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Normal Degeneration Linked with Fernandina Beach Spinal Stenosis

January 10, 2023

Normal degeneration of the spine may seem incongruous when discussing degeneration, but age encounters us all. Age generates degeneration normally. Our Fernandina Beach chiropractic practice recognizes and respects age for its influence on the spine and its role in paraspinal muscle and disc degeneration. They go together. Amelia Chiropractic Clinic treats them gently and successfully, especially when our patients participate fully by keeping appointments, exercising, and following suggestions about supplements that can be beneficial. It’s all part of our Fernandina Beach chiropractic treatment plan!

NORMAL DEGENERATION: Age

Age. Not a topic we want to talk about, but age does not mind. It keeps doing its thing. Age played a considerable role when comparing the fatty infiltration of muscle in normal people to that in lumbar spinal stenosis patients matched for age, BMI, weight, etc. The paraspinal muscle changes in lumbar spinal stenosis patients and normal people were comparable. Degeneration of these muscles related to age was more obvious in lumbar spinal stenosis patients especially in the multifidus muscles. (1) A radiographic study of degenerative lumbar spinal stenosis found age-related risk factors. Researchers wrote that larger intervertebral disc height and more severe vertebral endplate failure may trigger degenerative lumbar spinal stenosis due to the intensified mobility of the segment, promoting disc degeneration. Weakened paravertebral muscles may weaken lumbar spinal stability. (2) Indeed, the spine and all its muscles are interconnected. Amelia Chiropractic Clinic looks at them all, to their response to treatment, to their role in the pain.

BACK PAIN AND ITS PALS

Low back pain has friends. It brings with it degeneration, change, fat, imbalance and more. Researchers adknowledged intervertebral disc degeneration as being the number one cause of chronic low back pain. It’s a common and recuring condition in spine surgery realms. Disc degeneration is linked to disc inflammation which makes sense since it is avascular tissue. As we humans age, researchers explained that its bone marrow changes to bone marrow fat, activating an inflammatory response in the disc and paraspinal muscles which play a role in spine stability. As the muscles fill with fat, low back pain transitioned to chronic. (3) In a study of patients with lumbar spinal stenosis and sciatica/leg pain, researchers described that lumbar degenerative diseases prompted paravertebral muscle degeneration with greater levels of intramuscular fat infiltration. Women’s paraspinal muscles were significantly smaller. The erector spinae muscle and multifidus muscle in older aged patients were described as having more fat in them. (4) Amelia Chiropractic Clinic realizes that aging plays a role in back pain’s development, path, and treatment.

LESS IS MORE: Treating Aged Back Pain

Since researchers observed that with age comes fatty infiltration of paraspinal muscles and inflammatory responses in the disc, it makes sense that doing less if back surgery is done would be prudent. A new study wrote that the addition of fusion to a decompression back surgery for lumbar spinal stenosis heightened the risk of new stenosis on an MRI two years later at the operated level or at an adjacent spinal level even when spondylolisthesis (a condition that one vertebra slipped on another one) was seen at surgery. (5) Less is more frequently when managing back pain. Gentler treatment can go far in reducing pain. That is the motto of the CTFDD treatment plan at Amelia Chiropractic Clinic: gentle spinal manipulation, gentle exercise, etc.

CONTACT Amelia Chiropractic Clinic

Listen to this PODCAST with Dr. Joseph Beissel on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates the relief with The Cox® Technic System of Spinal Pain Management for a patient with chronic low back pain.  

Make your Fernandina Beach chiropractic appointment soon. There’s no escaping age or its accompanying pal, degeneration. If disc degeneration and spinal muscle degeneration are now your pals, trust Amelia Chiropractic Clinic to set you all on a path of healing. 

Fernandina Beach degenerative spinal changes