What are the common causes of back pain. How can you identify different types of back pain. What are the most effective treatments for back pain. When should you seek medical attention for back pain. How can you prevent back pain from occurring or recurring.

Understanding the Anatomy of the Back

To comprehend back pain, it’s crucial to first understand the complex structure of the back. The back is composed of bones, muscles, nerves, and other tissues that work together to support the body and enable movement.

Key Components of the Back

• Vertebrae: The 33 bones that form the spinal column
• Intervertebral discs: Soft, cushion-like structures between vertebrae
• Spinal cord: The bundle of nerves that runs through the spinal column
• Muscles and ligaments: Provide support and enable movement
• Facet joints: Allow for flexibility and movement between vertebrae

How do these components work together? The vertebrae protect the spinal cord while the discs act as shock absorbers. Muscles and ligaments provide stability and allow for movement, while facet joints enable the spine to bend and twist.

Common Causes of Back Pain

Back pain can arise from various sources, ranging from acute injuries to chronic conditions. Understanding these causes is essential for proper diagnosis and treatment.

Mechanical Causes

• Muscle strains and sprains
• Herniated or bulging discs
• Degenerative disc disease
• Spinal stenosis
• Scoliosis

Inflammatory Conditions

• Ankylosing spondylitis
• Rheumatoid arthritis affecting the spine

Other Medical Conditions

• Osteoporosis
• Fibromyalgia
• Kidney stones
• Endometriosis

Is there a way to determine the cause of back pain at home? While some causes may be apparent, such as a recent injury, many require professional diagnosis. It’s important to consult a healthcare provider if pain persists or is accompanied by other symptoms.

Recognizing Different Types of Back Pain

Back pain can manifest in various ways, and understanding these differences can help in identifying the underlying cause and appropriate treatment.

Acute vs. Chronic Back Pain

Acute back pain typically lasts less than 6 weeks and often resolves on its own with proper care. Chronic back pain persists for 12 weeks or longer, even after the initial injury or underlying cause has been treated.

Localized vs. Radiating Pain

Localized pain is confined to a specific area of the back, while radiating pain extends to other parts of the body, such as the legs or arms. Sciatica, for example, is a type of radiating pain that extends from the lower back down the leg.

Nociceptive vs. Neuropathic Pain

Nociceptive pain results from tissue damage or inflammation, while neuropathic pain is caused by nerve damage or dysfunction. Understanding this distinction can guide treatment approaches.

Diagnosing Back Pain

Proper diagnosis is crucial for effective treatment of back pain. Healthcare providers use various methods to determine the underlying cause.

Physical Examination

A thorough physical exam can reveal much about the nature of back pain. The healthcare provider will assess:

• Range of motion
• Strength and reflexes
• Sensation in the affected area
• Posture and gait

Imaging Studies

Depending on the suspected cause, various imaging studies may be ordered:

• X-rays: To visualize bone structure and alignment
• MRI: For detailed images of soft tissues, including discs and nerves
• CT scan: To provide cross-sectional images of the spine

Additional Tests

In some cases, additional tests may be necessary:

• Blood tests: To check for inflammatory markers or other underlying conditions
• Electromyography (EMG): To assess nerve function
• Bone scan: To detect bone abnormalities or infections

How long does it typically take to diagnose the cause of back pain? The time frame can vary widely depending on the complexity of the case. Some causes may be apparent immediately, while others may require extensive testing and consultation with specialists.

Treatment Options for Back Pain

Treatment for back pain varies depending on the cause, severity, and duration of symptoms. A comprehensive approach often involves a combination of therapies.

Conservative Treatments

• Rest and activity modification
• Physical therapy and exercise
• Heat and cold therapy
• Over-the-counter pain medications
• Massage and manual therapy

Medications

Prescription medications may be necessary for more severe or chronic pain:

• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• Muscle relaxants
• Opioids (for short-term use in severe cases)
• Antidepressants or anticonvulsants for chronic pain

Interventional Procedures

For persistent pain, interventional procedures may be considered:

• Epidural steroid injections
• Facet joint injections
• Radiofrequency ablation
• Spinal cord stimulation

Surgical Options

Surgery is typically reserved for cases where conservative treatments have failed or when there’s a clear structural problem:

• Discectomy
• Laminectomy
• Spinal fusion
• Artificial disc replacement

How effective are these treatments? The efficacy of treatment varies depending on the individual and the specific cause of pain. Many people find relief with conservative measures, while others may require more advanced interventions.

Preventing Back Pain

While not all back pain is preventable, there are steps you can take to reduce your risk and maintain a healthy spine.

Maintain Good Posture

Proper posture is crucial for spine health. Be mindful of your posture during daily activities, including sitting, standing, and lifting.

Exercise Regularly

Strengthening core muscles and maintaining flexibility can help support the spine. Low-impact exercises like swimming, walking, and yoga can be particularly beneficial.

Ergonomic Considerations

Ensure your work and home environments are ergonomically sound. This includes using proper seating, adjusting computer monitors to eye level, and using supportive mattresses.

Healthy Lifestyle Choices

• Maintain a healthy weight to reduce stress on the spine
• Quit smoking, as it can contribute to disc degeneration
• Stay hydrated to maintain disc health
• Manage stress through relaxation techniques

Can these preventive measures guarantee a pain-free back? While they significantly reduce the risk of back pain, they cannot eliminate it entirely. Genetics, age, and certain medical conditions can still contribute to back problems despite preventive efforts.

When to Seek Medical Attention

While many cases of back pain resolve on their own, certain symptoms warrant immediate medical attention.

Red Flags

Seek immediate medical care if you experience:

• Severe, unrelenting pain
• Pain accompanied by fever
• Loss of bladder or bowel control
• Weakness or numbness in the legs
• Unexplained weight loss

Persistent or Worsening Symptoms

Consult a healthcare provider if:

• Pain persists beyond a few weeks
• Conservative treatments don’t provide relief
• Pain interferes with daily activities
• You have a history of cancer or osteoporosis

How quickly should you seek medical attention for these symptoms? For red flag symptoms, seek immediate care. For persistent symptoms, schedule an appointment with your healthcare provider within a few days to a week.

Living with Chronic Back Pain

For those with chronic back pain, developing coping strategies and making lifestyle adjustments can significantly improve quality of life.

Pain Management Techniques

• Mindfulness and meditation
• Cognitive-behavioral therapy
• Biofeedback
• Acupuncture

Lifestyle Modifications

Adapting daily activities and routines can help manage pain:

• Pace activities throughout the day
• Use assistive devices when necessary
• Modify your home or work environment
• Engage in low-impact exercises

Support Systems

Building a strong support system is crucial:

• Join support groups for chronic pain
• Communicate openly with family and friends
• Work with a multidisciplinary healthcare team

Is it possible to lead a fulfilling life with chronic back pain? With proper management and support, many individuals with chronic back pain are able to maintain a high quality of life and engage in meaningful activities.

Understanding back pain, its causes, and treatment options is crucial for anyone experiencing this common condition. By recognizing symptoms, seeking appropriate care, and adopting preventive measures, you can take control of your spinal health and improve your overall well-being. Remember, while back pain can be challenging, there are numerous strategies and treatments available to help you manage and overcome it.

Mississippi man finds relief at Mayo Clinic for excruciating back pain

• By

  Rhoda Madson

  March 19, 2023

Edward Markle was desperate.

Despite receiving nerve blocks from his doctors, Edward says the pain from two herniated discs had become excruciating and unrelenting. He could not sit or walk without pain. He slept on the floor, two hours a night. He was increasingly worried about the future.

“It shut my quality of life down to almost zero,” he says. “I couldn’t move. I could not get out. I could not find a way to hide from the pain. There was no position to get into to get even a minute’s worth of relief. There was no light at the end of the tunnel.”

Looking for help

Edward began to search in earnest for a solution. One night, at 2 a.m., he went online and typed: “Best back surgery in the United States.” Mayo Clinic popped up first.

The next day, he called Mayo Clinic in Rochester, Minnesota, from his home in Pass Christian, Mississippi, about 25 miles from Gulfport-Biloxi. He reached out to a doctor who had treated him for an unrelated matter years earlier. Eventually he connected with the Mayo Clinic Spine Center. To his surprise, the person on the line said she had an opening for an initial appointment the following week.

“She asked if I was able to make the appointment in such a short time frame,” Edward recalls. “I believe she could tell I was frantic and in distress. I said, ‘I will be there.'”

Days later, Edward, 72, and his wife were on a plane to Rochester. He met with a physician assistant at the Mayo Clinic Spine Center for an initial assessment, and it became clear that he needed surgery. Within the hour, Edward was talking to Brett Freedman, M.D., an orthopedic spine surgeon. Dr. Freedman examined Edward and reviewed his medical records, CT scans and X-rays.

This wasn’t Edward’s first back injury. Thirty years earlier, he had hurt his back, but it healed without surgery. This time, the pain from an injury in September 2022 was significantly different.

The right timing

Dr. Freedman set up more tests for Edward and determined that Edward needed surgery as soon as possible. Because of an unusual last-minute cancellation, Dr. Freedman’s surgery schedule had an opening the next day. Edward took the spot.

During the disc decompression surgery, Dr. Freedman removed part of Edward’s herniated discs and bone pushing on his nerve, which was causing pain.

A herniated disc that causes symptoms is the most common reason people seek out spine surgeons and surgery, Dr. Freedman says.

“We remove only the things you don’t need,” Dr. Freedman says. “When we’re done, you have a stable spine, and in six weeks, a stable and healed spine. Mr. Markle’s problem was a 100% pinched nerve, and he got 100% clinical benefit.”

The surgery went well. Edward, a lawyer and engineer by training, was amazed. While in the recovery area, he did not have pain radiating down his right leg or in the surgical site. He had no significant complications.

The next morning, he did something he had not been able to do for two months — walk up two flights of stairs with no pain.

A few days later, Edward walked out of Mayo Clinic and headed home.

“It was an amazing outcome,” Edward says. “I call it a miracle. Mayo and Dr. Freedman saved my life.”

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Common Causes of Back Pain – Types & Treatment

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In-Depth Read

• Overview, Symptoms, & Causes

• Diagnosis, Treatment, & Steps to Take

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Overview of Back Pain

Back pain is one of the most common medical problems in the United States. It can range from a dull, constant ache to a sudden, sharp pain that may shoot down the leg. Sometimes it can come on suddenly – from an accident, a fall, or lifting something heavy, or it can develop slowly because of age-related degenerative changes in the spine. In some cases, inflammatory arthritis disorders or other medical conditions cause back pain.

Treatment varies depending on the cause and symptoms, and often there are several contributing factors. However, there are steps you can take to improve your health and lower your chance of developing chronic or long-lasting back pain.

Understanding the Anatomy of the Back

There are many different structures in the anatomy of the back that work together to support your body. Problems with any one of these structures can cause back pain.

• There are four regions of the spine:
  • Cervical spine.
  • Thoracic spine.
  • Lumbar spine.
  • Sacrum and coccyx.
• Parts of the spine and back include:
  • Vertebrae – small bones stacked on top of one another, which protect the spinal cord.
  • Spinal cord – long bundle of nerves that run down the back through a canal in the vertebrae.
  • Intervertebral discs – cushion-like pads between the vertebrae that act like shock absorbers and spacers for the spine.
  • Ligaments – short bands of tough, flexible tissue that hold the vertebrae in place.
  • Tendons – cord of tissue that connects muscle to bone.
  • Muscles – a bundle of dynamic fibers that support your spine and upper body and help you move.

Who Gets Back Pain?

Anyone can have back pain, and almost everyone will experience back pain at some point in their life. Several factors increase your risk of developing back pain and can include:  

• Fitness level: Back pain is more common among people who are not physically fit. For example, weak back and stomach muscles may not properly support the spine (core strength). Back pain is also more likely if you exercise too strenuously after being inactive for a while (overdoing it).
• Weight gain: A diet high in calories and fat, combined with an inactive lifestyle, can lead to obesity. This can put stress on the back.
• Job-related risk factors: Jobs that require heavy lifting, pushing, pulling, or twisting can injure the back. A desk job may also play a role, especially if you have poor posture or sit all day in an uncomfortable chair.
• Stress level: If you chronically have poor sleep, depression, or anxiety, back pain can be more frequent and more severe.
• Age: Back pain becomes more common with age, particularly after the age of 45.
• Heredity: Genetics play a role in some disorders that cause back pain.

Types of Back Pain

Doctors and researchers describe the types of back pain in the following ways:  

• Acute back pain happens suddenly and usually lasts a few days to a few weeks.
• Subacute back pain can come on suddenly or over time and lasts 4 to 12 weeks.
• Chronic back pain may come on quickly or slowly and lasts longer than 12 weeks and occurs daily.

Symptoms of Back Pain

Back pain can range from local pain in a specific spot to generalized pain spreading all over the back. Sometimes the pain radiates away from the back to other areas of your body, such as the buttocks, legs, or abdomen. The intensity of back pain varies for each person. Depending on the type, causes, and location of your back pain, you may experience:

• Increasing pain with lifting and bending.
• Worsening pain when resting, sitting, or standing.
• Back pain that comes and goes.
• Stiffness in the morning when awakening and lessened back pain with activity.
• Pain that radiates away from the back into the buttocks, leg, or hip.
• Numbness or weakness in your legs or feet.

You should see a doctor if your pain does not improve after a few weeks or if any of the following symptoms happen with your back pain:

• Numbness and tingling.
• Severe back pain that does not improve with medication (see Treatment section).
• Back pain after a fall or injury.
• Back pain along with:
  • Trouble urinating.
  • Weakness, pain, or numbness in your legs.
  • Fever.
  • Weight loss that you did not intend.

Causes of Back Pain

Back pain can be caused by many different factors, which may all be present at the same time and interact to result in chronic low back pain. These could include mechanical or structural problems with the spine, inflammatory conditions, and other medical conditions. It is also possible that no specific cause can be identified for the start of back pain.

Mechanical/Structural Problems

Back pain can happen when mechanical or structural problems develop in the spine, discs, muscles, ligaments, or tendons in the back, or compress a nerve.

• Sprain: an injury to the ligaments that support thes pine (which connect the different bones together), often occurring from twisting or lifting improperly.
• Strain: an injury to a muscle or tendon.
• Degenerative disc disease: aging causes the discs between the vertebrae of the spine to break down. It is associated with other degenerative changes in the spine, such as arthritis or spinal stenosis.
• Herniated or ruptured discs: an event causing a disc to compress and irritate nearby nerves. This often occurs at the lumbar level but can be present in the cervical spine as well.
• Spondylolisthesis: a vertebra in the spine slips out of place or gradually moves out of alignment.
• Spinal stenosis: a narrowing of the spinal canal that puts pressure on the spinal cord and nerves.
• Fractured vertebrae.
• Scoliosis or other congenital changes to the spine.
• Myofascial pain: tightness and pain of the muscles supporting the spine due to damage to the muscles or a result of the nerve input to the muscles coming from the spine.

Inflammatory Conditions

• Ankylosing spondylitis, a specific type of arthritis of the spine.
• Other types of inflammatory arthritis of the spine.

Other Medical Conditions

• Osteoporosis, which can lead to painful fractures of the vertebrae.
• Fibromyalgia, a condition of widespread muscle pain and fatigue.
• Kidney stones or infections.
• Endometriosis, which is the buildup of uterine tissue in places outside the uterus.
• Infections that involve the bones of the spine or the discs between these bones, which can cause back pain.
• Tumors, in rare cases, that develop on the spine or other areas of the back.
• Pregnancy.

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Backache in the lower back

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The expression “breaks the back” is familiar to many. This sensation is manifested by a sharp pain in the lower back, which does not allow active movement. Any movement causes a noticeable increase in pain. The violation is based mainly on diseases of the spine, pathologies of the intervertebral joints (osteochondrosis, intervertebral hernia).

1

Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI images.

2

No side effects

The methods used in our clinic are safe and have no side effects.

3

Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

Most often, this pathology develops due to compression of the vertebral artery by overgrown osteophytes of the spine, due to spasm of blood vessels and muscles, or the appearance of atherosclerotic changes. Diseases of the joints of the spine are widespread among people, especially middle-aged and elderly people.

Due to metabolic disorders, chronic injuries, monotonous work, the cartilage begins to break down, and the muscles surrounding it begin to atrophy. As a result, the articular structures dry out, osteophytes form, and constant or intermittent pain appears. Discomfort leads to restriction of movements, lumbar backache. Pain tends to increase after physical exertion, in the evening. In the morning, there is a characteristic stiffness in the lumbar region, which disappears closer to dinner or after a short workout.

Causes of back pain and aches

The main cause of back pain is compression of nerve endings by damaged vertebrae, osteophytes, which are formed as a result of osteochondrosis and age-related changes. Features of human life contribute to the early appearance of destructive changes in the cartilaginous tissues of the spinal column. Untrained back muscles are not able to protect the spine from excessive loads. Even slight tension can cause pain, inflammation, and the development of osteochondrosis.

Main causes of violation:

• constant increased loads;
• surgical interventions, failed joint puncture;
• systemic diseases;
• infectious processes affecting the genitourinary organs, intestines, other internal organs;
• development of gout;
• curvature of the spine, flat feet;
• regular hypothermia.

Most often, back diseases are based on the negative influence of several predisposing factors at once.

Examination for aches and pains in the back

If you suspect a pinched back with osteochondrosis, crushing sensations and pain, you should contact a neurologist. The specialists of our clinic will conduct an examination, prescribe a comprehensive examination. You can sign up for a free consultation with a doctor and diagnose disturbing symptoms by phone or through the website (just leave a request with your contact details).

Basic diagnostic methods:

• radiography;
• osteopathic diagnostics;
• myelography;
• discography;
• electroneurography;
• magnetic resonance imaging.

During an x-ray examination using modern devices, the human body receives a minimum radiation exposure, which is not capable of adversely affecting its health. After receiving the results of the examination, the doctor can understand how to treat a pinched back with maximum efficiency, avoiding complications.

Treatment of people with back pain requires a comprehensive examination. It is important to choose a clinic where a high level of medical care is organized, an individual approach to the preparation of a treatment regimen is practiced, and the population is agitated for regular preventive examinations. The sooner the disease is detected, the sooner treatment can be started to get rid of the disturbing symptoms.

During diagnostics, special attention is paid to the condition of the vessels and nerve endings of the lumbosacral region. Due to the polymorphism of clinical manifestations, back pathologies are quite difficult to diagnose. In recent years, there has been a significant leap in the examination of orthopedic disorders. In addition to conventional radiography, highly informative methods such as ultrasound, computed tomography, and MRI are now available.

Modern diagnostic methods make it possible to detect the disease at the earliest stages of its development, preventing the occurrence of dangerous complications. With their help, it is possible to obtain images not only of bone structures, but also of soft tissues, layer by layer and of excellent quality, which has greatly improved the work of specialists and the treatment of the spine as a whole.

Treatment success is 90% dependent on experience
and physician qualifications.

Free medical consultation and diagnostics

• Chiropractor
• Vertebrologist
• Osteopath
• Neurologist

During the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

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Perform functional diagnostics of the spine

2

Let’s perform a manipulation that significantly relieves pain

3

We will create an individual treatment program

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Features of treatment

Neurologists of our clinic use highly informative diagnostic methods to make an accurate diagnosis. It is important to correctly assess the patient’s condition, determine the degree of deformation and destruction of the joints of the lumbar spine, the type of lesion, and only after that begin active therapeutic actions.

Methods of treatment

The main goals of conservative therapy for aches and pains in the back:

• relief from pain;
• removal of edema and inflammation;
• restoration of physical activity;
• prevention of further destruction of articular structures;
• improving the quality of life.

To relieve pain, specialists use non-steroidal anti-inflammatory drugs and various analgesics. Such drugs quickly relieve pain, signs of the inflammatory process, restore lost motor functions. During the period of exacerbation, hormonal agents (Dexamethasone, Diprospan) are used, the action of which is aimed at relieving pathological symptoms and improving the patient’s well-being.

Plasma therapy is highly effective. The specialist injects purified and platelet-rich plasma into the joint, which starts the process of regeneration and restoration, and further inhibits the destruction of cartilage tissue. Treatment of a pinched back necessarily includes osteopathy, manual therapy, physiotherapy and physiotherapy exercises. Classes should be held under the supervision of a specialist, and only after the acute pain subsides.

Kinesio taping allows you to fix the painful area, shock wave therapy improves the regeneration of damaged structures, normalizes blood circulation, lymph flow. Our clinic uses Di-Tazin therapy, which is used by leading medical centers abroad. Already after the first 2 sessions, the patient feels an improvement, and the course of therapy can completely relieve him of pain.

Chondroprotectors are prescribed for long courses to restore the integrity of the joint. They are produced in various dosage forms, including preparations for intra-articular injections. And only an integrated approach guarantees the achievement of a high effect in the treatment of joint pathologies. The treatment is prescribed by a neurologist or vertebrologist. Modern specialists have at their disposal the latest types of equipment, methods for eliminating pain, inflammation and returning the joy of movements without pain.

Hardware traction

With the development of bipedalism, a person began to suffer from pathological changes in the joints and spine. Degenerative-destructive processes lead to the development of osteochondrosis, erasure of intervertebral discs. As a result of all these changes, the number of patients with spinal pathologies is growing every year. One of the most common methods of treatment is hardware traction. It increases the distance between the vertebrae, eliminates signs of pinching and irritation of the nerve roots.

Surgical methods

Neurosurgeons use minimally invasive laser therapy for persistent back pain, lumbar pain and pinched nerves, during which the necessary medicines are delivered through a thin catheter into the intervertebral canal. Also, the laser allows you to absolutely bloodlessly evaporate excess tissues and accumulated fluid, strengthen the cartilaginous structures of the spine, and relieve pain.

Traditional surgical treatment is carried out in case of failure of conservative therapy. An endoscopic microdiscectomy is used – an operation that allows you to remove an intervertebral hernia, osteophytes and other consequences of osteochondrosis using microtools, under the control of a video camera.

Such surgical intervention does not require long-term hospitalization of the patient. The pain syndrome disappears immediately after the operation. People easily tolerate microdiscectomy, recover quickly after surgical treatment thanks to the competence of neurosurgeons and the well-coordinated work of rehabilitation specialists.

We are recommended by 94% of patients.
Thank you for your trust and your choice.

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Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Experience – 25 years

Video testimonials from patients

Articular block in the neck

Hernia in the lower back and neck

I came to Dr. Length’s clinic with spinal problems. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. In 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared . ..

Hernia of the lumbosacral region

“After the first time, my back stopped hurting. I felt relieved. Now 7 sessions have already passed and the back really does not hurt. I began to forget about it. And at first it hurt a lot.”

Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain was almost gone.

Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that I was put on my feet in the truest sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

“I applied 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles were very cramped. It was impossible to work. Before that, I went to other doctors, but this did not solve my problem. For 2 months I have a fairly positive dynamics. Every week it gets better and better.”

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

“I came in with problems in my back, cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made it much easier for me. I’m already turning my head. I have no pain.”

Shoulder shoulder periarthrosis

I came to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Arthrosis of the knee joint, 2nd degree

She came in with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I went through a course of treatment at the Clinic and now I am going 100%.

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

“At the 5th-6th session there was an improvement. I felt much better. The pain is gone. Improvement progressed more and more each time. Lesson 10 today. I feel great.”

Pain in the lumbar and cervical region

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical region. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The condition as a whole has improved.”

Pain in the back

“At the beginning of the path of treatment, my back hurt very badly. I could no longer walk. I take 5 steps and stop. My entire journey consisted of such stops. In the very first procedure, I left the office with no pain in my spine.”

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I went to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“I have been suffering from back pain since I was young. When they became unbearable, I went to Dr. Length’s clinic. Already after the first procedure, the pain in the hip joint was gone. After the third procedure, the shooting pains in the lower back stopped.

Applying today will help

avoid surgery tomorrow!

Relieve pain and inflammation

After 2-3 treatments, exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Comprehensive rehabilitation of the spine improves well-being: you feel a surge of strength and energy.

Let’s start the process of regeneration

The process of restoration of damaged tissues begins, hernias and protrusions decrease.

Let’s strengthen the muscular corset

Strong back muscles support the spinal column, preventing the recurrence of the disease.

We treat

• Coccyx hernia: its symptoms, causes and treatment
• Lumbar disc herniation
• Treatment of myositis with modern methods
• Arthrosis of the foot – diagnosis and treatment
• Arthrosis of the hip joint
• Lower back and legs taken away: diagnosis and treatment

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Why does your back hurt?

There are actually a lot of reasons for back pain. The back, like a mirror, reflects the state of the whole organism: if you are seriously worried, your neck may get sick, heaviness in your shoulders may appear, if you catch a cold, your lower back will ache, and even with chronic diseases of internal organs – cholecystitis, pancreatitis, gastritis, constipation – sciatica “come out of nowhere” – an almost constant companion of patients. Of course, there are reasons for back pain and from problems of the back itself – and this is, first of all, osteochondrosis.

MYTHS AND LEGENDS
“Osteochondrosis” is a special diagnosis. Special because it is especially often put, almost everyone in a row who has a backache. This is not correct, and leads to some fatality: “well, my friend, you want – after all, everyone has osteochondrosis …” In this respect, “osteochondrosis” has replaced the once equally common diagnosis “sciatica”. Recall that there are many reasons for back pain, of course, a completely countable set, and only a specialist can figure out what causes back pain. The specialist is a neurologist. The doctor must figure out why the back hurts: is this a sign of a stomach ulcer? Is it urolithiasis? Is this a symptom of polyarthritis? Is it a spinal tumor? Or “just” – a herniated disc?

HERNIATED DISC
Sounds scary, creepy. Let’s tell you what it is. The spine, like a multi-layered sandwich, is built from bones (vertebrae) lined with cartilage layers – intervertebral discs. Such a cartilaginous disk has a “ringed” structure, like a saw cut of a tree trunk. In the middle of it is a liquid formation – the core. The nucleus is located exactly in the middle of the disk, and if the nucleus is displaced to the side, then the disk protrudes towards the spinal canal, then this protrusion is called a “herniated disk”. A hernia is a sign of worn cartilage or a spasm of short muscles.

HERNIA HERNIA DIFFERENCE
A herniated disc is a fashionable diagnosis, what patient is not happy that the doctor “revealed” a herniated disc in him; how, after all, he was previously diagnosed with “osteochondrosis” ?! Dear compatriots, this is just a new trend in medicine, and doctors will probably soon make the diagnosis of “herniated disc” indiscriminately to everyone who was previously written with “osteochondrosis” or “sciatica”. This is due to the results of American studies, which showed that all patients with osteochondrosis have more or less pronounced disc herniations, and there is no osteochondrosis without disc herniations at all. It seems that who has a smaller hernia – it doesn’t hurt much, who has more – things are bad.

DON’T PANIC!
These same Americans then conducted another interesting study, as a result of which they found that disc herniation is found in almost the entire population over 30 years old!? Here’s what you didn’t expect! But few people have pain. They also revealed that the pain in people does not depend on the size of the hernia (for some, even with small disc changes, the pain is unbearable, for others, even with a large hernia, the pain is not very pronounced …) What does it turn out to be? But it turns out, dear citizens, that the cause of “osteochondrosis” pains is not always in a disc herniation and there is no need to panic about this.

SCOLIOSE
Another legend of domestic medicine that scoliosis is an irreversible phenomenon, that since the “crooked” spine has grown, it is forever. It would be terrible if that was really the case. Of course, it is difficult to find a completely direct citizen or citizen who, in a beach suit, would not have asymmetries of the pelvic bones, curvature of the spine, unequal standing of the shoulders, and lying down – different leg lengths! But, fortunately, the spine is a mobile system, and its curvatures are often reversible! We admit that the incorrect position of the regions of the spine, pelvic bones, uneven muscle traction and muscle spasm are among the main causes of the so-called “osteochondrosis” back pain.

MANUAL THERAPY
The previously used “trust”, “push”, “shock” methods of manual therapy at an accelerated pace, without having had time to spread properly, instilled in the people a fear of manipulation (either from what they were doing and are doing now by anyone, or from the fact that it sometimes hurts …), one way or another – everything that is done, everything is for the better. These techniques really had a number of formidable complications and in the world of modern manual therapy they are not given the first place. Now the methods of spine correction are soft or very soft, pleasant for the patient, and although more complex and time-consuming for the doctor, they are absolutely painless and safe for the patient.

OSTEOPATHICS
Muscle-energy techniques, visceral manual therapy, craniosacral techniques, the “strain-contrstrain” technique, post-isometric relaxation and muscle-fascial release – these are worthy alternatives to the old “manual”, born in the process of its noisy, but very useful evolution.