Crack! Crunch! Chiropractic videos help chiropractors find the correct spot.

NEW YORK – There’s a recurring motif in the comments on Instagram videos featuring Justin Lewis, a blond Manhattan chiropractic doctor with broad shoulders and a boyish grin: Alongside comments marveling at how crisply and loudly his patients’ joints clicked into alignment are unmasked expressions of longing.

Lewis’s 165,000-plus followers wrote “I need it” in response to a post showing Lewis adjusting a lower back while a clip-on mic amplified the crunching, cracking and grating sounds.

“I need some,” a woman commented on a video showing Lewis adjusting the neck of a female patient with a series of loud pops.

“Ugh, I NEED this right here,” one user writes beneath a video showing Lewis scraping shoulders of a young female wearing a workout top before he sinks deep into the crevice of the spine and shoulder blade. This is Lewis’s “scapular-release,” a technique that aims at relieving shoulder pain and increasing range of motion.

After watching enough videos of Lewis releasing scapulae and cracking backs, one can easily notice the stiffness of their own lumbar. Hearing their mic’d up pops and cracks also evokes a desire for a sudden bodily release bordering on the indecent, as well as a secondhand feeling of relief.

Lewis is one of many friendly, photogenic chiropractors who have become influencers in recent years. This is largely due to algorithms that keep recommending more chiropractors for people who have watched just one chiropractor. Lewis, who has a following of nearly 3 million on TikTok has a lot more than Alex VanDerschelden, the “OC Chiropractor” from Southern California, with 4.5 million. Dr. Cracks, a chiropractor known only by his name, has upwards of 6 million. CrackAddictz, a YouTube page, offers a compilation of the most satisfying chiropractor adjustments. These are to be consumed in the same way that pimple-popping videos are: obsessively and parasocially.

Humans have always sought to restore their bodies to a vague sense of their natural, divine functioning order — a feeling of overall well-being that specialized, targeted medical care can’t provide. For better or worse practitioners have always been ready to intervene whenever our chakras appeared blocked, when our humors were unbalanced, when our meridians became constricted, or when our orgone levels seemed out of whack. The search for relief is universal, and the solutions are as endless as the options. In 2023, it’s not surprising that laptop workers connected to the internet around the world will find relief through online videos.

Lewis, 35, began posting videos on Instagram in spring 2020 with the help a social media-savvy pal, after the steady stream of visitors to the newly-opened chiropractic clinic suddenly slowed down. Three years later, Lewis posts between three and five clips a week on his various pages on YouTube, Instagram TikTok Facebook and Pinterest. These include adjustment videos that are usually made in partnership with influencers or sportspeople, as well as songs or memes tailored for chiropractic care. Lewis’s fanbase has grown accordingly.

“We receive messages from people as distant as Africa, and Europe.” Lewis tells me that patients have flown in from Italy. Visitors “are often like, ‘Oh we’ve watched hundreds of your videos. Like, that’s crazy,” he adds.

Michael Rowe, a St. Joseph, Mich. chiropractor with nearly 2.8 million YouTube subscribers, has found that his popularity online has inadvertently threatened the stability of his office. “I’m a small town chiropractor, but now we have people calling us from all over the globe, just to talk to me or come see us. Rowe tells us that we have to explain what I do at the office is not different from what you get at your local chiropractic clinic. “I feel bad for my receptionist.”

Chiropractic videos are no different. At a certain point you start looking for more intense content. This may explain the popularity the Y-Strap – a tool that is fastened under a supine patients’ chin, and then yanked from the body in order to “release the pressure from the vertebrae on the spine from top-to-bottom,” according to the website of the manufacturer.

Caroline Smith, a waitress from Columbus, Ohio who shares chiropractic videos with her sister via direct message, jokes she’ll block any chiropractors whose videos do not feature the Y strap — for wasting her valuable time. Smith, who has suffered from back pain ever since a basketball accident in her teenage years, fantasizes about how life would be without it. “I want my spine decompressed,” says Smith. Smith enjoys watching VanDerschelden’s Y strap adjustment videos.

VanDerschelden is possibly the most popular idol among all the Internet’s dreamy chiros. He is also known for his “magic-hug” videos in which he stands up on the table and leans in to his patients. He then cradles the head and neck of his patients in his arms, until he finds a stiff spot, at which point he pulls inward. A microphone picks sounds that are crunchier than the sound of a brick falling into a bowl full of potato chips. (The cracks and crinkles, for what it’s really worth, are caused by pockets of gas escaping between joints – not bones colliding.

The Y-Strap is what fascinates and alarms the most aficionados. VanDerschelden declined my request for an exclusive interview. However, Joseph Cipriano a chiropractor who has offices in Tampa, Atlanta, and Greenville, S.C. and a YouTube channel that boasts him as “Y Strap Doctor” and has more than 2,000,000 subscribers, told me he swears it. He says that patients feel “lighter and taller” after using the straps. Many swear they can “breathe better, smell better, hear better, and even see clearer” after using the device.

Lewis and other chiropractors have reservations. “When I adjust someone’s neck, i’m feeling the neck. “I can adjust this area by putting my hand there,” he said. A Y strap, on the other hand, uses a more blunt force. “You’ll feel cracks in your back, but they’re not specific.” I think that specificity is important in this industry to ensure your safety. (William Zelenty a spine surgeon from New York’s acclaimed Hospital for Special Surgery watched a few Y Strap videos for this article.) He was dismayed when we spoke over the phone. “There is very little difference between these straps and a noose.”

Cipriano estimates that “99.9 per cent” of his patients visit him because they have seen his clips on the internet. “Everyone says that the Y strap is the main reason that they are coming.”

The videos have become a part of many people’s jobs in this field. Lewis films at least a couple of hours every day he is in the office. He estimates that 80 percent his clients book with him because they saw his videos. Cipriano wants to post new content on YouTube every other day, and offers a discount for patients who allow him to film their adjustments.

One wonders, of course, if being adjusted by a viral chiros gives the same satisfaction as watching someone else do it. When I visited Lewis on a warm, sunny Friday in his office, located on the 8th floor of a gray, nondescript building near Penn Station I requested a full-body adjustement, including the scapular releases. I thought the latter looked beautiful in the videos. Lewis warned me that it didn’t feel lovely while it was happening.

Lewis contorted my arm back behind my torso, slowly and painfully, with the Graston tool. It felt like a rug-burn, not a massage. He assured me that it would only take a few seconds each time. I could only nod, my brows twitching like an accordion.

Even the fabled, back-cracking back-cracking felt surprising similar to my brother body-slamming into the couch, when we were children. The crunch could be heard. The relief was muted.

The next morning, however, as I stretched out my arms into angel wings during a sun salutation class on a Saturday morning, I felt that they extended longer and further back than in previous years. That was transcendent.

Eras Tour Headaches Take U.K.: Taylor Swift Fans Complain About Website Malfunctions, Scalpers As Tickets Released

Topline

Almost 40,000 fans with pre-sale access to Taylor Swift’s upcoming Eras Tour dates in the United Kingdom were met with a malfunctioning waiting room, inflated resale prices and Ticketmaster “breaking down” as they tried to purchase tickets to one of 13 shows to be held next year–mirroring similar problems in the U.S. that have prompted discussions of changing regulations around ticket sales.

Key Facts

Ticketmaster, which also oversaw a disastrous sale of tickets for U.S. tour stops, staggered the days and times tickets to U.K. shows would go on sale in attempts to avoid the website crashes that plagued American buyers earlier this year, but would-be concert attendees who had access to the first pre-sale day Monday complained the website was still malfunctioning and scalpers were reselling tickets for five times their original prices within 15 minutes of the release.

Some users reported website crashes and problems joining the virtual waiting room, while others complained about expensive tickets with obstructed views and disabled fans said the virtual line for special access at London’s Wembley Stadium was never opened at all.

Resale tickets for the U.K. shows that went on sale Monday–two shows in London and three in Edinburgh–were listed on StubHub and Viagogo for as high as PS3,352 ($4,309), according to the Guardian, compared to original prices as low as PS110.

Fans who pre-ordered Swift’s latest album, Midnights, from her official website were given pre-sale access to buy tickets, and no more than two shows will open for presale at a time, with three staggered time slots each day Monday, Tuesday and Wednesday of this week.

A general sale for tickets, which was canceled in the U.S. after Ticketmaster drastically oversold early access seats, is scheduled to start Monday and will also be staggered across three days and three time slots per day.

Representatives for Ticketmaster in Europe, the Middle East and Africa did not immediately respond to request for comment Monday.

Key Background

Sales for the Eras Tour have broken records and websites, leading to a formal congressional investigation into Ticketmaster after fans were surprised at checkout with hundreds of dollars in fees, the cancellation of the public sale and tickets that were listed for resale as high as $92,000. The company blamed high demand and Joe Berchtold, president of Live Nation, which merged with Ticketmaster in 2010, blamed the crash of the site on a cyberattack caused by scalpers. Swift, however, said she asked Ticketmaster several times “if they could handle this kind of demand and we were assured they could.” Since the Eras tour debacle, public officials have questioned the Ticketmaster and LiveNation merger and questioned whether the two companies should be broken up. The United States and U.K. fans aren’t the only victims of sky-high prices and ticket-buying problems. Singaporean fans reported VIP tickets being resold for as much as $11,895, the Guardian reported, and the Brazilian Report wrote that at least 10 scalpers were pulled out of lines and arrested by consumer protection agents when tickets went on sale for shows in Sao Paulo and Rio de Janeiro. Lawmakers in Brazil have since proposed a law that would crack down on resellers by upping fines and threatening potential jail time.

Tangent

Spotify has reported that Speak Now (Taylor’s Version), a remastering of her 2010 album that was released Thursday of last week, has broken two streaming records. The new Speak Now became Spotify’s most-streamed album in a single day in 2023 so far and is now the most-streamed country album in a single day in Spotify history.

Big Number

575,000. That’s how many copies Midnights sold on vinyl alone within its first week. Music industry publication HitsDailyDouble reported Swift is expected to break her own record with 500,000 to 600,000 vinyl sales of Speak Now (Taylor’s Version).

Further Reading

Taylor Swift Adds 14 Shows To The Eras Tour In Europe, UK (Forbes)

Taylor Swift Could Beat Her Own Vinyl Sales Record With ‘Speak Now (Taylor’s Version)’ (Forbes)

New ‘Taylor Swift Law’ Could Send Scalpers To Jail For 4 Years In Brazil (Forbes)

America’s Richest Self-Made Women (Forbes)

The World’s 100 Most Powerful Women (Forbes)

The Pain Tape Game: Does KT Tape Help With Sciatica?

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Sciatica can be a real pain in the back. Literally. The affected area of pain in sciatica can vary widely, often affecting the hip bone and causing leg pain. Even athletes who frequently stretch their calf muscle and engage their muscles regularly are not immune.

But let’s not get stuck in the ‘ouch’ moment. Here’s an interesting alternative that could help – KT Tape. Sciatica pain can be quite debilitating, often sending shooting pain from the lower back down one leg.

Read more about The Pain Tape Game: Does KT Tape Help With Sciatica

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However, whether you’ve suffered from a calf strain due to a sports injury or been in a car accident that affected your lower back, the healing process begins with understanding the pain caused and finding appropriate ways to manage it.

But the right application of KT Tape may provide some temporary relief. How, you ask? Let’s dive into it. Just like an athlete prepares for a game, brace yourself, and let’s band together to tackle this pain.

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What Is KT Tape?

KT Tape, short for Kinesiology Therapeutic Tape, is a type of elastic therapeutic tape used in occupational and physical therapy. It’s designed to provide support to your joints and muscles without affecting the range of motion. Kinesiology tape was first developed in the 1970s by a Japanese chiropractor, and since then, it has been widely used in healthcare and sports therapy worldwide.

Different types of kinesio tapes, such as the kinesio tex and kinesio tex classic, are available in the market. These tapes are generally used in kinesio taping, a scientific taping method. The tapes vary slightly in texture and material. For instance, KT Tape Original is made from original cotton, while the KT Tape Pro is made from synthetic material, providing higher durability.

Does KT Tape Help With Sciatica?

While KT Tape doesn’t cure sciatica, it’s thought to help manage the associated symptoms. The idea behind kinesiology taping for sciatica is to lift the skin over the painful area, reducing pressure on pain receptors underneath. In turn, this may help reduce discomfort and improve your movement.

Applying KT Tape requires a proper application process that is usually done by a qualified physical therapist. The tape can be applied over the lower back or along the path of the sciatic nerves to help reduce sciatic nerve pain. Applying kinesiology tape horizontally over the area or using two vertical strips can help offer relief.

How Does It Work?

The design of KT Tape allows it to stretch up to 140% of its original length. This means that when you apply the tape and then stretch and move the body part, the tape will ‘snap back’ and provide a pulling force on the skin. This pulling force is believed to increase circulation, promote healing, and help with pain relief.

When applied to the lower back, for instance, it’s important to apply the tape gently and not to stretch it too much. A horizontal strip or vertical strips are commonly used for this area. It’s also crucial to ensure the skin is clean before the tape is applied, to prevent any potential skin irritation or allergic reactions.

How to Apply KT Tape for Sciatica

Cut two strips of KT Tape. The first should measure the length from the lower back to the thigh. The second strip should be half the length of the first. Round the edges of the tape to prevent it from peeling off.

Apply the first strip from the lower back to the thigh, following the path of pain. This is known as the ‘I’ application. The tape should be stretched by about 75% in the middle, with no stretch at the ends.

Apply the second strip across the most painful area in a horizontal direction, stretching the tape to 80% in the middle.

Rub the tape gently to activate the adhesive.

Remember that the tape should be applied to the sensitive areas with care. Also, while applying KT tape, avoid touching the adhesive side of the tape as much as possible. The effectiveness of the adhesive can be reduced by oils and dirt from the skin.

Key Considerations

While many find relief with KT Tape, it’s not for everyone. Those with an allergy to adhesives may have a reaction to the tape. Additionally, it’s meant to be used as a part of a comprehensive treatment plan under the guidance of a healthcare professional and not as a standalone treatment.

Chronic pain conditions, such as degenerative disc disease or herniated discs, may also contribute to sciatica pain. In such cases, a healthcare professional may recommend a combination of treatments, like chiropractic care and manual therapies, along with the application of KT Tape. Pain caused by a pinched nerve, for instance, might require additional treatments such as heat or cold therapy. A heat pack can help with muscle soreness, while an ice pack can reduce inflammation.

Unlocking Relief: The Pain Tape Game Revealed – Does KT Tape Help With Sciatica?

While KT Tape can’t cure sciatica, it could be a helpful tool in your pain management kit. But like any treatment, it’s essential to use it correctly and under professional guidance. Don’t ignore worsening discomfort, and always seek medical attention if your pain persists or intensifies.

Remember, the road to recovery and pain relief is often not a sprint, but a marathon. Patience and consistency are key. In addition to using remedies like KT Tape for sciatica, maintaining a proper posture, engaging in gentle movement, and listening to your body can help fine-tune your healing process.

FAQs

What are the signs and symptoms of sciatica?

Sciatica typically presents as pain that radiates from your lower spine to your buttock and down the back of your leg. It’s usually felt on one side of the body. Other symptoms can include numbness, tingling, or muscle weakness in the affected leg or foot.

Shooting pain can occur when standing or in sudden movements. Feeling numbness or experiencing paresthesia, a pins-and-needles sensation, is also common.

Is KT Tape hard to apply by myself?

Applying KT Tape can be a little tricky if you’re new to it, but with practice and possibly the help of a friend or partner, you can get the hang of it. For further guidance, there are plenty of tutorials available online.

Remember, the effectiveness of KT Tape relies significantly on its application. To get it right, you might have to try a few times. Don’t worry if you don’t perfect it on the first go. There are always going to be bumps in the road as you learn.

Can I shower with the KT Tape on?

Yes, you can shower with KT Tape on. It’s designed to withstand the rigors of daily activity, including showers. Just pat the tape dry with a towel after – don’t rub it.

Keep in mind that while the tape is designed to stay on for a few days, it should be removed if it starts to peel off or causes any irritation or discomfort.

Can I use KT Tape for other pains and aches too?

Yes, KT Tape can be used for various types of pain, not just sciatica. For instance, it can be used for band syndrome, shin splints, plantar fasciitis pain, and more. It’s also commonly used by athletes for muscle and joint support.

Applying KT tape for knee pain, for example, might involve wrapping the tape around the kneecap or applying it on the outer leg, depending on the specific pain area. It can also be applied for an ankle sprain or to support the wrist, in which case wrist braces or an ankle brace might be used alongside.

How long does KT Tape last?

KT Tape can stay on for three to five days, even through showers and activities. However, it’s crucial to remove and reapply the tape if it begins to peel off or causes any skin irritation.

For persistent issues like chronic pain or severe injuries, it’s advisable to seek medical attention. While items like kinesiology tape, resistance bands, exercise mats, or massage creams are available in the realm of medical supplies, they are not substitutes for proper medical care.

Remember that your health is a priority, and you should seek the advice of healthcare professionals when dealing with any pain or discomfort. Be it elbow pain where you might need elbow pads, a frozen shoulder requiring shoulder support, or a degenerative disc disease needing specific care, medical guidance is crucial.

Does KT Tape help with Achilles tendon issues as well as sciatica?

KT Tape can provide support for both conditions. For Achilles tendon issues, the tape can be applied directly to the affected area. However, for sciatica, the application is typically focused on the lower back area. Both applications can help manage pain and improve movement.

I have adhesive allergies. Can I still use the KT Tape Original Cotton for low back pain?

Most users of KT Tape Original Cotton don’t experience adhesive allergies. However, if you have a history of allergic reactions to adhesives, perform a patch test on a small area first. If you notice any skin irritation, discontinue use and consult a healthcare professional.

Can I use KT Tape for ankle pain as well as for sciatica?

Yes, KT Tape can be used for various conditions, including ankle pain and sciatica. The tape is versatile and can be applied differently depending on the target area and condition. Always follow the correct application instruction for each condition.

How do I apply kinesiology tape for sciatica relief?

To apply kinesiology tape for sciatica, start by cutting two strips of tape. The first, shorter strip is applied vertically over the point of maximum pain in the lower back, with no stretch in the tape. The second, longer strip is applied horizontally, crossing over the first strip, forming an inverted cross. Make sure the skin is clean and dry before application.

Can KT Tape help with blood flow in cases of low back pain and sciatica?

Absolutely! When applied correctly, KT Tape lifts the skin, allowing for improved blood flow. This increased circulation can help reduce inflammation and facilitate healing, which may provide relief from low back pain and sciatica.

Can chiropractic adjustments complement KT tape use for sciatica?

Definitely. KT Tape can be a beneficial addition to chiropractic adjustments, aiding in maintaining correct alignment and support in between sessions. Always discuss your treatment plan with your healthcare provider.

Does the direction or position of the tape matter when applying KT Tape for lower back pain relief?

Yes, the direction and position of the tape can influence its effect. This “fine-tuning” can affect the level of support and pressure on muscles and joints. For lower back pain, the vertical application is often recommended, but always follow the specific instructions provided.

Can I combine massage therapy with the use of KT Tape when dealing with sciatica and neck pain?

Yes, KT Tape can be used in conjunction with other treatments, such as massage therapy. While the tape provides sustained support, massage therapy can work to release muscle tension, further aiding in relief. As always, this should be done under the guidance of a healthcare professional.

Does KT Tape provide relief from nerve compression associated with sciatica?

KT Tape can be used as part of a comprehensive treatment plan to manage the symptoms of sciatica, including nerve compression. It does so by providing gentle support to the affected area, potentially alleviating pressure on the sciatic nerve.

What are some common causes of sciatic pain that KT Tape can help with?

Sciatic pain can be caused by a variety of factors, such as herniated discs, spinal stenosis, and poor posture. While KT Tape can’t directly address these underlying causes, it can assist in managing the resulting pain and discomfort by providing support and promoting better posture.

How do patients benefit from applying KT Tape for sciatica?

Patients may experience a reduction in pain and increased mobility when using KT Tape. The tape provides support to the soft tissue surrounding the sciatic nerve, potentially helping to alleviate discomfort and facilitate movement.

Can KT Tape improve poor posture contributing to my sciatica pain?

Yes, when applied correctly, KT Tape can help promote better posture. It does this by providing support to the relevant muscle groups and encouraging proper spinal alignment, which can relieve the pressure on the sciatic nerve.

Does the type of tape strip used affect the level of support provided by the KT Tape?

Not necessarily, but the length and placement of the strips of tape can make a difference in the level of support and relief experienced. Taping methods can be varied based on the individual’s needs and the area of pain.

Can I use KT Tape for calf strain as well as sciatica?

Yes, you can. KT Tape can be applied to various parts of the body, including the calf. For calf strain, you’d place the tape over the area of pain, which may differ from the taping method for sciatica.

How does applying KT Tape for lower back pain help with sciatica?

Sciatica often manifests as lower back pain. When KT Tape is applied to the lower back, it can help to reduce the pressure on the sciatic nerve, thereby helping to alleviate pain and discomfort.

Is there a specific method for taping when using KT Tape to help with sciatica pain?

Yes, typically, two vertical strips of tape are applied to the lower back area for sciatica. The strips should run parallel to the spine to provide vertical compression and support. It’s always best to follow specific application instructions or consult a healthcare professional.

The text neck syndrome is becoming more common among young people

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CHENNAITexting may be cool, but is it painful? Doctors report that text neck syndrome is causing more neck pain in children and teens than ever before.

Children’s spines and major joints are affected by prolonged use of mobile phones and computers without proper posture. Covid restrictions, online education, and working at home have all contributed to the problem.

Text neck syndrome is the term used to describe neck injuries caused by a prolonged forward head position.

Signs include neck and shoulder stiffness and tightness that limits range of motion, as well as shoulder and neck discomfort.

Other issues include recurrent or intermitten headaches, eye pain, and nerve pain with tingling or numbness of the upper limbs.

Dr Nandkumar, head of orthopedics, Fortis Malar Hospital, says that short-term effects are not as obvious. Children and teenagers do not consider long-term harm or are unaware. “The effects of forward-neck flexion don’t significantly impact the quality or life until adulthood. This fact must be brought to the attention of younger people who use smartphones and tablet devices most. This increases the fear that young people will live in pain or impairment, or worse, have years removed from their life expectancy,” said he.

Doctors say that while spine-related problems due to long hours of work used to be a common concern for working youth, it is now becoming more common among school-going children.

“We can’t fault them or their parents, because everything today, even education, is dependent on smartphones. We need to make sure that there are regular breaks and exercises to avoid damage. It’s important to stop and take a break. The phone shouldn’t be too low. While reading, playing or texting, it is best to place your hands on a desk. If you experience a sudden shock, such as pain, numbness, or stiffness, it is important to consult a doctor right away. These symptoms can lead to spine deformities in the future.

Prazosin could help with headaches caused by traumatic brain injuries

Researchers at VA Puget Sound Health Care System have found that prazosin treatment, a drug used to treat high-blood pressure, can also counteract headaches caused by posttraumatic stress.

In a press statement, Murray Raskind, MD, senior study author, said that persistent posttraumatic headaches were the most common long term consequence of mild traumatic head injuries (concussions). These headaches cause substantial distress and disability both at home and at work. “Although they are similar to migraine headaches in terms of symptoms, these headaches often do not respond to migraine prevention treatments.”

Image credit: Prostock-studio – stock.adobe.com

According to the study prazosin had previously been approved for treating nightmares associated with posttraumatic stress disorder (PTSD), as well as enlarged prostate.

Researchers conducted a pilot research study with 48 veterans and servicemen. All of the participants reported headaches due to mild traumatic head injuries (TBIs), or concussions.

Participants received progressively increasing doses of Prazosin over a period of 5 weeks, before receiving the maximum dosage for 12 weeks. Researchers reported that morning drowsiness as the only side effect.

Participants reported that prazosin helped improve their quality of living, as their headaches had only a’some impact on their daily lives’. Participants who received a placebo still reported that headaches had a “severe” impact on their lives.

This study is the first clinical trial to show efficacy of an oral medication for posttraumatic headache. Prazosin, a generically available and inexpensive medication, is prescribed by many VA and DOD prescribers because it is widely used to treat PTSD nightmares, sleep disruption and trauma nightmares. Prazosin is now an evidence-based treatment to relieve the suffering of Veterans who have suffered for years from frequent posttraumatic headaches”, Raskind said in a press release.

According to the study, however, a larger trial is required to confirm the results. For now, however, the findings could provide relief to veterans.


Reference

Blood pressure medication could prevent post-traumatic headaches News Release Science News June 21, 2023. Accessed June 29, 2023. https://www.sciencedaily.com/releases/2023/06/230621105440.htm.

Will Foot Numbness with Sciatica Go Away?

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Sciatica, a term often resonating in the corridors of healthcare, refers to pain radiating along the sciatic nerve. This nerve runs from the lower back, through the hips, and down each leg.

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One common symptom of sciatica is foot numbness. Understanding the underlying condition causing sciatica is essential for proper diagnosis and treatment.

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The Link Between Foot Numbness and Sciatica

Foot numbness can be particularly distressing. The numbness in your foot may be due to compression of the sciatic nerve, and this symptom is prevalent in individuals with herniated disks.

Understanding Foot Numbness

Foot numbness with sciatica is typically caused by the compression of the sciatic nerve or its roots. It may feel as though your foot has fallen asleep, and sometimes you might experience a dull ache or sharp pain.

Can Foot Numbness Be Treated?

The treatment of foot numbness focuses on alleviating the compression of the sciatic nerve and addressing the underlying cause of sciatica. Physical therapy and gentle exercise are highly beneficial in relieving symptoms. However, in cases of cauda equina syndrome, which involves the compression of the nerve roots at the base of the spine and may lead to loss of bowel or bladder control, it is considered a medical emergency, and immediate surgery is required.

The Impact of Sciatica and Foot Numbness on Quality of Life

Living with sciatica and foot numbness can affect day-to-day life considerably, especially if the condition becomes chronic. Discomfort and mobility issues can impact various activities, including work, leisure, and basic daily tasks.

It’s important to request an appointment with a primary care provider or a specialist in medical specialties related to back pain and nerve damage, such as neurology or orthopedics.

Preventing Sciatica and Associated Foot Numbness

Preventive measures can play a pivotal role in avoiding sciatica and the resulting foot numbness. Regular physical activity, maintaining a healthy weight, proper lifting techniques, and ergonomic workstations are a few strategies that can help prevent sciatica.

Unraveling Sciatica

What is Sciatica?

Sciatica typically involves pain that radiates along the path of the sciatic nerve. It is often caused by the compression of nerve roots in the lower spinal column. The pain can vary from a mild discomfort to a sharp burning sensation and may also cause numbness and tingling in the affected leg.

The Sciatic Nerve:

The sciatic nerve is the longest nerve in the body and consists of several nerve roots that exit the spine in the lower back. The nerve then runs through the hip and buttock area and continues down the back of each leg.

Common Symptoms:

Pain in the leg or buttock, often worsened by sitting

Burning sensation or tingling in the leg

Weakness or numbness in the foot or leg

Difficulty moving the leg or foot

Constant pain on one side of the buttock

People with sciatica may also experience ankle pain and foot numbness. The sensation might be akin to ‘pins and needles,’ especially in the toes.

Understanding the Anatomy of Sciatic Nerves

The sciatic nerves are the longest in the body, originating from several nerve roots that exit the spine in the lower back. The sciatic nerve runs through the hip and buttock area, down the back of each leg to the lower leg and foot, dictating sensation and movement in these areas. These nerves are integral to the experience of leg pain and foot numbness that’s often associated with sciatica.

What Causes Sciatica?

Sciatica can result from various underlying conditions:

Herniated Disc:

One common cause is a herniated disc in the lumbar spine. A disc herniation occurs when the inner content of a spinal disc protrudes, potentially compressing the sciatic nerve. This is often referred to as a “slipped disc.”

Lumbar Spinal Stenosis:

This is the narrowing of the spinal canal in the lower back, which can compress the nerves, including the sciatic nerve. Lumbar spinal stenosis is often a result of degenerative disc disease or bone spurs.

Piriformis Syndrome:

In this case, the piriformis muscle (located in the buttock area) irritates or compresses the sciatic nerve, leading to sciatica.

Other Causes:

Other causes include spondylolisthesis, tumors, infections, and injuries to the lumbar spine.

Some factors can increase your risk for sciatica, such as age, obesity, occupation, prolonged sitting, and diabetes.

Diagnosing Sciatica

Physical Examination:

A healthcare professional will conduct a physical examination to diagnose sciatica. This might involve observing your posture, range of motion, and physical condition and inquiring about the location and severity of the pain.

Medical Imaging:

In certain cases, MRI or X-ray may be used to provide a detailed view of the spine.

Treatment Options:

Conservative Treatments:

In many cases, sciatica can be treated conservatively. This includes pain medication, such as Ibuprofen, physical therapy, and using an ice pack or heating pad on the affected areas.

Physical Therapy:

Physical therapists can design specific exercises for sciatica, which often focus on improving posture, strengthening the muscles supporting the back (including abdominal muscles), and increasing flexibility.

Medications:

Pain medications and muscle relaxers are commonly prescribed to alleviate pain and muscle spasms associated with sciatica. In certain cases, steroid injections may be used to reduce inflammation around the nerve roots.

Alternative Therapies:

Some individuals find relief through alternative therapies such as acupuncture, chiropractic adjustments, or massage therapy.

Comprehensive Treatment Plans for Sciatica and Foot Numbness

Effective treatment for sciatica usually involves a combination of medication, physical therapy, and lifestyle modifications. Anti-inflammatory medications and other treatments, such as muscle relaxants, help to reduce pain and muscle spasms caused by sciatica. Regular aerobic exercise can also be a home remedy to relieve sciatica and prevent the condition from getting worse or becoming chronic sciatica.

The Role of Physical Therapy in Sciatica Management

Physical therapy plays a significant role in managing sciatica pain and foot numbness. Specific exercises designed for sciatica patients often aim at improving posture, strengthening back-supporting muscles, and enhancing flexibility.

For example, exercises that involve keeping one leg straight and bending the other leg with knees bent can help stretch the affected nerve, relieving symptoms of sciatica.

Role of Medication in Managing Sciatica and Foot Numbness

Several classes of medications can help manage sciatica symptoms. Anti-inflammatory drugs are typically used to reduce inflammation around the nerve roots, while pain medications can alleviate leg pain and foot numbness caused by sciatica. Muscle relaxants and nerve pain medications are also employed to help control chronic pain.

Alternative Treatments for Sciatica

Non-traditional methods of treating sciatica, like acupuncture or chiropractic care, can be effective for some people. Such alternative therapies may provide relief from the pain and discomfort caused by sciatica, further supporting conventional treatment and prevention strategies.

Surgical Interventions for Severe Sciatica

In severe cases where conservative treatments are not effective, surgery may be necessary, especially if there is significant muscle weakness or loss of bowel or bladder control.

Sciatica surgery options may involve microdiscectomy or laminectomy to relieve pressure on the pinched nerves. These procedures have high success rates in treating foot numbness and leg pain caused by severe sciatica.

Unveiling the Truth: Will Foot Numbness with Sciatica Go Away?

Understanding the interplay between foot numbness and sciatica is essential for effective treatment and management.

Whether the numbness is a fleeting visitor or a long-term guest, addressing the root cause is key. A tailored treatment plan that may include medication, physical therapy, and in some cases, surgery can pave the way for recovery.

It’s important to remember that managing sciatica is a journey that requires both physical adjustments and mental wellbeing. Stay informed, stay proactive, and never hesitate to reach out to healthcare professionals for support.

FAQs

How long does sciatica usually last?

Sciatica usually lasts for a few weeks, but chronic sciatica can persist for several months. The duration is influenced by the underlying cause and the effectiveness of the treatment.

How can I prevent sciatica from getting worse or recurring?

Engaging in regular aerobic exercise, maintaining good posture, avoiding prolonged sitting and weight lifting with proper form can help in preventing sciatica.

When should I seek medical help for sciatica?

If you experience severe pain, weakness in the lower leg, or loss of bladder control, it is imperative to request an appointment with a healthcare professional. Additionally, if the symptoms do not improve with home remedies, consulting a primary care provider is advisable.

Can an affected nerve cause foot numbness in sciatica?

Yes, when the sciatic nerve is affected, either through compression or inflammation, it can cause foot numbness alongside sciatica pain.

Are blood clots related to foot numbness in sciatica?

Blood clots are not a common cause of sciatica, but they can cause similar symptoms like leg pain and numbness. It’s essential to consult a healthcare professional to rule out blood clots as the underlying cause.

What are some common conditions that cause sciatica?

Herniated discs, lumbar spinal stenosis, and piriformis syndrome are some of the conditions that cause sciatica, leading to symptoms like foot numbness.

Back and neck pain relief – Opioids similar to placebo

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Design by MNT. Photography by CRISTINA PEDRAZZINI/SCIENCE PHOTOLIBRARY/Getty Images & Lock Stock/Getty Images.


  • Researchers compared the effectiveness of opioids versus a placebo in treating neck and low back pain.

  • After 6 weeks, there were no significant differences between the opioids and placebo groups. A year later, the placebo group scored slightly lower in terms of pain.

  • According to the findings, opioids may not be effective in treating certain types of pain.

Lower back pain is a common complaint.

Single leading cause

Disability worldwide. In 2020, there will be 619 millions people with disabilities in the world. By 2050, the number of people affected by this condition is expected to reach 843 millions.

Neck pain is a major contributor to disability in the world and is estimated as the

Fourth

Leading cause of disability measured in terms of “years of disability”

Clinical guidelines recommend opioids for people with neck or lower back pain when other treatments do not work. Studies show that opioids are a first-line therapy for many people with these conditions, including two thirds of those living in Australia.

Despite this, there is little to no evidence that the symbiotic relationship between humans and animals has been broken.

Evidence of the Usefulness of

There is evidence that suggests opioids are effective in managing lower back and neck pain. It is also known that opioids can increase the risk for a number of serious health problems.

adverse events

Such as opioid dependence, misuse and overdose.

Treatment options could be improved by further research on the effectiveness of opioids in treating neck and lower back pain.

Researchers from the University of Sydney in Australia have recently investigated the efficacy of short courses of opiates for treating lower back pain and cervical pain.

The study found that opioids were not superior to placebos in relieving pain and that opioid treatment increased the risk of abuse later on.

The study is published in

The Lancet

.

Medical News Today spoke to Charles De Mesa, a physician of osteopathic and chief of Interventional Pain, Physical Medicine & Rehabilitation at Hoag Spine & Specialty Clinic, California, who wasn’t involved in the study, regarding this research.

He told us:

“A high-quality research study shows that opioids do not work better than placebo for acute neck and lower back pain. There are too many risks, such as opioid abuse, and no benefit. Even short-term, judicious usage can lead to long-term harms such as intoxication, dependence, and overdose.


Researchers recruited 347 participants, with an average age 44,7 years. The participants were all women and had suffered from lower back pain or neck pain for 12 weeks or less.

The participants were randomly split into two groups in which they received guideline-recommended care and opioid oxycodone-naloxone or guideline-recommended care, and an identical placebo for up to 6 weeks.

Guideline-recommended care included reassurance and advice to stay active. Participants could seek additional care after 6 weeks if needed.

Researchers also assessed the intensity of pain in patients before and after treatment using the Brief Pain Inventory’s Pain Severity Subscale. This scale measures pain on a 0-10.


After 6 weeks, there was no significant difference between the opioid and placebo groups in terms of pain scores. The results were unchanged after adjusting for both the location of the pain and the number days since the pain began.

Researchers noted that the pain scores of the placebo and opioid groups did not differ much at all after 12 weeks, but that by 52 weeks, the placebo group had slightly reduced pain scores.

The average pain scores for the opioids group and placebo group at week six were 2,78 and 2,25 respectively. The pain score for the placebo group at 52 weeks was 1.81, while the opioid group’s was 2.37.


The researchers also found that there was no difference in the physical component of the quality of life between the two groups. The placebo group did experience a small but significant improvement in mental well-being at 6 and 12-weeks.

The opioid group was more susceptible to developing opioid abuse, even though there was no difference between the proportions of participants reporting adverse effects.

On the Current Opioid Misuse Measure Scale, after 52 weeks, 20% in the opioid group and 10% in the placebo group were classified as being “at risk”.


MNTasked for Dr. Wang Lushun, senior consultant orthopaedic surgeon at Arete Ortho, Singapore, who was not involved in the research, to explain why opioids might be ineffective in treating lower back and neck problems.


“Opioids, which are commonly used to relieve pain, may not be as effective in treating lower back and neck problems. Recent studies have shown this.” This is because opioids are primarily used to treat the perception of pain, and not the cause of the pain,” explained Dr. Wang.

By binding to opioid receptors, the drugs block the sensation of pain. “However, inflammation or physical injury — the common causes for these pains — is not actually alleviated,” explained he.

Over time, the body may also develop a tolerance to opioids. This can lead to the need for higher dosages to achieve the desired level of pain relief. This could lead side effects and possible dependency — one side effect is a phenomena known as opioid-induced Hyperalgesia which can result in even worse pain.

– Dr. Wang Lushun


Dr. Joel Frank, licensed psychologist at Duality Psychological Services, California, who was not involved in the research, responded to MNT when asked about the limitations of the study: “Firstly the treatment protocol was medication focused, but 42% were non-compliant. Second, their guideline care’ included recommendations for physical activity, but they claimed that the care was not monitored.

Dr Frank said, “Thirdly their primary measure of pain severity was the BPI. This is a self report measure.” Self-report measures by their very nature are subjective. It is important to include measures that evaluate pain categorization when using self-report pain measures. This will give a more complete picture of the subjective pain level.

MNT spoke with Dr. Vernon Williams who is a sports neurologist, pain management specialist and founding director of Cedars-Sinai Kerlan-Jobe Institute’s Center for Sports Neurology and Pain Medicine. He was not involved in the research.

Dr. Williams pointed out that the results were limited, as they did not compare opioid use with no treatment but rather compared it with a placebo which can induce a physical reaction.


“There are physiological effects related to your response to the expectation that the active treatment will be effective and your body’s reaction to the potential benefit – or expectation – of the placebo. The study did not show that the opioid was ineffective, but rather that it did not perform better than the placebo. He noted that it’s a subtle but significant difference.

MNT asked Dr. Gustavo De Carvalho Machado of the University of Sydney in Australia, who was not involved in the research, about the limitations of the study. He warned that:

The findings are not directly applicable in pre-hospital settings, such as those who require an ambulance or emergency departments. The results of this trial were not directly applicable to pre-hospital settings, where patients require an ambulance.


MNT and spoke with De Mesa regarding alternative treatments for lower back and neck discomfort.

“More effective alternative treatments for lower back and cervical pain address the underlying cause of pain. A physician can help determine the exact muscles and/or accompanying structures, such as tendons or ligaments, that are involved. He noted that physical therapy, ergonomic improvements and exercise could be prescribed.


“Spinal pain is often multifactorial, so a holistic approach to treatment can help an individual achieve long-term healing. Nutrition, acupuncture and cognitive behavioral programs, as well as physical conditioning, are also beneficial. As needed, anti-inflammatory over-the-counter medications can be used. The best treatment plan depends on the individual and their circumstances.

De Mesa said that spine surgeons, pain specialists and board-certified physiatrists could be recommended to treat chronic spinal pain.

“Chronic Pain may be caused either by arthritis in the spinal joints or by inflammation of the vertebral ends.” He explained that injections may be recommended to treat the source of the pain and pinpoint the pain generator.

“Radiofrequency ablation (destruction) of the spinal medial branches nerves and Basivertebral Nerve Ablation are two example of interventional procedures that may reduce pain and improve your quality of life. He noted that surgical options are only performed if medically necessary. They are usually reserved as a final resort.

Why was I having severe headaches and seizures? My Diagnosis Surprised Me

Around 20 years ago, I woke feeling sick one morning when I was in the second year of my teaching career. I was about to ask for a substitute when I felt dizzy. The next thing I know, I was lying on the floor. My husband told me that I had a seizure, and he called 911. My arms and legs moved, but I was unconscious the entire time. I was so terrified–I didn’t know anything had happened.

The doctors at the hospital examined me and told me I was fine. They sent me home because they thought I was sick (since I taught second graders, there was always a virus or flu going around).

It became a habit

Six months later it happened again, but this time I was alone at home. I felt dizzy, nauseous and then woke up in the middle of the floor. I called 911 and got to the hospital. They said, “Okay now we have a pattern.”

More from Prevention

I had not felt sick prior to this seizure so they knew that it was something else, but didn’t know what. I was referred by my doctor to a neurologist, and began getting tested for every possible condition. They checked to see if I had a heart problem, a brain tumour, diabetes or hypoglycemia. They even tested me to see if I had lupus. It was so discouraging. I kept hearing “Your test results were normal,” but I kept saying, “But this isn’t normal!” I was terrified as I had no control over my body and no answers.

Not just one, but two diagnoses

This continued for three years. My doctors were still trying to determine what was causing my seizures and which medicines would work best for me. I was always tired and felt like I wasn’t who I wanted to become. I was sent from specialist to specialists, and it felt like no one shared notes. My biggest fear was having a seizure right in front of students. Thankfully, this never happened.

I was then admitted to Barnes-Jewish Hospital, St. Louis. I stayed there for a full week, under observation. They tried to induce a seizure through adjusting my diet, preventing me from sleeping, and even flashing lights. The doctors confirmed I had epilepsy. A diagnosis changed my life. We could create a plan, and I could begin to live better.

The neurologist from Barnes-Jewish suggested that I see a headache specialist as I had terrible headaches ever since I was an teenager. I was diagnosed with migraine and now take two pills, one antiseizure medication and a monthly injection Aimovig to reduce migraine attacks. I’ve only had one seizure over the last 16 year period, which happened on a day when I forgot to take my medication. Some triggers, such as hormones and weather, I cannot control. However, I can control other factors, such as getting enough sleep and eating regularly. Migraine Road is a blog I started to help other migraine sufferers.


Lindsey De Los Santos

I’m now married to an amazing guy and we have two active sons. I teach fourth-grade, and my students have been wonderful. We discuss my health at the start of the school year and have a plan for what to do in the event of a seizure. They have big hearts. I spent years searching for the answers. I’m glad I didn’t give up because I wouldn’t have the life I have now.

What is epilepsy?

Around 3.4 million children and adults in the U.S. suffer from epilepsy. This chronic condition is diagnosed when a person experiences two or more unprovoked seizure. Seizures result from asynchronous brain activity, which manifests as involuntary movements or “spacing-out” or full-body convulsions.

Pooja Patel M.D. explains that seizures can be caused by many other things, such as alcohol, drugs, infection, or electrolyte balances. “But if someone has two seizures without a known cause, it may be diagnosed with epilepsy.”

In some cases, epilepsy is traced back to genetics or brain injuries, but in most cases, the cause is unknown. Stress does not cause epilepsy but it can lower the threshold of seizures in someone with epilepsy. Other triggers include lack of sleep and flashing lights. Researchers are still trying to find a link between migraine and epilepsy. However, many people with epilepsy — especially young women — also suffer from migraine.

Antiepileptic drugs are the first line of treatment, and they control seizures in seven out of ten patients. Other options include surgery, the ketogenic diet or implanted neurostimulation device.

Seizures symptoms

No difference was found between the pain severity of low back and neck pain when compared to placebo

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July 5, 2023

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[email protected].

Takeaways from the conference:

  • Opioids do not reduce pain intensity for acute, non-specific neck or low back pain.
  • Researchers recommend that nonpharmacological treatments should be used to treat low back pain.

Results published in The Lancet revealed that opioids did not reduce pain in adults with low-back and neck pain compared to placebo.

Caitlin P. Jones, PhD faculty of health and medicine at The University of Sydney and colleagues wrote: “This finding calls on a change in the use of opioids frequently for these conditions.”

The data were obtained from Jones CMP et al. Lancet. 2023;doi:10.1016/S0140-6736(23)00404-X.

Jones and colleagues randomly assigned 347 adults with at least 12 weeks of low back pain, neck pain or both of at least moderate pain severity to receive guideline-recommended care plus either an opioid (n=174) or placebo (n=173) for up to 6 weeks. Researchers collected data at baseline, 2, 4, 6, 12, 26, 52 and 52 weeks. They also measured pain severity using the pain severity subscale from the Brief Pain Inventory.

In total, 89% of the patients were included in primary analysis. The results showed that there were no significant differences between the control and opioid groups in terms of mean pain scores after 6 weeks (2.78 vs. 2.25) Researchers found that the Roland-Morris Disability Questionnaire showed a significant difference for patients with low-back pain. This was in favor of the placebo group after 6 weeks. Researchers found that the placebo and opioid groups did not differ significantly in terms of quality of life when it came to the physical function subscale. However, they did find a small but significant difference on the mental health subscale between 6 and 12 week for the placebo group.

7.5% of patients who received opioids reported adverse events related to opioids, compared to 3.5% of those in the placebo-controlled groups.

“We report that there is a small, but significant risk of harm after a year’s use of [opioids], even if it was short-term.” This finding is contrary to guidelines that recommend opioids be used judiciously in acute back pain. We found that there were no benefits, but there was a risk of harm,” researchers wrote in their study. “Our findings support the changes to guideline recommendations for low-back pain management. These have seen a shift from pharmacological treatment to nonpharmacological therapies, such as psychological and physical therapies.”

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