Dolor en la espalda baja

El dolor lumbar afecta a casi el 60 por ciento de la población en algún momento. Nuestra espalda baja soporta el peso de la parte superior del cuerpo y proporciona movilidad para los movimientos de flexión y torsión. Dado que dependemos de los músculos lumbares para hacer cada movimiento, son susceptibles a las lesiones. Es alarmante que el dolor lumbar crónico pueda provocar una discapacidad total. Hoy en día, el dolor lumbar es una de las principales causas de discapacidad en las personas mayores. Por ello, no es necesario exagerar la importancia de buscar atención médica.

El objetivo principal del tratamiento del dolor de espalda es aliviar el dolor y recuperar la movilidad. A diferencia de los analgésicos o las cirugías, la atención quiropráctica para el dolor lumbar es una alternativa más segura, eficaz y económica. Los médicos generales no tienen la formación adecuada en esta área y carecen de las habilidades necesarias para diagnosticar y tratar el dolor lumbar. Los quiroprácticos de T98 se especializan en este campo y se centran principalmente en la identificación, el tratamiento y el control del dolor lumbar.

¿Qué es el dolor lumbar?

El diseño de la zona lumbar ofrece soporte, fuerza y flexibilidad a la parte superior del cuerpo. No es de extrañar que sea tan sensible a las lesiones y al dolor que producen las actividades diarias. El dolor lumbar varía de leve a severo. Puede tener diversas causas, como lesiones en ligamentos, articulaciones, músculos o discos vertebrales. Nuestro cuerpo contrarresta cualquier lesión generando una respuesta inflamatoria curativa. Aunque la inflamación parece insignificante, causa un dolor agudo.

¿Cómo puede el quiropráctico T98 ayudar a las personas con dolor lumbar?

La atención quiropráctica es una excelente manera de aliviar y controlar el dolor lumbar. Los quiroprácticos de T98 ofrecen un tratamiento no invasivo y no adictivo para el paciente. A diferencia de los analgésicos recetados, los quiroprácticos de T98 abordan la causa del dolor. Desafortunadamente, los analgésicos solo enmascaran los síntomas. Al abordar la raíz del problema, es probable que el paciente se recupere mucho más rápido.

Los quiroprácticos de T98 ofrecen un tratamiento suave y no invasivo conocido como ajuste quiropráctico. El ajuste ayuda a minimizar la desalineación de las articulaciones de la columna vertebral. El proceso también ayudará a minimizar la inflamación y a mejorar la función del sistema nervioso y de las articulaciones afectadas. El quiropráctico ayudará a aumentar la movilidad de las articulaciones y fortalecerá el sistema nervioso, lo que le dará a su cuerpo una mejor oportunidad de controlar los síntomas del dolor lumbar.

Causas del dolor lumbar

En general, las lesiones de los tejidos blandos y los problemas mecánicos son las principales causas del dolor lumbar. Las lesiones incluyen daño en los discos intervertebrales, movimiento inadecuado de las articulaciones de la columna y compresión de las raíces nerviosas. Otra causa importante del dolor lumbar es un tirón o desgarro de un músculo o ligamento. A continuación, se enumeran algunas de las principales causas del dolor lumbar. La lista incluye las causas comunes del dolor lumbar leve y las causas subyacentes que provocan dolor intenso.

• Esguince de músculo y ligamento

El dolor lumbar puede aparecer de forma repentina o acumularse gradualmente con el tiempo debido a la degradación muscular. Aunque las distensiones y los esguinces de espalda son fáciles de controlar y no tienen un efecto duradero, el dolor agudo puede ser bastante debilitante. Una distensión se desarrolla cuando el músculo se estira demasiado y se desgarra. Los esguinces se producen cuando el desgarro daña los ligamentos, que mantienen unidos los huesos. Los síntomas y tratamientos para el daño muscular y de ligamentos son similares. Estas son algunas de las principales causas de la ciática .

• Levantar objetos pesados
• Lesiones deportivas que implican torsiones
• Movimientos repentinos que tensionan los músculos de la espalda baja, como una caída.
• Mala postura durante mucho tiempo

• Causas del dolor lumbar crónico

El dolor lumbar se vuelve crónico cuando excede el proceso de curación natural del cuerpo. El dolor de espalda crónico persiste durante más de tres meses. Por lo general, implica raíces nerviosas irritadas y problemas en las articulaciones. Las principales causas de la ciática crónica incluyen:

• Hernia de disco lumbar

Un disco lumbar tiene un centro gelatinoso que contiene proteínas. Cuando un disco lumbar se rompe, las proteínas provocan inflamación al entrar en contacto con una raíz nerviosa. La exposición también puede provocar compresión nerviosa, lo que produce dolor en la raíz nerviosa. La pared del disco lumbar también está formada por numerosas fibras nerviosas. Cuando la pared se desgarra, provoca un dolor intenso.

• Enfermedad degenerativa del disco

Los discos intervertebrales de los recién nacidos están en su mejor estado de salud y llenos de agua. A medida que avanza la edad, los discos se deshidratan y se debilitan. La pérdida de hidratación hace que el disco se debilite y ya no resista las fuerzas como debería. En cambio, transfiere la fuerza a su pared. La fuerza desgasta la pared y pueden producirse desgarros o debilidad, lo que conduce a una hernia. En el peor de los casos, el disco colapsa, lo que contribuye a la estenosis.

• Disfunción de la articulación facetaria

La columna lumbar tiene una articulación de dos facetas ubicada en el segmento de movimiento de cada disco. Las articulaciones tienen cartílago entre los huesos. Un ligamento capsular con numerosos nervios también rodea las articulaciones facetarias. Cuando el cartílago se agota, las articulaciones se vuelven extremadamente dolorosas.

• Disfunción de la articulación sacroilíaca

La sacroilíaca es la articulación que conecta la parte inferior de la columna vertebral con el sacro a cada lado de la pelvis. Esta fuerte articulación absorbe la tensión y el impacto entre la articulación inferior y la superior del cuerpo. La articulación puede volverse dolorosa cuando hay muy poco o demasiado movimiento o cuando se inflama.

• Estenosis espinal

Spinal stenosis may lead to severe back pain as it causes the spinal canal to narrow. The narrowing will affect the nerve root location. The condition causes nerve root irritation, leading to inflammation and nerve compression, which is quite painful.

• Spondylolisthesis

Spondylolisthesis is a condition that develops when a vertebra slips over the adjacent vertebra. Despite having five Spondylolisthesis types, the most common type results from mechanical facet joints instability or pars fractures.

• Osteoarthritis

Osteoarthritis is another leading lower back pain cause that results from the joints’ wear and tears. The condition may lead to pain, instability, and inflammation at single or multiple sections of the lower spine. Osteoarthritis is commonly associated with aging.

Lower Back Pain Symptoms

Lower back pain often begins as acute because of injuries, but it can also become chronic over time. Visiting the T98 chiropractic and rehab center allows our chiropractor to manage the pain at an early stage. Managing lower back pain as early as possible minimizes symptoms faster. The chiropractors will identify the symptoms and give a diagnosis that addresses the underlying cause. Lower back pain is categorized into three groups- chronic, acute, and neuropathic.

Common Symptoms of Lower Back Problems

Identifying and describing your symptoms to the chiropractor helps them develop a more accurate diagnosis and right treatment plan. Lower back pain characterizes one of a combination of these symptoms.

• Dull, Aching Pain

Pain localized within the low back is dull and achy. This pain is non-stinging or burning and accompanied by limited mobility, muscle spasms, and aches in the pelvis or hips.

• Pain that Radiates Down to the Buttocks and Feet

Low back pain may also have a stinging, sharp tingling, or numb sensation that radiates down to your buttocks, thighs, and low legs. Also known as sciatica, the condition results due to sciatic nerve irritation.

• Pain that Worsens After Sitting for a Long Time

Sitting for an extended period puts pressure on the disc, leading to low back pain. Stretching, walking, and exercising may help alleviate the pain, but it may return when you return to a sitting position.

• Pain that Eases When You Change the Position

Depending on the root cause, you will feel uncomfortable in some positions than others. For instance, spinal stenosis causes pain when you are walking normally. However, the pain becomes less when you lean forward to a walking stick. Describing how the symptoms differ when you shift position will help the chiropractor identify the pain source faster.

• Intense Pain When You Wake Up But Eases When You Start Moving Around

If you experience intense low back pain in the morning but eases when you start to move, you may be stressing your back muscles. The pain is due to decreased blood flow and stiffness that arises after long periods. The mattress and pillow quality could also put pressure on your lower back.

The Onset of Low Back Pain Symptoms

The underlying cause of low back pain usually dictates the symptoms. As such, the onset symptoms vary from one person to the other. Below are some of the onset symptoms of low back pain.

• Pain that Develops Gradually

Lower back pain that develops because of stress-inducing positions or repetitive motion start as mild but worsen over time. The pain usually develops when you take part in certain activities for long hours. After a long day at work, the pain may occur and feels like a constant ache on your lower part of the spine.

• Pain that Comes and Goes But Worsens Over Time

Degenerative disc diseases cause pain that comes and goes. Unfortunately, the pain will gradually become worse.

• Abrupt Pain After an Injury

Collision, a fall, sudden or jarring movement can also injure the spine and the surrounding muscle. The impact leads to immediate, acute pain.

• Delayed Symptoms After an Injury

After an injury such as slips and falls or car accident injury, you might feel okay due to the adrenaline rush. However, lower back pain may develop or worsen after a few hours or days. While the delayed pain is part of a natural healing process, it is essential to have a chiropractor assess the damage.

Symptoms That Require Immediate Attention

From time to time, low back pain may indicate a severe underlying medical condition. If you experience any of the below symptoms, seek medical care immediately.

• Fever and chills
• Loss of bowel control
• Drastic weight loss not due to change of diet or exercise
• Severe, relentless abdominal pain

It is also to seek medical attention when you experience any of the mentioned symptoms following a trauma such as a fall or auto accident. It would be best if you also visited T98 chiropractic and rehab center when you feel that the lower back pain is interfering with mobility, sleep, and other daily activities. In most cases, chronic low back pain comes with other symptoms. Individuals suffering from lower back pain may also report leg pain, difficulty sleeping, anxiety, and depression.

What Does Chiropractic Treatment for Back Pain Involve?

Getting the right diagnosis that recognizes the underlying causes of lower back pain helps guide treatment. Our diagnostic process starts with the patient providing a detailed description of the symptoms. The chiropractor collects the patient’s medical history to get a general idea of the lower back pain source.

Collecting the Information 

• Patient History

Before getting on the examination table, the chiropractor will request the patient to provide detailed medical history and symptoms. The inquiries process includes the following steps:

• Current Symptoms Information

The chiropractor will ask the patient some questions that help him understand the nature of the injuries. Here are some of the questions that the chiropractor may ask you.

• How far does the pain spread?
• Is the pain constant or worse when you perform some tasks?
• Is the pain better or worse when you wake up?
• Do you have other symptoms such as numbness or weakness on your back?
• What does the pain feel like- dull, sharp, stinging, or tight?

• Activity Level

Next, the chiropractor will ask questions to understand your activity level. The chiropractors will ask you how often you exercise and what your work involves. Generally, people with a more active lifestyle are likely to have better back health than those with a sedentary lifestyle. For instance, if your work involved sitting at a computer desk or standing for hours, you are likely to exert stress on your lower back muscles.

• Sleep Habits

The chiropractor will want to know how many hours of sleep you get. He will also ask you about your preferred sleep position and the quality of the mattress you use.

• Injuries

If you had a recent accident such as an auto crash or a fall, it might have injured your back. The chiropractor will also ask about any other past injuries, which may have worsened over time.

Answering the above questions truthfully will provide the chiropractor with your daily life. It also indicates the likely possibility for low back pain.

Physical Exam

The primary goal of the physical examination is to narrow down the possible lower back pain causes. At T98, we understand that lower back pain has numerous sources. As a result, we perform a detailed physical exam to find out the root cause. A typical physical exam for lower back pain includes a combination of the following steps.

• Palpation

The chiropractor will touch or instead massage your low back and locate any tenderness, muscle spasms, or joint abnormalities. The exercise will also help the doctor find any tightness or inflammation that may contribute to the discomfort and pain.

• Neurologic Exam

The neurologic exam involves manual movement of your knee, hip, and big toe flexion and extension. The chiropractor will also move your ankle backward and forward and see how you respond. He will also conduct a sensory exam that tests the patient’s reaction to a pinprick and light touch on your toes, lower trunk, and buttocks.

• Range of Motion Test

The chiropractor may also ask you to twist or bend in various positions. These activities will help the professional to find the position that eases or worsen the pain. It will also enable him to see whether the pain limits some specific movements.

• Reflex Test

The professional will also test your reflexes in the legs. The test will evaluate decreased muscle strength and weakened reflexes. Diminished reflexes often show that a root nerve is not as responsive as it should.

• Leg Raise Test

The chiropractor will ask you to lay on your back and raise your leg as high as possible. If raising your leg causes low back pain, you might be suffering from a herniated disc problem.

Diagnostic Imaging Tests

In most cases, the chiropractor will diagnose the low back pain based on medical history and physical exam. However, sometimes further tests are needed to pinpoint the root cause. Diagnostic imaging tests will provide more information on the lower back pain cause. The standard imaging tests include X-rays, CT scans, and MRI.

Lower Back Treatment

Chiropractic treatment for back pain usually involves one or more manual adjustments. The chiropractor will manipulate the lower back joints using a controlled, sudden force to restore the right spine alignment. Spinal manipulation eases the pressure on the muscles and restores the bones to their original position. T98 chiropractors also incorporate nutritional counseling, rehabilitation, and exercise programs in the treatment. Our main chiropractic care goal is to restore the typical lower back function in no time and prevent the injury from worsening.

Research has shown that spinal manipulation to ease lower back pain is safe and effective for tackling the injuries that cause discomfort. Although the acute back pain gets better on its own, our chiropractors will help alleviate it and prevent further damage. Our experienced chiropractors also address chronic pain, which may interfere with your daily activities.

Conclusion

Taking the right care for your lower back is crucial to ensure a productive life. Let our T98 chiropractors assist you in alleviating the pain and maximizing your health. Getting the right diagnosis for lower back pain will help our chiropractors come up with a suitable treatment for you. We perform a thorough physical examination to identify the root cause and contributing factors. We also carefully consider your family and personal medical history when devising the treatment plan. The treatment will depend on the results of our examination but typically involves non-invasive and drug-free pain management. Our plan includes spinal decompression and chiropractic adjustments, which reduce pain, inflammation and encourages faster healing.