Extension of the spine: It’s valuable. It is harmful.
So what’s with extension for the spine?
Both are true: It’s valuable. It is harmful. It
is the job of your Severna Park chiropractor to help you figure
out the role of extension for your Severna Park
back pain relief plan and Severna Park back pain control plan moving
past the current episode of back pain.
Your Severna Park chiropractor at Back And Neck Care Center is well trained
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 pushes
on the spinal nerves resulting in pain. Flexion often
permits the disc bulge to get away from the
nerve. Extension often permits the disc bulge to compress
the nerves more. Back And Neck Care Center 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% occurs 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. Severna Park chiropractic
patients need healthy extension!
Back And Neck Care Center respects extension and understands
how it may help and hurt. The extensor muscles in the
back weaken and degenerate just like discs degenerate. (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 be
harmful. Why? In the cervical spine, flexion reduced disc
protrusion and maximizes the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and constricted the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened
the vertebral canal and reduced pain while extension worsened
the stenosis and caused pain. (3) Back And Neck Care Center understands
the key to eliciting the benefits of extension is in knowing
when to use extension.
Severna Park CHIROPRACTIC USE OF EXTENSION
Severna Park chiropractic treatment incorporates
extension into the Severna Park chiropractic treatment plan for its advantages.
Cox® Technic used with the cervical spine dropped
intradiscal pressures to as low as 502 mmHg (4) and to as low as -192 mmHg in
the lumbar spine. (5) Extension increased pressures in the lumbar
spine to 1250 mmHg (the highest amount the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Back And Neck Care Center does for its Severna Park back pain
CONTACT Back And Neck Care Center
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 persists after multiple back
surgeries with flexion distraction which gives her relief
as the table is flexed not extended.
Schedule your Severna Park chiropractic appointment
with Back And Neck Care Center today. Let us discover
the role extension might have in your back pain recovery and future
back pain control strategy.