QuestionI have been suffereing from dull,low-intensity low back pain 爏ince last 4 years.I have been doing all exercises,phyisothereapy etc etc ? nothing helped.The pain is of low intesity & on a scale of 10 I would say it to be 3.
The pain does not radiates to other body parts.
The pain aggaravates if I am stressed up or after prolonged driving(3-4 hrs) or may be by prolonged sitting.
I cannot think of any reason which brought this pain.
The MRI report says
"The Lumbar vertebrae shows normal marrow signal.There are minimal postero-central disc bulges at L4-L5 & L5-S1 levels without causing any significant thecal sac indentation or foraminal narrowing."
I can even send you MRI films if you would like to view them.
I would be highly indepted if you could help me out.
Thanks
Answer Hi Sapan,
It sounds like simple facet imbrication and annular fiber irritation from the disc bulges. The joints in your low back get "jammed" when sitting long periods of time, the disc when it bulges stresses the annular fibers that hold it together; both are easily treated and do not require surgical intervention.
One simple procedure is F/D.
Flexion-Distraction Therapy - What is it?
Flexion-Distraction, (F/D) is a gentle, chiropractic treatment procedure utilized for back and neck pain. Flexion-Distraction is a safe alternative to back surgery for those 95% of patients whose conditions do not demand surgical intervention. The doctor is in control of the treatment movements at all times.
Flexion-Distraction is utilized for many conditions such as:
Failed Back surgical Syndromes
Disc Herniation/Ruptured Disc / Bulging Disc / Herniated Disc
Sciatica / Leg pain
"Whiplash" injuries
Stenosis
Arm Pain
Neck Pain
Failed course of Steroid Injections
Chemical Radiculitis
Spondylolisthesis
Headache
Transitional segment
Many more conditions?
How does Flexion-Distraction Work?
For Disc related conditions:
Increases the intervertebral disc height to remove annular tension on the annular fibers and nerve by making more room and improving circulation.
Allows the nucleus pulposus, the center of the disc, to assume its central position within the annular fibers and relieves irritation of the spinal nerve.
Restores vertebral joints to their physiological relationships of motion.
Improves posture and locomotion while relieving pain, improving body functions, and creating a state of well-being.
For Non-Disc related conditions:
Patients with other conditions causing back pain (facet syndrome, spondylolisthesis, sprain/strain, scoliosis, transitional vertebra, sacroiliac restrictions and misalignment, certain types of spinal stenosis), Flexion/Distraction provides all of the above benefits plus the ability to place the spinal joints into normal, painless movements so as to restore spinal motion without pain:
The posterior disc space increases in height.
F/D decreases disc protrusion and reduces stenosis.
Flexion stretches the ligamentum flavum to reduce stenosis.
Flexion opens the vertebral canal by 2 mm (16%) or 3.5 to 6mm more than extension.
Flexion increases metabolite transport into the disc.
Flexion opens the apophyseal joints and reduces posterior disc stress
The nucleus pulposus does not move on flexion. Intradiscal pressure drops under distraction to below 100mm Hg. On extension the nucleus or annulus is seen to protrude posterior into the vertebral canal.
Intervertebral foraminal openings enlarge giving patency to the nerve.
Reference: Cox JM, Feller JA, Cox-Cid JA: Topics in clinical Chiropractic 1996; 3(3):45-59
Call around and find a D.C. that has these tables, you should be pain free in a week or two.
Physio or physical therapy will not help you, it may even aggravate the condition, especially physical therapy.
If you need help finding a physician in your area that has this equipment, let me know and I will find you one.
Good Lick!
Dr. Timothy K. Durnin
drs.chiroweb.com
