The Low Back Trifecta

Too many people suffer from low back pain that doesn’t seem to respond to conservative care. Even cortisone shots provide very little, or at best, temporary relief. Like most people they really want to avoid the slippery slope of low back surgery. This pain seems to encompass the whole low back with a telltale of extreme stiffness and pain in the morning. That pain reduces after you walk around for about a half hour. Sometimes this can be accompanied by pain in the buttock that can radiate down the back of the thigh to the knee and sometimes can even go to the foot.

This is called the “Trifecta of Low Back Pain”. It can start without any trauma and build over time with pain that comes and goes. It can even start with a specific incident like a fall or a car accident with a foot on the brake. What makes this low back syndrome typically unresponsive is that standardized care only treats one of the problems. The difficult nature of the trifecta is that each of the three problems feed into each other, perpetuating the pain and, furthering the injury. To treat this condition all of the three conditions must be addressed simultaneously. It will require longer treatment times (up to an hour) in the beginning but results are phenomenal and full resolution can be as soon as four weeks but typically are between six to eight weeks.

The question left to be answered is…. What specifically is the trifecta? The trifecta is a combination of a pelvic instability, low back disc stress/herniation syndrome, and piriformis syndrome. The instability typically starts as a hypermobility, or excess motion, due to trauma or weakness. It will then cause a mechanical adaptation which alters weight bearing of the body to sit on the discs of the low back instead of the ligaments of the sacroiliac joints. The discs undergo compression predisposing you to a disc herniation. And finally, the way the body tries to stabilize its foundation is with the piriformis muscle contracting to hold the sacroiliac joint together. Unfortunately, the sciatic nerve runs underneath the piriformis muscle and now you have you buttock pain with a potential for it to radiate down the back of the thigh and foot.

The specialty of Sacro Occipital Technic ® (SOT)has been clinically developed on failed patients from traditional chiropractic care since the 1920’s. SOT ® practitioners understand this condition and their specialty is the people who can’t seem to find help. They help them by caring enough to spend the necessary time to find their underlying cause(s) and ensure as speedy and efficient results that healing time will allow.

If you have any questions you can contact a Certified SOT ® practitioner at 732-747-0083 or visit our website.