Type of Therapy: Lumbar Stabilization

When the muscles supporting the lower spine need to be strengthened, lumbar stabilization may be used in your chiropractic treatment as a form of Physical Therapy. Lumbar stabilization helps you develop strength, flexibility, and endurance and also has been shown effective in alleviating Lower Back Pain.

The key to lumbar stabilization is achieving a "neutral spine" position. The neutral spine position is that which is the least painful but most sound posture for your lower back.

When your spine is in a neutral position:

• The discs and vertebrae are able to absorb shocks and other forces acting on the spine in an optimal way.
• There is less tension on the ligaments and joints of your spine.
• Your posture is centered.

Once your learn how to go to your neutral spine position, lumbar stabilization teaches you how to maintain that position through a technique called "proprioception." Proprioception teaches you how to know where your joints are at any given time.

Lumbar stabilization helps you:

• Better control the movements affecting your spine
• Heal muscle strains, sprains, and damaged ligaments
• Know how to avoid future injuries
• Reduce pain in your lower back

Type of Therapy: Ice Therapy

Ice massage, or Cryotherapy, is effectively used to treat many kinds of injuries, including those associated with back or Neck Pain.

Ice causes the veins in the affected tissue area to constrict. This reduces the flow of blood while acting as kind of anesthetic to numb the pain. But when the ice is removed (and this is key), the veins compensate by opening large, allowing a greater volume of blood to rush to the affected area. The blood brings with it important chemicals that aid in the healing process.

Back and neck injuries frequently involve muscle sprains and strained ligaments, which can spasm and become inflamed.

Ice massage can provide a number of benefits, including:

• Assisting the body in minimizing tissue damage
• Mitigating muscle spasms
• Reducing or eliminating pain by numbing sore soft tissues
• Slowing and reducing inflammation and swelling

Ice Therapy is not recommended as a form of treatment for any kinds of rheumatoid arthritis, Raynaud's Syndrome (a circulatory disorder of blood vessels of the extremities), colds or allergic conditions, paralysis, or areas of impaired sensation.

Type of Therapy: Heat Therapy

While Ice Therapy is used to reduce swelling, heat therapy is used to relax the muscles and increase circulation. Both kinds of therapy help reduce pain.

Heat therapy is often used in patients who have chronic, or long-lasting pain. Heat therapy can involve many kinds of methods, from simple heating pads, wraps, and warm gel packs, to sophisticated techniques, such as therapeutic ultrasound.

Back injuries can create tension and stiffness in the muscles and soft tissues of the lumbar region, or lower back. In many cases, your circulation may be impeded. The tension in the muscles can sometimes escalate to spasms.

Heat therapy:

• Dilates the blood vessels of the affected muscles, allowing them to relax and begin healing
• Helps lower discomfort by reducing the amount of pain signals going to the brain
• Increases the ability of your muscles to easily flex and stretch, thereby decreasing stiffness

Heat Therapy, as well as ice therapy, are normally a part of an overall chiropractic treatment plan and rarely accomplish maximum results without it.

Heat therapy is not used on swollen or bruised tissues, or in patients who have dermatitis, deep vein thrombosis, diabetes, peripheral vascular disease, open wounds, cardiovascular conditions such as hypertension.

Type of Therapy: Exercise Therapy

Exercise Therapy is a form of Chiropractic Treatment used to help manage pain, rehabilitate damaged soft tissues such as muscles, ligament and tendons, and restore normal range of motion and function.

Such therapy has been shown to alleviate pain, improve overall muscle strength and range of motion, improve balance, as well avoid further deterioration of muscle tissues. The overall goal of an exercise therapy program is to promote healing and prevent further damage and injury to your body's musculoskeletal system. Exercises programs also help in minimizing scar tissue formation following an injury or surgery.

Most exercise programs are designed to improve cardiovascular conditioning and bolster your strength. Many exercises involve flexing and extending specific parts of the body.

As a patient, you play a pivotal role in the outcome of any therapeutic exercise program. Your dedication to following the steps outlined in the program will go a long way in ensuring its success.

Type of Therapy: Electrotherapy

Because the body's nerves are electrical conductors, medical professionals have long held that stimulating nerve endings with small electrical current can produce beneficial results.

The theory behind electrotherapy as part of Chiropractic Care is that such stimulation to affected nerves and muscles encourages the body to release pain-killing chemicals, such as opiates and endorphins, and blocks pain signals from being transmitted to the brain.

Electrotherapy is a Pain Management technique, and as such, is part of an overall chiropractic treatment regimen. Electrotherapy is usually involved in the early treatment stages, especially right after an injury. Ice and heat therapy may be combined with electrotherapy to boost its pain-killing powers.

Electrotherapy normally involves placing small adhesive pads on the skin at various points on the body. Electrotherapy is generally not painful. The adhesive pads may cause a minor skin irritation after being removed, and in some instances, patients may feel a mild stinging after therapy.

Common types of electrotherapy include:

• Galvanic stimulation (GS) - High voltage pulsed galvanic stimulation has been used in acute low back pain to reduce muscle spasm and soft tissue edema (swelling). It is commonly used despite the lack of hard scientific evidence for its efficacy. Its effect on muscle spasm and pain is felt to occur by its counter-irritant effect, effect on nerve conduction, and a reduction in muscle contractility.
• Radiofrequency rhizotomy - Normally used for chronic cases of facet joint syndrome, a degenerative condition in which joint cartilage wears thin, causing stiffness, inflammation, muscle spasms, and later osteoarthritis. This procedure applies heated radio-frequency waves to the joint's nerves that carry painful impulses.
• Transcutaneous Electrical Nerve Stimulation (TENS) - This is the most common type of electrical stimulation used today. TENS therapy is normally used to treat chronic, or long-term pain in the lower back. Small electrodes are placed inside an elastic-type belt worn around the lumbar region. Percutaneous electrical nerve stimulation (PENS), an enhanced and newer type of pain management therapy, makes use of very thin needles (much like those in acupuncture), which are inserted in the lower back by the chiropractor. Small, battery-powered TENS units also are available for use at home, work, or other activities. The patient is able to control the level and frequency of stimulation, and self-administer impulses during episodes of pain.
• Interferential current (IFC) - This is a kind of TENS therapy in which high-frequency electrical impulses are introduced deep into the tissues near the center of the pain.

Your First Visit

Be ready to provide your medical history, which will be essential for preparing a course of treatment for you.

Medical records, such as diagnostic test results, or imaging results, such as X-rays and MRIs, also will provide important information about your condition.

Certain things in your health history are particularly vital to a Chiropractor. This information could provide important clues that will allow your chiropractor to properly diagnose your problem. Such clues include whether you have or have had:

• Bone disorders such as osteoporosis
• Circulatory problems (poor circulation could be a sign that you have a subluxation, for example)
• Dizziness or blurred vision
• Heart conditions such as hypertension or high blood pressure
• Infections, especially those affecting your spine
• Injuries, such as bone fractures, muscle sprains, or disc injuries
• Joint disorders such as arthritis
• Sleep apnea

Be prepared to answer such questions as:

• Did the onset of your pain immediately follow an injury?
• Is there anything you do that improves or worsens the pain?
• When and how did your pain start?
• Where is the pain centered?

The physical exam 

Here's what to expect:

The first order of business is checking your vital signs, reflexes, and blood pressure. Sometimes, measurements will be taken to determine arm and leg length. Next, you will be asked to do a series of simple and easy activities or exercises. These exercises will provide information about your motor skills, balance, and gait, among others. These tests also help determine your range of motion, muscle tone and strength, and integrity of your nervous system. Any abnormalities could provide clues about a condition. You may be asked to:

• Bend forward, sideways, or backwards - Misaligned spinal vertebrae can sometimes be detected during this exercise.
• Flex and extend your leg - This is a test for signs of sprain and helps determine the integrity of your joints (also called the "Yeoman's Test").
• Grip something such as a rubber ball - Your grip strength is vital for showing signs of muscular or nerve damage.
• Lie down and raise one leg - This is often referred to as the "Thomas Test," in which the Chiropractor gently pushes on your raised leg to check for hip joint mobility.
• Stand and raise one leg - This test can sometimes show whether you have sciatica, a nerve disorder in your lower back. Another test may involve pushing on your raised leg to determine whether you have pain, inflammation, or imbalance in the joints between your spinal vertebrae. (This is also called the "Psoas Muscle Test.")
• Stand or sit - Posture can sometimes show whether you have misalignments in your spine.
• Walk a straight line - This test measures your gait, and helps to determine if you have a normal walking pattern.
• Walk in place - Abnormalities in the way your pelvis and spine coordinate can be seen during this test.

Next, a short physical exam by the chiropractor will involve palpation, or use of the hands, to explore the alignment of your spine and other structures, as well as provide information on any stimuli that may cause pain.

Depending on your condition, a series of diagnostic tests may follow. These tests may include MRIs, CT scans, X-rays, blood work, and other laboratory tests.

The chiropractor may also consult with you about making important lifestyle changes, such as exercise, nutrition, and smoking cessation, to improve you chances of healing faster, or preventing further injury.

Treatments - Doctor in San Antonio TX

Chiropractors diagnose and treat a broad range of physical conditions in patients with muscular, nervous, and skeletal problems, especially the spine.

Chiropractors make use of conventional diagnostic tests, such as X-rays, MRIs, and lab work, as well as specific procedures that involve manipulation by hand of various parts of the body. Chiropractors are best known for their ability to correct misalignments of the spine, which are called Subluxations. But spinal manipulation is only a small part of what chiropractors do as part of an overall plan to manage and relieve pain and many kinds of ailments. Other kinds of treatments chiropractors are capable of providing include:

• Electrotherapy
• Therapeutic exercise
• Ice/heat therapy, including therapeutic ultrasound
• Lifestyle and nutrition counseling
• Massage Therapy
• Physical rehabilitation
• Stress management