By Dr. Amin Javid, Beverly Hills Spine & Rehabilitation First, know this: Sciatica is SYMPTOM, not a diagnosis. Sciatica refers to the numbness and tingling sensation you feel going down the buttock region often all the way down the back of the legs to the toes. The actual diagnosis is called Compressive Neuropathy, and under this umbrella falls many neuropathies; these are the usual suspects: Carpal Tunnel, Tarsal Tunnel and the notorious, often misdiagnosed, Sciatica. While we’re on the subject, here are a few facts you probably didn’t know about sciatica: 1) True, sciatica (often referred to as root sciatica) the kind that is caused by a herniated disc in your low back will almost ALWAYS cause symptoms from the low-back all the way to your TOES, thats right, the numbness and tingling will not stop at your butt or behind the knee! In fact, if you feel numbness and tingling that stops somewhere in the vicinity of the back of the knees, its very likely that your facet (the little joints of the spine) is the root of your problem and not a disc herniation as many often think. 2) The sciatic nerve is the largest nerve in the body and spans the width of two of your fingers side-by-side 3) Many, if not most cases of sciatica are treatable without surgery. 4). Common underlying conditions differ based on age. For adults under 60, the most common causes of sciatica are a lumbar herniated disc, degenerative disc disease, and isthmic spondylolisthesis. For adults over 60, degenerative changes in the spine like lumbar spinal stenosis and degenerative spondylolisthesis are the typical culprits. Pregnancy, scar tissue, muscle strains, and bone fractures can also give rise to sciatica-like symptoms. 5) Location matters. Five nerve roots from your lower back join together to form the large sciatic nerve. Symptoms are typically dictated by which of these 5 nerve roots is pinched or irritated. For example, numbness in the feet is common when the nerve root near the L5 vertebra is pinched. The 5 Most Common Causes of SciaticaThe following five lower back problems are the most common causes of sciatica: Lumbar herniated disc Isthmic spondylolisthesis Lumbar spinal stenosis Piriformis syndrome Treating the problem is easy, but only if you reach the correct diagnosis. Contact us at Beverly Hills Spine & Rehabilitation so we can help YOU get rid of your pain like we have for hundreds of others just like you. Stay tuned to our blog for more helpful tips. The post What you Should Know About Sciatica & Low Back Pain appeared first on Beverly Hills, CA Chiropractor 90210 | Beverly Hills Spine & Rehabilitation. from https://www.90210doc.com/what-you-should-know-about-sciatica-low-back-pain/
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NECK PAIN TREATMENT FREQUENTLY ASKED QUESTIONS
CAN BEVERLY HILLS SPINE AND REHABILITATION TREAT MY NECK PAIN?
Yes, Beverly Hills Spine & Rehabilitation is able to help with neck pain treatment and can absolutely help to address neck issues and correct them. Most neck issues are stemming from a systematically mechanical etiology, meaning mechanical dysfunction. Mechanical dysfunction causes repercussions. It causes soft tissue repercussions—meaning when you feel fixated, for example, when you feel kind of locked, it could be because the muscles that are crossing the segments of the spine are tight. The upper trapezius muscle is a very common example of this. High anxiety people, people who sleep with a pillow that’s too soft so their neck is constricted on one side, people who wake up with stiff necks, people who have consistent headaches, many of these things can be addressed and traced back to the cervical spine and the associated soft tissues that surround the cervical spine. And these are items that we are highly trained in, we specialize in, and we have a very good success rate with.
WHAT CAUSES NECK PAIN?There’s many different attributes that can cause neck pain. Cervical pain can commonly be a result of mechanical issues, meaning posture, ergonomics, function that’s not properly functioning, movements that are improper, muscle imbalances. It could even come from the feet. When you look at a human being, you have to start from the foundation and move up. A common example that people can relate to is imagine when a woman wears heels. The first thing you have to do when you wear these heels is you have to extend. You have to lean back. Why? Because this is how you keep your center of gravity. That shift has now accounted for a shift in every joint in your body—at least every major joint in your body. Improper foot position is no different. It’s just on a smaller scale than wearing high heels. So, there are many different factors. The key to resolving that pain is proper diagnosis.
WHAT CAN ONE DO TO PREVENT NECK PAIN?There are many different ways that people can prevent neck pain or reduce the symptoms of existing neck pain or dysfunction. One of the thing is the way people sleep. If you’re a side sleeper or if you sleep on your back, correct positioning of the head to the shoulders is one way to reduce neck pain or prevent it. Never sleep on your stomach. I hear there’s some stomach sleeper. Its’ an absolutely horrible way to sleep. Why? Because it induces complete rotation of the cervical spine. You have to hold it in that position which, therefore, rotates the rest of your spine as well. There are many everyday that people can do to also avoid or reduce neck pain—for example, texting. For example, with the advent of cell phones, what do people do? The second you leave an office, or you have a second, you bring your cell phone out, and you rotate your neck down, you flex your neck down to look at your phone, when in reality, all it really take is to bring your arm up and move your eyes down which doesn’t affect the cervical spine. There are many key things that we can do in our daily life that you don’t think has a significant impact on the cervical spine, but in the long run, it could prevent damage, dysfunction and pain.
CAN YOU TREAT A PINCHED NERVE IN MY NECK?A pinched nerve in the neck or the cervical spine is absolutely something we can address and we can correct. Pinched nerve in the neck usually is referring to a disc herniation. It could be anywhere from a 2-millimeter to an 8-millimeter herniation that might be pressing upon that nerve, in which case you would have some sort of what’s called radiculopathy or numbness and tingling sensation either going down to the shoulders or all the way to the fingertips. A common misconception is that numbness in the fingers or in the shoulder region is kind of normal. It’s not normal. This is just your body’s way of warning you that there is a nerve that is being impeded upon if, in fact, the symptoms are numbness or tingling. The quality of the dysfunction or the pain is very important. Throbbing usually refers to something vascular. Sharp stabbing refers to something different. Numbness/tingling usuallyr refers to a nerve. So it’s important to heed your body’s warnings to you and go to a properly knowledgeable physician to address these issues and explain them to you.
WHAT CAUSES A PINCHED NERVE IN THE NECK?So, it’s important to understand there’s a series of events that usually happens. A pinched nerve in the neck, in the cervical spine, most commonly is caused by a disc protrusion. The question is what’s causing the disc protrusion, and the severity of the disc protrusion will usually dictate the symptoms—severity and direction, whether it’s going straight back, to the left, to the right. This usually will cause a secondary symptom called radiculopathy. Radiculopathy is the numbness and tingling some of us feel, and most people have the misconception that radiculopathy is kind of normal; and it’s absolutely not. Radiculopathy is your body’s warning sign that there is a nerve that is, in fact, being impeded on and the quality of your pain is important. If it’s numbness and tingling, there’s usually a nerve involvement. If it’s kind of throbbing or pulsating or warm, it might be a vascular issue. The real question is what’s causing the disc protrusion, and usually, it’s a result of repetitive use—repetitive use meaning poor posture, people who have forward head carriage, trauma could cause this. The answer, usually, to this kind of cervical neuropathy is decompression of the spine. So compression is causing this. And it’s forcing the disc to go back, impeding on the nerve. Decompression usually reduces those symptoms by relieving the stress upon that nerve.
WHAT ARE COMMON CAUSES OF NECK PAIN??One common cause of neck pain would be poor posture, forward head carriage. Once an individual’s chin retracts past the sternum, the muscles in the back, including the upper trapezius muscle, has to grab on to our heads a lot harder and has to work essentially overtime. And sometimes, this muscle develops myofacial trigger points and starts to cause pain. When you understand the anatomy of the upper trapezius muscle, it attaches to the base of the skull all the way down to behind the shoulder, then all the way down to the middle of our spine. When that muscle starts to contract, or if it’s hypertonic (it’s working overtime), in the process, it compresses the spine. It has to compress the spine. So, these are muscle imbalances—hypertonic muscles, tight muscles, poor posture. These are all interrelated and can account for cervical pain.
Originally Posted at The post Neck Pain Treatment Frequently Asked Questions appeared first on Beverly Hills, CA Chiropractor 90210 | Beverly Hills Spine & Rehabilitation. from https://www.90210doc.com/neck-pain-treatment-frequently-asked-questions/ CHRONIC BACK PAIN TREATMENT FAQBy Dr. Amin Javid, Chiropractor WHAT DIFFERENT TYPES OF BACK PAIN DO YOU TREAT?We treat various kinds of back pain, of all different sources or etimology. Specifically, it relates to what part of the spine or the back we’re discussing here. When you look at the facets or the joints of the spine, you’ll notice that the neck, the mid-back and the low back are all at different angles. These angles dictate motion, correct? LOWER BACK PAIN TREATMENTSo when you look at the lumbar spine, the low back, you’ll see that the facets or the joints of each segment of the spine are at this angle. So what it does is it allows for forward flexion. So, for example, what we see in the lumbar spine, low back pain, are issues related to ergonomics, mechanical issues like posture, disc herniations, trauma, repeated use, overuse. MID BACK PAIN TREATMENTMoving up the spine, you go kind of to the mid-back, in between the shoulder blades or what’s called intrascapular region. These are more postural-type issues. I’ve noticed people who have forward head carriage. When their chin protrudes past their sternum significantly, you’ve got to think, the postural muscles on our back have to immediately grab on to our heads to prevent us from falling over, right? So these have to work extra hard. And it creates all sort of asymmetries, muscle imbalances, spasms, kind of that ache that you get when you have to readjust your chair every hour or so when you’re sitting down at work. UPPER BACK PAIN TREATMENTAnd then, moving up the spine from that, we have cervical problems. Neck pain is a very common issue. I probably see up to a hundred cervical patients every single week, some of them chronic, some of them acute, but most of them are related to poor posture. For every one inch that your chin protrudes past your sternum, your neck has to carry the equivalent of almost two more heads. When you think of this astronomical number, you realize how important posture is. The way you sleep… HOW DO YOU DIAGNOSE BACK ISSUES?Diagnosing back issues is a great question and is the key to having a good prognosis for the patient. Being able to distinguish pain or dysfunction—which are usually the same thing, by the way—from tendons, ligaments, muscles, is there osseous, is there another pathology involved. So, we have numerous orthopedic exams. We have numerous testing methods to be able to rule out each of these one by one to kind of specific on the particular exact cause of what’s causing the pain or dysfunction. And we address it from that point on. But the key to a good patient outcome is correct diagnosis. And we really pride ourselves on being able to isolate the specific root cause of these mechanical issues that we see in all of our patients. WHAT TREATMENT OPTIONS ARE AVAILABLE FOR BACK PAIN?There are many treatment options available for back pain as there are many different kinds of back pain. For example, let’s take a common one, sciatica, a.k.a. compressive neuropathy. Sciatica, root sciatica or true sciatica is when the sciatic nerve is being impinged by an object. It’s physically being impeded upon, which symptoms will, 100% of the time, be to the toes. So if you’re feeling these symptoms—the numbness, the tingling, going down the back of your leg all the way to your toes—that is very likely going to be root sciatic with simultaneous kind of discomfort in the low back. Traction is decompression of the spine. When we think, our whole lives, gravity and poor posture is constantly compressing our spines. It could lead to early degeneration. So spinal decompression becomes very vital to the health of our spine and our nervous system. DOES SPINAL DECOMPRESSION RELIEVE BACK PAIN?Spinal decompression does relieve back pain, more specifically depending on the origin of the back pain. If it’s a compressive neuropathy such as sciatica where there is a nerve that is being impeded upon by an object, and therefore sending numbness and tingling down the back of your legs likely to your toes, spinal decompression has shown to be very effective than the treatment of neuropathies—at least mechanical neuropathies. Gravity is constantly compressing our spines. And at some point in our lives, all of us will have spinal degeneration. Therefore, spinal decompression becomes crucial and vital to our spinal health. When you look at any compressive neuropathies such as sciatica, sciatica is basically when—at least root sciatica stemming from a disc, which is the most common cause, is this. This person right now is facing to the left (to your right, to my left). What happens is when you flex at the spine, eventually, this happens. This is a disc protrusion that’s causing sciatica symptoms. This is your nerve. This is the disc. The disc presses against the nerve. Our goal is to decompress the spine and suck that disc back in essentially. WHAT CAN I DO TO RELIEVE BACK PAIN AT HOME?There are many tools and resources that people can do in their houses or outside of a doctor’s office that can significantly help them to not only prevent back pain or to deal with the issues that they currently have. Most of our lives, most of us are flexed, meaning we bend forward, whether we’re sitting at the office, at the dinner table, driving in the car. The majority of people will benefit from minor, mild extension, meaning bending slightly back. I would say almost every single human being can do something in their house or outside of a doctor’s office to significantly help their future and their present health. But they need to be examined because the exercise or the stretch or the strengthening exercise that’s going to be given to them needs to be very specific for that individual, and not just some stamped exercise that people try to apply to the masses. WHAT ARE SOME SYMPTOMS THAT MAY SUGGEST THAT I HAVE BACK ISSUES?There are many symptoms that patient don’t really realize is directly resulting from a spinal-related or joint-related issue. For example, every now and then, I’ll have a patient tell me, “You know, my gluts, my posterior or my feet or my fingers go numb every now and then. But it doesn’t happen that much.” Well, that going numb is our brain’s way of informing us that there’s a nervous system issue. It’s actually a good thing. It’s our body’s warning mechanism of letting us know that there’s an issue. People always tell me that “Oh, one of my legs is longer” or “Some doctor told me one leg is longer.” I personally have seen very rarely to be a congenital short leg. Usually, it’s because of the pelvis. It’s a pelvic-related issue where the pelvis isn’t functioning correctly, when one ilium moves not in parallel as the opposite ilium. What it does is it creates a short leg. So, during gait, what appears to be a short leg may just be a dysfunctional ilium. And in most cases, it isn’t. We’ve had great success treating that because it relieves hip pain, knee pain, ankle pain—oftentimes, even neck pain, because this is the kinetic chain of the human body.
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The post CHRONIC BACK PAIN TREATMENT FAQ appeared first on Beverly Hills, CA Chiropractor 90210 | Beverly Hills Spine & Rehabilitation. from https://www.90210doc.com/back-pain-treatment-specialist/ CHIROPRACTIC FREQUENTLY ASKED QUESTIONS By: Beverly Hills Spine & Rehabilitation Check out our 5 Star Chiropractor Reviews on Yelp WHAT IS CHIROPRACTIC MEDICINE? Chiropractic medicine is the non-invasive, natural, very effective way of relieving issues, most of which are mechanical issues relating to your nervous system, relating to the digestive system, chronic muscle tightness, headaches. As physicians, our first question is not how to help, our first priority should be how to not hurt, and chiropractic is the perfect answer to traditional medicine because, as you see, there’s people hooked on drugs, they’re addicted. They mask the pain. Our foundation is to address the root cause of the issues that are going on and the related compensatory issues and fix them all. WHAT DOES A CHIROPRACTOR DO? A chiropractor is a very highly specialized physician pertaining to certain realms of the human. What we do is, basically, we look at, overall, the neuromusculoskeletal components of human beings—movement, ranges of motion, biomechanics. These are all real life, real relevant issues that are massively affecting our society. And they’re not really being addressed. What a chiropractor does is address these issues. We address them at the root, and we try to correct them from the root up, meaning that we don’t think of the problem as an isolated issue, we look at what the problem is causing and what may be causing that problem. We address the entire person in a very non-invasive, safe way. DOES A CHIROPRACTOR ONLY WORK WITH THE BACK? A chiropractor does not only deal with the back. I do get asked this question often. And patients are often very surprised at how well we do with non-spinal issues such as joints, the shoulder, the knee, ankle, gait (which is the six phases of walking), ergonomics. So no, we don’t only deal with the back. We do specialize in the back and spine-related disorders—for example, disc degeneration, sciatica (which is called compressive neuropathy), scoliosis, neck pain, spinal decompression, hyperlordosis, postural elements, muscle tightness. Most mechanical issues pertain to the spine—if not caused by the spine, they are affecting some sort of movement or mechanics of the spine and the pelvis. So no, we don’t only deal with the spine. Again, everything is actually related. Biomechanics is the study of movement, human movement. So when you consider human movement, you realize that the spine is only a piece of this movement. All the rest of the joints in our body and the trajectory of movement, all these things matter, and all of these things are things that a chiropractor contemplates when they’re examining and diagnosing. WHAT ARE COMMON REASONS PEOPLE SEE A CHIROPRACTOR? Many of my patients approach me for things like compressive neuropathies, things that the public knows as, for example, sciatica, carpal tunnel, tarsal tunnel. These all fall under the umbrella of compressive neuropathies which means a mechanical agent that is physically blocking the signal of a nerve. In general, that’s what that means. Other than people seeking treatment for back issues,a lot of people visit for knee pain, hip pain, cervical pain, people who feel tightness between the scapulas, between the shoulder blades. And what I think many patients don’t realize is that a chiropractor with a good understanding of biomechanics may be the most suitable chiropractor for a wide variety of issues. For example, knee pain. They come to me with knee pain. It’s of an unknown origin. There’s no trauma. And suddenly, a 30- or 40- or 50-year old female/male is having knee pain. The value of a chiropractor who understands biomechanics is that, many times, that knee pain can be traced to the positioning of the feet—hyper-pronation or external rotation, meaning when the feet externally rotate, you have to think that this has to affect the joints above. You can’t externally rotate the foot without the tibia and the fibula rotation and affecting the knee joint which no longer then becomes this, it becomes this. The medial meniscus of the knee is the most commonly worn down area or region of the knee. And that’s because of that specific reason that I just stated, which also has an effect on the pelvis, which then has an effect on the shoulder, which then can possibly affect the cervical spine. So, it’s the entire kinetic chain of the human being that needs to be examined. What you may think is irrelevant may be very relevant. But again, starting from the foundation, and working your way up, usually, you can find the root origin of the problem every single time. IS CHIROPRACTIC TREATMENT SAFE? Chiropractic treatment is absolutely safe. There’s a few ways to be able to look at this as an outsider as well. One, you could look at the cost of malpractice insurance for all physicians. We are amongst the lowest, if not the lowest, of any physician. That’s one way you have evidence to show that what we do is safe. When people think chiropractic, they only think of spinal manipulation—which is part of what we do, but it’s not all what we do. There are many, many tools at our disposal that we can use. And it’s been my experience and my colleagues’ experience (who have been practicing, some of them, for 15 or 20 years), no one has been hurt, no one has been injured. And generally, if not all, patients have benefited from chiropractic care. I can tell you with certainty, every single one of my patients has benefited from chiropractic care. None of them have ever been injured. But I believe that’s because of the philosophy I use, to make a very specific, specific treatment plan for that particular patient. And many chiropractors now share that same philosophy. Chiropractic treatment is absolutely safe. HOW DO I FIND THE RIGHT CHIROPRACTOR FOR ME? It’s very important that you do find the right chiropractor, or any physician for that matter, for yourself. I believe people have philosophies. Everybody has a philosophy, whether you recognize it or not. My philosophy is to not only help to diagnose correctly and to treat the patient in a way where it lasts and they can go on back to their normal, healthy lives. But it’s important that they have the education they need to be able to know what to do and what not to do in their own daily lives when they’re not in my office. My philosophy is to see these patients as least as possible, to get them back to their lives. I pride myself on this. And so, it’s important that when you go into a physician’s office, what you feel from the physician, how well is he listening, how well is the understanding of what the problem you’re telling him, is he an expert in that field. And do you feel comfortable? I think we, as human beings, we have a certain aura about us just like when we meet people outside of a doctor’s office. And sometimes, we have a great feeling about people. And sometimes, we don’t have a great feeling. And I think it’s very important that the patient and the physician feel comfortable with one another; to be as transparent as possible because we both have the same goal which is to make you better and get you back to your life. IS CHIROPRACTIC TREATMENT ONGOING? Chiropractic treatment is usually not ongoing, nor should it be ongoing. Of course, it depends on the particular issue or the diagnosis that a patient has. But generally speaking, in the majority of the mechanical issues that we see, it should be/can be resolved within 9 or 10 visits, if not significantly affected (meaning significant reduction of symptoms). I do have a couple of patients who need to have ongoing care. But that’s because they have pretty serious pathologies that have existed for 16 to 17 years—some of them are of mechanical origin that have caused other issues. So no, generally, chiropractic treatment should not be ongoing. And ideally, what you want is you want to achieve maintenance care. You want to feel good. You want to have correct ranges of motion, correct ergonomic sleeping position. And then, you want to see a chiropractor once every month, once every three weeks just to maintain that ideal function and prevent future damage or future issues that it could cause. 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