Chiropractor vs. Physical Therapy: Effective for the Back

Learn the difference between chiropractic and physical therapy treatments, and their effects for back problems. This article is from LIVESTRONG.com and written by Jessica McCahon. For more questions call our studio at 69-756-7500!

Chiropractor vs. Physical Therapy: Effective for the Back
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Physical therapy and chiropractic sessions both treat back pain without drugs or surgery. 

Chiropractic sessions and physical therapy are two different ways you can treat back pain, but they essentially have the same end goal: to alleviate tension and nerve compression and restore mobility without drugs or surgery. Chiropractic treatment involves a trained practitioner manipulating your spine and surrounding muscles, while physical therapy involves a trained practitioner designing a program of exercises and assisting you in certain movements and massage techniques to relieve pain and restore strength and mobility. How effective each of these treatments is depends on the type of injury you have and your unique response to the therapy.

Chiropractic Adjustments

A common cause of back pain is a slipped, or subluxed, disc which can pinch the nerves in your spinal column. Chiropractic treatment involves the practitioner manipulating the slipped disc or pinched nerve back into its correct position with force and speed, says Steven G. Yeomans, DC, on the spine-health website. At the point where the tension is released, you may hear a cracking sound as gas is released from the pressure-filled joint. For this treatment to be fully effective, you need to be very relaxed, so your practitioner may massage or apply ice to the affected area before performing the adjustment.

Chiropractic Benefits and Side Effects

After just one chiropractic session you may feel reduced pain in your back and be able to move more freely, says Yeomans. This tension release can also ease compression of blood vessels and, therefore, improve the circulation of nutrient-rich blood to the injured area. It is common for the manipulated part of your back to feel sore for about 24 hours after a chiropractic adjustment, but applying ice to the treated area usually reduces these symptoms.

Physical Therapy Treatment

This type of treatment for a back injury can involve a range of techniques including heat therapy, ultrasound, massage, mobilization and exercise, says the Nicholas Institute of Sports Medicine and Athletic Trauma website. In particular, your therapist is likely to focus on strengthening and stretching the muscles and connective tissues around the affected area to improve posture and support and enhance flexibility and movement. As a result of this program, you should experience reduced pain and tension.

Physical Therapy Benefits and Side Effects

According to Dana L. Davis, MPT, on the spineuniverse website, physical therapy focuses on gradual recovery and maintaining the results. So, while the effects may not be felt as quickly as those of a chiropractic session, you may learn techniques that mean you can continue with treatment in the long term on your own. The time it takes to start feeling the benefits of physical therapy is different for every person and the type of injury you have, but Davis says two weeks is the average time it takes to notice a difference. No matter what your situation is, patience and a commitment to performing the prescribed exercises is essential for physical therapy success.

Physical Therapy for Shoulder Impingement & Tendonitis

Shoulder inflammation can be painful, and should be taken care of. It is common among swimmers, or sports where arm swings and shoulder rotation are used consistently. Here are a few exercises explained by Jessica Wellons in an article posted on Livestrong.com, to help strengthen your shoulder and thus prevent shoulder impingement and tendonitis. For questions, call us at 619-756-7500!
Physical Therapy for Shoulder Impingement & Tendonitis

The rotator cuff consists of four muscles and tendons that cover the head of the humerus and attach it to the shoulder blade, or scapula. They provide stability and strength during rotational movements in the arm. Shoulder impingement refers to mechanical compression or inflammation of the rotator cuff tendons. This occurs when the space in the shoulder joints narrows and the rotator cuff tendons or bursa, lubricating sacs located over the rotator cuff, become compressed, irritated or damaged, resulting in pain, inflammation and reduced mobility. Exercises that target the rotator cuff will strengthen the surrounding muscles and tendons, improve circulation to the joint, flexibility and range of motion.

External Rotation

Stand with your back against a wall, ensuring that your torso and shoulders remain straight. Bend your right elbow to form a 90-degree angle and bring your arm across r youabdomen, remembering to keep your thumb upright and flattening your palm against your stomach. Perform an external rotation by moving your arm and forearm away from the abdomen, remembering to keep your elbow bent. Continue this external rotation until the back of your arm is flat against the wall. Hold this position for five seconds and rotate your arm back to the starting position. Perform one set of 10 repetitions on both arms, once daily.

Supraspinatus Stretch

You will need two dumbbells to perform this exercise. Standing upright, holding a dumbbell in each hand with thumbs pointing down. While keeping your elbows straight, slowly bring your arms outward to form a 45-degree angle. Hold this position for five seconds and slowly return to the starting position. Perform three sets of 20 repetitions, once daily to strengthen the muscles and tendons in the rotator cuff, thus stabilizing the shoulders and restoring mobility.

Triceps Stretch

Stand upright and bend your right elbow to form a 90-degree angle. Raise your right hand so that your forearm forms a 90-degree with your shoulder and place your opposite hand over your elbow. Using your left hand, grab the opposite elbow and gently pull that arm down behind your head. Continue this gentle pull until you feel a stretch in your shoulders. Hold this stretch for five seconds and relax. Perform one set of 10 repetitions on both arms, two to three times daily to stretch the tendons and joints in the shoulder and help restore your range of motion.

Scapular Squeezes

Lie on your back and bend both knees. Plant your feet firmly on the ground and extend your arms away from your body, with palms up. While maintaining contact between the ground and your lower back, begin squeezing your shoulder blades together, downward and toward your spine. While performing this exercise, try to not shrug your shoulders and remember to relax your neck. As your perform this exercise, the lower muscles between your scapula should be contracting. Hold each shoulder blade squeeze for five seconds and relax. Perform one set of 20 repetitions three times a day to strengthen the muscles in the shoulders and prevent further injury.

Exercise Ball Therapy for Lower Back Pain Relief

Lower back pain seems to be a common issue. Here is one way to relieve lower back pain using an exercise ball. This article was posted on spin-health.com, a forum for thousands of doctor written, doctor reviewed articles on back pain, neck pain, and related disorders. For more questions give us a call at 619-756-7500!

 

The exercise ball is an exercise treatment option for back pain sufferers and is designed to help prevent or minimize further episodes of low back pain as part of a rehabilitation program. The exercise ball is effective in rehabilitation of the back because it strengthens and develops the core body muscles that help to stabilize the spine.

With the exercise ball, also called a Swiss ball or physio ball, an element of instability is introduced to the exercise that one would not normally get in a floor exercise. The body responds naturally and automatically to this instability to keep balanced on the exercise ball. Over time, the muscles used to keep in balance on the exercise ball become stronger. In essence, individuals build strength in important back muscles and abdominal muscles without knowing it.

The exercise ball also uses what is called “proprioception,” an awareness of where one’s hand or foot is in relationship to space. The instability of the exercise ball provides the body with constant opportunities to evaluate its orientation in space, developing and training the body’s natural awareness. Enhanced proprioception provides the body with increased balance and stability.

In addition, it is theorized that the type of spinal movement induced by using the exercise ball (small range, adjustment of balance) may help reduce pain by stimulating the body to produce increased amounts of natural pain inhibitors.

The benefits of exercising on an exercise ball for people with low back pain include:
•Simple and versatile way to start moving again after a back pain episode
•Improved muscle strength
•Greater flexibility and range of motion of the spine
•Enhanced balance and coordination of core muscle groups used to stabilize the spine and control proper posture while using the exercise ball, which in turn reduces stress on the low back
•Increased tendency to maintain a neutral spine position during exercise
•In particular, many Swiss ball exercises are designed to bring movement to the spine in a controlled manner to help keep the discs nourished. Moving the vertebrae helps nourish the discs in the spine by increasing blood flow around the disc and by causing the water to flow in and out of the disc

The exercise ball has additional applications in areas such as general fitness, strength or weight training, as well as exercise for pregnant women.

For all forms of exercise, it is advisable to see an appropriately trained and licensed spine specialist, such as a physical therapist, occupational therapist, chiropractor, exercise physiologist, or physical medicine and rehabilitation physician (also called a physiatrist). Depending on the specific diagnosis and level of pain, the exercises with the ball will be different, and appropriately trained spine specialists (e.g. certified in exercise ball technique) play a critical role in both developing the right exercise program and providing instruction on correct form and technique.