We are going to talk about about a research article that a fellow colleague brought to our attention, which we thought was pretty important to go over: Understanding the vicious cycle of low back pain, and how it leads to further problems.
The research today comes from the World of Neurosurgery. They look at two groups of different people. Group 1 had a herniation diagnosed which was found on an MRI, and Group 2 had only low back pain; the MRI showed no disc herniation or problem. They then looked at the cross sectional of two key muscles: the multifidus muscle and the erector spinae.
Interestingly enough, they found that those with the disc herniation had atrophy of the erector spinae muscle and the multifidus muscle. In the people without the disc herniation with only low back pain, they found that the cross sectional muscle of the group was fine. Between both groups, they noticed the soas, a muscle important in the low back, had no signs of degenerative process or atrophy.
The study also suggests that muscle degeneration and atrophy can occur for about six weeks after the initial disc herniation which compresses on the dorsal nerve root. The dorsal nerve root is what controls the irectrospiane and the multifidus muscle, which is quite vital to the proper functioning of the low back.
This research helps you and us understand that when you do have a disc problem, that segment is already compromised in its stability. The two muscles are very key in maintaining what is left of the integrity and stability of the two segments. If there’s a problem between those two vertebra, the muscles are no longer strong enough to protect it.
At Back and Body Medical in Springfield, we look at a few components. We use diagnostic ultrasound which looks at the cross sectional muscle to make sure it doesn’t looked atrophied. If after the examination a person possibly has a disc problem, we work with the insurance companies so that the patient gets the MRI that they need. We also provide a neurodiagnostic test called NCV EMG. It looks at the nerve root and what level of the root is being affected.
Finally, we give you exercises to help the affected nerves. Some nerve groups connect with others, so it is important that these exercises tailor to that.
If you have any questions on our treatment options in Springfield, please contact us, we would be happy to help you and see what we can do for you.
In pain? Want a tune up? Call us today (908) 325 – 3000. We can treat and help you.
