Extension of the spine: It is beneficial. 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 St. Francisville chiropractor to help you determine the role of extension for your St. Francisville
back pain relief plan and St. Francisville back pain control plan in the future.
Your St. Francisville chiropractor at Family & Sports Chiropractic of St. Francisville is well trained
in the effects – good and bad – of spinal extension and respects its role in spinal
health and mobility.
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 usually
permits the disc bulge to move off of the
nerve. Extension often permits the disc bulge to compress
the nerves more. Family & Sports Chiropractic of St. Francisville wants to help decrease
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 occurs
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 occurs, and C4-C5 is where
most of the extension occurs. St. Francisville chiropractic
patients need healthy extension!
Family & Sports Chiropractic of St. Francisville respects extension and understands
how it may benefit and harm. The extensor muscles in the
back weaken and degenerate just as discs do. (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 hurt. 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 narrowed the vertebral canal causing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened
the vertebral canal and relieved pain while extension worsened
the stenosis and triggered pain. (3) Family & Sports Chiropractic of St. Francisville knows
the key to eliciting the benefits of extension is in recognizing
when to apply extension.
St. Francisville CHIROPRACTIC USE OF EXTENSION
St. Francisville chiropractic treatment incorporates
extension into the St. Francisville chiropractic treatment plan for its advantages.
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 increased pressures in the lumbar
spine to 1250 mmHg (the most the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Family & Sports Chiropractic of St. Francisville does for its St. Francisville back pain
CONTACT Family & Sports Chiropractic of St. Francisville
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 St. Francisville chiropractic appointment
with Family & Sports Chiropractic of St. Francisville today. Let us explore
the role extension might play in your back pain recovery and future
back pain control strategy.