Extension of the spine: It is good. It’s bad.
So what’s with spinal extension?
Both are true: It is valuable. It’s harmful. It’s the job of your Murfreesboro chiropractor to help you figure
out the role of extension in your Murfreesboro
back pain relief plan and Murfreesboro back pain control plan in the future.
Your Murfreesboro chiropractor at Most Chiropractic Clinic is well trained
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
permits the disc bulge to get away from the
nerve. Extension often allows the disc bulge to compress
the nerves more. Most Chiropractic Clinic intends to help reduce
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% is 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 occurs, and C4-C5 is where
most of the extension occurs. Murfreesboro chiropractic
patients need beneficial extension!
Most Chiropractic Clinic 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 perform extension. Extension to a painful spine may be
harmful. Why? In the cervical spine, flexion decreased 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 widened
the vertebral canal and reduced pain while extension exacerbated
the stenosis and caused pain. (3) Most Chiropractic Clinic knows
the key to eliciting the benefits of extension is in recognizing
when to use extension.
Murfreesboro CHIROPRACTIC USE OF EXTENSION
Murfreesboro chiropractic treatment integrates
extension into the Murfreesboro chiropractic treatment plan for its advantages.
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 escalated pressures in the lumbar
spine to 1250 mmHg (the highest amount the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Most Chiropractic Clinic aims to do for its Murfreesboro back pain
CONTACT Most Chiropractic Clinic
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 continues after multiple back
surgeries with flexion distraction which relieves her pain
as the table is flexed not extended.
Schedule your Murfreesboro chiropractic appointment
with Most Chiropractic Clinic today. Let’s figure out
the role extension might play in your back pain recovery and future
back pain control plan.