Back pain is one of the most common patient complaints expressed to emergency physicians in the United States accounting for more than 6 million cases annually. Approximately two thirds of adults are affected by mechanical low back pain at some point in their lives, making it the second most common complaint in ambulatory medicine and the third most expensive disorder in terms of health care dollars spent surpassed only by cancer and heart disease.

Low back pain reportedly occurs at least once in 85% of adults younger than 50 years, and 15-20% of Americans have at least one episode of back pain per year. Of these patients, only 20% can be given a precise

pathoanatomic diagnosis. Low back pain affects men and women equally. The onset most frequently occurs in people aged 30-50 years. Low back pain is the most common and most expensive cause of work-related disability in the United States. Low back pain is not a common complaint in children and, when present, is more likely to have a serious etiology, such as infection or malignancy.

ANATOMY OF SPINAL CONCEPTS

The lower back is composed of different parts anatomically distinct but functionally interdependent: the pelvis and lumbar vertebrae based on the sacrum. The sacrum is attached to each side of the basin sacroiliac joints.. The 5 lumbar vertebrae are each separated by an intervertebral disc that cushions the shock and provide the link between mobility and each vertebra. The disc consists of an outer fibrous and a hard core gelatinous in the center.
Between each vertebra emerges a pair of spinal nerves from the spinal cord through openings formed by the vertebrae. These nerves innervate all organs, muscles and tissues of the lower half of the body, ensuring among other things, the functions of posture and movement.

ARCHITECTURE OF BODY

Indeed, the body is subjected to gravity as a building and the same rules apply balance. The basin covers building the foundations of the lower limbs and the soles on which it rests, if the basin is not the tower looks. The major difference lies in the high mobility of the body and in his living factor. Thus, each party has links with the neighbor but also with other more remote. This is called a driveline, balance and function of a part depend on the rest, everything works together.

DIFFERENT MECHANISMS

• Big effort with a heavy load.
• Little effort with bad combination of movements: flexion, extension and rotation
• Fall or direct trauma.
• Pregnancy, obesity (center of gravity advanced)
• Muscle weakness (lack of protection)
• vertical compression due to a fall.
• Posture inadequate (stress discal extended)
• revise calcium: Osteoarthritis and / or demineralization.

DIFFERENT NAMES

Depending on the location of pain:
• Low back pain (back pain)
•  (pain-ass back-leg)
• (pain behind the leg)
• (pain pubis)
• (pain in the thigh)
• (pain in the hip)

DIFFERENT CAUSES

The causes are varied and often multiple:
• Problems basin sacro-iliac (relationship between the pelvis and the sacrum) or pubic symphysis (junction Basin front)
• Problems herniated intervertebral disc-sacred Lombo (between the last lumbar and sacrum) or other spinal interval, for example L4-L5 or L3-L4 …
• Disc: osteoarthritis degeneration of intervertebral disc.
• Problems facets vertebral joints who meet inappropriately, creating inflammation.
• Scoliosis: lateral deviation of the column.

APPEARANCE BIO-POWER

The approach (understanding of the mechanism) assessment (targeting the cause not the symptom) and treatment (specific) chiropractic is unique.
It gives much room to the biomechanics aspect because if the correct position of the lower back is important, adequate mobility of these components is even more important. The range of motion back overall result of the sum of movements between each spinal segment.

CHIROPRACTIC TREATMENT

The technique used is called soft chiropractic adjustment is the application of force manual on a bone segment in a specific direction to restore a normal position and mobility biomechanics appropriate for this joint, without forcing beyond its normal physiological range. Particular attention is paid to the harmonious relations between the nervous system (spinal cord and nerve roots) and the system squelettal (joints and spinal discs)
The Chiropractor is the specialist of the spine, back in general and the nervous system which must be consulted before any more irretrievable. If a case falls outside the realm of Chiropratique, the patient will be directed to a more appropriate specialist in its interest.

TREATMENT Kinesiology

Applied kinesiology is an advanced chiropractic techniques including cranial, cranio-sacral vertebrae and balancing meridians.

This tool is particularly effective reserved for the most rebels with a chronic or recurrent, and some cases of herniated discs.
Kinesiology can normalize many other shortcomings (see info. On Kinesiology and Neurological Disorganization)

PREVENTION

This is not because you do not feel that your back is healthy. Before your column began to complain it is wise to do a simple review chiropractic.

Dysfunction eliminated its primary stage, even if it is clinically silent, can avoid chain reactions that lead to disease.

To heal, we must first understand
why it is sick!