Extension of the spine: It’s good. It
So what’s with spinal extension?
Both are true: It’s good. It’s
bad. It’s the job of your Largo chiropractor to help you establish the role of extension for your Largo
back pain relief plan and Largo back pain control plan in the future.
Your Largo chiropractor at Hollstrom & Associates Inc is well experienced
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 presses
on the spinal nerves causing pain. Flexion usually
permits the disc bulge to get away from the
nerve. Extension often allows the disc bulge to compress
the nerves more. Hollstrom & Associates Inc sets out to help reduce
painful situations like this!
75% of the flexion and extension movement in the low back happens
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) occurs most. In the cervical spine, C5-C6 is the spinal
level where most of the flexion takes place, and C4-C5 is where
most of the extension occurs. Largo chiropractic
patients need healthy extension!
Hollstrom & Associates Inc respects extension and understands
how it may benefit and hurt. 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 perform extension. Extension to a painful spine may be
harmful. Why? In the cervical spine, flexion reduced disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension increased the disc protrusion and constricted the vertebral canal producing
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) Hollstrom & Associates Inc knows
the key to eliciting the benefits of extension is in recognizing
when to apply extension.
Largo CHIROPRACTIC USE OF EXTENSION
Largo chiropractic treatment integrates
extension into the Largo 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 escalated pressures in the lumbar
spine to 1250 mmHg (the most the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Hollstrom & Associates Inc aims to do for its Largo back pain
CONTACT Hollstrom & Associates Inc
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 relieves her pain
as the table is flexed not extended.
Schedule your Largo chiropractic appointment
with Hollstrom & Associates Inc today. Let’s figure out
the role extension might have in your back pain recovery and future
back pain control strategy.