Extension of the spine: It’s valuable. It is harmful.
So what is up with extension for the spine?
Both are true: It is beneficial. It’s harmful. It’s the job of your Two Rivers chiropractor to help you figure
out the role of extension for your Two Rivers
back pain relief plan and Two Rivers back pain control plan in the future.
Your Two Rivers chiropractor at Lakeshore Chiropractic is well trained
in the effects – good and bad – of spinal extension and respects its role in spinal
health and motion.
Two of the spine’s most prominent 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 causing pain. Flexion often
permits the disc bulge to get away from the
nerve. Extension often allows the disc bulge to press on
the nerves more. Lakeshore Chiropractic wants to help reduce
painful situations like this!
75% of the flexion and extension movement in the low back occurs
at the L5-S1 level of the lumbar spine. 20% occurs 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) happens 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. Two Rivers chiropractic
patients need beneficial extension!
Lakeshore Chiropractic respects extension and gets
how it may help and harm. The extensor muscles in the
back weaken and degenerate just like discs degenerate. (1)
Extension helps strengthen these muscles to support the spine. Extension is necessary
for this when the spine is healthy enough to perform extension. Extension to a painful spine may be
harmful. Why? In the cervical spine, flexion decreased disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and narrowed the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened
the vertebral canal and reduced pain while extension exacerbated
the stenosis and caused pain. (3) Lakeshore Chiropractic understands
the key to getting the benefits of extension is in knowing
when to apply extension.
Two Rivers CHIROPRACTIC USE OF EXTENSION
Two Rivers chiropractic treatment integrates
extension into the Two Rivers chiropractic treatment plan for its benefits.
Cox® Technic used with 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) Reducing intradiscal pressures and back pain is what
Lakeshore Chiropractic aims to do for its Two Rivers back pain
CONTACT Lakeshore Chiropractic
Listen to this PODCAST with Dr. David Atiyeh on the Back
Doctor’s Podcast with Dr. Michael Johnson. He shares how he helped
a patient whose back pain persists after multiple back
surgeries with flexion distraction which gives her relief
as the table is flexed not extended.
Schedule your Two Rivers chiropractic appointment
with Lakeshore Chiropractic today. Let us explore
the role extension might have in your back pain recovery and future
back pain control strategy.