Williamson Chiropractic Care Respects Spinal Extension

Extension of the spine: It is valuable. It’s harmful. So what’s with extension for the spine? Both are accurate: It is good. It is bad. It’s the job of your Williamson chiropractor to help you figure out the role of extension for your Williamson back pain relief plan and Williamson back pain control plan moving past the existing episode of back pain. Your Williamson chiropractor at Apple Country Chiropractic is well versed in the effects – good and bad – of spinal extension and respects its role in spinal health and motion.

SPINAL CURVES

Two of the spine’s most noticeable curves – the cervical and lumbar curves – are lordotic curves meaning they curve concavely. Flexion flattens these curves. Extension magnifies them. When a disc herniates or bulges, it does so into the concavity of the curve and potentially pushes on the spinal nerves resulting in pain. Flexion often permits the disc bulge to move off of the nerve. Extension often allows the disc bulge to press on the nerves more. Apple Country Chiropractic sets out to help lessen painful situations like this!

SPINAL MOTION

75% of the flexion and extension movement in the low back occurs at the L5-S1 level of the lumbar spine. 20% happens at the L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine happens at these two lower disc levels. Here, degenerative disc disease (minor and more advanced) occurs most. In the cervical spine, C5-C6 is the spinal level where most of the flexion takes place, and C4-C5 is where most of the extension takes place. Williamson chiropractic patients need beneficial extension!

SPINAL EXTENSION

Apple Country Chiropractic respects extension and gets how it may benefit and hurt. The extensor muscles in the back weaken and degenerate just like discs do. (1) Extension helps strengthen these muscles to support the spine. Extension is essential for this when the spine is healthy enough to do extension. Extension to a painful spine may be harmful. Why? In the cervical spine, flexion reduced disc protrusion and maximizes the sagittal diameter of the vertebral canal while extension made the disc herniation larger and constricted the vertebral canal producing stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened the vertebral canal and reduced pain while extension worsened the stenosis and caused pain. (3) Apple Country Chiropractic understands the key to getting the benefits of extension is in recognizing when to apply extension.

Williamson CHIROPRACTIC USE OF EXTENSION

Williamson chiropractic treatment integrates extension into the Williamson chiropractic treatment plan for its advantages. Cox® Technic applied to the cervical spine reduced intradiscal pressures to as low as 502 mmHg (4) and to as low as -192 mmHg in the lumbar spine. (5) Extension escalated pressures in the lumbar spine to 1250 mmHg (the highest amount the transducer could measure). (4) Dropping intradiscal pressures and back pain is what Apple Country Chiropractic does for its Williamson back pain patients.

CONTACT Apple Country Chiropractic

Listen to this PODCAST with Dr. David Atiyeh on the Back Doctor’s Podcast with Dr. Michael Johnson. He shares how he cared for a patient whose back pain continues after multiple back surgeries with flexion distraction which relieves her pain as the table is flexed not extended.

Schedule your Williamson chiropractic appointment with Apple Country Chiropractic today. Let’s figure out the role extension might have in your back pain recovery and future back pain control strategy.

 Apple Country Chiropractic knows the role of extension in spinal motion, its necessity, its benefits and potential harmful effects.  
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