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Nick Baiata (Surfside Chiropractic)
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Surfside Chiropractic - A Place For Health and Healing
Surfside Chiropractic - A Place For Health and Healing

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Hello Jacksonville, this is your chiropractor, Dr. Baiata here. Today’s blog topic is:

Where Does Back Pain Come From?

Back pain is likely to strike all of us at one time or another. It often occurs after over-doing things, like working around the house, marathon surf sessions, and bending over to pick up a child, and so on. But there are times when identifying the cause of back pain can be difficult or impossible. In this article we will look at some of the causes of lower back pain.

Though activity-related back pain is common, many times a direct link to over-use or strain is not clear. Small events called microtrauma can accumulate and become painful when a certain threshold is exceeded. "The straw that broke the camel's back."

Pain can sometimes be referred by someplace else. This can be caused by an irritated joint or soft tissue not necessarily located in the immediate area of the perceived pain. For example, pain in the leg can result from an injured facet joint, sacroiliac joint, and/or a disk tear (without nerve root pinch). This is called “sclertogenous pain.”

Internal organs can also refer pain to the back. This is called a “viscerosomatic response” (VSR). An example of this is when the right shoulder blade seems to be the source of pain when the gall bladder is inflamed. This pain can be located at or below the scapula next to the spine and the muscles in the area are in spasm and sensitive or painful to the touch. Also, VSR is often not worsened or changed by bending in different directions (unlike musculoskeletal / MSK pain). Without further testing, it’s easy to confuse this with a MSK or a “typical” back ache. Ultimately, a final diagnosis may require an abdominal ultrasound (CT, MRI scan, and other diagnostics are less frequently used).

Visceral pathology in the back pain patient presenting to chiropractors is reportedly rare, and according to one survey, only 5.3% of patients present with non-musculoskeletal complaints. Other common VSR pain patterns are as follows: Heart – left chest to left arm, mid-upper back, left jaw; Liver – right upper shoulder (front and back), right middle to low back, and just below the sternum; Appendix – right lower abdomen (may start as stomach pain); Small intestine – either side of the umbilicus and/or between it and the breast bone; Kidney – small of the back, upper tailbone, and/or groin area; Bladder – just above the pubic bone and/or bilateral buttocks; Ovaries – groin and/or umbilical area; and Colon – mid-abdominal and/or lower quadrants.

Another possibility is cancer in the spine, which can be primary or metastatic (from a different location). Thankfully, this is very rare. A history of unexplained weight loss, a past history of cancer, over age 50, nighttime sleep interruptions, and no response to usual back care may lead a doctor to recommend tests to determine if cancer is present in the spine.

Bottom line: Chiropractors have been trained to look for these less common but important causes of back pain. They get “suspicious” when the “usual” orthopedic tests do not convey the usual responses seen with mechanical back pain. In these cases, they work with primary care doctors to coordinate care to obtain proper testing and treatment.


Dr. Nick Baiata
Surfside Chiropractic
469 Atlantic Blvd
Atlantic Beach, FL 32233
(904) 241-8302

http://surfchiro.com/blog/b_62099_where_does_back_pain_come_from.html
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Stocking up on more kinesio tape for the athletes and weekend warriors.
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According to the medical journal Spine maintenance adjustments performed at a frequency of 2 times a month significantly reduced pain and disability in people with chronic lower back pain. Chiropractic care not only can get you out of pain but keep you out of pain.
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Mariana, my beautiful daughter.
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Did you know that bacteria in our body, most of it good, outnumbers our own cells 10 to 1?  In the age of antibiotics we are killing a lot of the good bacteria in our bodies which scientists are linking to a whole host of diseases such as autoimmune disease, digestive disorders, cardiovascular disease and obesity.
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Mariana gets her spine checked.
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Mariana getting her back checked.
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