The spine is maintained by several muscles. Back pain and degenerative spine conditions impact those muscles. Chiropractors like yours at Moriarty Chiropractic deal with both the degenerative spinal pain condition as well as the associated degenerated spine muscles. Nashua chiropractic back pain treatment plans incorporate pain-relieving approaches for both the spine and its musculature.
BACK PAIN AND MUSCLES’ RESPONSES
Back pain impacts back muscles. Different Nashua back pain conditions impact different Nashua back muscles, too. Paraspinal muscles exhibit different responses to spinal degenerative conditions. Alterations in the lumbar spine paraspinal muscles of low back pain patients have been detailed. Wasting 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 report on 78 patients with either degenerative lumbar spondylolisthesis or degenerative lumbar kyphosis, researchers described these degenerative muscle patterns. The multifidus muscle is described as the stabilizer of the lumbar spine segments while the erector spinae muscles are usually seen 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 connected to the severity of spinal kyphosis curvature. (2) Continuous chronic low back pain patients as compared to non-continuous and recurrent low back pain sufferers were documented to have greater EMG activity in erector spinae and multifidus muscles in extension. (3) Your Nashua chiropractor at Moriarty Chiropractic pays close attention to these variations.
BACK PAIN AND BACK MUSCLES: STABILITY
Moriarty Chiropractic also notes back pain and muscle response on spinal stability. Researchers stated that chronic low back pain impairs spinal stability of its sufferers. In examining the activation patterns of the latissimus dorsi, gluteus maximus, and upward scapular rotation muscles of chronic LBP patients, researchers found a significant rise in upward scapular rotation in all shoulder abduction positions on both sides. The left side was more affected than the right. Further, they found increased latissimus dorsi muscle activities and reduced gluteus maximus activities in chronic low back pain. (4) Spinal manipulation is described as stimulating transient physiological responses of which paraspinal muscle activity and muscle spindle responses are included. (5) Your Nashua chiropractor will keep these in mind when treating your spine as well as in designing exercises to address weaknesses.
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Listen to this PODCAST with Dr. Paulette Hugulet on The Back Doctors Podcast with Dr. Michael Johnson. She describes 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.