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Joint Disorders - Spine

Benefits of Chiropractic Care

One of the main causes of pain and disease in the human body can be traced to improper alignment of the vertebrae in your spinal column. This is called a subluxation. Through carefully applied pressure, massage, and manual manipulation of the vertebrae and joints, pressure and irritation on the nerves is relieved and joint mobility is restored, allowing your body to return to its natural state of balance, called homeostasis. Put another way, when the bones in your spine are allowed to go back to their proper positions, the nerve energy can resume its normal flow and your body's natural healing processes can function properly.

In general, proper chiropractic treatment of your body's lumbar, or lower back, region, involves very little risk, and the rewards can be significant.

Chiropractic manipulations can be especially helpful in relieving pain for facet joint injuries, osteoarthritis, and sacroiliac joint dysfunction, because such conditions respond well to mobilization. Moreover, scores of patients with chronic headaches, sinus problems, high blood pressure, ear infections, leg pain, arthritis, and many other illnesses have reported significant relief after chiropractic therapy.

Increasingly over the past few decades, the medical community has come to accept and recognize chiropractic care as a valid form of treatment for a variety of neuro-musculoskeletal conditions, and as a conservative treatment option for patients with lower back pain. Moreover, many medical doctors recognize a chiropractic diagnosis and accept it as the first line of treatment for functional disorders of the entire musculoskeletal system.

Studies by leading medical journals in recent years have confirmed the benefits of chiropractic care:

  • A 1993 report by the Ontario Ministry of Health concluded that chiropractic care was the most effective treatment for lower back pain. The agency also recommended that chiropractic care be fully integrated in the Canadian government's health care system.
  • In 1994, the federal Agency for Health Care Policy and Research published its Clinical Practice Guidelines, which asserted that spinal manipulation was effective in reducing pain and speeding recovery among patients with acute low back symptoms without radiculopathy.
  • A 1996 New England Journal of Medicine study of outcomes and costs for acute low back pain found that patients treated by chiropractors were significantly more satisfied than those who saw primary care, orthopedic or managed care practitioners.
  • A 1996 study in the journal Spine echoed that study, and found that patients who sought chiropractic care were more likely to feel that treatment was helpful, more likely to be satisfied with their care, and less likely to seek care from another provider for the same condition, compared to those who sought care from medical doctors.
  • In 2001, the Center for Clinical Health Policy Research at Duke University concluded in a study that spinal manipulation resulted in almost immediate improvement for cervicogenic headaches, or those that originate in the neck, and had significantly fewer side effects and longer-lasting relief of tension-type headache than a commonly prescribed medication.


The bony structures that allow your back and neck to easily move in different directions are called "facet joints." Facet joints provide about one-fifth of your lower back and neck's twisting stability. Facet joints are located in pairs at each vertebral level (except for the top vertebra) down your spinal cord.

The surfaces of facet joints are coated with slippery cartilage, allowing them to glide freely as you move. Each joint is encased in a capsule that generates lubricant for the joint while it moves.

When joints are injured in a traumatic event, or degenerate over time because of the aging process or disease, a wide variety of problemsand painoften result.

Facet joint syndrome develops when the cartilage in joints wears thin. Your body begins producing material (called bone spurs) to shore up the cartilage. This material can calcify, or harden, causing stiffness in the joint. In some cases, facet joint syndrome can contribute to joint inflammation, muscle spasms, and later osteoarthritis. Advanced cases of facet joint problems are sometimes referred to as degenerative spondylolisthesis, a condition in which joints slip forward.

Facet joint disorders in the lower back can cause stiffness, and make it difficult to stand straight or get out of a chair. Facet joint disorders in the cervical (neck) region can cause headaches and difficulty rotating the head.

A common joint disorder involves the sacroiliac joint, which links the bottom of the spine with the pelvic bone. This joint endures a lot of pressure and absorbs the shocks from the upper body. Although it is a very strong and mostly stationary joint, the sacroiliac joint can become damaged or impaired. Sacroiliac joint dysfunction can mimic many of the symptoms of a herniated lumbar disc. People with sacroiliac joint dysfunction typically complain of pain on one side of their lower back or buttocks. The pain can sometimes shoot down one or leg or both, sometimes extending all the way down to the foot.


Dr. Robert Pinto
Dr. Anne Pinto

5408 Discovery Park Blvd., Suite 200
Williamsburg, VA 23188
757-645-9300
 

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