Extension of the spine: It is good. It’s bad.
So what is up with extension for the spine?
Both are accurate: It’s beneficial. It is harmful. It’s the job of your West Palm Beach chiropractor to help you establish the role of extension in your West Palm Beach
back pain relief plan and West Palm Beach back pain control plan in the future.
Your West Palm Beach chiropractor at Moses 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 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 usually
allows the disc bulge to move off of the
nerve. Extension often allows the disc bulge to press on
the nerves more. Moses Chiropractic wants 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 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 takes place, and C4-C5 is where
most of the extension occurs. West Palm Beach chiropractic
patients need beneficial extension!
Moses Chiropractic respects extension and gets
how it may help and hurt. 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 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 reduced disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension increased the disc protrusion and narrowed the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened
the vertebral canal and reduced pain while extension exacerbated
the stenosis and triggered pain. (3) Moses Chiropractic understands
the key to getting the benefits of extension is in knowing
when to apply extension.
West Palm Beach CHIROPRACTIC USE OF EXTENSION
West Palm Beach chiropractic treatment integrates
extension into the West Palm Beach chiropractic treatment plan for its benefits.
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 most the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Moses Chiropractic does for its West Palm Beach back pain
CONTACT Moses Chiropractic
Listen to this PODCAST with Dr. David Atiyeh on the Back
Doctor’s Podcast with Dr. Michael Johnson. He shares how he cared for
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 West Palm Beach chiropractic appointment
with Moses Chiropractic today. Let us discover
the role extension might play in your back pain recovery and future
back pain control plan.