Extension of the spine: It’s good. It
So what is up with extension for the spine?
Both are true: It’s valuable. It is harmful. It
is the job of your Tarrytown chiropractor to help you determine the role of extension for your Tarrytown
back pain relief plan and Tarrytown back pain control plan in the future.
Your Tarrytown chiropractor at Tarrytown Chiropractic 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 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 presses
on the spinal nerves causing pain. Flexion usually
allows the disc bulge to get away from the
nerve. Extension often permits the disc bulge to press on
the nerves more. Tarrytown Chiropractic intends to help lessen
painful situations like this!
75% of the flexion and extension movement in the low back happens
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) 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. Tarrytown chiropractic
patients need beneficial extension!
Tarrytown Chiropractic respects extension and gets
how it may help and hurt. The extensor muscles in the
back weaken and degenerate just as discs do. (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 decreased disc
protrusion and maximizes 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) Tarrytown Chiropractic knows
the key to eliciting the benefits of extension is in knowing
when to use extension.
Tarrytown CHIROPRACTIC USE OF EXTENSION
Tarrytown chiropractic treatment integrates
extension into the Tarrytown 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
Tarrytown Chiropractic aims to do for its Tarrytown back pain
CONTACT Tarrytown 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 Tarrytown chiropractic appointment
with Tarrytown Chiropractic today. Let’s figure out
the role extension might have in your back pain recovery and future
back pain control plan.