Dr.
Javier A. Hung is trained to assess the patient to ascertain what
is the cause of sciatica.
Dr. Hung at First Alternative Chiropractic uses specific adjustive
techniques to remove the interference from spinal, muscular and nerve
structures. These chiropractic adjustments are effective at reducing
nerve irritation and its associated pain.
Sciatica
and many other health problems can be traced to the spine and respond
dramatically to the restoration of normal spinal function through
chiropractic care. The adjustment is a complex process while looking
very simple. It has extraordinary variations, involving the use of
specific force in a precise direction. The adjustment involves the
doctor of chiropractic making changes to the function of the joints
and muscles by using their hands or a specifically designed instrument.
By improving function the doctor of chiropractic can assist in the
relief of pain and improve general health. Adjustments help improve
spinal function every chiropractic adjustment is tailored to suit
the patient
Some studies have found sciatica more prevalent among sedentary persons
particularly smokers and those who spend many hours behind the wheel
of a motor vehicle. But as the JAMA and Lancet articles indicate,
highly active persons are also vulnerable. A study showed that bed
rest offered no benefits over gentle movement and actually has negative
effects such as tightening of muscles and loss of strength and flexibility.
Even as recently as 1997 bed rest was considered a routine part of
early therapy. That changed with the publication of a study in the
New England Journal of Medicine [February
11, 1999] showing that bed
rest failed to provide any benefits over gentle movement in terms
of resolving pain and speeding the healing process. And because bed
rest has negative effects such as tighter muscles and loss of strength
and flexibility most doctors today tell their patients to keep moving
as much as they can while avoiding heavy lifting, bending from the
waist, stooping and other activities that might stress the lower back.
Sitting also stresses the lower back, and soft chairs are usually
considered off limits.
Non-surgical treatments include exercise, chiropractic
adjustments, massage, ice, heat,
physical therapy, and pain management measures such as biofeedback
and relaxation therapy. The trend
is to focus on helping patients improve their tolerance to physical
activity rather than merely fighting the pain. Physical activity has
many benefits, both physical and emotional, while inactivity accentuates
pain and causes weakening and shortening of connective tissues. However,
the type of exercise may have to be adjusted to the symptoms of the
patient. High impact activities such as running, for example, are
sometimes considered risky. Sometimes the doctor of chiropractic may
need to work in conjunction with other health care professionals to
enable the patient to receive the best management for their condition.
MORE... WebMD on chiropractic.
REFERENCES:
Bridget Doherty, "New Therapy for Sciatic Pain," Prevention,
August, 1999. "Face Off Should Chiropractic Care Be Used To Treat
Conditions Other than Low-Back or Neck
Pain?" Medical Tribune 40(5):13, 1999. Ilaria M. Merlo, Tino
E. Poloni, Enrico Alfonsi,
Alberto L. Messina and Mauro Ceroni, "Sciatic Pain in a Young
Sportsman," The Lancet, March 22, 1997. "Sciatica,"
Patient Notes, Postgraduate Medicine, July, 1997. James N. Weinstein,
"A 45-Year-Old Man with Low Back Pain and a Numb Left Foot,"
JAMA, August 26, 1998.
First Alternative Chiropractic®
December 3, 2006
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