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02/05/2016 By Todd Wegerski

Lumbar Strain | What is causing your low back pain?

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This is a replay of the live broadcast with Todd Wegerski DC

Lumbar strains are the most common causes of lower back pain. We decide to cut down the trees in our backyard, or plow the back 40 using a mule (do they still do that?), or sit in front of a computer for 8 hours in a slumped posture. The next day we struggle to get around, can’t bend over to put on our shoes and socks, and run for the heating pad!

Lumbar Strain

Many people get the words strain and sprain confused, and use them interchangeably. So first some clarification of what the words mean. A strain is a tearing or stretching of a muscle. A sprain is the tearing or stretching of a ligament. So we strain muscles, and sprain ligaments. The way to remember this is to think of a ankle sprain. You roll your ankle, causing damage to the ankle joint ligaments = ankle sprain.

In this episode of our series “What is causing your lower back pain?”, we discuss Jason. Jason is a reasonably fit guy. Works as a programmer at one of the local software companies. He spends the majority of his day sitting on his butt in front of a computer. One weekend he decides to get a truckload of mulch dumped on his front driveway and spread that around with a wheelbarrow, shovel and rake. The next weekend he decides to rip a rotted deck off of the back of his house, and replace it new boards. Nothing that he did was overly strenuous, but it caused his lower back to go into major spasms.

We dive into the age old question of heat or ice, we discuss what is the deal with those topical treatments such as Ben-Gay or Icy-Hot. The good news is that these typically resolve themselves in a 1-2 week time frame.

Take a look!

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01/29/2016 By Todd Wegerski

Annular Tear | What is causing your low back pain?

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This is a replay of the live broadcast with Todd Wegerski DC hosted on 1/29/2016.

Annular tears or annular fissures (this is the new medical term) fall under the category of degenerative disc disease. The intervertebral disc is made up of 2 components, the annulus fibrosus and the nucleus pulposus. A healthy disc is able to sustain the compressive loads of the spine, while a degenerative disk loses that ability. The number one risk factor for disc degeneration is poor genetics, being dealt a bad hand from the family tree.

Annular Tear

The annulus fibrosus is made up of tough collagen fibers that encircle the inner nucleus pulposus. Its job is to contain the nucleus in the center, and be able to withstand the strong compressive forces that the spine is under. The nucleus pulposus has a gel like consistency, its job is to help distribute those compressive forces over a greater surface area of the vertebra itself. “Poor genes” results in a defect in one of the components of the disc that is responsible for attracting water, glucose, and oxygen into the disc. When this occurs, there is a decrease in cell metabolism in the disc which eventually leads to cell death, and “death” of the disc itself. This is what is degenerative disc disease.

When the disc degenerates, it loses the ability to handle the compressive forces of the spine. The layers of the annulus can begin to tear or fissure. This can occur either from the inside-out, known as a radial tear, or in between the layers, known as a concentric tear. Some annular tears are asymptomatic, while others are symptomatic. Painful tears can be the result of disc material leaking out of the disc and irritating nerves that are close by. These can and do heal. It is a slow process ranging in the 6-18 month range.

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01/25/2016 By Todd Wegerski

What is causing your lower back pain? Spondylolisthesis case study

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The Joint Chiropractic – Morrisville NC

Interested in becoming a patient of Dr Todd Wegerski? Our location is conveniently located for residents in the Cary, Morrisville, Apex, and Raleigh Durham region. We are located in the Parkwest Village Shopping center at the corner of Cary Parkway and Chapel Hill Road. For more information call us at 919-377-2303 or check us out here http://bit.ly/2f4MDQ3

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Come join me every Tuesday afternoon at or around 2pm as we go live on Facebook with our "Ask a Chiropractor" series on Back Talking! In the episode, I answer questions on anything related to the spine or back, or chiropractic related. Follow me on Facebook by liking the The Joint Chiropractic Morrisville page, so that you'll be notified of new shows.

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