Extension of the spine: It’s beneficial. It is harmful.
So what’s with extension for the spine?
Both are accurate: It’s good. It is
bad. It’s the job of your Watertown chiropractor to help you figure
out the role of extension in your Watertown
back pain relief plan and Watertown back pain control plan in the future.
Your Watertown chiropractor at Watertown Wellness Center is well trained
in the effects – good and bad – of spinal extension and respects its role in spinal
health and mobility.
Two of the spine’s most noticeable 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 presses
on the spinal nerves resulting in pain. Flexion usually
permits the disc bulge to move off of the
nerve. Extension often permits the disc bulge to compress
the nerves more. Watertown Wellness Center sets out to help reduce
painful situations like this!
75% of the flexion and extension movement in the low back happens
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 occurs
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 takes place. Watertown chiropractic
patients need beneficial extension!
Watertown Wellness Center respects extension and gets
how it may help and hurt. The extensor muscles in the
back weaken and degenerate just as 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 decreased disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and narrowed the vertebral canal causing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened
the vertebral canal and reduced pain while extension exacerbated
the stenosis and triggered pain. (3) Watertown Wellness Center knows
the key to eliciting the benefits of extension is in knowing
when to apply extension.
Watertown CHIROPRACTIC USE OF EXTENSION
Watertown chiropractic treatment incorporates
extension into the Watertown chiropractic treatment plan for its advantages.
Cox® Technic applied to the cervical spine reduced
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 highest amount the transducer could measure).
(4) Reducing intradiscal pressures and back pain is what
Watertown Wellness Center aims to do for its Watertown back pain
CONTACT Watertown Wellness Center
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 Watertown chiropractic appointment
with Watertown Wellness Center today. Let us discover
the role extension might have in your back pain recovery and future
back pain control plan.