The Spinal Column

Piedmont Chiropractic

Avoiding Chronic Low back pain

How can I avoid chronic low back pain?
In our office we focus not only on treating your pain but also in giving you the tools to manage the condition.  Regular adjustments and massage therapy are great tools but stretches and strengthening exercises can be done at home to prevent chronic pains.
Massage and isolating muscles help increase body awareness.  Ask Dr. Parks or one of our licensed massage therapists to demonstrate proper exercise protocols to restore normal activation of supportive muscles to eliminate back pain.

 Isolating the transverse abdominis
 
Engaging the transverse abdominis to isolate the multifidis
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Seperating the erector spinae muscles from the multifidis
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The Multifidis
In studies atrophy of the multifidus muscle has been shown to occur in acute and chronic low back pain. Although chronic changes have been believed to be more widespread, acute changes at one segment are identified within days of injury. Chronic low back pain has been shown to not only effect the multifidus muscle in decreased size, but there is also evidence provided of corresponding reduced ability to voluntarily contract the atrophied muscle.  The multifidus muscle may also be a source of local and referred pain.  Investigation of the relationships between lumbar multifidus muscle atrophy and low back pain, leg pain, and intervertebral disc degeneration shows the correlation between multifidus muscle atrophy and leg pain to be significant.  Because multifidus muscle activity is critical for normal spinal control, this provides a mechanism for recurrent episodes.  Multifidus muscle recovery is not spontaneous on remission of painful symptoms. Lack of localized, muscle support may be one reason for the high recurrence rate of low back pain following the initial episode.  Multifidus muscle recovery is more rapid and more complete in patients who receive exercise therapy. Multifidus muscle atrophy can exist in highly active elite athletes with low back pain. Specific stabilization exercise retraining resulted in an improvement in multifidus muscle recovery and a decrease in pain.