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Montreal Chiropractic Care Respects Spinal Extension

Extension of the spine: It’s good. It is bad. So what’s with spinal extension? Both are true: It’s good. It’s bad. It’s the job of your Montreal chiropractor to help you figure out the role of extension in your Montreal back pain relief plan and Montreal back pain control plan moving past the present episode of back pain. Your Montreal chiropractor at Dr. Hoang's Chiropractic Clinic is well versed in the effects – good and bad – of spinal extension and respects its role in spinal health and mobility.

SPINAL CURVES

Two of the spine’s most prominent curves – the cervical and lumbar curves – are lordotic curves meaning they curve concavely. 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 move off of the nerve. Extension often allows the disc bulge to press on the nerves more. Dr. Hoang's Chiropractic Clinic sets out to help lessen painful situations like this!

SPINAL MOTION

75% of the flexion and extension movement in the low back occurs 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 occurs, and C4-C5 is where most of the extension takes place. Montreal chiropractic patients need healthy extension!

SPINAL EXTENSION

Dr. Hoang's Chiropractic Clinic respects extension and understands how it may help and harm. The extensor muscles in the back weaken and degenerate just as discs degenerate. (1) Extension helps strengthen these muscles to support the spine. Extension is essential 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 reduced disc protrusion and enlarges 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 relieved pain while extension exacerbated the stenosis and caused pain. (3) Dr. Hoang's Chiropractic Clinic understands the key to getting the benefits of extension is in knowing when to apply extension.

Montreal CHIROPRACTIC USE OF EXTENSION

Montreal chiropractic treatment incorporates extension into the Montreal chiropractic treatment plan for its advantages. Cox® Technic applied to 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 most the transducer could measure). (4) Reducing intradiscal pressures and back pain is what Dr. Hoang's Chiropractic Clinic does for its Montreal back pain patients.

CONTACT Dr. Hoang's Chiropractic Clinic

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 relieves her pain as the table is flexed not extended.

Schedule your Montreal chiropractic appointment with Dr. Hoang's Chiropractic Clinic today. Let’s explore the role extension might play in your back pain recovery and future back pain control strategy.

 Dr. Hoang's Chiropractic Clinic knows the role of extension in spinal motion, its necessity, its benefits and potential harmful effects.  
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