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 […]
low back pain
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.
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
- Sports that require a lot of hyperextension such as golf.
- Trauma (such as injuries suffered in a car crash.)
- Degenerative joint disease
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
- Hyperlordosis of the lumbar or thoracolumbar spine (sway back)
In extreme cases:
- Gait disturbance
- 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
If you are experiencing back pain, it could be lumbar spondylolisthesis.
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If you live in or near Stuart, Florida contact Advanced Wellness Solutions to schedule an appointment.
“Pain in and around the sacroiliac joint is one of the more common causes of low-back pain. With approximately 80 percent of the population suffering from low-back pain at some point in their lives, the sacroiliac joint dysfunction likely represents about 15-25 percent of those cases.” American Chiropractic Association
What is a sacroiliac joint dysfunction?
Sacroiliac joint dysfunction is a broad term used to describe injury to the sacroiliac joint or SI joint. This injury can be very painful but is often not life threatening. This injury is often very uncomfortable to life since it is difficult to perform everyday tasks. It has been found that conservative treatment is superior in minor cases of sacroiliac joint dysfunction.
What causes sacroiliac joint dysfunction?
Most patients report spontaneous occurrence of sacroiliac joint dysfunction. It’s a common injury among golfers. However there are some things that can lead to damage.
- Genetic predisposition
What are the symptoms of sacroiliac joint dysfunction?
Symptoms of sacroiliac joint pain can range in severity from mild to severe. It is important to remember that pregnant women may experience sacroiliac joint dysfunction due to hormone-induced ligament laxity. The symptoms most often present with sacroiliac joint dysfunction are:
- Dull achy to sharp stabbing pain in the low back, buttocks or back of the leg
- Pain on one or both sides of the buttocks or legs
- Pain along the back where a belt would sit (belt line pain)
- Pain made worse with movement and better with rest
- Tender to the touch in the low back and over the sacroiliac joint
What are the treatments for sacroiliac joint dysfunction?
- Gentle chiropractic adjustments
- Physical therapy
- TENS unit
- At home stretches and exercises
If conservative treatment does not produce results, then a referral for injections or NSAIDs is recommended
If you are experiencing sacroiliac joint dysfunction and live in or near Stuart, Florida, please call 855-509-5400 to schedule your appointment with Advanced Wellness Solutions.
The piriformis is a powerful, flat, pear-shaped muscle that goes unnoticed because it’s located beneath the gluteal musculature. However, when the piriformis muscle causes compression or contraction on certain areas of the sciatic nerve, it can cause pain in the buttocks and/or lower back that can radiate down the leg to the foot.
The two piriformis muscles sit behind the hip sockets, extending from the upper, outer corner of each femur (thighbone) to the sacrum. These two pear-shaped muscles are joined by a band of connective tissue, or fascia, that stretches across the sacrum just above the tailbone.
The primary function of the piriformis is the external rotation of the hip, which is why swinging a golf club can cause piriformis syndrome. is The piriformis muscle is part of the hip rotator cuff, which are small, deep muscles that rotate the leg outward at the hip.
The piriformis muscle also helps with abduction or the act of moving your leg away from the midline of your body. It also plays a role when you extend and lift your leg behind you. The piriformis laterally rotates the femur with hip extension and abducts the femur with hip flexion.
Piriformis syndrome effects women more than men in a ratio of 6:1.
What are the symptoms of piriformis syndrome?
The symptoms of piriformis syndrome vary from person to person but can include:
- Chronic pain in the buttocks
- Pain when rising from a seated position
- Pain increased with moving the leg off to the side or moving the leg back and forth
- Inability to sit without pain
- pain, sometimes severe when climbing stairs, walking, running, and golfing
- tingling and numbness,
- pain that can go from the back to the foot,
Piriformis syndrome is pain that may be difficult to pinpoint. Often located in the hip, buttocks and distal part of the leg, it can produce a pain that is very similar to sciatic pain.
In 20% of the population the piriformis splits and the sciatic nerve runs through that split. Those people are much more susceptible to piriformis syndrome due to their unique anatomical structure.
What causes piriformis syndrome?
The cause of piriformis syndrome is varied.
You can develop piriformis syndrome from everyday activities, such as sitting for long periods of time, climbing stairs, walking, or running. You can also develop it after a traumatic event, such as a car accident or a fall.
High activity level sports such as skiing, tennis or long-distance bikers can cause piriformis syndrome. A golfers swing can also cause piriformis syndrome.
What are the treatments for piriformis syndrome?
This is a muscle that contributes to many leg and hip movements. When this muscle is aggravated, it doesn’t suffer in silence. Rest is an important part of the treatment process. If you continue performing aggravating activities during treatment, then expect it to take longer to heal. Treatments for piriformis syndrome include:
- Chiropractic adjustments
- Physical therapy
- Myofascial release techniques (such as cupping)
- At home exercises
- TENS unit
If you are experiencing pain in your buttocks, pain when rising from a seated position or any of the other symptoms of piriformis syndrome, you should schedule an appointment with your local chiropractor. If you live or work in the Stuart, Florida area, contact Advanced Wellness Solutions at 855-509-5400 to schedule your appointment today.