Extension of the spine: It’s good. It
So what is up with extension for the spine?
Both are accurate: It’s beneficial. It’s harmful. It’s the job of your Paramus chiropractor to help you determine the role of extension in your Paramus
back pain relief plan and Paramus back pain control plan in the future.
Your Paramus chiropractor at Paramus Medical & Sports Rehabilitation Center is well versed
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 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 causing pain. Flexion usually
allows the disc bulge to move off of the
nerve. Extension often permits the disc bulge to press on
the nerves more. Paramus Medical & Sports Rehabilitation Center wants to help lessen
painful situations like this!
75% of the flexion and extension movement in the low back is
at the L5-S1 level of the lumbar spine. 20% occurs 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) happens 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 occurs. Paramus chiropractic
patients need beneficial extension!
Paramus Medical & Sports Rehabilitation Center respects extension and gets
how it may help and hurt. The extensor muscles in the
back weaken and degenerate just like 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 hurt. Why? In the cervical spine, flexion decreased disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and narrowed the vertebral canal causing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened
the vertebral canal and relieved pain while extension exacerbated
the stenosis and triggered pain. (3) Paramus Medical & Sports Rehabilitation Center knows
the key to eliciting the benefits of extension is in recognizing
when to apply extension.
Paramus CHIROPRACTIC USE OF EXTENSION
Paramus chiropractic treatment integrates
extension into the Paramus chiropractic treatment plan for its advantages.
Cox® Technic applied to the cervical spine reduced
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 highest amount the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Paramus Medical & Sports Rehabilitation Center aims to do for its Paramus back pain
CONTACT Paramus Medical & Sports Rehabilitation Center
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 Paramus chiropractic appointment
with Paramus Medical & Sports Rehabilitation Center today. Let us discover
the role extension might have in your back pain recovery and future
back pain control strategy.