Extension of the spine: It is beneficial. It is harmful.
So what’s with spinal extension?
Both are true: It’s good. It is
is the job of your Oxford chiropractor to help you determine the role of extension in your Oxford
back pain relief plan and Oxford back pain control plan moving
past the existing episode of back pain.
Your Oxford chiropractor at Satterwhite Chiropractic is well versed
in the effects – good and bad – of spinal extension and respects its role in spinal
health and mobility.
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 resulting in pain. Flexion usually
allows the disc bulge to get away from the
nerve. Extension often allows the disc bulge to compress
the nerves more. Satterwhite Chiropractic wants to help decrease
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% happens 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 takes place. Oxford chiropractic
patients need beneficial extension!
Satterwhite Chiropractic respects extension and gets
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 essential
for this when the spine is healthy enough to perform extension. Extension to a painful spine may hurt. Why? In the cervical spine, flexion decreased disc
protrusion and maximizes 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 opened
the vertebral canal and relieved pain while extension exacerbated
the stenosis and triggered pain. (3) Satterwhite Chiropractic understands
the key to getting the benefits of extension is in recognizing
when to use extension.
Oxford CHIROPRACTIC USE OF EXTENSION
Oxford chiropractic treatment integrates
extension into the Oxford chiropractic treatment plan for its benefits.
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 highest amount the transducer could measure).
(4) Dropping intradiscal pressures and back pain is what
Satterwhite Chiropractic does for its Oxford back pain
CONTACT Satterwhite Chiropractic
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 Oxford chiropractic appointment
with Satterwhite Chiropractic today. Let’s discover
the role extension might play in your back pain recovery and future
back pain control strategy.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I