The spine is supported by many muscles. Back pain and degenerative spine conditions impact those muscles. Chiropractors like yours at Young Chiropractic deal with both the degenerative spinal pain condition and the associated degenerated spine muscles. Easley chiropractic back pain treatment plans integrate pain-relieving methods for both the spine and its musculature.
BACK PAIN AND MUSCLES’ RESPONSES
Back pain affects back muscles. Different Easley back pain conditions impact different Easley back muscles, too. Paraspinal muscles show varied responses to spinal degenerative conditions. Alterations in the lumbar spine paraspinal muscles of low back pain patients have been detailed. Atrophy of the multifidus muscles in patients with back pain, lumbar radiculopathy, and lumbar degenerative kyphosis are particularly documented. Increased fat infiltration of the multifidus muscle is also seen in patients with lumbar radiculopathy and lumbar degenerative kyphosis. (1) In a study of 78 patients with either degenerative lumbar spondylolisthesis or degenerative lumbar kyphosis, researchers documented these degenerative muscle patterns. The multifidus muscle is described as the stabilizer of the lumbar spine segments while the erector spinae muscles are usually referred to as the stabilizers of spinal sagittal balance. Multifidus muscle degeneration was more significant in the patients with degenerative lumbar spondylolisthesis. Erector spinae degeneration was more significant in the degenerative lumbar kyphosis patients as well as more closely connected to the severity of spinal kyphosis curvature. (2) Continuous chronic low back pain sufferers as contrasted with non-continuous and recurrent low back pain sufferers were documented to have higher EMG activity in erector spinae and multifidus muscles in extension. (3) Your Easley chiropractor at Young Chiropractic takes great care in addressing these variations.
BACK PAIN AND BACK MUSCLES: STABILITY
Young Chiropractic also notes back pain and muscle response on spinal stability. Researchers stated that chronic low back pain impairs spinal stability of its sufferers. In examining the activation patterns of the latissimus dorsi, gluteus maximus, and upward scapular rotation muscles of chronic LBP patients, researchers found a significant increase in upward scapular rotation in all shoulder abduction positions on both sides. The left side was more significant than the right. Further, they found greater latissimus dorsi muscle activities and reduced gluteus maximus activities in chronic low back pain. (4) Spinal manipulation is described as stimulating transient physiological responses of which paraspinal muscle activity and muscle spindle responses are added. (5) Your Easley chiropractor will carefully note these responses when treating your spine as well as in setting exercises to address weaknesses.
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Listen to this PODCAST with Dr. Paulette Hugulet on The Back Doctors Podcast with Dr. Michael Johnson. She describes her implementation of spinal manipulation, namely the Cox® Technic System of Spinal Pain Management, for a 77-year-old patient to decrease pain and better her muscle strength and function.