Understanding Chiropractic Spinal Manipulation for Back Pain

Chiropractic care involving spinal manipulation is a type of manual therapy for back pain. The procedure involves the movement of synovial joints in the back. Any joint in the back may be treated by spinal manipulation. Spinal manipulation may also be referred to as an adjustment. The procedure is carried out primarily by chiropractors and osteopaths. The procedure is performed to relieve back pain and increase range of motion. Adjustments are performed to bring the vertebrae into alignment and aid in healing. The theory behind spinal manipulation is that the structure of the spine affects its functioning.

In order to figure out what could be causing your back problems, a chiropractor will look at your spine from top to bottom. While you may have localized pain, such as pain just in the lower portion of your back, other parts of your back could be affected and/or could provide clues to the cause of the problem. He will begin by looking at your neck (also known as your cervical spine) and then move down to your mid-back (thoracic spine) and finally end at your lumbar spine, which is your lower back region. The chiropractor will be on the look out for areas where your joints do not move as nature intended. He will also be watching for any signs of injury to the discs or ligaments and any spasms in the muscles. He will also want to observe you as stand in place and as you walk.

Chiropractic care serves to make sure that the spine is moving as it was meant to. A lack of movement can contribute to back pain and can reach even further to cause problems with muscles, joints, ligaments and nerve endings. Lower back problems in particular can often be improved upon by seeking out chiropractic care. Chiropractors can help with back sprain injuries, facet joint sprains, sacroiliac sprains, spinal joint restriction syndromes, spinal stenosis and lumbar disc injuries (that are not serious enough to require surgery). As well, there are certain kinds of chronic back pain that respond well to chiropractic treatments.

There is no definitive explanation for the reported beneficial effects of spinal manipulation. Various explanations have been suggested: 1) The procedure releases entrapped synovial folds; 2) Manipulation relaxes hypertonic muscles; 3) The procedure disrupts adhesions in or around the joint; 4) Manipulation realigns displaced segments; and 5) Manipulation repositions structures within the joint.

The effectiveness of spinal manipulation in relieving back pain is a controversial subject. The treatment seems to help some people with low lack pain not associated with a referred pain pattern. However, spinal manipulation does not help all individuals with back pain. Spinal manipulation is most likely to have a beneficial effect on acute and recurrent lower back pain if administered within the first 6 weeks of onset. Within this time frame, spinal manipulation appears to improve pain and increase mobility. There is no conclusive evidence showing that spinal manipulation is effective in treating chronic lower back pain. Spinal manipulation has also not been found to be effective in the treatment of nerve root conditions.

It is possible for your spine to need an adjustment without you even knowing it. Visiting a chiropractor can be a way to relieve pain and discomfort in the back because of restrictions that exist in the many joints that make up the spine.

Chiropractic spinal manipulation is a popular form of back pain management because it’s natural. Other ways to treat back pain without resorting to medication and surgery include the use of a back stretching device, which extends the spine in order to relieve compression.