Call us to set up an appointment! 516-599-3999

Malverne Chiropractic Care Respects Spinal Extension

Extension of the spine: It is good. It is bad. So what is up with spinal extension? Both are accurate: It is valuable. It is harmful. It’s the job of your Malverne chiropractor to help you establish the role of extension for your Malverne back pain relief plan and Malverne back pain control plan getting past the current episode of back pain. Your Malverne chiropractor at Malverne Health & Wellness is well trained in the effects – good and bad – of spinal extension and respects its role in spinal health and motion.

SPINAL CURVES

Two of the spine’s most noticeable curves – the cervical and lumbar curves – are lordotic curves meaning they curve inwardly. Flexion flattens these curves. Extension magnifies them. When a disc herniates or bulges, it does so into the concavity of the curve and potentially pushes on the spinal nerves causing pain. Flexion usually allows the disc bulge to get away from the nerve. Extension often permits the disc bulge to press on the nerves more. Malverne Health & Wellness wants to help reduce painful situations like this!

SPINAL MOTION

75% of the flexion and extension movement in the low back is at the L5-S1 level of the lumbar spine. 20% occurs at the L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine occurs at these two lower disc levels. Here, degenerative disc disease (minor and more advanced) occurs most. In the cervical spine, C5-C6 is the spinal level where most of the flexion takes place, and C4-C5 is where most of the extension takes place. Malverne chiropractic patients need healthy extension!

SPINAL EXTENSION

Malverne Health & Wellness respects extension and understands how it may benefit and hurt. The extensor muscles in the back weaken and degenerate just like discs degenerate. (1) Extension helps strengthen these muscles to support the spine. Extension is essential for this when the spine is healthy enough to perform extension. Extension to a painful spine may be harmful. Why? In the cervical spine, flexion decreased disc protrusion and maximizes the sagittal diameter of the vertebral canal while extension made the disc herniation larger and narrowed the vertebral canal causing stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion opened the vertebral canal and relieved pain while extension worsened the stenosis and caused pain. (3) Malverne Health & Wellness understands the key to eliciting the benefits of extension is in knowing when to apply extension.

Malverne CHIROPRACTIC USE OF EXTENSION

Malverne chiropractic treatment incorporates extension into the Malverne chiropractic treatment plan for its benefits. Cox® Technic applied to the cervical spine reduced intradiscal pressures to as low as 502 mmHg (4) and to as low as -192 mmHg in the lumbar spine. (5) Extension increased pressures in the lumbar spine to 1250 mmHg (the highest amount the transducer could measure). (4) Dropping intradiscal pressures and back pain is what Malverne Health & Wellness aims to do for its Malverne back pain patients.

CONTACT Malverne Health & Wellness

Listen to this PODCAST with Dr. David Atiyeh on the Back Doctor’s Podcast with Dr. Michael Johnson. He shares how he helped a patient whose back pain continues after multiple back surgeries with flexion distraction which relieves her pain as the table is flexed not extended.

Schedule your Malverne chiropractic appointment with Malverne Health & Wellness today. Let’s figure out the role extension might have in your back pain recovery and future back pain control strategy.

 Malverne Health & Wellness knows the role of extension in spinal motion, its necessity, its benefits and potential harmful effects.  
« View All Spine Articles
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page."