Extension of the spine: It’s beneficial. It’s harmful.
So what is up with spinal extension?
Both are true: It’s good. It’s
is the job of your Plainville chiropractor to help you decide the role of extension in your Plainville
back pain relief plan and Plainville back pain control plan getting
past the present episode of back pain.
Your Plainville chiropractor at Layden 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 noticeable 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. Layden Chiropractic wants to help lessen
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 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 occurs, and C4-C5 is where
most of the extension occurs. Plainville chiropractic
patients need beneficial extension!
Layden Chiropractic respects extension and gets
how it may help and harm. The extensor muscles in the
back weaken and degenerate just as discs degenerate. (1)
Extension helps strengthen these muscles to support the spine. Extension is necessary
for this when the spine is healthy enough to do extension. Extension to a painful spine may hurt. 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 constricted the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened
the vertebral canal and reduced pain while extension exacerbated
the stenosis and produced pain. (3) Layden Chiropractic understands
the key to getting the benefits of extension is in knowing
when to use extension.
Plainville CHIROPRACTIC USE OF EXTENSION
Plainville chiropractic treatment integrates
extension into the Plainville 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
Layden Chiropractic does for its Plainville back pain
CONTACT Layden 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 continues after multiple back
surgeries with flexion distraction which relieves her pain
as the table is flexed not extended.
Schedule your Plainville chiropractic appointment
with Layden Chiropractic today. Let’s discover
the role extension might play in your back pain recovery and future
back pain control plan.