need treatment for the driver and/or passengers.1
If you’re able to escape your vehicle after the accident, you may think you weren’t seriously injured. It’s important to know that it could be weeks – or even months – before the full extent of your injuries are known. Even if you go to the hospital immediately following your car accident, some injuries like whiplash, traumatic brain injury and even spinal cord injury may not be immediately evident, even with appropriate imaging!
Following a car accident, it may take time for you to begin thinking clearly enough to make sound judgments and important decisions. That’s why we’ve created this checklist to help.
Here are 7 things you need to do if you’ve been in a car accident in Stuart or Martin County, Florida:
#1: DO NOT LEAVE THE SCENE OF AN ACCIDENT.
Even if it’s a minor fender bender, stay at the scene. If it’s your fault, stay at the scene. Even if your car is the only one involved in the accident, stay at the scene. If you leave, you could face felony charges.
#2: CALL THE POLICE.
Even if there are no apparent injuries, you should still call the police. You’ll need a police report to file a claim with your insurance company.
#3: TAKE PICTURES.
Use your phone to take pictures of the vehicles and the scene while you wait for the police to arrive. If you have visible injuries, you should document them with photographs as well. The worst case scenario is you won’t need these images. It’s better to have these images and not need them rather than need these images and not have them.
#4: WHEN THE POLICE ARRIVE.
Tell the investigating officer(s) exactly what happened. If someone asks if you’re injured, you should reply that you’re not sure. This is the truth. There’s no way you can know immediately after your accident if you were injured.
As your accident was happening, your body released a burst of the hormone adrenaline. This hormone decreases your ability to feel pain, increases your strength, and sharpens your mental focus. (If you watched the accident happen in slow motion, you can thank adrenaline for that.) Because of this adrenaline rush, it may be days before you realize the extent of your injuries.
#5: GET WITNESS INFORMATION.
If there are witnesses, you should get their contact information.
#6: SEEK MEDICAL ATTENTION.
You should be seen by a doctor, ER physician or chiropractor within 14 days of your car accident. You should do this even if you don’t feel any pain or soreness. Many injuries – especially whiplash and head trauma are not immediately apparent. You can sustain serious, life altering injuries in seemingly minor accidents. If you lost consciousness or were dazed – even for a short period of time – you may have suffered a concussion or traumatic brain injury (TBI). Even if you just “bumped your head” in the accident, that minor injury can be deadly if it caused bleeding in the brain. The symptoms of TBI may not appear for weeks – or even months. That’s just one reason why it is so important to see a physician or chiropractor within 14 days of a car accident.
#7: CONTACT YOUR INSURANCE COMPANY
Car owners in Florida are covered under PIP, or No-Fault insurance. This means that you can receive treatments for your injuries even if you were at fault for the accident. In order to activate your PIP insurance benefits, you have to file a claim with the insurance company and you must schedule an appointment with a doctor or chiropractor within 14 days of the accident.
If your injuries are serious, you may need more medical care than is provided by your PIP benefits. If this is the case, Dr. Danielle Hurd, DC will give you the names of attorneys who expertly handle personal injury cases.
If your primary care physician refuses to treat you for injuries suffered in a car accident, don’t be upset. Would you be upset if if your dentist didn’t want to perform open heart surgery? Chiropractors are trained to treat the musculoskeletal injuries common in car accidents. Dr. Danielle is experienced in treating the trauma that can result from car crashes.
If you or someone you know has been involved in a car accident, call us today at 855-509-5400.
Chiropractic Treatment of Thoracic or mid-back pain
Thoracic or mid-back pain is most likely as common as cervical or lumbar pain but less often reported due to its mild pain presentation. The thoracic spine connects to the ribs and chest region. Sprains and fractures in this area are primarily caused by high velocity auto accidents, and may result in permanent nerve damage.
Where the neck is made for movement and the low back is made for power and flexibility, the mid-back (thoracic spine) is made for stability. With the rib cage attached to all levels of the thoracic spine (ribs 1-10 being attached to the sternum and ribs 11-12 floating or not attached to the sternum) this severely limits the motion of the thoracic spine. This limit in motion makes disc herniations and nerve root compression in the thoracic spine less common.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
There are two types of thoracic pain.
- Mechanical thoracic pain: caused by injury, trauma or overuse.
- Non-mechanical thoracic pain: caused by underlying pathology or disease.
Causes of mechanical thoracic pain are:
- sprain/strain
- compression fracture
- postural syndrome
Causes of non-mechanical thoracic pain are:
- osteoid osteoma
- Scheuermann’s Disease
- T4 Syndrome
- herpes zoster
- osteoporosis
- fibromyalgia
- metastasis (the development of secondary malignant growths at a distance from a primary site of cancer.)
- referred pain from viscera
What to expect at your appointment for a complaint of thoracic pain:
You should expect to provide a full medical history to your healthcare provider. An event such as a car accident or any physical complaint that you think is entirely unrelated to your thoracic back pain may provide essential information needed to make a correct diagnosis.
Your doctor will perform a full physical exam, including sensation and strength testing. Your doctor may order blood work, X-rays, CT or an MRI to confirm the diagnosis.
Seek immediate care for thoracic pain:
Thoracic pain can be a symptom of cancer. Seek immediate medical for thoracic pain combined with:
- Fever
- History of cancer
- Unexplained weight loss
- Lower limb spasticity
- Progressive pain, worse at night
What can a Chiropractor do for thoracic pain:
- Adjustments
- Mid-back exercises and stretches
- Ergonomic training
- Electrical stimulation/TENS treatment
- Supervised medical massage
Thoracic back pain can have a multitude of causes and can be a symptom of cancer.
Back pain should always be checked by a chiropractor or medical doctor.
If you live or work in Stuart, Florida and are experiencing back pain, call 855-509-5400 to schedule an appointment with Dr. Danielle Hurd, DC.
Neck Pain and Whiplash
Neck pain and whiplash are common complaints, especially if you’ve been injured in a Florida car accident.
Whiplash is a generic term used to describe a hyper extension and flexion injury to the neck. It is a soft tissue injury to the neck.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
Did you know that whiplash injuries aren’t limited to car accidents? A fall, a sports injury, or anytime there’s a sudden jolt of the head can cause whiplash.
What is whiplash?
Whiplash describes a soft tissue injury to the neck. Whiplash is cause by a forceful back and forth movement of the neck. The force of the back and forth movement causes injury to the ligaments and muscles of of the neck. Whiplash is technically a strain/sprain injury to the ligaments and the muscles of the neck.
What causes neck pain and whiplash?
Any large force that causes the head to “whip” back and forth can cause whiplash.
Such forces include:
- Car accidents: rear-end collisions.
- Physical abuse or violence
- Contact sports: football, soccer, and lacrosse to name a few.
What are the symptoms of whiplash?
Symptoms for whiplash usually develop within 24 hours of the accident. In rare cases, symptoms can take longer to appear. Symptoms of whiplash are:
- Neck pain
- Neck pain worse with movement
- Loss of range of motion or inability to move the neck
- Headaches
- Pain in the shoulders, arms and upper back
- Tingling and numbness in the arms
- Dizziness
- Fatigue
Other whiplash symptoms include:
- Blurred vision
- Ringing in the ears (tinnitus)
- Irritability
- Inability to sleep
- Nausea
If you have been in any type of accident and experience any of the above symptoms, seek the advice of a qualified medical professional immediately.
Treating neck pain and whiplash?
It is important to remember to keep active after a whiplash injury.
After the first 24 hours, movement is vital.
Inactivity and foam cervical collars lead to the weakening of the cervical muscles. This can prolong your healing time.
It is highly recommended to seek professional medical care within 24 hours of your injury. Your doctor can make recommendations on bed rest and cervical collars based on your individual case.
Treatments for neck pain and whiplash include1:
- Chiropractic care
- Physical Therapy
- At home exercises
- Massage
- TENS unit therapy
- Ice or heat therapy
- Over-the-counter pain medication
- Prescription medication
If you are experiencing neck pain and live or work in the Stuart, Fl area, feel free to schedule a consultation with Dr. Danielle Hurd, DC. Call 855-509-5400.
Chiropractic Treatment of Lumbar Spondylolisthesis
Do you have low back pain that is worse with extension? Do you have a family member with spondylolisthesis? Do you have degenerative joint disease in the lumbar? Then you may have lumbar spondylolisthesis.
What is a lumbar spondylolisthesis?
Spondylolisthesis refers to the forward slippage of one vertebral body to the beneath it. This most often happens at L5 and S1 but it can occur at higher levels.
Gentle chiropractic care is a nonsurgical, conservative care treatment option for pain commonly caused by spondylolisthesis.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
There are six types of slippage graded I-VI.
- Type I: Congenital/Dysplastic caused by congenital anomaly
- Type II: Isthmic caused by pars fractures and is most common at L5 and in youths
- Type III: Degenerative caused by degenerative joint disease and is most common at L4
- Type IV: Traumatic caused by trauma resulting in a pedicle fracture
- Type V: Pathological caused by an underlying pathology
- Type VI: Iatrogenic caused by surgery
Imaging of the lumbar spine is the only definitive way to diagnose lumbar spondylolisthesis.
What causes lumbar spondylolisthesis?
The cause of lumbar spondylolisthesis is unclear however certain factors seem to be prevalent in
- Genetics
- Sports that require a lot of hyperextension such as golf.
- Trauma (such as injuries suffered in a car crash.)
- Degenerative joint disease
- Surgery
Traumatic spondylolisthesis can occur when a car accident leads to spondylolisthesis.
In adults, the most common cause is a degenerative disease such as arthritis.
What are the symptoms of lumbar spondylolisthesis?
Lumbar spondylolisthesis is often asymptomatic. When symptoms do occur they can present in several ways.
- Low back pain made worse with extension
- Hamstring tightness
- Inflexibility
- Hyperlordosis of the lumbar or thoracolumbar spine (sway back)
In extreme cases:
- Gait disturbance
- Radiculopathy
- Neurogenic claudication
What are the treatments for lumbar spondylolisthesis?
- Gentle chiropractic adjustments (unless instability is present)
- Physical therapy
- At home exercises and stretches (avoiding extension exercises)
- TENS unit
- Reduction of activity during periods of aggravation
- Orthopedic intervention if grade III – V
- Surgery
If you are experiencing back pain, it could be lumbar spondylolisthesis.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
If you live in or near Stuart, Florida contact Advanced Wellness Solutions to schedule an appointment.