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|Back Pain and Leg Pain
|Much more commonly, when lower back pain is accompanied by radiating pain, the radiating pain only travels into the buttock and thigh, and doesn't travel below the knee.
And, most commonly, the thigh pain is found in the back of the thigh, rather than in the front of the leg.
Most of the time, this radiating pain does NOT come from a herniated disc, and does NOT mean the problem is sciatica (caused by an inflamed sciatic nerve, likely caused by a disc herniation).
This type of pain that travels into the buttock and the back of the thigh is usually caused by mechanical changes in the sacroiliac joint and the spinal joints of the lower back. These mechanical changes relate to tight spinal muscles and inflamed spinal ligaments and tendons, with resulting loss of full mobility.
The good news is such problems are treatable with chiropractic health care. The underlying problems are structural, related to the joints and surrounding soft tissues, and chiropractic treatment is designed to restore balance and function. Symptoms typically begin to improve quickly.
In addition to treatment, your chiropractor will likely recommend stretches and exercises to help solve the problem and maintain physical health.
First of all, a little basic anatomy is useful. Spinal discs are weight-bearing shock absorbers. They contain a gel-like ball-bearing center, which is surrounded by tough fibrous cartilage, arranged in concentric, criss-crossing circles.1
As a person gets older, the discs naturally lose some of their water content, and cracks and fissures naturally develop in the fibrous cartilage. If a weight-bearing stress is unusual and unexpected, the gel-like material in the center of the disc can push through one of the fissures and possibly irritate a spinal nerve.
If enough of this material pushes through, the nerve can become inflamed and cause symptoms such as radiating pain and/or numbness, and possibly weakness, in one leg.
Typically, such pain and/or numbness radiates down the leg, traveling below the knee and possibly into the foot.
Such symptoms, with or without back pain, are highly suggestive of an inflamed spinal nerve. In fact, the person will usually say the leg symptoms are much worse and of greater concern than any back pain that may be present.
If the MRI confirms the disc herniation and suggests an inflamed nerve, the diagnosis is complete. What's next?
In the best scenario, conservative treatment may be sufficient and the nerve inflammation improves with time.2,3 Anti-inflammatory medication may be helpful. Chiropractic conservative therapy may include physical therapeutic modalities and gentle trigger point therapy to relieve associated muscle spasms.
A spinal surgeon should be consulted to provide an additional opinion and input. If pain is severe and there is neurologic loss, surgery may be the best option.
Of course, the best management, as always, is prevention. Pay attention to safe lifting procedures. Exercise regularly and get sufficient rest. Your chiropractor will be able to provide guidance and recommend effective protocols to help you achieve and maintain good health and wellness.
1Postacchini F: Lumbar Disc Herniation. Springer, 2004, Chapter 2.
2Rothoerl RD, et al: When should conservative treatment for lumbar disc herniation be ceased and surgery considered? Neurosurg Rev 25(3):162-165, 2002.
3Lumbar Disc Herniation. New Engl J Med 347(21):1728-1729, 2002.
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|Tuesday||9 am||1 pm|
|Wednesday||11 am||6 pm|
|Thursday||11 am||6 pm|
|Friday||9 am||1 pm|
|11 am||9 am||11 am||11 am||9 am||Closed||Closed|
|6 pm||1 pm||6 pm||6 pm||1 pm||Closed||Closed|
I was referred to Heartwood Holistic by some friends. Their exact words were, "Dr. Drew is amazing! And Debbie at the front desk is wonderful!" They were right! At most doctor's offices you go in for the initial visit and fill out pages of paper work only to be asked those questions again once you get seen by the physician. Not so here. Dr. Drew zeroed in on what was ailing me and presented a plan of action by the end of my first visit. I've been a regular and don't plan on changing up anytime soon. I look forward to my visits there 1.) for the relief 2.) the staff. Everyone is so friendly and they actually care about your wellness. Alexis is a special treat! She is very committed to her craft and just a wonderful person. Ask her for the Moxa and just relax on her amethyst heating pad. Dreamy!! You can't go wrong here. Looking forward to my Rolfing session with Aaron. Thank you, HHH family!
Ashley D, August 2017
I am so thrilled to have come across this little gem of a place! I had the pleasure of meeting this beautiful couple this past week and was able to get in to the clinic for a chiropractic adjustment. I currently live about an hour away from the wellness center, but I'll be making the drive just to see them for my health needs. Dr. Drew was so attentive and thorough. He really listened to me and we discussed what I was accustomed to as far as treatment goes. He takes careful time with each client and truly cares about your health. After 15 years of visiting many different chiropractic doctors, I can quickly get a read on the type of care I'll receive. I immediately felt at ease and confident with him. I was able to chat with his lovely wife, Alexis, as well and am anxious to set up an appointment with her. This is no ordinary wellness center. They offer so many options for treating a vast amount of health challenges. They see and treat the body as a whole, which is the only way to find true health.
Kari P, February 2017