Lower back pain is a condition that pretty much affects most of us at some point in our lives. Some find:
Low back pain varies from person to person, yet there remains no consensus on the optimal way to diagnose and treat patients.
Lower back pain can be caused by a multitude of factors and can be difficult to diagnose the exact cause. However, there is an advanced method of diagnosing and treating individuals with musculoskeletal conditions/injuries.
Dividing patients with lower back pain into more similar groups based on the same factors that aggravate and alleviate the pain means that a more custom-based treatment plan can be created.
The one size fits all method just doesn’t cut it. A more focused approach for every individual leads to better results.
Patients find that placing their bodies in certain positions and certain physical activities can:
Patients also find the pain being either better or worse.
Understanding why sitting, standing, and walking can change the severity of low back pain can be helpful in diagnosis.
These are important cues that help to diagnose and treat low back pain.
People sit, stand, and walk all day. This is why so much research has been conducted on how these specific positions and activities contribute to low back pain.
The alignment of the spinal column, from the skull to the pelvis, is S-shaped.
The cervical and lumbar spinal segments curve towards the front of the body, and so are lordotic, while the thoracic spine curves towards the back of the body and is kyphotic.
The amount of curvature does not stay in one place and changes based on body position.
Compared to standing, sitting decreases lumbar lordosis by about 50%.
Changes in lumbar lordosis can relieve pain from certain forms of back pain but can aggravate others.
Imagine you are holding a garden hose. Holding it vertically in front of you. The hollow part of the tube represents the spinal canal, the part of the hose facing you is the posterior spinal column, and the part of the hose facing away from you is the anterior spinal column.
Bend the hose in half. The hose on the outward-facing side of the curve will stretch out, while the hose on the inward-facing side of the tube will be compressed.
This exercise helps visualize that an object being bent will experience two forces, either:
Increasing lumbar curvature will compress the posterior column and stretch out the anterior column vertebrae and discs.
Decreasing lumbar curvature will stretch out the posterior column and compress the anterior column. This is the basis of why certain body positions can relieve back pain symptoms for some people and make it worse for others.
With certain types of disc herniations, sitting can compress the disc to the point that the herniated tissue starts to press against a nerve root causing radicular pain or pain that radiates out to another area of the body like the legs. In this case, walking seems to alleviate the pain.
Various spinal conditions definitely contribute to back pain and have the same presentations and alleviations.
Sitting, standing, and walking low back pain causes are different for everyone. But finding the root cause helps to prescribe the best treatment possible. A chiropractor uses many different techniques to relieve pain. These include:
Chiropractors don’t prescribe medications, but they do recommend therapeutic, rehabilitative exercises and nutritional lifestyle counseling to help the body heal itself.
A chiropractor sets up treatment approaches based on the individual. This begins with the natural, non-invasive treatments before moving on to more aggressive techniques. And as an added bonus patient’s who have received chiropractic treatment have experienced improvements to their digestive health and have reported better and deeper sleep after a chiropractic visit.
The information herein on "Low Back Pain When Sitting, Standing, and Walking" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.
Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez DC or contact us at 915-850-0900.
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