What Is This Tingling in My Leg?

What Is This Tingling in My Leg?

What Is This Tingling in My Leg? Nachmias Chiropractic tells you the facts.

When you think of low back pain, you may visualize a person half-bent over with their hand on the sore spot of their back. Since many of us have experienced low back pain during our lifetime, we can usually relate to a personal experience and recall how limited we were during the acute phase of our last low back pain episode.

However, when the symptoms associated with low back pain are different, such as tingling or a shooting pain down one leg, it can be both confusing and worrisome – hence the content of this issue.

Let us look at the anatomy of the low back to better understand where these symptoms originate. In the front of the spine (or the part more inside of the body), we have the big vertebral bodies and shock absorbing disks that support about 80 percent of our weight. At the back of each vertebrae you will find the spinous and transverse processes that connect to the muscles and ligaments in the back of the spine.

Short Pedicles A Genetic Cause

Between the vertebral body and these processes are the tiny boney pieces called the pedicles. The length of the pedicle partially determines the size of the holes where the nerves exit the spine. When the pedicles are short (commonly a genetic cause), the exiting nerves can be compressed due to the narrowed opening. This is called foraminal spinal stenosis. This compression usually occurs later in life when osteoarthritis and/or degenerative disk disease further crowds these “foramen” where the nerves exit the spine.

Similarly, short pedicles can narrow the “central canal” where the spinal cord travels up and down the spine from the brain. Later in life, the combined effects of the narrow canal plus disk bulging, osteoarthritic spurs, and/or thickening or calcification of ligaments can add up to “central spinal stenosis.”

Symptoms Of Spinal Stenosis And Treatment

The symptoms associated with spinal stenosis (whether it is foraminal or central) include difficulty walking due to a gradual increase in tingling, heavy, crampy, achy and/or sore feeling in one or both legs. The tingling in the legs associated with spinal stenosis is called “neurogenic claudication” and must be differentiated from “vascular claudication”, which feels similar but is caused from lack of blood flow to the leg(s) as opposed to nerve flow.

At a younger age, tingling in the legs can be caused by either a bulging or herniated lumbar disk or it can be referred pain from a joint – usually a facet or sacroiliac joint. The main difference in symptoms between nerve vs. joint leg tingling symptoms, is that nerve pinching from a deranged disk is located in a specific area in the leg, such as the inside or outside of the foot.

In other words, the tingling can be traced fairly specifically in the leg. Tingling from a joint is often described as a deep, “inside the leg,” generalized achy-tingling that can affect the whole leg and/or foot or it may stop at the knee, but it is more difficult to describe by the patient as it is less specific in its location.

Chiropractic treatment of all these conditions offers a non-invasive, effective form of non-surgical, non-drug care, and is the recommended in low back pain guidelines as an option when treating these conditions (source: Chiro-Trust.org).

Nachmias Chiropractic – We Got Your Back!

Yes, that is right! Nachmias Chiropractic has your back when you are in pain from stenosis or any other pain condition. Dr. Adam Nachmias has helped patients with back and hip pain for more than 28 years. Dr. Adam is the #1 choice for New York patients and has been awarded “Best Chiropractic in New York”, two years in a row.

Nachmias Chiropractic has practices in both Bayridge and Manhattan, New York. There is still time to take advantage of our “Back To School” campaign and get huge discounts on chiropractic and massage (valid until October 21, 2017). Claim your discount here.

To book an appointment with Dr. Adam Nachmias, call any of our offices:

Brooklyn: 718-238-8900

Manhattan: 212-924-1700

Or book online.

Ensure A Healthy Spine With Nachmias Chiropractic!

Find pdf for print here.

 

Back Pain – Is It Caused By My Low Back Or My Hip?

Back Pain – Is It Caused By My Low Back Or My Hip?

Back Pain - Is It Caused By My Low Back Or My Hip? By Nachmias Chiropractic

For patients with low back pain, it is not uncommon for pain to arise from areas other than the low back, such as the hip. There are many tissues in the low back and hip region that are susceptible to injury with having overlapping pain pathways, which often make it challenging to isolate the truly injured area. Hip pain can present in many different ways.

Why Is It Hard To Know Where the Pain
Is Coming From?

When considering the anatomy of the low back (lumbar spine) and hip, it is often difficult differentiating between the two conditions, since the nerves that innervate the hip come from the low back. Complaints may include the inside, outside, front, or back of the thigh, the knee, the buttocks, the sacroiliac joint, or the low back and yet, the hip may truly be the pain generator with any of these presentations.

To make diagnosis even more complex, the hip pain patient may present one day with what appears to be sciatic nerve pain (that is, pain shooting down the back of the leg to the knee if mild or to the foot if more severe) but the next visit, with only groin pain.

When pain radiates down a leg, the almost automatic impression by both the patient and their healthcare provider, is that it is a pinched nerve causing the pain. But again, it could be the hip and not a pinched nerve that is creating the leg pain pattern.

The Possibility Of Several Pain Conditions
At the Same Time

Throwing yet another wrench in the works is the fact that a patient can have more than one condition at the same time. So, they truly may simultaneously have both a low back problem and a hip problem.

In fact, it is actually unusual to x-ray the low back of a hip pain patient without seeing some low back condition(s) like; degenerative disk disease, osteoarthritis (spurs off the vertebrae), or a combination of these.

How Do We Differentiate Between Hip Vs. Low Back Pain When It Is Common For Both Low Back and
Hip Pain To Coincide?

During a consultation, chiropractors often ask the question, “…what activities make your pain worse?” If the patient replies that weight bearing activities like standing, walking, getting up from a sitting position and so forth provokes the pain, and they point to the front or side of the hip, a hip-related diagnosis is favored. However, it still may be arising from the low back or both.

If they say, “…crossing my right leg over the other hurts in my groin,” then it is getting more hip pain-specific, as hip rotation is frequently lost before the forward flexion motion. When we ask the hip pain patient to point to the area of greatest discomfort, they usually point to the front of the hip or groin, and less often to the inner and/or anterior thigh or knee. Non-weight bearing positions like sitting or lying are almost always immediately pain relieving.

How To Know When It Is Arthritis?

When there is arthritis in the hip, motion loss is often reported and may include a shorter walking stride and pain that usually gets worse the longer these patients are on their feet. Initiating motion often hurts, sometimes even in bed when rolling over.

During the chiropractic examination, with the patient lying on the back with the knee and hip both bent 90°, moving the bent knee outwards or inwards will almost always reproduce hip/groin area pain. Pulling on or applying traction to the affected leg usually feels good.

Knee and ankle reflexes and sensations are normal, but muscle strength may be weak due to pain. Bending the low back into different positions does not reproduce pain if the pain is only coming from the hip. Though sometimes challenging, doctors of chiropractic are well-trained to be able to differentiate between hip and low back pain, and will treat both areas when it is appropriate (source: Chiro-Trust.org)

Nachmias Chiropractic – We Got Your Back!

Yes, that is right! Nachmias Chiropractic has your back when you are in pain. Dr. Adam Nachmias has helped patients with back and hip pain for more than 28 years. Dr. Adam is the #1 choice for New York patients and has been awarded “Best Chiropractic in New York”, two years in a row.

Nachmias Chiropractic has practices in both Bayridge and Manhattan, New York. There is still time to take advantage of our “Back To School” campaign and get huge discounts on chiropractic and massage (valid until October 21, 2017). Check it out and claim your discount here.

Nachmias Chiropractic - We Got Your Back! Back to School Campaign

To book an appointment with Dr. Adam Nachmias, call any of our offices:
Brooklyn: 718-238-8900
Manhattan: 212-924-1700

Or book online.

Ensure A Healthy Hip and Spine With
Nachmias Chiropractic!

Find pdf for print here.

 

September Chiropractic Health Month 2017 – Back Health Basics

September Chiropractic Health Month 2017 – Back Health Basics

September Chiropractic Health Month 2017 – Back Health Basics by Nachmias Chiropractic

September Chiropractic Health Month 2017 focuses on back health basics — the importance of overall health and injury prevention as key strategies in maintaining spinal health throughout a lifetime.

Back Pain Remains One Of the Most Prevalent and Disabling Conditions Worldwide

It is one of the most common reasons that patients visit their doctors, and one of the most common conditions for which doctors prescribe pain medications. It is estimated that up to 80% of people will suffer from back pain at some point in their lives.

Opioid Painkillers – A Wide Spread Problem

In addition, with the overuse and abuse of prescription opioid painkillers in the United States still a major public health issue, it is essential for health care consumers to understand that spinal manipulation and other conservative treatments can treat common musculoskeletal conditions, such as back pain effectively and safely.

Chiropractors focus on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health and function. Chiropractic services are used most often to treat conditions such as; back pain, neck pain, pain in the joints of the arms or legs, and headaches/migraines. What people know less about is that chiropractic also treats other conditions like; allergies, asthma, stress and depression, vertigo, fibromyalgia, work related injuries, and regulates blood pressure.

Widely known for their expertise in spinal manipulation, chiropractors practice a hands-on, drug-free approach to health care that includes patient examination (even x-rays when needed), diagnosis and treatment. In addition, their training encompasses therapeutic and rehabilitative exercises and nutritional, dietary and lifestyle counseling.

Your Chiropractor Dr. Adam Nachmias – Nachmias Chiropractic

When in need of a Chiropractor, Dr. Adam Nachmias at Nachmias Chiropractic, is the number 1 choice for New York patients. Dr. Adam is an expert, licensed, and well awarded chiropractor with 26 years experience of chiropractic care.

Dr. Adam got awarded 2016’s Best Chiropractor in New York for the 2nd year in a row by opencare.com and expertise.com.

Nachmias Chiropractic has practices in both Bayridge and Manhattan, New York.

To book an appointment with Dr. Adam Nachmias, call any of our offices:
Brooklyn: 718-238-8900
Manhattan: 212-924-1700

Or book online.

Nachmias Chiropractic – We Got Your Back!

Find pdf for print here.

Chiropractic Research: Improved Health Outcomes In A Woman Experiencing Chronic Post-Partum Low Back Pain

Chiropractic Research: Improved Health Outcomes In A Woman Experiencing Chronic Post-Partum Low Back Pain

Chiropractic Research: Improved Health Outcomes In A Woman Experiencing Chronic Post-Partum Low Back Pain - Nachmias ChiropracticPost-partum low back pain is common after pregnancy and many women ask why that is?

The answer to this question is that during pregnancy, your expanding uterus stretches and weakens your abdominal muscles and alters your posture, and therefore puts strain on your back.

Extra weight also means more work for your muscles and increased stress on your joints. Hormonal changes in pregnancy can loosen the joints and the ligaments that attach your pelvic bones to your spine.

This can make you feel less stable and cause pain when you walk, stand, sit for long periods, roll over in bed, get out of a low chair or the tub, bend, or lift things.

How To Treat Post-Partum Low Back Pain
After Pregnancy?

Chiropractic adjustments are the best treatment for post-partum low back pain. The study below shows proof of great results after only two chiropractic treatments on a woman in her early 30thies, who suffered low back pain after giving birth.


Abstract Of Study

Objective

To describe the outcomes related to chiropractic in a woman with post-partum back pain.

Clinical Features

A 33-year-old female presented for chiropractic consultation and care with chronic low back pain that began during pregnancy, approximately three years prior. History revealed that she had a C-section due to a small pelvic opening.

An A-P lumbosacral radiograph demonstrated significant left sacral displacement relative to the median plane.


Intervention and Outcomes

The patient was cared for with high velocity low amplitude thrust chiropractic adjustments. Chiropractic care was administered to the patient over two visits. After one sacral adjustment, comparative radiographic assessment revealed a 72% correction of the sacral subluxation and she had complete relief of symptoms.


Conclusions

This case report provides supporting evidence that women suffering from pelvic and low back pain post-partum may benefit from chiropractic care. Research on the relationship between pelvic subluxation should be further conducted (sources: babycenter.com & chiropracticpediatrics.sharepoint.com).


Your Chiropractor Dr. Adam Nachmias – Nachmias Chiropractic

When in need of a Chiropractor, Dr. Adam Nachmias at Nachmias Chiropractic, is the number 1 choice for New York patients. Dr. Adam is an expert, licensed, and well awarded chiropractor with 26 years experience of chiropractic care.

Dr. Adam got awarded 2016’s Best Chiropractor in New York for the 2nd year in a row by Opencare and Expertise.

Nachmias Chiropractic has practices in both Bayridge and Manhattan, New York.

To book an appointment with Dr. Adam Nachmias, call any of our offices:
Brooklyn: 718-238-8900
Manhattan: 212-924-1700

Or book online.

Nachmias Chiropractic – We Got Your Back!

Find pdf for print here.