The spine is supported by several
muscles. Back pain and degenerative spine conditions affect
those muscles. Chiropractors like yours at Dr. Hoang's Chiropractic Clinic address
both the degenerative spinal pain condition and the related
degenerated spine muscles. Montreal chiropractic back pain treatment
plans incorporate pain-relieving methods for
both the spine and its musculature.
BACK PAIN AND MUSCLES’ RESPONSES
Back pain alters back muscles.
Different Montreal back pain conditions affect
different Montreal back muscles, too. Paraspinal muscles show
different responses to spinal degenerative conditions. Changes
in the lumbar spine paraspinal muscles of low back pain patients have been described.
Atrophy of the multifidus muscles in patients with back pain,
lumbar radiculopathy, and lumbar degenerative kyphosis are particularly
documented. Intensified fat infiltration of the
multifidus muscle is also present in patients with lumbar
radiculopathy and lumbar degenerative kyphosis. (1) In a study of
78 patients with either degenerative lumbar spondylolisthesis or degenerative
lumbar kyphosis, researchers documented these degenerative
muscle patterns. The multifidus muscle is explained as the
stabilizer of the lumbar spine segments while the erector spinae muscles are
usually referred to as the stabilizers of spinal
sagittal balance. Multifidus muscle degeneration was more significant in the patients
with degenerative lumbar spondylolisthesis. Erector spinae degeneration was more
significant in the degenerative lumbar kyphosis patients as well as more closely
correlated with the severity of spinal kyphosis curvature.
(2) Continuous chronic low back pain sufferers as contrasted
with non-continuous and recurrent low back pain sufferers were documented
to have higher EMG activity in erector spinae and multifidus
muscles in extension. (3) Your Montreal chiropractor at
Dr. Hoang's Chiropractic Clinic takes great care in addressing
these variations.
BACK PAIN AND BACK MUSCLES: STABILITY
Dr. Hoang's Chiropractic Clinic also notes back pain and muscle response on spinal stability. Researchers explained that chronic low back
pain impairs spinal stability of its sufferers. In looking at
the activation patterns of the latissimus dorsi, gluteus maximus, and upward
scapular rotation muscles of chronic LBP patients, researchers documented
a significant increase in upward scapular rotation in all shoulder
abduction positions on both sides. The left side was more significant
than the right. Further, they found greater latissimus dorsi
muscle activities and reduced gluteus maximus activities in
chronic low back pain. (4) Spinal manipulation is explained as stimulating
transient physiological responses of which paraspinal muscle activity and muscle
spindle responses are included. (5) Your Montreal
chiropractor will carefully note these responses when
treating your spine as well as in setting exercises to address
weaknesses.
CONTACT Dr. Hoang's Chiropractic Clinic
Listen to this PODCAST
with Dr. Paulette Hugulet on The
Back Doctors Podcast with Dr. Michael Johnson. She discusses
her implementation of spinal manipulation, namely the Cox® Technic System of Spinal Pain
Management, for a 77-year-old patient to decrease pain and better
her muscle strength and function.
"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."