Extension of the spine: It’s good. It’s bad.
So what’s with extension for the spine?
Both are true: It is good. It is
bad. It’s the job of your Mandeville chiropractor to help you figure
out the role of extension for your Mandeville
back pain relief plan and Mandeville back pain control plan in the future.
Your Mandeville chiropractor at Mandeville Chiropractic 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 noticeable 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 often
permits the disc bulge to move off of the
nerve. Extension often permits the disc bulge to compress
the nerves more. Mandeville Chiropractic intends to help lessen
painful situations like this!
75% of the flexion and extension movement in the low back occurs
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 occurs
at these two lower disc levels. Here, degenerative disc disease (minor and more
advanced) happens 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. Mandeville chiropractic
patients need healthy extension!
Mandeville Chiropractic respects extension and understands
how it may benefit and hurt. The extensor muscles in the
back weaken and degenerate just like discs do. (1)
Extension helps strengthen these muscles to support the spine. Extension is necessary
for this when the spine is healthy enough to do extension. Extension to a painful spine may be
harmful. 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 produced pain. (3) Mandeville Chiropractic knows
the key to getting the benefits of extension is in recognizing
when to apply extension.
Mandeville CHIROPRACTIC USE OF EXTENSION
Mandeville chiropractic treatment integrates
extension into the Mandeville chiropractic treatment plan for its benefits.
Cox® Technic used with 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
Mandeville Chiropractic does for its Mandeville back pain
CONTACT Mandeville Chiropractic
Listen to this PODCAST with Dr. David Atiyeh on the Back
Doctor’s Podcast with Dr. Michael Johnson. He shares how he helped
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 Mandeville chiropractic appointment
with Mandeville Chiropractic today. Let’s discover
the role extension might play in your back pain recovery and future
back pain control plan.