QuestionHello Dr. Kulla,
I have scoliosis in my lower back which brings me some lower back pain, but the majority of the pain I have is in the lower buttock area and hip region. I usually experience pain when I lay down to sleep. When I get adjusted by my chiropractor, she usually focuses on the tailbone and I think the #4 & #5 vertebrae of the spine. It's been about 10 days after my last adjustment, which was particularly in depth, and I have numbness in my lower back. I feel it mostly at night when I try to lay on my side but also sometimes when I'm sitting.
I follow most of the recommendations for people with back pain - I have a memory foam mattress, sleep with a pillow between my legs & generally try to follow a good posture during the day (no crossing the legs, etc.) I do stretches at night that she taught me - sometimes they work, sometimes they don't. Can you tell me - what do you think this numbness is that I'm feeling? Are they a sign of something serious? Are there any stretches I can do that work to alleviate numbness?
A problem I have with being adjusted - my chiropractor always asks me how my adjustment feels after she's adjusted me. Since my pain really doesn't show itself until I go to bed at night & since I'm always sore for a few days after an adjustment, I can't tell if the adjustment "took" or not until maybe 2 or 3 days later. If it didn't take, I'm back off to the doctor for another adjustment, which will take another 3 days to determine if it worked. I can't afford to go to the doctor every time the adjustment doesn't take so I'm also looking for guidance on additional things I can do at home.
Answerfirst off, i had scoliosis as a child. It is of utmost importance to straighten your scoliosis curve. If you don't you will see your spine degenerate at a quicker pace as you age. Chiropractic and a mix of physical therapy, exercises and stretching is the only way to do achieve this. This could take years and there is no guarantee it will be straightened 100%.
I feel your chiropractor may want to use a different technique on you. Such as; thompson technique or activator. you should not be sore for 3 days after an adjustment. you need a technique that is gentle. you need to do stretches that mirror image or reverse your curve, not just any stretches from a book.
the numbness comes from a pinched nerve at L4, L5. those nerves go to a control the muscles of your lower back. If things do not clear up or numbness continues into the buttocks or legs, you may want to get an mri to rule out disc herniation or bulge.
there are no stretches specifically to help with the numbness, but you need to continue stretching to straighten your scoliosis.
stretching will help you hold your adjustments longer.
another suggestion: why do you have scoliosis? is it postural, idiopathic, or due to a short leg? the true short leg is a very common cause and can only be determined by taking a anterior to posterior pelvic xray. then the top of the femur head (leg bone) should be read to see if you developed a short leg. if the short leg is on the side of the scoliosis curve then that is the cause and a heel lift may be very helpful for you.
a few other options would be to take boswellia root to reduce inflammation for a few weeks or an over the counter anti inflammatory.
and last if no results try cold laser therapy to reduce inflammation.
i am a specialist when it comes to scoliosis. I cannot stress enough that you need to be proactive with your approach to scoliosis and focus on correction , otherwise you will pay the price later in life and that numbness could turn into pain.