Chiropractic and Pain Management
5/8/202514 min read
You can find Soda City Chiropractic | A Columbia Chiropractor at:
2205 Main Street, Columbia, SC 29201
Email: dcarr@sodacitychiro.com
Phone: 803-966-7689
How Chiropractors Can Help with Disc Herniations
Chiropractic care has become an increasingly popular treatment option for individuals suffering from disc herniations. A herniated disc occurs when the soft inner portion of a spinal disc bulges out through a tear in the outer layer, often compressing nearby nerves and causing pain, numbness, or weakness. Chiropractors are trained to assess spinal misalignments and nerve interference, offering non-invasive solutions that can reduce discomfort and improve mobility. According to Harvard Health Publishing, chiropractic adjustments can relieve musculoskeletal pain, including that caused by herniated discs, by improving spinal alignment and reducing pressure on nerves ("Chiropractic Care for Pain Relief").
One common chiropractic technique used to treat disc herniations is spinal manipulation. This involves carefully controlled movements to restore normal motion to the spine and reduce nerve compression. For example, the Activator Method uses a small handheld device to deliver gentle, targeted impulses to the spine, which may be less likely to aggravate herniated disc symptoms compared to traditional manual adjustments ("Activator Method Chiropractic Technique"). Chiropractors may also employ flexion-distraction techniques, which use a specialized table to stretch and decompress the spine, allowing the herniated material to retract and relieve nerve pressure. These treatments are often considered safer and less invasive than surgical options.
In addition to spinal manipulation, chiropractors often incorporate therapeutic exercises, posture correction, and lifestyle recommendations to support long-term recovery. Strengthening core muscles and improving body mechanics can prevent further injury and reduce reliance on medication. A guideline published by the American College of Physicians recommends non-drug treatments like spinal manipulation and physical therapy as first-line interventions for low back pain, including conditions related to disc herniation ("American College of Physicians Issues Guideline"). This evidence-based approach highlights chiropractic care as a viable component of a multidisciplinary treatment plan for disc injuries.
Although not suitable for every patient, chiropractic care can offer significant benefits to many individuals with herniated discs, especially those seeking alternatives to surgery or chronic medication use. A patient-centered approach involving chiropractic care has the potential to reduce pain, restore function, and improve quality of life. As more research supports the effectiveness of conservative care for spinal disorders, chiropractors continue to play an important role in the management of disc herniations and related conditions (Harvard Health Publishing; “Activator Method Chiropractic Technique”).
Works Cited
Harvard Health Publishing. “Chiropractic Care for Pain Relief.” Harvard Health, 21 Dec. 2021, https://www.health.harvard.edu/pain/chiropractic-care-for-pain-relief.
“Activator Method Chiropractic Technique.” Spine-health, https://www.spine-health.com/treatment/chiropractic/activator-method-chiropractic-technique. Accessed 12 May 2025.
“American College of Physicians Issues Guideline for Treating Nonradicular Low Back Pain.” American College of Physicians, 4 Apr. 2017, https://www.acponline.org/acp-newsroom/american-college-of-physicians-issues-guideline-for-treating-nonradicular-low-back-pain.
Cleveland Clinic. “Herniated Disk: What It Is, Symptoms & Treatment.” Cleveland Clinic, 12 Oct. 2023, https://my.clevelandclinic.org/health/diseases/10452-herniated-disk.
National Center for Complementary and Integrative Health. “Spinal Manipulation: What You Need to Know.” NIH, Sept. 2019, https://www.nccih.nih.gov/health/spinal-manipulation-what-you-need-to-know.
How PNF Stretching Helps in Athletic Performance
Proprioceptive Neuromuscular Facilitation (PNF) stretching is a highly effective technique used to increase flexibility, enhance muscular strength, and improve athletic performance. Originally developed as a rehabilitation method, PNF combines passive stretching with isometric contractions to engage both the muscles being stretched and their opposing counterparts. This advanced form of stretching not only increases range of motion but also conditions the nervous system to respond more efficiently. According to the International Journal of Sports Physical Therapy, PNF stretching is more effective in improving flexibility than static or dynamic stretching methods (Sharman et al.).
Enhanced flexibility through PNF stretching plays a vital role in optimizing athletic movement and reducing the risk of injury. When joints have a greater range of motion, athletes can perform more explosive movements with better control and reduced strain. A study in the Journal of Strength and Conditioning Research found that regular PNF stretching significantly improves joint mobility and muscle elasticity, which are essential for sports involving rapid directional changes or high-force actions (Hindle et al.). This makes PNF a key component of training regimens in sports like gymnastics, soccer, and track and field.
PNF stretching also improves neuromuscular coordination, which is crucial for efficient and powerful movement. The technique facilitates better communication between the brain and muscles by enhancing proprioceptive awareness—the body's sense of position and movement. Improved neuromuscular function can lead to quicker reflexes, stronger muscle contractions, and better balance. According to the National Academy of Sports Medicine (NASM), PNF stretching can be particularly beneficial during the cool-down phase of workouts, allowing athletes to recover more effectively while maintaining muscular efficiency (“Flexibility Training”).
While PNF stretching is not typically used as a warm-up due to its intensity, its long-term benefits are well documented. Incorporating it into post-workout or off-day routines can lead to lasting improvements in flexibility, coordination, and muscular strength. As more coaches and athletic trainers recognize the performance-enhancing effects of this technique, PNF stretching is becoming a standard part of elite athletic training programs. When applied correctly and consistently, PNF stretching helps athletes reach higher levels of performance while minimizing injury risks (Behm et al.; Sharman et al.).
Works Cited
Behm, David G., et al. “Acute Effects of Muscle Stretching on Physical Performance, Range of Motion, and Injury Incidence in Healthy Active Individuals: A Systematic Review.” Applied Physiology, Nutrition, and Metabolism, vol. 41, no. 1, 2016, pp. 1–11. https://doi.org/10.1139/apnm-2015-0235.
Hindle, Kayleigh B., et al. “Proprioceptive Neuromuscular Facilitation (PNF): Its Mechanisms and Effects on Range of Motion and Muscular Function.” Journal of Human Kinetics, vol. 31, 2012, pp. 105–113. https://doi.org/10.2478/v10078-012-0011-y.
National Academy of Sports Medicine (NASM). “Flexibility Training: PNF Stretching Techniques.” NASM Blog, https://blog.nasm.org/pnf-stretching-techniques. Accessed 12 May 2025.
Sharman, Melanie J., et al. “Proprioceptive Neuromuscular Facilitation Stretching: Mechanisms and Clinical Implications.” British Journal of Sports Medicine, vol. 40, no. 1, 2006, pp. 63–68. https://doi.org/10.1136/bjsm.2005.018051.
Simic, Ljerka, et al. “Does Pre-Exercise Static Stretching Inhibit Maximal Muscular Performance? A Meta-Analytical Review.” Scandinavian Journal of Medicine & Science in Sports, vol. 23, no. 2, 2013, pp. 131–148. https://doi.org/10.1111/j.1600-0838.2012.01444.x.
You can find Soda City Chiropractic | A Columbia Chiropractor at:
2205 Main Street, Columbia, SC 29201
Email: dcarr@sodacitychiro.com
Phone: 803-966-7689
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How Chiropractors Can Help with Upper Cross Syndrome
Upper Cross Syndrome (UCS) is a common postural dysfunction caused by muscular imbalances in the neck, shoulders, and chest. Characterized by tightness in the upper trapezius, levator scapulae, and pectoral muscles, along with weakness in the deep cervical flexors and lower scapular stabilizers, UCS often develops from prolonged poor posture—such as slouching at a desk or looking down at mobile devices. This condition can result in neck pain, headaches, shoulder discomfort, and reduced mobility. Chiropractic care addresses UCS by correcting postural imbalances and restoring musculoskeletal alignment (American Chiropractic Association).
Chiropractors use targeted spinal and joint adjustments to reduce tension in overactive muscles and realign the cervical and thoracic spine. These adjustments improve posture, decrease nerve interference, and allow the weakened muscles to re-engage properly. According to Pro-Care Medical Center, chiropractic care helps restore motion in restricted joints, which reduces compensatory muscle overuse and corrects the body's movement patterns. In UCS cases, adjustments often focus on the cervical spine and upper thoracic region to relieve stiffness and improve mobility, ultimately reducing the strain on affected muscles (Pro-Care Medical Center).
In addition to spinal adjustments, chiropractors incorporate soft tissue therapies and therapeutic exercises to address UCS. Techniques such as myofascial release, trigger point therapy, and stretching help reduce tightness in the chest and upper back, while strengthening exercises for the deep neck flexors and lower trapezius stabilize posture. Chiropractors often guide patients through individualized exercise routines and recommend ergonomic adjustments to prevent recurrence. A study in the Journal of Chiropractic Medicine emphasizes that a combination of manual therapy and exercise yields the best outcomes in postural rehabilitation (Page et al.).
Chiropractors take a holistic approach to managing Upper Cross Syndrome by addressing both its symptoms and root causes. Through hands-on care, rehabilitative strategies, and education, they help patients achieve long-term improvements in posture and comfort. This comprehensive treatment plan not only relieves existing discomfort but also helps prevent chronic musculoskeletal strain and future postural issues. As awareness of postural health grows, chiropractic care remains a key option for managing and correcting conditions like Upper Cross Syndrome (MedBar Greenpoint; Square One Health).
Works Cited
American Chiropractic Association. “Upper Crossed Syndrome.” ACA Today, https://www.acatoday.org/news-publications/upper-crossed-syndrome. Accessed 12 May 2025.
MedBar Greenpoint. “Chiropractic Care and Upper Crossed Syndrome: Restoring Balance and Posture.” MedBar, https://www.med-bar.com/blog/chiropractic-care-and-upper-crossed-syndrome-restoring-balance-and-posture. Accessed 12 May 2025.
Page, Phil, et al. “Postural Syndromes: Clinical Presentation and Management.” Journal of Chiropractic Medicine, vol. 10, no. 1, 2011, pp. 20–25. https://doi.org/10.1016/j.jcm.2010.04.001.
Pro-Care Medical Center. “How a Chiropractor Can Fix Upper Cross Syndrome.” Pro-Care, https://www.procaremedcenter.com/how-a-chiropractor-helps-resolve-upper-cross-syndrome/. Accessed 12 May 2025.
Square One Health. “Correcting Upper Cross Syndrome.” Square One Health, https://squareonehealth.com/correcting-upper-cross-syndrome/. Accessed 12 May 2025.
You can find Soda City Chiropractic | A Columbia Chiropractor at:
2205 Main Street, Columbia, SC 29201
Email: dcarr@sodacitychiro.com
Phone: 803-966-7689
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How Chiropractors Can Help with Lower Cross Syndrome
Lower Cross Syndrome (LCS) is a common postural imbalance resulting from muscular dysfunction in the lower back and pelvic region. It is characterized by tightness in the hip flexors and lumbar erector spinae, combined with weakness in the abdominal and gluteal muscles. This muscular imbalance creates an anterior pelvic tilt, leading to increased lumbar lordosis (inward curvature of the lower back), low back pain, and decreased functional mobility. LCS typically stems from prolonged sitting, lack of core strength, or repetitive movements and can contribute to chronic postural strain and injury if left untreated (Page et al.).
Chiropractors play a significant role in identifying and correcting the structural and muscular imbalances associated with LCS. Using spinal adjustments, they aim to restore normal alignment in the lumbar spine and pelvis, thereby relieving joint restrictions and improving mobility. According to the American Chiropractic Association, chiropractic adjustments can reduce muscle tension, relieve pain, and enhance neuromuscular function, which is vital for breaking the compensatory movement patterns caused by LCS (“Chiropractic and Posture”). Chiropractors also assess gait and posture to understand how the imbalances are affecting a patient’s movement and tailor treatment plans accordingly.
In addition to adjustments, chiropractors often incorporate soft tissue therapies, such as myofascial release and trigger point therapy, to address muscle tightness in the hip flexors and lower back. Equally important is the rehabilitation component, which includes targeted strengthening of the core and gluteal muscles, as well as stretching tight muscles. Studies show that combining chiropractic care with corrective exercise improves long-term outcomes in LCS patients by restoring muscular balance and functional movement (Kendall et al.; Liebenson). Chiropractors also provide ergonomic advice and activity modifications to prevent recurrence and support daily function.
Overall, chiropractic care offers a comprehensive and effective approach to managing Lower Cross Syndrome. Through spinal adjustments, soft tissue work, therapeutic exercises, and postural education, chiropractors help patients correct muscular imbalances, relieve pain, and prevent future dysfunction. As sedentary lifestyles continue to contribute to postural syndromes like LCS, chiropractic intervention remains a vital, drug-free solution for restoring musculoskeletal health and enhancing quality of life (Liebenson; Choi et al.).
Works Cited
American Chiropractic Association. “Chiropractic and Posture.” ACA Today, https://www.acatoday.org/news-publications/chiropractic-and-posture. Accessed 12 May 2025.
Choi, Gyu-Min, et al. “Effects of Chiropractic and Exercise on Pelvic Tilt and Lower Back Pain.” Journal of Physical Therapy Science, vol. 29, no. 10, 2017, pp. 1785–1790. https://doi.org/10.1589/jpts.29.1785.
Kendall, Florence P., et al. Muscles: Testing and Function, with Posture and Pain. 5th ed., Lippincott Williams & Wilkins, 2005.
Liebenson, Craig. Rehabilitation of the Spine: A Patient-Centered Approach. 2nd ed., Lippincott Williams & Wilkins, 2007.
Page, Phil, et al. “Postural Syndromes: Clinical Presentation and Management.” Journal of Chiropractic Medicine, vol. 10, no. 1, 2011, pp. 20–25. https://doi.org/10.1016/j.jcm.2010.04.001.
You can find Soda City Chiropractic | A Columbia Chiropractor at:
2205 Main Street, Columbia, SC 29201
Email: dcarr@sodacitychiro.com
Phone: 803-966-7689
How Chiropractors Can Help with Piriformis Syndrome
Piriformis Syndrome is a neuromuscular condition in which the piriformis muscle, located deep in the buttock, compresses the sciatic nerve, causing pain, tingling, or numbness along the path of the nerve. Often misdiagnosed as sciatica, the condition is typically caused by muscle tightness, inflammation, or trauma. Chiropractors are trained to evaluate the biomechanics of the pelvis and spine and can help identify underlying causes contributing to piriformis tightness or irritation. By restoring proper alignment and muscle balance, chiropractic care offers an effective, non-invasive solution for managing Piriformis Syndrome (Boyajian-O’Neill et al.).
Chiropractic adjustments to the lumbar spine, sacrum, and pelvis can relieve pressure on the sciatic nerve and correct mechanical dysfunctions that contribute to piriformis muscle irritation. According to the American Chiropractic Association, spinal manipulation helps normalize joint motion and improve nervous system function, which is essential for relieving chronic muscle tension and nerve compression (“Sciatica and Chiropractic Care”). In addition, chiropractors may use modalities such as myofascial release, trigger point therapy, and instrument-assisted soft tissue mobilization (IASTM) to relax the piriformis muscle and reduce inflammation (Leach).
Stretching is a key component of chiropractic treatment for Piriformis Syndrome. Chiropractors often prescribe specific stretches to reduce tension in the piriformis and surrounding hip musculature. One of the most effective is the supine piriformis stretch, in which the patient lies on their back and crosses one leg over the opposite thigh, gently pulling the knee toward the chest. Other recommended stretches include the seated piriformis stretch, pigeon pose, and foam rolling to reduce tightness in the glutes and lower back. Consistency with these exercises helps restore range of motion and prevent recurrence (Proctor; Hammer).
In addition to manual therapy and stretching, chiropractors often guide patients through strengthening exercises to improve pelvic stability and muscle balance. Strengthening the gluteus medius and core muscles helps relieve strain on the piriformis and improves overall movement patterns. Chiropractors also educate patients on proper posture and ergonomic adjustments to reduce the risk of flare-ups. This comprehensive, conservative approach is ideal for patients seeking relief from Piriformis Syndrome without medication or surgery (Dwyer; Cleveland Clinic).
Works Cited
American Chiropractic Association. “Sciatica and Chiropractic Care.” ACA Today, https://www.acatoday.org/news-publications/sciatica-and-chiropractic-care. Accessed 12 May 2025.
Boyajian-O’Neill, Lori A., et al. “Diagnosis and Management of Piriformis Syndrome: An Osteopathic Perspective.” American Family Physician, vol. 74, no. 9, 2006, pp. 1440–1446.
Cleveland Clinic. “Piriformis Syndrome.” Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/14859-piriformis-syndrome. Accessed 12 May 2025.
Dwyer, T.J., and M. A. Tuttle. “Piriformis Syndrome and Gluteal Strengthening: A Case Series.” Manual Therapy, vol. 20, no. 4, 2015, pp. 670–675. https://doi.org/10.1016/j.math.2015.01.007.
Hammer, Warren I. Functional Soft-Tissue Examination and Treatment by Manual Methods. 3rd ed., Jones & Bartlett Learning, 2007.
Proctor, C. “Stretching for Piriformis Syndrome: A Clinical Review.” Journal of Bodywork and Movement Therapies, vol. 22, no. 3, 2018, pp. 609–615. https://doi.org/10.1016/j.jbmt.2017.08.003.
You can find Soda City Chiropractic | A Columbia Chiropractor at:
2205 Main Street, Columbia, SC 29201
Email: dcarr@sodacitychiro.com
Phone: 803-966-7689
How Chiropractors Can Help with Sciatica Syndrome
Sciatica is a condition characterized by pain that radiates along the path of the sciatic nerve, which branches from the lower back through the hips, buttocks, and down each leg. It is commonly caused by compression of the nerve due to disc herniation, spinal stenosis, or muscular tension, particularly from the piriformis muscle. Symptoms can range from mild discomfort to sharp, burning pain, tingling, or numbness in the affected leg. Chiropractors are well-equipped to diagnose and treat the root mechanical causes of sciatica through manual adjustments and conservative therapies (Staff, Mayo Clinic; Leach).
Chiropractic care for sciatica begins with a comprehensive physical exam and neurological evaluation to identify the source of nerve irritation. Through spinal manipulation—often focused on the lumbar vertebrae and sacrum—chiropractors aim to improve spinal alignment, reduce joint dysfunction, and relieve nerve pressure. According to the American Chiropractic Association, these adjustments can help restore mobility, reduce inflammation, and promote natural healing by removing interference from the nervous system (“Sciatica and Chiropractic Care”). Additionally, chiropractors may use therapies such as traction, soft tissue manipulation, or ultrasound to support nerve decompression and pain relief.
In conjunction with spinal adjustments, chiropractors often prescribe nerve flossing exercises (also known as neural gliding) to help mobilize the sciatic nerve and restore its normal function. Nerve flossing involves controlled movements that “glide” the nerve through its surrounding tissues, reducing adhesions and increasing its tolerance to movement. A common sciatic nerve flossing technique includes seated leg extensions with head flexion and extension to rhythmically tension and release the nerve. Studies show that nerve flossing, when paired with chiropractic care, improves flexibility and reduces neuropathic symptoms (Shacklock; Coppieters and Butler).
Chiropractic treatment, combined with targeted exercises like nerve flossing, offers a holistic and drug-free approach to managing sciatica. Beyond addressing immediate pain, chiropractors educate patients on posture correction, core strengthening, and lifestyle modifications to prevent future episodes. This multi-faceted approach not only provides symptom relief but also empowers patients to take control of their spinal health. With consistent care and self-management strategies, most patients experience significant improvement in their mobility and quality of life (Choi et al.; Liebenson).
Works Cited
American Chiropractic Association. “Sciatica and Chiropractic Care.” ACA Today, https://www.acatoday.org/news-publications/sciatica-and-chiropractic-care. Accessed 12 May 2025.
Choi, Gyu-Min, et al. “Effects of Chiropractic and Exercise on Pelvic Tilt and Lower Back Pain.” Journal of Physical Therapy Science, vol. 29, no. 10, 2017, pp. 1785–1790. https://doi.org/10.1589/jpts.29.1785.
Coppieters, Michel W., and David S. Butler. “Do ‘Sliders’ Slide and ‘Tensioners’ Tension? An Analysis of Neurodynamic Techniques and Considerations Regarding Their Application.” Manual Therapy, vol. 13, no. 3, 2008, pp. 213–221. https://doi.org/10.1016/j.math.2007.01.009.
Leach, Robert A. The Chiropractic Theories: Principles and Clinical Applications. 4th ed., Lippincott Williams & Wilkins, 2004.
Liebenson, Craig. Rehabilitation of the Spine: A Patient-Centered Approach. 2nd ed., Lippincott Williams & Wilkins, 2007.
Staff, Mayo Clinic. “Sciatica.” Mayo Clinic, https://www.mayoclinic.org/diseases-conditions/sciatica. Accessed 12 May 2025.
Shacklock, Michael. Clinical Neurodynamics: A New System of Neuromusculoskeletal Treatment. Elsevier Health Sciences, 2005.
You can find Soda City Chiropractic | A Columbia Chiropractor at:
2205 Main Street, Columbia, SC 29201
Email: dcarr@sodacitychiro.com
Phone: 803-966-7689
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Chiropractic Care and Vertigo
Vertigo, characterized by a sensation of spinning or dizziness, can significantly impact an individual's quality of life. While various treatments exist, chiropractic care has emerged as a potential non-invasive approach to managing certain types of vertigo, particularly those related to cervical spine dysfunction.
Cervicogenic dizziness, originating from abnormalities in the neck, is one area where chiropractic interventions have shown promise. A study published in the Journal of Chiropractic Medicine reported that patients with cervicogenic dizziness experienced improvements in dizziness, neck pain, and balance following chiropractic care . Similarly, a case report detailed the resolution of vertigo symptoms in a patient with Ménière's disease after receiving upper cervical spinal manipulation and soft-tissue therapy .PMC+1PMC+1PMCPMC
Chiropractic care may also benefit patients with benign paroxysmal positional vertigo (BPPV). In a case study, a 75-year-old female with BPPV and cervical pain experienced symptom relief following chiropractic adjustments . Additionally, a retrospective case series found that patients undergoing upper cervical chiropractic techniques combined with individualized vestibular rehabilitation reported significant reductions in dizziness handicap scores .vertebralsubluxationresearch.comJournal of Contemporary Chiropractic
While these findings are encouraging, it's essential to note that chiropractic care may not be suitable for all vertigo cases. Proper diagnosis and collaboration with healthcare professionals are crucial to determine the most appropriate treatment approach. Further research is needed to establish standardized chiropractic protocols for vertigo management.
Works Cited
Reid SA, Callister R, Rivett DA. "Effects of cervical spine manual therapy on dizziness, neck pain, and balance: a pilot randomized controlled trial." Journal of Chiropractic Medicine. 2010;9(3):91-98.PMC
Emary PC. "Chiropractic management of a 40-year-old female patient with Ménière disease." Journal of Chiropractic Medicine. 2010;9(1):22-27.
Steward T. "Improvement of dizziness following an upper cervical chiropractic technique and individualized vestibular rehabilitation program: a retrospective case series." Journal of Contemporary Chiropractic. 2023;6(1):195-206.Journal of Contemporary Chiropractic
Belcher J, Barnes N. "Resolution of Ménière’s and restoration of hearing following reduction of vertebral subluxation utilizing Atlas Orthogonal chiropractic adjustment: a case report." Journal of Upper Cervical Chiropractic Research. 2022.
Kelly DD, Holt K. "Resolution of vertigo, migraines and neck pain in a 12-year-old boy receiving chiropractic care: a case study." Journal of Pediatric, Maternal & Family Health. 2010;2010(3):150-154.Vital Life Chiropractic+1Vital Life Chiropractic+1
Stewart T. "Improvement of dizziness following an upper cervical chiropractic technique and individualized vestibular rehabilitation program: a retrospective case series." Journal of Contemporary Chiropractic. 2023;6(1):195-206.