Extension of the spine: It is good. It’s bad.
So what’s with spinal extension?
Both are accurate: It’s good. It’s
is the job of your San Jose chiropractor to help you establish the role of extension in your San Jose
back pain relief plan and San Jose back pain control plan getting
past the existing episode of back pain.
Your San Jose chiropractor at Chiropractic Solutions is well versed
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 inwardly.
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
allows the disc bulge to move off of the
nerve. Extension often allows the disc bulge to press on
the nerves more. Chiropractic Solutions 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% is at the
L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine occurs
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 occurs, and C4-C5 is where
most of the extension occurs. San Jose chiropractic
patients need healthy extension!
Chiropractic Solutions respects extension and understands
how it may benefit 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 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 increased the disc protrusion and constricted the vertebral canal causing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened
the vertebral canal and relieved pain while extension exacerbated
the stenosis and produced pain. (3) Chiropractic Solutions knows
the key to eliciting the benefits of extension is in recognizing
when to use extension.
San Jose CHIROPRACTIC USE OF EXTENSION
San Jose chiropractic treatment incorporates
extension into the San Jose 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 increased pressures in the lumbar
spine to 1250 mmHg (the most the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Chiropractic Solutions aims to do for its San Jose back pain
CONTACT Chiropractic Solutions
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 gives her relief
as the table is flexed not extended.
Schedule your San Jose chiropractic appointment
with Chiropractic Solutions today. Let us explore
the role extension might have in your back pain recovery and future
back pain control strategy.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I