I’d like to share a few more thoughts regarding rehabilitative
or corrective care. The pain associated with low back pain may resolve easily
with chiropractic care. The problem is that recurrent episodes are common. Keith Helmendach has showing the problem in the multifidus muscle that cannot become
strong and completely heal without rehabilitation.
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| Multifidus Muscle |
What muscle? The multifidus muscle is a thin muscle that spans
three vertebrae of the spine that work to stabilize the attached joints.
In addition to regular adjustments during the rehabilitative
phase, care may be accompanied by rehabilitation exercises, nutrition, and
modification of daily habits. In our practice we often use rehab exercises in
the office as well as training our patients what to do outside the office.
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| Lower Back Pain |
There have been a number of studies over several decades that
have shown that rehabilitative care improves lower back pain. One such study
focused on 39 patients with acute, first episode lower back pain. These
patients were put in to different random groups. One group received
rehabilitative care and the other group did not. After one and three years of
treatment, interviews were conducted. Rehabilitative therapy and the resumption
of normal activity were shown to be more effective in reducing low back pain
than just resuming normal activities alone.
