Tag Archives: sciatica relief san francisco

Low Back Pain: What’s the best treatment?

back pain treatment in san francisco
Low Back Pain

Low back pain (LBP) has been a challenge to treat for centuries and evidence exists that back pain has been a concern since the origins of man. Chiropractic offers one of the most patient satisfying and fastest treatment approaches available. But, when you go to a chiropractor, there seems to be a lot of different approaches utilized from doctor to doctor. Some use only their hands. Some, like our San Francisco Chiropractic team, use spinal decompression and chiropractic, as well as deep tissue laser, Active Release Technique (ART), and exercises. Is there any evidence that suggests one approach is favored over another? How are the patient’s goals addressed?

            Let’s look at what chiropractors actually do. Sure, we manipulate the spine and other joints in the upper and lower limbs using a variety of techniques, which seems to be the “brand” of chiropractic. This is good as joint manipulation has consistently been reported to be safe, effective, and with few side effects. Since this is the “staple” of chiropractic, it’s safe to say that regardless of our preferred or chosen technique, obtaining a good result is highly likely.

            But, chiropractic includes SO MUCH MORE than just joint manipulation! For example, we focus on the whole person, not just their isolated issue or complaint. Using low back pain and sciatica as our example, a “typical” evaluation includes a detailed history of the patient’s general health, past history, illness history, family history, personal habits including sleep quality, exercise habits, dietary issues, quality of life measurements and a review of systems. By gathering this information, we can identify areas that may be directly related to low back pain care, indirectly related, or possibly not related at all, but interferes with the person’s quality of life which, in turn, increases LBP. It’s really difficult to separate our low back from the rest of our body.

            For example, if a person has plantar fascitis, a heel spur, an ingrown toe nail, diabetic neuropathy in their feet, pes planus or flat feet, an unstable ankle from multiple sprains, knee or hip problems, the gait pattern or, the way a person walks will be affected and the “domino effect” can trickle up to change the low back/pelvic function — resulting in low back pain! Proper management must address all of the issues that are affecting the patient’s gait if long-term success in low back pain management is expected, rather that just putting a “band aid” on the problem.

            Let’s talk about what treatment goals we like to address when we treat our low back pain patient population. The most obvious first goal is pain cessation or getting rid of pain, especially if there is sciatica! Since this is what usually drives the patient into our office, patient satisfaction with the care received will not be significant unless the pain is managed. This is achieved through advice, reassurance and training. We often recommend ice (vs. heat) aimed at reducing inflammation, activity modification (teaching proper bending, lifting, pulling, and pushing techniques) and gentle stretching exercises when LBP is present in this acute stage.

            Once the pain becomes more manageable and activities become less limited, the second goal is structural restoration. This usually includes managing the flat foot possibly with foot orthotics, a short leg with a heel lift, sole lift or combination, an unstable ankle, knee or hip with exercise often emphasizing balance challenge exercises, and sometimes an orthotic that can be as simple as an elastic wrap to a more elaborate brace. This goal also includes “functional restoration” or transitioning the patient back into real life activities they may be afraid to try such as work, golf, gardening, walking or running, etc.

            The third goal is prevention oriented. This may include nutrition (including vitamin/mineral recommendations), weight management (though this is also part of the 2nd goal), exercises (aerobic, stabilization, balance, stretch), and stress management (yoga, lifestyle coaching, etc.). We treat ALL of you, not just your parts!

            We realize you have a choice in who you choose to provide your health-care services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule an appointment for low back pain treatment in San Francisco, call 415-392-2225. Mention this blog post for a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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How To Finally Get Rid Of Your Sciatica!

Sciatica, or pain down the leg, is a very common symptom of a pinched nerve in the low back (lumbar spine). There are varying degrees of sciatica from mild to severe. Other symptoms in the leg such as numbness and tingling or pins and needles can be considered sciatica also…as long as the source of the problem is sciatic nerve compression.

herniated disc treatment san francisco
Pinched Lumbar Nerve Root of Sciatic Nerve

The sciatic nerve originates in the low back and is formed by nerve roots that branch off the spinal cord, exit from in between the lumbar vertebra, then come together. Kind of like a four lane highway merging into one lane. The sciatic nerve travels from the low back down to the feet. The sciatic nerve is the largest nerve in the body….it can be the diameter of a quarter at it’s largest circumference.

The most likely cause of sciatica is a herniated or bulging disc in the lumbar spine. Other causes are facet syndrome, degenerative disc disease, DJD, and spinal stenosis. Usually there is a little bit of everything.

The good news is, there really is a way to “Finally Get Rid of Your Sciatica”…even when conventional treatments such as chiropractic, physical therapy, acupuncture, and medicine fail to deliver. I’m talking about nonsurgical spinal decompression with the DRX9000.

drx9000 in san francisco
Lumbar Decompression For Low Back Pain and Sciatica

The DRX9000 is a machine that is designed and built to treat disc herniations and disc bulges. That’s what it does…and it does it without drugs or surgery. And, the DRX9000 has very high success rates even when all else fails. In fact, spinal decompression therapy is now considered to be the “Gold Standard” for the nonsurgical treatment of chronic low back pain.

So there is hope for sciatica patients that are living in pain. I can’t tell you how many sciatica patients we meet with have been told “you either get back surgery or learn to live with the pain”. Nice Huh?

Well…most laugh about that now. Will the DRX9000 fix your sciatica? Maybe.

You first need to make sure you qualify medically as not everyone does. If you have had a previous surgical fusion in your spine you are disqualified. If you have severe scoliosis or severe osteoporosis decompression is not for you. There are more. Most qualify though.

The next step is to call our San Francisco Spinal Decompression Center at 415-392-2225 and ask for a complimentary consultation.

If you do not live or work near downtown San Francisco, you can check our list of the Best Spinal Decompression Doctors in America.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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