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Lumbar Spine

The back pain specialists at Performance Rehabilitation & Regenerative Medicine are recognized leaders in the diagnosis and non-surgical treatment of Lumbar Spine Injuries

Whether you are suffering from a recent or chronic lumbar spine condition that is adversely affecting your ability to live life under your terms we may be able to help.

The lumbar spine or lower back contains five vertebrae with different nerves, ligaments, muscles and tendons. Exiting out of each lumbar vertebrae is a nerve root that travels into our legs and feet. The lumbar spine is designed to bear weight and plays a major role in the movement of our spines. The lumbar vertebrae are the largest of all of our vertebrae, which is important for support. The lumbar spine is also has many muscles that are used to strengthen and maintain movement of our spine. Due to the complexity of the lumbar spine it is often prone to many different injuries.

When Should You Seek Lower Back Pain Treatment?

  • Pain and tenderness throughout the muscles of the low back
  • Muscle tension and stiffness
  • Pain or numbness and tingling into the low back, buttock, and lower extremity
  • Muscular weakness and/or atrophy of the lower extremity

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LUMBAR SPRAIN/STRAIN

Lumbar sprain / strain is an injury that occurs in the muscles, tendons and ligaments of the lumbar spine. The most common mechanism with these types of injuries are due to repetitive stress and strain throughout our daily lives. The lumbar spine is prone to many overuse injuries due to improper posture and poor body mechanics. Symptoms of lumbar sprain/strain can include pain, tenderness, tightness and decreased range of motion.

Treatments:

LUMBAR SPINE DEGENERATIVE DISC DISEASE

Degenerative disc disease (DDD) is a condition in the lumbar spine that is an arthritic process that occurs in the discs of the spine, as we age. The discs act as shock absorbers and bear weight, when they begin to degenerate, this can result in many different problems, including pain and stiffness in the lumbar spine. As we age the discs in our low back have a tendency to lose their hydration and flatten which predisposes us to chronic conditions.

Treatments:

LUMBAR SPINE OSTEOARTHRITIS

Osteoarthritis or degenerative joint disease (DJD) is the most common form of arthritis that affects the joints in our body. In the lumbar spine DJD will affect the vertebrae, facet joints and intervertebral discs. In between our joints we have a substance known as articular cartilage that aids in protecting our bones. Over time the cartilage will wear away resulting in pain and stiffness in the joints and muscles of the mid back.

Treatments:

LUMBAR HERNIATED DISC

In between each vertebrae there are soft cartilage based pads known as intervertebral discs (IVD). These discs aid as shock absorbers and help bear weight. There are two layers that make up the IVDs. The outer layer (annulus fibrosis) and the inner layer (nucleus pulpous). The inner layer is a soft gel center that often migrates to the outside when there is an injury in the annulus fibrosis layer of the disc. In between each vertebrae is an exiting nerve root. When a disc herniates it often will put pressure on these nerve roots leading to pain and altered sensation into the low back, buttocks, legs and feet.

Treatments:

LUMBAR SPINE RADICULOPATHY

Lumbar spine radiculopathy occurs when there is compression on the nerve roots that exit between each of the vertebrae which travel to different areas into our low back, buttock, and lower extremity. Herniated discs and/or arthritic bone spurs are often responsible for the compression on a nerve. Patients will typically experience severe pain in the low back, buttocks, and legs which often results in numbness and tingling into these areas.

Treatments:

LUMBAR MYOFASCIAL PAIN AND TRIGGER POINTS

This is a condition that occurs in the muscles and fascia (outer layer of connective tissue) of the lumbar spine, which can lead to areas of tension in the muscles which are known as trigger points. Trigger points when stimulated or compressed can refer pain into the neck and shoulders. The most common area for trigger points to build up in the mid back is the lumbar paraspinal muscles, middle trapezius, and rhomboids muscle groups. When trigger points exist in these locations they can produce pain that will refer in a specific type of pattern throughout the low back.

Treatments:

LUMBAR SPINE FACET SYNDROME

The facet joints in the lumbar spine are small joints in the low back that are surrounded by a joint capsule, that aid in movement of our spine. As a major contributor to pain in the spine these joints often break down and become arthritic over time. When inflammatory changes occur in these joints, pain is produced during extension (arching) of the spine. Often times individuals with facet joint problems will demonstrate a forward flexed posture to relieve the stress on the facet joints.

Treatments:

Thoracic Spine

The specialty trained doctors at Performance Rehabilitation & Regenerative Medicine are recognized leaders in the diagnosis and non-surgical treatment of Thoracic Spine Injuries

Whether you are suffering from a recent or chronic thoracic spine condition that is adversely affecting your ability to live life under your terms we may be able to help.

The thoracic spine makes up the middle portion of our spinal column and is supported by many ligaments, tendons and muscles that help with support and movement. The thoracic spine is made up of twelve different vertebrae transitioning from our neck to lower back. Many different muscles help control and stabilize our spines and aid us in various movements. The thoracic spine plays an important role in spinal mobility. The thoracic spine is a much stiffer portion of our spinal column, which allows it to function and support our ribcage, protecting many different organs in our bodies.

Some symptoms associated with thoracic spine injuries include:

  • Muscle spasm
  • Mid back pain and tenderness
  • Decreased range of motion
  • Localized trigger points
  • Numbness and tingling into the mid back
  • Referred pain into different areas of the spine

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THORACIC SPINE SPRAIN/STRAIN

The thoracic spine is supported by ligaments, tendons and muscles that enable the back to perform different movements. When these ligaments become injured, they can produce pain in the mid back. Some causes of these injuries can happen from heavy lifting, twisting, and sudden or violent forces, which result in muscle pain. A thoracic sprain can limit the mobility of the thoracic spine, leading to different areas of pain. Some of the symptoms with thoracic sprain/strain commonly include pain, stiffness and decreased range of motion.

Treatments:

THORACIC SPINE DEGENERATIVE DISC DISEASE

Degenerative disc disease (DDD) is an arthritic process that occurs in the discs of the spine, as we age. The discs act as shock absorbers and bear weight, when they begin to degenerate, this can result in many different problems, including   pain and stiffness in the thoracic spine. As we age the discs in our mid back have a tendency to lose their hydration and flatten which predisposes you to chronic conditions.

Treatments:

THORACIC SPINE OSTEOARTHRITIS

Thoracic spine osteoarthritis or degenerative joint disease (DJD) is the most common form of arthritis that affects the joints in our body. In the thoracic spine DJD will affect the vertebrae, facet joints and intervertebral discs. In between our joints we have a substance known as articular cartilage that aids in protecting our bones. Over time the cartilage will wear away resulting in pain and stiffness in the joints and muscles of the mid back.

Treatments:

THORACIC SPINE FACET SYNDROME

The facet joints in the thoracic spine are small joints in the mid back that are surrounded by a joint capsule, that aid in movement of our neck. As a major contributor to pain in the spine these joints often break down and become arthritic over time. When inflammatory changes occur in these joints, pain is produced during extension (looking up) of the spine. Often times individuals with facet joint problems will demonstrate a forward flexed posture to relieve the stress on the facet joints. Facet syndrome in the thoracic is usually uncommon in the thoracic spine.

Treatments:

THORACIC HERNIATED DISC

In between each vertebrae there are soft cartilage based pads known as intervertebral discs (IVD). These discs aid as shock absorbers and help bear weight. There are two layers that make up the IVDs. The outer layer (annulus fibrosis) and the inner layer (Nucleus Pulposus.) The inner layer is a soft gel center that often migrates to the outside when there is an injury in the annulus fibrosis layer of the disc. In between each vertebrae is an exiting nerve root. When a disc herniates it often will put pressure on these nerve roots leading to pain and altered sensation into the mid back and torso. In the thoracic spine the most common areas of herniated discs are between the levels of T8-T12 vertebrae.

Treatments:

THORACIC SPINE RADICULOPATHY

Thoracic spine radiculopathy occurs when there is compression on the nerve roots that exit between each of the vertebrae, which travel to different areas into our torso and into our back. Herniated discs and arthritic bone spurs are often responsible for compression on a nerve. Patients will typically experience severe pain in the mid back, which can result in numbness and tingling into the back. Due to the strength of the thoracic spine, radiculopathy is uncommon.

Treatments:

THORACIC MYOFASCIAL PAIN AND TRIGGER POINTS

This is a condition that occurs in the muscles and fascia (outer layer of connective tissue) of the thoracic spine, which can lead to areas of tension in the muscles which are known as trigger points. Trigger points when stimulated or compressed can refer pain into the neck and shoulders. The most common area for trigger points to build up in the mid back is the thoracic paraspinal muscles, middle trapezius, and rhomboids muscle groups. When trigger points exist in these locations they can produce pain that will refer in a specific type of pattern throughout the mid back.

Treatments:

Cervical Spine (Neck)

The specialty trained doctors at Performance Rehabilitation & Regenerative Medicine are recognized leaders in the diagnosis and non-surgical treatment of Cervical Spine Injuries

Whether you are suffering from a recent or chronic cervical spine condition that is adversely affecting your ability to live life under your terms we may be able to help.

The cervical spine consists of a series of seven vertebral bones attaching from the base of the skull to the thoracic spine. Many structures pass through the bones of our neck such as nerves arteries and blood vessels. When trauma or repetitive activities occur this can predispose us to different types of injuries. The cervical spine is also home to many nerves, ligaments and muscles that help provide stability to our spine.

Some symptoms associated with cervical spine injuries include:

  • Pain and tenderness throughout the muscles of the head and neck
  • Muscle tension and stiffness
  • Headaches
  • Numbness and tingling into the neck, shoulder and upper extremity
  • Muscular weakness into the arms and hands

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CERVICAL SPRAIN/STRAIN (WHIPLASH)

This is an injury that occurs to the muscles and ligaments (soft tissue structures) in the cervical spine when the neck is quickly forced into forward movement (flexion) and then quickly forced backward (extension). This usually occurs in automobile accidents and athletic injuries that involve a force or blow from behind forcing the cervical spine into these rapid and violent motions.

Treatments:

CERVICAL SPINE DEGENERATIVE DISC DISEASE

Degenerative disc disease (DDD) in the cervical spine is an arthritic process that occurs in the discs of the spine, as we age. The discs act as shock absorbers and bear weight, when they begin to degenerate, this can result in many different problems, including pain and stiffness in the cervical spine. As we age the discs in our neck have a tendency to lose their hydration and flatten which predisposes us to chronic conditions. The most common area of the spine associated with DDD is the cervical and lumbar spine.

Treatments:

CERVICAL SPINE OSTEOARTHRITIS

Osteoarthritis or degenerative joint disease (DJD) is the most common form of arthritis that affects the joints in our body. In the cervical spine DJD will affect the vertebrae, facet joints and intervertebral discs. In between our joints we have a substance known as articular  cartilage that lines the joint surfaces and aid in protecting our bones. Over time the cartilage will wear away resulting in pain and stiffness in the joints and muscles of the neck.

Treatments:

CERVICAL SPINE FACET SYNDROME

The facet joints in the cervical spine are small joints in the back of the neck that are surrounded by a joint capsule that aid in movement of our neck. As a major contributor to pain in the spine these joints often break down and become arthritic over time. When inflammatory changes occur in these joints, pain is produced during extension (looking up) of the spine. Often times individuals with facet joint problems will demonstrate a forward flexed posture to relieve the stress on the facet joints.

Treatments:

CERVICAL HERNIATED DISC

In between each vertebrae in the neck there are soft cartilage based pads known as intervertebral discs (IVDs). These discs aid as shock absorbers and help bear weight. There are two layers that make up the IVDs. The outer layer (annulus fibrosis) and the inner layer (nucleus pulposus.) The inner layer is a soft gel center that often migrates to the outside when there is an injury in the annulus fibrosis layer of the disc. In between each vertebrae is an exiting nerve root. When a disc herniates it often will put pressure on these nerve roots leading to pain and altered sensation into the neck, upper extremity and into the hand.

Treatments:

CERVICAL RADICULOPATHY

Cervical radiculopathy is a condition that occurs when there is compression on the nerve roots that exit between each of the vertebrae in our neck, traveling to our arms and hands. A herniated disc or arthritic bone spurs are often responsible for compression on the nerve. Patients will typically experience severe pain in the neck with pain, numbness and tingling into one or both upper extremities.

Treatments:

CERVICAL MYOFASCIAL PAIN AND TRIGGER POINTS

Myofascial pain is a problem that occurs in the muscles and fascia (outer layer of connective tissue) of the cervical spine, which can lead to areas of tension in the muscles which are known as trigger points. Trigger points when stimulated or compressed can refer pain into the neck and shoulders. The most common area for trigger points to build up in the neck; upper back and shoulder are the upper trapezius, levator scapulae rhomboids, and rotator cuff muscles. When trigger points exist in these locations they can produce pain that will refer in a specific type of pattern throughout the head and neck.

Treatments:

Why Choose Performance Rehabilitation & Regenerative Medicine?

Whether you are suffering from a recent or chronic cervical spine condition that is adversely affecting your ability to live life under your terms, we may be able to help.

To have a consultation with one of our doctors, please contact one of our Patient Care Coordinators at 908-754-1960 or you may book now online.