What are electrodiagnostic services ("EDX")? EDX, in this context, refers principally to the following procedures: 1. Nerve Conduction Velocity ("NCV") studies; 2. Needle Electromyogram ("EMG") studies; and 3. Somato-sensory evoked potential ("SSEP") studies. The specifics of each of the foregoing is beyond the scope of this article. Here, we will focus on the issue of whether such services should be reimbursed, assuming medical necessity for said services is not in dispute, when licensed chiropractors perform these services in the state of Texas. Insurance carriers often deny reimbursement for EDX performed by chiropractors, asserting that such services are not within the scope and practice of Chiropractic in the state of Texas.
Spine fusion surgery may be indicated for a variety of spine problems. Generally spine problems are first treated conservatively. Then, if low back pain, numbness, tingling or weakness in the legs does not improve, individuals may be candidates for lumbar spine fusion surgery. The most common reason for surgery is leg pain or sciatica. This pain may be the result of a herniated lumber disc causing pressure on one or more of the spinal nerves. Leg pain may also be caused by abnormal motion of the vertebrae. Spinal fusion is done most commonly in the lumbar region of the spine, but it is also used to treat cervical and thoracic problems. People rarely have problems with the thoracic spine because there is little normal motion in the thoracic spine.
The symptoms of lower back pain differ according to their causes. In fact these kinds of back pain symptoms can be very complex at times as it is difficult to understand the nature of any problem in a short period. Some face these symptoms immediately after the cause and on the other hand, some face it after days, weeks of sometimes even after months. In every set of symptoms it is advisable not to ignore them as a usual muscle pain but to keenly observe the nature and the behavior of the pain and accordingly visit the doctor if needed. What Is The Cause Of My Symptoms Of Lower Back Pain? 70% of the back pain problems can be avoided by performing the day to day activities in the right form.
Herniated disc symptoms can be very serious, and can lead to quite a bit of disability. This article will discuss the most common symptoms associated with a herniated disc in each region of the spine, as well as some tips for what you can do at home for relief. But before we discuss the symptoms, we need to first have an understanding of how a herniated disc causes pain. The discs of the spine are cushions that separate each set of bones in the back. They are shock-absorbers, and they are each composed of two main parts - a strong outer covering called the annulus, and a soft jelly center called the nucleus. If you take a close look at the spine, what you will see is that the nerves of the spine are located directly behind each disc.
Herniated disc exercises can be helpful or harmful, so it's important that you follow some basic guidelines for exercising with this condition. This article will discuss some simple exercises that you can do for herniated disc healing, but before we can discuss that, we need to briefly discuss how a spinal disc functions so these recommendations make sense. The discs of the spine are cushions that separate each set of bones in the back. Their primary function is to act as shock-absorbers, which prevents the bones from absorbing this shock and helps you avoid quite a bit of pain. Each disc is made up of two parts - a strong outer covering called the annulus, and a soft jelly center called the nucleus.
Are Computer games responsible for increased back pain cases among the nation's teenagers? The problem of low back and neck pain in teenagers is likely to increase significantly in years to come, This seems on the cards considering the associated health problems of obesity, reduced levels of activity, and the popularity of passive entertainment systems such as play stations that encourage further inactivity and prolonged sitting posture in the adolescent age group. Terry O'Brien of Back Trouble UK says "While 80 percent of the population are likely to experience low back pain at some stage in their life, there is a worrying trend in the amount of back pain experienced by teenagers.
When our body is in the standing position it is in a state of unsteady equilibrium because the base is small and the centre of gravity is a long way above it. That is why it has to be balanced by keeping the centre of gravity over the base, otherwise the body would fall over. Equilibrium: The steadiness of the body depends on the size of its base and the distance of the centre of gravity from that base. An object having a large base and a low centre of gravity is not easily upset. The first thing necessary in order to accomplish good posture is to straighten the neck, keep the chin down and back. The second important thing is correct deep breathing. The line of gravity in the fundamental standing position falls in front of the ears, and in front of the cervical and dorsal vertebrae, through the lumbar vertebrae, through the hip joint, and slightly in front of the ankle joint.
Piriformis Syndrome The Piriformis is one of the small muscles deep in the buttocks that rotates the leg outwards. It runs from the base of the spine and attaches to the thigh bone (femur) roughly where the outside crease in your bum is. The sciatic nerve runs very close to this muscle and sometimes even through it! If the muscle becomes tight it can put pressure on the sciatic nerve and cause pain which can radiate down the leg. A common cause of Piriformis syndrome is having tight adductor muscles (inside your thigh). This means the abductors on the outside cannot work properly and so put more strain on the Piriformis. Symptoms of piriformis syndrome: Tenderness in the area of the muscle.
A Pain deep in the cheeks of your bottom can be referred from the lower back. There does not necessarily have to be pain in the lower back as well for pain to be referred into the buttocks. What are the symptoms of pain referred from the back? An aching in the buttocks that is difficult to pinpoint. The slump test may reproduce buttock pain which is eased when the neck is relaxed back (extended). Areas of the lumbar spine may be tender and have poor mobility. Tight gluteal muscles and other muscles of the buttocks. What can I do? See a Physical Therapist who can identify the problems in the lower spine. Begin an exercise programme that will stretch and strengthen the muscles supporting the lumbar spine.
If you are suffering from back pain, your prime concern at the moment will be to get some relief for back pain. However, it is important to understand that while some pain relief measures may work for someone else, they may not work for you. The reason is that, the cause and intensity of your pain may differ from others. Medically also, the affected area of your back may be different from that of the other person. Basic Treatment Ordinarily, relief for back pain can be obtained with a mix of care and simple home remedies. It may take a maximum of two to three days. A pain that stays longer may require intervention of a physicist who will recommend a treatment, based on your spinal x-ray, depicting slight muscle inflammation.