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’s the job of your Millville chiropractor to help you decide the role of extension for your Millville
back pain relief plan and Millville back pain control plan getting
past the existing episode of back pain.
Your Millville chiropractor at Wilson Family 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 noticeable 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 presses
on the spinal nerves causing pain. Flexion usually
permits the disc bulge to get away from the
nerve. Extension often permits the disc bulge to press on
the nerves more. Wilson Family Chiropractic sets out 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% is at the
L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine occurs
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 takes place, and C4-C5 is where
most of the extension occurs. Millville chiropractic
patients need healthy extension!
Wilson Family Chiropractic respects extension and understands
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 essential
for this when the spine is healthy enough to do extension. Extension to a painful spine may hurt. 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 constricted the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened
the vertebral canal and relieved pain while extension worsened
the stenosis and produced pain. (3) Wilson Family Chiropractic knows
the key to eliciting the benefits of extension is in knowing
when to use extension.
Millville CHIROPRACTIC USE OF EXTENSION
Millville chiropractic treatment incorporates
extension into the Millville chiropractic treatment plan for its advantages.
Cox® Technic used with 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) Dropping intradiscal pressures and back pain is what
Wilson Family Chiropractic aims to do for its Millville back pain
CONTACT Wilson Family Chiropractic
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 Millville chiropractic appointment
with Wilson Family Chiropractic today. Let’s explore
the role extension might play in your back pain recovery and future
back pain control strategy.