If you're suffering from lower back pain you're not alone. More than 80% of North Americans will at some time in their life suffer from the disabling confines of lower back pain.

According to experts, lower back pain is the number one disability culprit in workers' compensation claims and accounts for more than $50 billion annually in the US through medical care and lost production. In addition, the latest research shows most lower back problems which cause low back pain do not fully resolve without extensive treatment and proper rehabilitation, contrary to previous beliefs.

The chiropractic doctor is unique in the health care field in that much of the training in chiropractic colleges is specifically aimed at identifying and successfully treating and managing lower back conditions. General medical practitioners generally lack adequate training in this area and have not learned the skills necessary to most effectively identify and treat most back conditions.

Neck pain affects a significant number of individuals. Recent studies have found more than 10% of Americans suffer from neck pain at any given time.

The reason is that the neck region contains many delicate, pain sensitive structures commonly exposed to abuse and abnormal stresses. Incomplete rehabilitation of past injuries, poor posture, prolonged sitting, and lack of periodic spinal alignments are some of the more common factors in the development of neck problems.

Fortunately, most individuals suffering from neck problems will find chiropractic care extremely beneficial. Unlike prescription drugs, most chiropractic procedures address the cause of the majority of neck problems, not simply the symptoms. Best of all, chiropractic care is safe, natural, and noninvasive... no side effects allowed!

According to the latest research, 9% of men and 12% of women in the U.S. experience at least 1-2 headache episodes per month. And, more than 4% of the U.S. population suffers from frequent headaches, defined as headaches that occur at least 180 days a year. Needless to say, headaches have become a social and economic burden in the United States, as well as other parts of the world.

Scientists have identified over 300 causes for headaches. Various pain-sensitive structures and tissues including the skin, subcutaneous tissue, muscles, arteries, periosteal bone covering, and the upper cervical and facial nerves produce headaches when irritated or injured. Fortunately, only a handful of causes are responsible for the majority of headaches.

The most common of these headaches include:

1. Cervicogenic- problems within the neck

2. Muscle-tension- neck and upper back muscular spasms

3. Post-traumatic- following head/neck trauma, i.e. whiplash

4. Drug-induced- from analgesic overuse

5. Migraines

6. Cluster

Doctors of chiropractic successfully help thousands of individuals everyday obtain safe, effective, long-term relief from their headaches. This is because most headaches have a spinal, muscular, or habitual component which the chiropractor has been trained to identify and treat. In fact, surveys show that 10-25% of patients initiate chiropractic care for the relief of headaches.

To learn more about specific headache types, headache treatments, prevention tips, or to view various articles related to headaches, choose from the links menu above.

According to the Insurance Research Council, nearly 1/3 of all claimants injured in motor vehicle accidents (MVA's) seek treatment from doctors of chiropractic. This is an impressive number given that the National Safety Council (NSC) has determined there to be more than 12 million MVA's annually involving more than 20 million vehicles.

The reason individuals like yourself choose chiropractic care for treatment of injuries sustained in MVA's is simple - chiropractic care is exceptional in the treatment of soft tissue injuries, especially of the spine. Since the most common injuries associated with MVA's are sprains and strains of the spinal muscles and ligaments, it's only natural that chiropractic be the treatment of choice.

Many studies have also found individuals injured in MVA's prefer chiropractic care for the treatment of their injuries. One such study evaluated 190 whiplash injury victims and found those who received chiropractic care reported treatment satisfaction of 100%.

1. Balla JI, Iansek R. Headaches arising from disorders of the cervical spine. In: Hopkins A, ed. Headache: Problems in Diagnosis and Management. London: WB Saunders; 1988.

Chiropractic care has received much attention in regards to its successful management of sporting injuries. Since the majority of sports injuries are soft tissue in nature and because many of injuries arise from improper body biomechanics and improper sporting techniques, chiropractic doctors have become the doctors of choice - from the weekend warrior to the professional athlete.

According to an article in the June '98 issue of The Physician and Sports Medicine, "Interest in alternative or complementary medicine 'especially chiropractic' is booming... active patients are running to unconventional providers to treat their aches and pains... from chiropractors and acupuncture to magnets and meditation."

It's really quite simple. Chiropractic care - through the use of safe and natural spinal adjustive techniques, physiotherapy applications, soft tissue mobilization, stretching and exercise programs, diet and nutritional counseling, and extensive biomechanical training - focuses on all causes which have lead to the symptoms of pain and tissue injury and do not focus on solely eliminating pain.

Successful treatments must focus not only on pain relief, but must address the underlying causes such as muscular imbalances, biomechanical deficiencies, improper sporting techniques, and improper conditioning, to name a few.

Lumbar Vertebrae

The lumbar spine contains 5 moderately large vertebrae which sit atop the sacrum. These bony segments act as attachments for muscles and ligaments in the lumbar spine and also encase and protect the lower spinal cord and lumbar nerve roots.

Because the lumbar vertebrae are located between the pelvis and upper torso, the degree of stresses endured by the lumbar spine are great. These abnormally high degrees of stress result in frequent lumbar vertebral subluxations - misalignments and improper motion patterns of the lumbar vertebrae. If left uncorrected, these misalignments and faulty biomechanics of the lower spine can result in spinal injury and irreversible degenerative changes.

Lumbar Intervertebral Discs

The lumbar discs connect adjacent lumbar vertebrae to one another and cushion the spine as well as permit motion between the individual vertebrae. As stated above, the lumbar spine is a "transitional" area between the pelvis and upper torso, thus, resulting in high degrees of spinal stress. This results in the 4th and 5th lumbar discs suffering more injuries than all other spinal discs combined.

Disc herniations in the lumbar spine are the most common causes of "sciatica", meaning pain running down the back of the leg in the area of the sciatic nerve. Possible symptoms include pain, numbness, tingling or weakness in the legs and/or feet.

In rare cases, a lumbar disc herniation can compress the spinal nerves which provide motor control to the bowel and bladder. Although rare, if you're having back pain and experience a loss of bowel and/or bladder control, immediate medical intervention is required. Without immediate decompression the loss may become permanent.

Lumbar Facet Joints

The facet joints in the lumbar spine allow for considerable amounts of flexion but a much lesser degree of extension and rotation. These joints must withstand large amounts of stress from the body and as a result are prone to acute and repetitive injuries and degenerative arthritis.

Facet joints are most commonly injured during movements involving a rotational or twisting component. When injured, pain is often sharp and localized to the area of the affected facet joint. Later in life, if spinal problems have been allowed to linger without appropriate rehabilitation, arthritis will likely be present. If severe enough, as is commonly the case, bony arthritic enlargement of the joint can impinge upon spinal nerve roots and produce symptoms pain, numbness, and tingling down the leg, as well as leg weakness, in addition to back pain.

Lumbar Spinal Nerves

The lumbar spinal nerve roots exit openings formed between adjacent lumbar vertebrae termed the intervertebral foramina or IVF. The weakest aspect of the spinal disc is unfortunately in close proximity to the IVF. Thus, disc injuries commonly result in discal materials compressing, stretching or irritating the nerve roots exiting the IVF's.

Because the nerve roots exiting the lumbar spine innervate structures in the lower extremities, any compression, stretching or other irritation will result in numbness, tingling, pain or weakness in the leg(s) and/or feet. This may result from vertebral malpositions, disc herniations, arthritic changes to the vertebrae and facet joints, or even abnormalities within the muscles (piriformis syndrome).

Lumbar Spinal Musculature

The paraspinal muscles in the lumbar spine attach to the spinal vertebrae and pelvis to provide the torso with movement. These muscles must be strong to control the upper torso about the pelvis and thus are frequently overworked and injured. The pain associated with paraspinal muscle injury is generally a dull, boring, generalized ache in the area of the lower back.

Sacroiliac Joint

The sacroiliac joints are located between the sacrum and the ilium bones of the pelvis. These joints may also become irritated or injured resulting in lower back pain, buttock pain, and occasionally leg pain.

This condition tends to be more common in women, especially during pregnancy when hormonal changes and pressure from the forming fetus increase the stress on these joints.