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Nashua Chiropractic Treatment of Back Pain and Related Fatty Infiltration of Paraspinal Muscles

April 18, 2023

No doubt, our Nashua chronic back pain sufferers have read about related paraspinal (multifidus, psoas, quadratus lumborum, erector spinae) muscle fatty infiltrate. These are all tied together: fatty muscle infiltration, disc degeneration, spinal stenosis, facet joint degeneration, back pain. Moriarty Chiropractic addresses all of them, too, to reduce back pain, improve the spine, and improve your quality of life.


Paraspinal muscle fatty infiltrate is an accumulation of fat within the tissue of the muscles found near the spine, the paraspinal muscles. This condition may be triggered by aging or genetics although it can also be triggered by lifestyle factors like poor nutrition or little to no exercise. This condition does not always trigger symptoms, but if it does, they can involve low back pain and related stiffness in the lower back and legs or troubled walking because of gait disturbances. Intervertebral disc degeneration is a well-known culprit of chronic back pain, disc inflammation, and even spinal stability. Strong, well-functioning paraspinal muscles assist spinal stability. With back pain comes fatty infiltration of the paraspinal muscles that interfere with that. (1) Moriarty Chiropractic tests for these issues carefully during the chiropractic examination with an appreciation for the potential connection.


A recent study summarized that disc degeneration and paraspinal muscle weakness were strongly associated, facet joint degeneration and paraspinal muscle weakness were weakly associated, and facet joint degeneration and disc degeneration were strongly associated. The authors noted that the extent of paraspinal muscle weakness intensified with amount of lumbar disc degeneration and facet joint degeneration while fatty infiltration of the multifidus paraspinal muscle was susceptible to weight. (2) Further, the published literature on the degree to which low back pain and fatty infiltration of multifidus and other paraspinal muscles (erector spinae, psoas, quadratus lumborum) influenced each other was somewhat conflicting – which comes first (pain or fatty infiltrate), can fatty infiltrate be fixed, is one predictive of the other (back pain that there is fatty infiltrate or fatty infiltrate that indicates imminent back pain)? (3) Moriarty Chiropractic keeps abreast of published research and urges our back pain patients to bolster the muscles that they can so that they can support the spine in healing and preventing more episodes of pain as best as possible.


Moriarty Chiropractic realizes that low back pain patients don’t just experience pain; they also get to endure muscle quality loss due to more fatty infiltration of the paraspinal muscles. The extent of muscle loss is highly correlated with the severity of the back pain and related dysfunction. (4) That is the reason that exercise is so crucial alongside treatment of back pain for pain relief and prevention. Implementing The Cox Technic System of Spinal Pain Management in addition to other chiropractic services, nutrition and exercise, Moriarty Chiropractic is here to help! While researchers are still analyzing whether fatty infiltration is changeable, Moriarty Chiropractic sees the effort to tone and strengthen a worthy effort.

Listen to this PODCAST with Dr.  Kurt Olding on The Back Doctors Podcast with Dr. Michael Johnson as he details the multitude of options open to back pain sufferers when it comes to healthcare providers and emphasizes the benefit of seeking a chiropractor trained in the protocols of The Cox® Technic System of Spinal Pain Management.

CONTACT Moriarty Chiropractic

Schedule your Nashua chiropractic visit to address your back pain and weakened paraspinal muscles. Relief and  an enhanced quality of life are in your future!

Nashua back paraspinal muscles