Extension of the spine: It is good. It
So what is up with extension for the spine?
Both are true: It is good. It’s
is the job of your Pflugerville chiropractor to help you decide the role of extension for your Pflugerville
back pain relief plan and Pflugerville back pain control plan in the future.
Your Pflugerville chiropractor at Pflugerville Wellness Center 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 noticeable curves –
the cervical and lumbar curves – are lordotic curves meaning they curve inwardly.
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 often
allows the disc bulge to move off of the
nerve. Extension often permits the disc bulge to press on
the nerves more. Pflugerville Wellness Center 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 takes place, and C4-C5 is where
most of the extension occurs. Pflugerville chiropractic
patients need beneficial extension!
Pflugerville Wellness Center respects extension and gets
how it may help and harm. The extensor muscles in the
back weaken and degenerate just like discs degenerate. (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 reduced disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and narrowed the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened
the vertebral canal and relieved pain while extension worsened
the stenosis and triggered pain. (3) Pflugerville Wellness Center knows
the key to eliciting the benefits of extension is in knowing
when to apply extension.
Pflugerville CHIROPRACTIC USE OF EXTENSION
Pflugerville chiropractic treatment incorporates
extension into the Pflugerville chiropractic treatment plan for its advantages.
Cox® Technic applied to 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 increased pressures in the lumbar
spine to 1250 mmHg (the most the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Pflugerville Wellness Center aims to do for its Pflugerville back pain
CONTACT Pflugerville Wellness Center
Listen to this PODCAST with Dr. David Atiyeh on the Back
Doctor’s Podcast with Dr. Michael Johnson. He shares how he cared for
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 Pflugerville chiropractic appointment
with Pflugerville Wellness Center today. Let us figure out
the role extension might have in your back pain recovery and future
back pain control plan.