Spine Treatment Archive - Dr. Tabrizi, Dr. Chwalek, Dr. Gruber

Sciatica: what can cause pain radiating into the leg

dr-dorothee — Mon, 19 Oct 2026 07:00:19 +0000

Orthopaedics Blog

Spine Treatment

Sciatica is one of the most common reasons people consult an orthopaedic specialist. For some, the pain is so severe that sitting, walking or sleeping becomes difficult. This makes it all the more important to understand where the symptoms come from and what can help. There is no single answer, because pain radiating into the leg can have a variety of causes. In this article, we explain the possible causes and how the symptoms can be relieved.

Learn more

In this article, you will learn

What sciatica is and how it feels
How to tell whether the sciatic nerve is really affected
Which conditions can cause the symptoms
How sciatica is diagnosed and treated

What is sciatica?

Sciatica occurs when the sciatic nerve or one of its nerve roots is irritated or compressed. The sciatic nerve (nervus ischiadicus) is the thickest and longest nerve in the body. It is formed by nerve roots from the lower lumbar spine and sacrum. The nerve passes through the buttock and down the back of the thigh. Above the back of the knee, it divides into the tibial nerve and the common fibular nerve. Together, these nerves control the muscles of the lower leg and foot and transmit sensations such as touch and pain.

The symptoms are also referred to as sciatic pain. If lower back pain occurs at the same time, the condition is known as lumboischialgia. This is different from lumbago, in which the pain remains confined to the back.

What does sciatica feel like?

Sciatica typically causes a burning, stabbing or electric-shock-like pain that usually travels from one side of the buttock into the leg. Coughing, sneezing or straining often makes it worse because these actions briefly increase the pressure in the spinal canal. Tingling, numbness or a sensation that the leg has “fallen asleep” may also occur.

Each nerve root that leaves the lumbar spine or sacrum supplies a defined area of skin on the leg. The precise location of pain or tingling can therefore indicate where a nerve is irritated. Doctors name nerve roots according to their level, such as L5 for the root at the fifth lumbar vertebra.

If one of these nerve roots is irritated, symptoms are most likely to occur in the following areas:

L4 (fourth lumbar vertebra): knee and inner side of the lower leg
L5 (fifth lumbar vertebra): outer side of the lower leg, top of the foot and big toe
S1 (first sacral vertebra): calf, heel, outer border of the foot and little toe

How can you tell whether the sciatic nerve is really affected?

The crucial distinction is between radicular and pseudoradicular pain.

Radicular pain means that a nerve root itself is irritated. The pain usually extends below the knee, follows a clearly defined path and is often accompanied by tingling, numbness or loss of strength.

Pseudoradicular pain merely resembles this pattern. It originates in joints, ligaments or muscles, tends to spread more diffusely into the buttock and thigh, and usually stops above the knee. There are no neurological deficits. Many symptoms that are commonly described as “sciatica” belong to this group.

What causes sciatica?

From an orthopaedic perspective, the following conditions are the most common causes:

The most common cause is a herniated disc between the fourth and fifth lumbar vertebrae or between the fifth lumbar vertebra and the sacrum. Disc material that has escaped presses on the nerve root and triggers inflammation. A bulging disc can also irritate the nerve root.

Bony growths, thickened ligaments or disc tissue can narrow the spinal canal until the nerve roots come under pressure. If the lower lumbar spine is affected, where the roots of the sciatic nerve run, sciatica may develop in both legs more often than it does with a herniated disc.

A typical feature of spinal canal stenosis is that pain and weakness in the legs increase while walking and ease when the person stops, bends forwards or sits down.

Spondylolisthesis occurs when one vertebra slips forwards in relation to the vertebra below it. It most commonly affects the lowest lumbar vertebrae, precisely where the roots of the sciatic nerve leave the spine. If the openings through which the nerve roots exit the spinal canal become narrower, sciatica can develop and is often aggravated by standing or physical strain.

Restricted movement or inflammation in the sacroiliac joint between the sacrum and the ilium frequently causes pseudoradicular pain in the buttock and thigh. You can learn more in our article on SIJ pain. Osteoarthritis of the small vertebral joints, known as the facet joints, can produce similar symptoms. Further information is available on our osteoarthritis treatment page.

The pear-shaped piriformis muscle lies deep in the buttock. It runs from the sacrum to the greater trochanter of the thigh bone and rotates the leg outwards. The sciatic nerve usually passes directly beneath it and, in some people, even runs through the muscle. If the muscle is tense, overloaded or thickened, it can compress the nerve and cause sciatic pain.

A deep pain in the buttock that radiates down the back of the thigh is typical. It often becomes worse after prolonged sitting, when climbing stairs or when crossing the legs. Lower back pain, by contrast, is usually absent.

Piriformis syndrome may be promoted by a fall onto the buttock, repetitive strain from running or a difference in leg length that places greater strain on one side.

Several of these factors may be present at the same time, for example osteoarthritis of the facet joints combined with spinal canal stenosis. A careful examination is therefore necessary to establish which cause is primarily responsible in each individual case.

When is sciatica an emergency?

Go to hospital immediately if you notice numbness around the genitals, buttocks or anus. Doctors refer to this as saddle anaesthesia because the affected area corresponds to the part of the body that rests on a saddle. The same applies if you suddenly develop problems passing urine or controlling your bladder or bowels. Even one of these warning signs may indicate cauda equina syndrome, in which several nerve roots are compressed at the same time.

If sciatica is accompanied by signs of paralysis, arrange an orthopaedic assessment promptly. This indicates that the compressed nerve root is already losing function. If the front of your foot catches on the ground or you can no longer walk on your heels, this suggests foot drop, which is usually caused by pressure on the L5 nerve root. You should also seek prompt medical assessment if the symptoms begin after a fall or are accompanied by a fever. In these situations, a vertebral fracture or inflammation of the spine may be irritating the nerve.

How is sciatica diagnosed?

Your description provides the first clues: When did the pain start, where does it travel, and what makes it better or worse? During the physical examination, we test the patellar and Achilles tendon reflexes, the strength of individual key muscles, for example by asking you to walk on your toes and heels, and sensation in the lower leg and foot. During the straight leg raise test, also known as the Lasègue test, we lift the straightened leg while you are lying down. If this causes pain to travel below the knee, it suggests an irritated nerve root. Specific provocation tests help us determine whether the sacroiliac joint is involved.

It is also important to consider other conditions that can mimic sciatica. Osteoarthritis of the hip often causes pain that radiates into the groin and thigh. Circulatory problems in the legs, like spinal canal stenosis, may force a person to stop while walking. Polyneuropathy, for example due to diabetes, usually causes tingling and numbness in both feet.

Magnetic resonance imaging (MRI) is not necessary in every case. Herniated discs and degenerative changes can also be seen on scans of many people who have no symptoms at all. During the first few weeks, the imaging result usually does not change the treatment. An MRI scan is appropriate if the nerve is already losing function, for example if there is paralysis or pronounced numbness, if one of the warning signs described above is present, or if the pain persists for several weeks despite consistent treatment.

How can sciatica be treated?

The appropriate treatment depends on the cause. At our private practice for orthopaedics and traumatology in Frankfurt, we offer a range of treatments that can be combined according to the individual findings:

Under CT or MRI guidance, we deliver an anti-inflammatory medication to the affected nerve root (periradicular therapy) or into the space surrounding the spinal membranes (epidural injection).

Injections into the facet joints or sacroiliac joint and neural therapy can reduce pain and inflammation. If the sacroiliac joint is restricted, chiropractic treatment can help to restore mobility.

Traction treatment and acupuncture can support recovery and help to maintain the result.

Bed rest tends to delay improvement, whereas appropriate movement promotes recovery. During physiotherapy, you learn exercises that strengthen the core and back muscles and reduce the long-term strain on the spine. Once the acute pain subsides, it is usually possible to return to sport. Swimming, cycling and walking are suitable activities, while sports involving jumps or abrupt twisting movements should initially be paused. We will be happy to discuss how to rebuild your training safely as part of our sports medicine service.

We review how your symptoms are progressing and adjust the treatment when necessary.

Sciatica treatment: your experienced orthopaedic team in Frankfurt

At our private practice for orthopaedics and traumatology at Hochstrasse 31 in Frankfurt, we determine what is causing your sciatica. As part of our spine treatment programme, we recommend a treatment plan tailored to your individual situation.

You can arrange an appointment online via Doctolib or by calling 069 26 95 28 00.

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Private practice in Frankfurt

Book an appointment online

Would you like to have your symptoms assessed by an orthopaedic specialist? At our private practice for orthopaedics and traumatology in Frankfurt, we take the time to answer your questions and discuss the appropriate next steps.

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Have your sciatica assessed

Appointment for spine treatment in Frankfurt

Would you like radiating pain, tingling or numbness to be assessed by a specialist? At our private practice for orthopaedics and traumatology in Frankfurt, we carefully investigate the cause and discuss the treatment options that are appropriate for you.

Book an appointment online

Der Beitrag Sciatica: what can cause pain radiating into the leg erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

Cervical spine syndrome: causes, symptoms and treatment for neck pain

dr-dorothee — Fri, 16 Oct 2026 09:02:38 +0000

Orthopaedics Blog

Spine Treatment

When reversing out of a parking space, you may find that checking over your shoulder is only possible by turning your entire upper body. Your neck may feel locked in place in the morning, while pain radiates into your hand by the evening. These symptoms are often associated with cervical spine syndrome. According to a study by the Robert Koch Institute, almost one in two adults in Germany experienced neck pain within a one-year period. Whether the symptoms subside quickly or require treatment depends on their cause. In this article, we explain what can affect the cervical spine, how to recognise cervical spine syndrome and which treatment options are available.

Learn more

In this article, you will learn

What cervical spine syndrome is
Which symptoms and causes are possible
How cervical spine syndrome is diagnosed
Which treatments may be considered

What is cervical spine syndrome?

The term cervical spine syndrome, also known as cervical syndrome, covers all symptoms that originate in the cervical spine and the surrounding muscles. It describes a pattern of symptoms rather than a diagnosis in its own right.

The cervical spine consists of seven vertebrae. The uppermost two, the atlas and axis, support the head and enable much of its rotational movement. From the second cervical vertebra downwards, intervertebral discs lie between the vertebral bodies. Nerve roots that supply the shoulder, arm and hand emerge laterally from the spine.

What are the symptoms of cervical spine syndrome?

The main symptom is neck pain that becomes worse with certain movements. Many people can turn or tilt their head only to a limited extent. The muscles may feel hard and tense. Pain often extends into the shoulder girdle or the area between the shoulder blades.

If a nerve root is irritated, the pain may follow the course of the nerve into the arm and hand. Tingling, numbness or a loss of strength may also occur.

Many people notice the symptoms in the morning after waking, particularly if their neck remained in an awkward position overnight. The stiffness often improves with gentle movement. In others, neck pain develops during the day, for example after several hours at a desk or a long car journey. The pain can also begin suddenly, such as after an abrupt turn of the head. If a nerve root is irritated, leaning the head backwards or turning it towards the affected side often makes the symptoms worse. This can also disturb sleep.

If a headache originates in the cervical spine, it usually travels from the neck over the back of the head towards the front and remains on the same side. Head movements typically aggravate it. This connection with the neck distinguishes it from migraine, which is often pulsating, may change sides and can be accompanied by nausea or sensitivity to light.

Depending on how far the symptoms extend, cervical spine syndrome can present in three forms:

The pain remains confined to the neck and shoulder girdle.

In this form, the pain radiates into the arm.

Headaches are the predominant symptom.

The different forms often overlap, for example when neck pain radiates into the arm and is accompanied by headaches.

What causes cervical spine syndrome?

In many cases, no single, clearly identifiable cause can be found. Orthopaedic specialists then refer to non-specific neck pain. This does not mean that the symptoms are imaginary or harmless. It means that no clearly defined problem, such as a fracture or inflammation, can be identified as the cause. This is also how the German Society of General Practice and Family Medicine (DEGAM) describes the condition in its 2025 S3 guideline on non-specific neck pain. Guidelines provide doctors with recommendations for diagnosis and treatment. S3 is the highest guideline level and is based on a systematic review of the available evidence and a structured expert consensus process.

Nevertheless, findings that contribute to the symptoms can often be identified. Several factors may be involved at the same time:

Muscular tension in the trapezius and levator scapulae muscles, with tender trigger points
Functional problems affecting the small vertebral joints, commonly referred to as a vertebral blockage
Degenerative changes, such as osteochondrosis with loss of disc height or osteoarthritis of the facet and uncovertebral joints; learn more about osteoarthritis treatment
A prolapsed disc that presses on a nerve root, also known as a herniated or slipped disc
Whiplash, for example following a rear-end collision

When is cervical spine syndrome acute, and when is it chronic?

The classification depends on how long the symptoms have been present. The DEGAM guideline distinguishes three phases: neck pain lasting up to three weeks is considered acute, pain lasting between four and twelve weeks is subacute, and pain lasting longer than this is chronic.

Acute cervical spine syndrome typically begins suddenly and is often severe. How quickly it improves depends on the cause. Sudden neck pain should be medically assessed, particularly if it is unfamiliar or different from previous symptoms.

If tense muscles are responsible, the pain often subsides within one or two weeks and may even resolve without treatment.

If a herniated disc irritates a nerve root, recovery usually takes longer. Many people expect that surgery will be necessary, but in most cases the symptoms improve without an operation. The nerve irritation may take several weeks or months to settle because the inflammation needs to subside and the extruded disc material can only regress gradually. If pain radiates into the arm or the fingers tingle, we assess how severely the nerve is affected and whether surgery is required. An operation is considered particularly when paralysis develops or progresses, the spinal cord is compressed, or severe pain persists despite consistent treatment over an extended period.

After an accident, the expected recovery time can only be estimated once it is clear which structures of the cervical spine have been injured.

In most cases, prolonged rest is more likely to delay improvement. The amount of movement that is appropriate and the treatment needed to control pain depend on the individual findings. We discuss this with you when planning your treatment.

If neck pain lasts for more than three months or repeatedly returns, degenerative changes in the intervertebral discs or vertebral joints are often involved. Muscles that have been subjected to one-sided strain over a prolonged period may also contribute.

The intensity of the symptoms typically fluctuates. Their character may also change over time, with pain becoming less closely linked to particular movements. The nervous system can become more sensitive, so that even minor strain triggers neck symptoms. Some people experience recurring episodes separated by symptom-free periods.

Unlike acute treatment, the aim is not simply to manage a single episode of pain. The cervical spine needs to remain mobile and able to tolerate everyday strain over the long term. Active treatment therefore plays the central role and can be complemented by appropriate passive treatments. Stress and tension in everyday life may also affect the course of the condition and should be taken into account.

The subacute phase forms the transition between the acute and chronic stages. If the symptoms do not improve noticeably during this period, it is worth reviewing the treatment and addressing the underlying cause. This can often prevent an acute cervical syndrome from becoming chronic.

Why does cervical spine syndrome sometimes become worse?

If the symptoms persist, a protective posture is often partly responsible. People who avoid moving their head because they fear pain place additional tension on the muscles. The joints then lose mobility and the pain increases. If a nerve root or the spinal cord is compressed, the symptoms may also genuinely progress.

Increasing weakness in the arm or hand, spreading numbness, neck pain following a fall or accident, an unsteady gait and reduced hand dexterity should be assessed promptly by an orthopaedic specialist. The final two symptoms may indicate pressure on the spinal cord, known as cervical myelopathy.

How is cervical spine syndrome diagnosed?

The assessment begins with a detailed discussion about when the symptoms started, possible triggers and whether the pain radiates. During the subsequent functional examination, we check the mobility of each section of the cervical spine and palpate the muscles and vertebral joints. We also test reflexes, strength and sensation in the arms and hands.

We use this examination to distinguish cervical spine syndrome from conditions with similar symptoms. Tingling in the fingers may also be caused by carpal tunnel syndrome, while shoulder pain can originate in the shoulder joint itself, for example in a calcific shoulder.

X-rays or MRI scans are generally only appropriate if warning signs or neurological deficits are present, or if the symptoms fail to improve.

How can cervical spine syndrome be treated?

The aim of treatment is to relieve pain and restore mobility. The DEGAM guideline recommends movement and heat as first-line measures. Orthopaedic treatment builds on this foundation and is tailored to your individual findings at our private practice for orthopaedics and traumatology in Frankfurt.

The treatments available at our practice include:

We begin by palpating each segment of the cervical spine to identify which vertebral joint has restricted mobility. We then treat the functional problem either with slow, repeated mobilisation within a pain-free range or with a short, targeted impulse involving a very small movement.

Because nerves and blood vessels lie close together in the cervical spine, we first rule out reasons why chiropractic treatment would be unsuitable. These include instability, a recent injury or advanced osteoporosis. When cervical spine syndrome is caused by blocked vertebral joints, the head can often be turned and tilted more freely after treatment.

Learn more: Chiropractic in Frankfurt

During traction treatment, we gently stretch the cervical spine lengthways. This can relieve pressure on the intervertebral discs and facet joints and slightly increase the space around the points where the nerve roots leave the spine.

Heat applied at the same time relaxes tense neck and shoulder muscles, allowing the traction force to reach the joints more effectively.

During neural therapy, we inject a local anaesthetic into painful areas of muscle tension, such as trigger points in the neck muscles.

Spinal injections act at a deeper level. A local anaesthetic, supplemented with an anti-inflammatory medication when necessary, is delivered directly to irritated facet joints or tendon and ligament attachments in the cervical spine.

Both procedures can interrupt the cycle of pain, muscle tension and protective posture.

Further information: Neural therapy in Frankfurt

If a herniated disc or bony narrowing compresses a nerve root, the nerve root may swell and become inflamed. This is known as cervical radiculopathy and can cause pain and tingling that extend into the arm and hand.

Using cross-sectional imaging, we guide the needle with millimetre precision to the affected nerve root and administer an anti-inflammatory medication, usually in combination with a local anaesthetic.

This precision is particularly important in the cervical spine, where the spinal cord and blood vessels lie immediately adjacent to the treatment area. As the inflammation subsides, the radiating symptoms often improve as well.

Pain-relieving and anti-inflammatory medication is administered through a vein, enters the bloodstream directly and takes effect within minutes. This can be particularly helpful for severe acute symptoms when neck pain makes movement almost impossible.

Infusion therapy may also be suitable for people who cannot take tablets, for example because of stomach problems or treatment with blood-thinning medication.

Depending on the findings, we apply elastic tape along the neck muscles, over the trapezius muscle or from the neck to the shoulder blade. The technique is crucial: the degree of tension and the direction in which the tape is applied determine whether it is intended to have a relaxing or stabilising effect. When cervical spine syndrome involves tense neck and shoulder muscles, the focus is usually on relaxation.

With every movement of the head, the tape gently lifts the skin. This is intended to stimulate circulation and lymphatic drainage in the tissue and to reduce pain perception through receptors in the skin. The slight pull also makes you aware when your head remains pushed forwards for a prolonged period, helping you to correct your posture almost automatically.

The tape remains in place for several days and can be worn in the shower. It works best in combination with active treatments such as physiotherapy.

Further information: Kinesio taping

We place fine, sterile, single-use needles at defined points in the neck and shoulder area, and sometimes at more distant points on the hand or forearm. The insertion is barely noticeable. Many patients report a dull sensation of pressure or warmth. You rest comfortably on the treatment table while the needles remain in place for approximately 20 to 30 minutes.

The needle stimuli encourage the body to release its own pain-inhibiting messenger substances. These can reduce the transmission of pain signals in the spinal cord. At the same time, tense neck muscles often relax.

A series of several sessions spaced a few days apart is usually needed for a lasting effect. The DEGAM guideline lists acupuncture as a possible treatment option for chronic cervical spine syndrome.

Learn more: Acupuncture for back pain

Anti-inflammatory pain medication can provide short-term relief during the acute phase. The guideline advises against its use for chronic cervical spine syndrome.

In the long term, active treatment helps to maintain the result. During physiotherapy, targeted exercises strengthen the deep neck muscles and the muscles around the shoulder blades, while manual therapy improves joint mobility. Exercises for cervical spine syndrome are most effective when performed briefly several times a day. Ask a physiotherapist to show you the correct technique first, because certain movements, such as forcefully extending the head backwards, can further irritate a nerve root when symptoms radiate into the arm.

Treatment for cervical spine syndrome in Frankfurt

At our private practice for orthopaedics and traumatology at Hochstrasse 31 in Frankfurt, Dr Nader Tabrizi, Dr Stefan Chwalek and Dr Isabella Gruber treat patients with cervical spine syndrome and other cervical spine conditions. As part of our spine treatment programme, we coordinate the individual treatment steps and adapt them if your symptoms change over time.

You can arrange an appointment online via Doctolib or by calling 069 26 95 28 00.

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Private practice in Frankfurt

Book an appointment online

Have your neck symptoms assessed

Appointment for spine treatment in Frankfurt

Would you like neck pain, restricted movement or radiating symptoms to be assessed by a specialist? At our private practice for orthopaedics and traumatology in Frankfurt, we carefully investigate the cause and discuss the treatment options that are appropriate for you.

Book an appointment online

Der Beitrag Cervical spine syndrome: causes, symptoms and treatment for neck pain erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

Rib hump in scoliosis: when treatment is advisable and what options are available

dr-dorothee — Mon, 10 Nov 2025 08:24:37 +0000

Rib hump in scoliosis

When treatment is advisable and what options are available

Scoliosis not only affects the spine, but often also changes the shape of the entire upper body. When the spine bends sideways and twists, the rib cage also shifts. A visible curvature develops on one side, known as a rib hump. This accompanying symptom usually develops slowly and can affect both appearance and breathing and mobility. The severity of the rib hump and whether treatment is necessary depends on the cause and progression of the scoliosis. Modern therapies aim to stabilise the spine, correct poor posture and alleviate symptoms. We explain which options are useful below.

Scoliosis and rib hump: When the spine twists – and the rib cage follows

Scoliosis is a lateral curvature of the spine that is accompanied by a twisting of the vertebrae. This causes the spine to lose its natural shape and form an S- or C-shaped curvature. This misalignment can be congenital, develop during growth or increase in adulthood.

The so-called rib hump develops because the ribs also shift as a result of the twisting of the vertebrae. On one side of the back, the rib cage bulges outwards, while the other side appears flatter. The severity can vary greatly – from barely visible to clearly noticeable – and is closely related to the degree of spinal curvature.

Not all rib humps look the same: there are different degrees of severity

The visibility of the rib hump can vary greatly. Its appearance depends primarily on the severity of the spinal curvature and which areas are affected. Orthopaedic surgeons generally distinguish between the following degrees of severity:

In the mild form, the lateral curvature of the spine is only slight. The ribs shift minimally, so that the rib hump is hardly noticeable in everyday life. It usually only becomes apparent when the affected person bends forward – for example, during the so-called Adams forward bend test, which we doctors use for early detection.

In this position, a small elevation can be seen on the back. Symptoms such as pain or restricted movement do not usually occur at this stage.

However, regular check-ups remain important, as the curvature can change during growth or with increasing age.

In this form, the deformation of the chest is already noticeable when standing. One shoulder is often slightly higher, the waist appears asymmetrical and the back curves slightly outwards on one side. This curvature becomes even more apparent during the forward bend test, as the twisting of the spine is more pronounced in this position.

Many affected individuals feel the first physical changes at this stage – such as a slight pulling or tension in the back muscles. Posture may also gradually change. Although the rib hump does not usually cause any major functional limitations, regular orthopaedic assessment is important. This allows us to detect changes at an early stage and take appropriate countermeasures in good time.

In severe cases, the deformity is clearly visible: the rib cage bulges outwards on one side, while the other side appears flatter.

The difference is particularly noticeable when the affected person bends forward. In advanced scoliosis, however, it remains clearly visible even when standing, for example due to uneven shoulder height or a lateral shift of the rib cage (significantly more pronounced than in moderate cases).

This asymmetry can alter posture and also affect breathing and mobility. Many people affected experience tension or pain at this stage, especially after prolonged sitting or physical exertion.

A thorough orthopaedic examination is crucial in order to stop the progression of scoliosis and decide on appropriate treatment options.

The location of the spinal curvature also influences where and how the deformity manifests itself. If the scoliosis is in the thoracic spine, the ribs rotate with the vertebrae. This creates the typical bulge on the upper back or side of the chest, known as a rib hump.

If, on the other hand, the curvature is in the lumbar spine, the ribs are not directly involved. Instead, the muscles in the lower back shift, forming a lumbar bulge – a muscular protrusion that can also be visible when bending forward.

Modern treatment methods for scoliosis-related rib humps

The treatment of a rib hump depends on the extent and location of the scoliosis. The age and general physical condition of the affected person are also important factors in determining a treatment plan. The aim is to stabilise the spine, reduce the curvature and alleviate symptoms. Various approaches are available for this purpose:

Physiotherapy plays a central role in the treatment of rib hump. Manual techniques and exercises help to actively correct poor posture, strengthen the core muscles and promote mobility of the spine. In specialised scoliosis therapies, such as the Schroth method, you will learn individual movement exercises that straighten the spine and make the chest appear more symmetrical. Conscious breathing, stretching and muscle training can noticeably improve posture. This can reduce the visible curvature of the back.

In growing adolescents, a corrective corset can slow down the progression of the curvature and have a positive effect on the twisting of the spine. The corset exerts targeted pressure on specific areas, thereby supporting the straightening of the torso.

If the scoliosis is severe or conservative measures are no longer sufficient, surgery may be necessary. This involves surgically straightening the spine and stabilising it with metal rods or screws. In many cases, this also significantly reduces the rib hump.

Improving rib humps and alleviating discomfort: complementary treatments at our practice in Frankfurt

In addition to traditional scoliosis therapy, our private practice for orthopaedics and traumatology in Frankfurt offers additional options for correcting poor posture, alleviating pain and improving spinal mobility. These complementary measures support the treatment of rib humps, as they can relax the muscles, promote body awareness and encourage the natural straightening of the back. These include:

Kinesio taping can be a useful complementary measure to support therapy for scoliosis and rib humps. We apply elastic, breathable tape to the skin over the affected muscles. The special and strategic application of the tape creates a gentle pulling effect that helps to correct posture and activates or relaxes the muscles, depending on the goal of the treatment.

In the case of a rib hump, taping helps to calm overworked muscle areas and stimulate weakened areas. This allows the spine to regain its balance. At the same time, the treatment can improve body awareness: those affected notice poor posture more quickly and can consciously adjust their posture in everyday life.

Kinesio taping is not a substitute for active physiotherapy, but it can significantly enhance its effects and noticeably reduce pain or tension in the back area.

More on this: Kinesio taping in Frankfurt

Manual therapy can help to relieve restricted movement in the spine and restore muscular balance. Through targeted, controlled hand movements, we mobilise blocked vertebral joints and thus improve the mobility of individual sections of the spine.

This treatment can help to reduce tension in the back muscles, harmonise posture and alleviate pain. It complements physiotherapy measures by creating the basis for freer and more upright movement.

Further information: Chiropractic therapy in Frankfurt

Acupuncture can be another valuable addition to the treatment of scoliosis-related complaints. By inserting fine needles into selected points on the body’s surface, pain, muscle tension and energy blockages can be influenced.

Acupuncture helps to promote blood circulation, reduce pain stimuli and relax the entire musculoskeletal system, especially in cases of rib hump, which is associated with muscular imbalances and tension in the back area.

Many patients find the treatment beneficial as it supports the effects of physiotherapy and contributes to an overall more balanced body feeling.

Diagnosis and treatment of scoliosis and rib humps in Frankfurt

The treatment of scoliosis requires experience, sensitivity and an individually tailored therapy concept. With us, you benefit from a holistic approach that takes equal account of the spine, the muscles and the overall balance of the body.

We are here for you! Simply contact us to arrange an appointment!

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Der Beitrag Rib hump in scoliosis: when treatment is advisable and what options are available erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

Types of scoliosis: Not all spinal curvatures are the same

dr-dorothee — Mon, 20 Oct 2025 13:21:09 +0000

Types of scoliosis

Not all spinal curvatures are the same

When the shoulders or pelvis are no longer aligned, there is sometimes more to it than just a question of posture. Scoliosis changes the natural shape of the spine: it curves sideways and rotates around its axis at the same time. This misalignment can affect the balance of the back, breathing and mobility. Depending on the progression and severity of the curvature, there are different forms of scoliosis, which differ significantly in their causes and therapeutic approaches. An accurate diagnosis is crucial in order to choose the appropriate treatment and stabilise the spine again.

Impaired balance: what happens to the back in scoliosis

In scoliosis, the spine loses its natural alignment. Viewed from behind, the back is no longer straight but curves to one side. At the same time, the vertebrae rotate around their own axis.

This change can affect the balance of the entire back, as it can also cause the ribs, muscles and ligaments to shift. On one side, the ribs and shoulder blade protrude more, while the other side appears sunken.

The three-dimensional deformation changes the load lines in the back: some sections bear more weight, while others lose stability. This can restrict mobility or create a feeling of imbalance – even if no pain is yet present. Scoliosis therefore affects not only the external shape, but also the complex interaction of the structures that keep the back upright and mobile.

What are the symptoms of scoliosis?

The symptoms associated with spinal degeneration can vary greatly depending on the severity, the affected region of the spine and the age of the person affected. Some changes are hardly noticeable at first, while others are clearly visible in the body image or movement behaviour.

Typical external signs of scoliosis are:

uneven shoulder height or a protruding shoulder blade
a crooked iliac crest or an apparently ‘shortened leg’
asymmetry of the chest, particularly noticeable when bending forward
a shifted centre of gravity, so that the upper body is not directly above the pelvis

In addition to the visible changes, physical complaints may also develop:

muscle tension in the back or neck
unilateral pain caused by incorrect weight distribution
a feeling of restricted mobility or instability
faster fatigue when standing or sitting for long periods

In severe cases, scoliosis can deform the chest and thus affect breathing or cardiovascular function.

What causes scoliosis?

There are many causes of spinal curvature, and they depend largely on whether the deformity is congenital or acquired during the course of a person’s life. Here is an overview of possible contributing factors:

This is the most common form. It develops without any identifiable underlying disease. Genetic factors, hormonal influences and an imbalance in the growth of the muscles and vertebrae are thought to play a role.

This form develops during pregnancy. Incomplete or asymmetrical vertebrae cause the spine to curve sideways as the child grows.

Diseases of the nervous system such as cerebral palsy, muscular dystrophy or spina bifida can impair muscle control. If certain muscle groups are weakened, an imbalance develops that forces the spine into a lateral curvature.

In adulthood, the spine can change due to wear and tear. Wear and tear on the intervertebral discs, osteoarthritis or osteoporosis cause the vertebrae to lose their stability and the axis to gradually shift.

In this form, the spine reacts to external stress without being pathologically altered itself. Typical triggers are a difference in leg length, a tilted pelvis or muscular imbalances. To compensate for the imbalance, the back tilts to one side. The curvature therefore develops as a compensatory posture. Once the cause has been identified and treated, the spine can usually straighten up completely again.

What types of scoliosis are there?

The curvature can occur in different sections of the spine and vary significantly in severity. The decisive factors are where the spine deviates laterally and how severely it twists.

In thoracic scoliosis, the lateral curvature is located in the thoracic spine, i.e. between the seventh cervical vertebra and the twelfth thoracic vertebra. This is one of the most common types of scoliosis and affects the section where the ribs are connected to the spine.

The rotation of the vertebrae causes the rib cage to twist: on one side, the ribs curve outwards more strongly, while on the other side they sink inwards. This asymmetry often manifests itself as a so-called rib hump, which is clearly visible when bending forward.

Many people affected initially only notice uneven shoulder height or a shifted shoulder girdle. Over time, tension, one-sided back pain or a feeling of restricted breathing may develop as the movement of the rib cage changes when breathing in and out.

This form of scoliosis affects the transition area between the thoracic and lumbar spine – i.e. the section where the relatively rigid rib cage transitions into the more mobile lower back. This region is particularly susceptible to misalignment, as two very different movement zones of the spine meet here.

The curvature usually runs diagonally across the lower chest and upper lumbar region, which can cause the axis of the upper body to shift significantly. Typical symptoms include a visible trunk tilt, an asymmetrical waist and a tilted pelvis. Many sufferers also have a unilateral rib or lumbar curvature, which is clearly visible when bending over.

The rotation of the vertebrae can cause uneven strain on the back muscles. Tension and unilateral pain in the lower back are therefore common. In cases of pronounced curvature, the body’s statics also change, which can lead to greater strain on the lumbar spine.

This affects the lower section of the spine, i.e. the lumbar vertebrae. This region bears a large part of the body’s weight and is heavily involved in everyday movements such as bending, turning and straightening up. A misalignment in this area can therefore quickly affect the entire posture.

A typical symptom is a lateral curvature of the lumbar spine, in which the pelvis is visibly tilted. Often, one hip is higher than the other, which changes the gait and leads to asymmetry in the waist. Many affected individuals notice that their clothing fits differently on one side.

The muscles in the lower back often react to this misalignment with tension or unilateral pain as they try to compensate for the imbalance. If the curvature becomes more pronounced, the strain on the intervertebral discs and small vertebral joints can also change. This often results in chronic back pain or premature wear and tear.

In this case, the spine has two opposite curves – usually one in the thoracic region and one in the lumbar region. This form often develops because the body tries to maintain balance. A second curve forms to compensate for the imbalance caused by the first.

Externally, this often makes the posture appear more symmetrical, even though the spine is clearly deformed. Typical signs are uneven shoulder and pelvis positions, a narrower waist on one side or a shifted centre of gravity, which is noticeable when standing or walking.

When bending forward, the double curvature becomes particularly visible – the ribs protrude more on one side, while the lower back shows a corresponding indentation.

The combination of both curves distributes the strain across several sections of the spine, which can cause tension, back pain and limited mobility in the long term.

Types of scoliosis: left-sided or right-sided curvature

In addition to being classified according to the affected sections of the spine, types of scoliosis also differ in the direction of the curvature – i.e. which side the apex of the deformity leans towards.

Scoliosis with curvature to the right (right convex)
In this variant, the vertebrae rotate to the right. This causes the ribs on the right side to curve backwards and outwards, creating the typical rib hump. At the same time, the left half of the chest rotates inwards, which can restrict breathing on this side.
Left-curved (convex left) scoliosis:
Here, the opposite occurs: the vertebrae rotate to the left and the left half of the ribs curves backwards. The right side also turns inwards. This makes the right half of the chest appear flatter and can restrict breathing on the right side.

The direction of the curvature is crucial for therapy because it determines which side of the body needs to be stretched and which needs to be strengthened. In right-convex scoliosis, the shortening and muscular tension is on the right (convex) side, while the left (concave) side is weakened. Treatment therefore aims to stretch and relax the right torso muscles, while actively strengthening and stabilising the left side. In left-convex scoliosis, the situation is mirrored.

Precise analysis using imaging techniques and posture diagnostics helps to accurately identify these individual differences. This allows the treatment options to be adapted to the respective direction of curvature.

Severity levels of scoliosis: an overview of different forms

Spinal curvature is classified into different severity levels depending on how severely the spine is curved and twisted to the side. The decisive factor for this classification is the so-called Cobb angle, which is measured on an X-ray. It describes the angle between the most severely inclined vertebrae of a curvature and serves as a measure of the severity of the deformity. An overview of the degrees of severity:

The curvature is slight and often only visible upon close inspection. Many affected individuals have no symptoms. Physiotherapy, exercise therapy and regular check-ups are usually sufficient to stabilise posture.

The misalignment is more noticeable, and the shoulders and pelvis may be visibly crooked. Back pain or muscle tension often occur. In addition to physiotherapy, a corset may be necessary to prevent progression, especially during growth.

At this stage, the curvature is clearly pronounced. It can not only change posture, but also affect the function of the lungs, heart and internal organs. Surgical correction may be necessary if conservative therapies no longer ensure stability.

The earlier scoliosis is detected, the better its progression can be influenced. Regular check-ups are crucial, especially in childhood and adolescence when the spine is still growing, in order to take timely countermeasures and avoid further complications as far as possible.

Treatment of various forms of scoliosis by Dr. Tabrizi in Frankfurt

Scoliosis can only be reliably assessed with careful diagnosis and extensive experience. At our private practice for orthopaedics and traumatology in Frankfurt, we are the right people to contact. We analyse your posture and mobility and measure the angle of curvature, e.g. using imaging techniques and physical examination. This enables us to accurately assess the extent of the misalignment.

The subsequent treatment is tailored to the individual cause and severity. It may include physiotherapy, posture training, muscle building, corset therapy or, in severe cases, surgery. This results in a treatment plan that stabilises the spine and provides lasting relief from symptoms.

We take the time to listen and work with you to find the best way to restore balance to your spine.

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Spinal deformity: These shape deviations exist

dr-dorothee — Wed, 14 May 2025 08:56:18 +0000

Spinal deformity

These deformities exist

Back pain, poor posture or restricted movement – many of these complaints are caused by structural changes in the spine. Particularly when individual sections deviate permanently from their natural shape, this can not only affect the statics of the body, but also lead to serious health problems in the long term. Below you can find out what form deviations can occur, how you can recognize them and how we can help.

About the healthy spine

The spine is the central supporting element of the human skeleton and connects the head to the pelvis. It consists of 24 movable vertebrae (cervical, thoracic and lumbar vertebrae), the sacrum and the coccyx. There are intervertebral discs between the vertebrae, which act as a buffer and provide mobility and shock absorption. Together with ligaments, muscles and nerves, the spine fulfills several important functions: It supports the body, protects the spinal cord and enables a variety of movements.

A healthy spine has a double S-shape when viewed from the side. This natural curve consists of a gentle cervical lordosis (curved forwards), a slight thoracic kyphosis (curved backwards) and a gentle lumbar lordosis (curved forwards again). This shape ensures an even distribution of loads and gives the spine stability and elasticity. Viewed from the front, the spine should be straight.

Spinal deformity: what is it?

The term spinal deformity refers to a permanent misalignment or curvature of the spine in which the natural shape deviates significantly from the norm. Such deformities can be congenital or develop over the course of a lifetime – e.g. due to growth disorders, illnesses, accidents or degenerative processes such as wear and tear.

Such changes in shape can not only affect the external appearance, but can also cause pain, restrict mobility and, in advanced stages, affect organs.

Spinal deformity: these forms exist

Scoliosis

Scoliosis is a permanent lateral curvature of the spine, in which there is also usually a twisting (rotation) of the vertebral bodies around their own axis. Instead of a straight line, the spine in scoliosis – especially when viewed from behind – shows a more pronounced S- or C-shaped deviation.

This deformity can have different causes: In most cases, it is idiopathic, meaning that the exact trigger is unknown. It often occurs in childhood or adolescence during growth. Other possible causes are congenital malformations of the vertebrae (congenital scoliosis), neuromuscular diseases (e.g. muscular dystrophy) or degenerative changes in old age.

Mild scoliosis often causes no symptoms. However, more severe curvatures can cause back pain, muscle tension, restricted mobility or, in advanced stages, even impairments of the internal organs (e.g. lungs or heart). Treatment depends on the degree of severity and ranges from regular observation and physiotherapy to brace treatment or surgical correction.

Hyperkyphosis

There is a natural gentle curve in the thoracic spine. In some cases, however, this natural curve is excessively pronounced. This is known as hyperkyphosis – popularly known as a “hunchback” or “widow’s hump”.

Excessive kyphosis can have various causes: In young people, Scheuermann’s disease – a growth disorder of the vertebral bodies – is often responsible. In older people, hyperkyphosis often occurs as a result of vertebral fractures caused by osteoporosis. Poor posture, muscle weakness or neurological diseases can also contribute to its development.

Typical signs are a forward leaning upper body, tension in the shoulder/neck area and back pain. In severe cases, the body statics can be significantly disturbed, which can affect breathing and organ function.

Treatment depends on the cause and extent of the curvature. It ranges from physiotherapeutic exercises to improve posture to brace treatment or surgery in cases of very advanced hyperkyphosis.

Hyperlordosis

This is an excessive curvature of the spine in the area of the lumbar spine. This so-called “hollow back” posture deviates significantly from the natural S-shape of the spine and can lead to incorrect strain on the back.

Hyperlordosis is often caused by muscular imbalances – for example, if the abdominal muscles are weakened and the hip flexor muscles are shortened. Obesity, pregnancy, prolonged sitting, incorrect posture or underlying orthopaedic conditions can also contribute to its development. In some cases, hyperlordosis occurs as compensation for other deformities, e.g. pronounced kyphosis.

Typical symptoms are tension in the lower back, pain when standing or walking for long periods and a conspicuous posture with the pelvis tilted forward. Treatment usually involves targeted physiotherapy, postural exercises and muscular training – in severe cases, surgery may also be necessary.

Flat back

A flat back is a postural abnormality in which the natural curves of the spine – particularly in the area of the lumbar lordosis and thoracic kyphosis – are significantly flattened or even eliminated. Instead of the typical S-shape, the spine appears almost straight when viewed from the side.

This altered statics means that the spine loses its actual shock-absorbing function. As a result, it is less able to absorb shocks, which can lead to back pain, tension and increased strain on the intervertebral discs. The mobility of the back is also often restricted.

A flat back can be congenital or acquired – for example due to poor posture, muscular imbalances, spinal surgery or diseases such as ankylosing spondylitis. People who sit for long periods, move little or permanently adopt a cramped, upright posture are particularly affected.

Treatment usually involves physiotherapy exercises that promote the natural curvature of the spine and strengthen the back muscles in a targeted manner. In severe cases, surgical treatment may also be necessary.

Spondylolisthesis

Spondylolisthesis is a disease of the spine in which a vertebral body slips forwards or – more rarely – backwards in relation to the vertebral body below it. This displacement can impair the stability of the spine and constrict nerve structures. A distinction is made between different forms depending on the cause:

Isthmic spondylolisthesis
This is often caused by a defect or fracture in the so-called pars interarticularis, usually in the area of the lumbar spine. Athletically active young people are frequently affected.
Degenerative spondylolisthesis
In this case, older people in particular are affected. The spondylolisthesis is a result of wear and tear on the intervertebral discs and small vertebral joints.
Congenital spondylolisthesis
This is due to a malformation of the vertebral arches.
Traumatic or pathological forms
Spondylolisthesis is caused by injuries, tumors or other underlying diseases.

Typical symptoms are deep-seated back pain, which worsens with movement, as well as occasional pain radiating to the buttocks or legs if nerves are affected. In advanced cases, numbness or muscle weakness may occur.

Treatment depends on the degree of severity: in many cases, physiotherapy, back training and pain therapy can help. In cases of severe spondylolisthesis or neurological deficits, surgical stabilization may be necessary.

Combined deformities

It is also possible for several spinal deformities to occur simultaneously, which reinforce or compensate for each other. A typical example is the combination of scoliosis and hyperkyphosis or hyperlordosis. In such cases, the spine is not only curved sideways, but also shows an excessive forward or backward curvature – often with an additional twisting of the vertebral bodies.

These complex changes can severely impair posture and often lead to muscular imbalances, back pain, restricted mobility and, in severe cases, impaired breathing or other internal organs. The cause of combined deformities can be congenital, due to growth disorders or caused by wear and tear, osteoporosis, surgery or neurological diseases over the course of a lifetime.

As every combined deformity is unique, precise diagnostic clarification is crucial – usually using imaging techniques such as X-ray or MRI. Therapy often requires an interdisciplinary approach which, depending on the extent, consists of physiotherapy, orthopaedic treatment with a brace or, in severe cases, surgical intervention for correction and stabilization. The aim is to alleviate discomfort, improve function and prevent the deformity from progressing.

Treating spinal deformity: Advanced therapies with Dr. Tabrizi in Frankfurt

Spinal deformities such as scoliosis, hyperkyphosis, hyperlordosis or spondylolisthesis can cause considerable discomfort in everyday life. In addition to back pain and tension, many sufferers experience restricted movement, postural problems or neurological symptoms such as tingling or numbness.

At our private practice for orthopaedics and traumatology in Frankfurt, we specialize in holistic spinal therapies, among other things. In addition to traditional orthopaedic care, we offer a range of complementary therapeutic approaches to specifically relieve your pain and improve the function of your spine. These include:

Neural therapy / segment therapy
We can relieve pain and activate your self-healing powers through targeted injections of local anaesthetics into pain-triggering areas or associated skin segments.
Infiltrations near the spine
We can treat inflammation in small vertebral joints or nerve roots with targeted injections. This reduces pain and improves mobility.
CT- or MRI-guided infiltrations (PRT, epidural)
Under imaging control, anti-inflammatory medication is injected precisely into affected nerve roots or disc changes to relieve pain.
Chiropractic therapy
We use special manual techniques to release blockages and improve the mobility of your spine. Chirotherapy is often very helpful, especially in the case of functional restrictions.
Traction treatments
Gentle longitudinal traction in combination with the application of heat can release tension and relieve the spine, which can be particularly beneficial in the case of degenerative changes.
Infusion therapies
If necessary, we can administer pain-relieving or muscle-relaxing medication intravenously to achieve a rapid and consistent effect.
Kinesio taping
Elastic tapes, which we systematically attach to your skin, support your muscles, promote blood circulation and can reduce pain.
Acupuncture
By inserting fine needles at specific points, we can influence pain conduction and promote muscle relaxation, which supports the treatment of chronic back pain.

Help with a spinal deformity: Dr. Tabrizi in Frankfurt

Anyone suffering from a spinal deformity not only needs a precise diagnosis, but above all individual and holistic treatment. Patients with spinal deformities are in the best hands at our orthopaedic practice in Frankfurt.

We combine many years of experience in spinal medicine with modern therapy methods and a holistic treatment approach. The aim is to alleviate pain, maintain or restore mobility and improve quality of life in the long term – without having to operate prematurely. To achieve this, we have a variety of procedures available, which we combine individually and tailor to the respective complaints.

Please contact us to arrange an appointment!

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Spinal canal stenosis leg pain

dr-dorothee — Fri, 14 Feb 2025 10:18:00 +0000

Spinal canal stenosis leg pain

Radiating symptoms of spinal canal stenosis

Stinging, pulling or burning leg pain – there is often more to it than muscle tension or circulatory problems. If symptoms increase when walking but subside when resting, a narrowing of the spinal canal could be the cause. This so-called spinal canal stenosis presses on the nerves and can cause back pain as well as discomfort and weakness in the legs. In the following, we explain why this happens, what symptoms are typical and what treatment options are available.

What is the spinal canal?

The spinal canal is a bony canal that runs through the entire spinal column and protects the spinal cord and the nerves that emerge from it. It is formed by the vertebral bodies, the vertebral arches and the intervertebral discs between them. The spinal cord (up to about the first or second lumbar vertebra) and the nerve roots, which transmit signals between the brain and body, run within the spinal canal. Among other things, these nerves control movements and sensations in the arms and legs.

What is spinal canal stenosis?

Spinal canal stenosis is a narrowing of the spinal canal that can exert pressure on the spinal cord or the nerves running through it. This narrowing is usually caused by signs of wear and tear in the spine, such as bony growths (spondylosis), herniated discs or thickening of the ligaments in the back. Spinal canal stenosis occurs most frequently in the lumbar spine, as this section of the spine is subject to heavy strain.

Spinal canal stenosis and leg pain: how are they connected?

With spinal canal stenosis, the space in the spinal canal is reduced. This constricts the nerves, which can lead to impaired transmission of stimuli. If the stenosis affects the lumbar spine, the nerve roots that control the legs and feet are affected.

Typical complaints associated with this are

Pain that increases when walking or standing
Relief of pain by sitting or leaning forward
Tingling, numbness or weakness in the legs
Problems with prolonged walking or climbing stairs

The symptoms can vary depending on the severity of the narrowing.

Diagnosis of spinal canal stenosis with leg pain

Leg pain can have many causes, including circulatory disorders, herniated discs or nerve disorders. If the problems last longer, get worse or are accompanied by numbness, muscle weakness or unsteady gait, it is important to seek medical clarification. An early diagnosis can help to treat symptoms in a targeted manner and avoid long-term restrictions.

At our private practice for orthopaedics and traumatology in Frankfurt, we diagnose spinal canal stenosis in several steps. This allows us to ensure that the leg pain is actually caused by a narrowing of the spinal canal.

Medical consultation (medical history)
First, we ask you specifically about your symptoms:
- Does the pain occur when walking or standing and does it subside when you sit down or bend forward?
- Is there any additional tingling, numbness or muscle weakness in your legs?
- How long have the symptoms persisted?
- Are there any pre-existing conditions such as osteoarthritis or disc problems?
Physical examination
The next step is to examine your musculoskeletal system.
- We check the mobility of your spine.Can you bend forward?
- Does the pain subside in this case?
- We then carry out nerve tests. How are your reflexes, how is the muscle strength and sensitivity of your legs?
- If necessary, we can follow up with walking tests. How well can you walk?
Imaging procedures
To confirm the diagnosis, we can follow up with various other examination methods:
- X-ray
  The X-ray examination can provide indications of signs of wear and tear, but does not show any nerves or soft tissue.
- MRI
  Magnetic resonance imaging shows the narrowing of the spinal canal and whether nerves are trapped.
- CT scan
  Computed tomography allows a detailed representation of bony changes in the spine.

In some cases, we also perform a diagnostic nerve block. This involves injecting an anesthetic into the affected area. If the pain disappears temporarily, this indicates spinal canal stenosis.

Treatment of leg pain caused by spinal canal stenosis

Treatment for spinal canal stenosis aims to reduce the pressure on the affected nerves and thus alleviate leg pain, numbness or muscle weakness. Depending on the severity, conservative or surgical treatment may be considered.

Conservative treatment at our orthopaedic practice in Frankfurt

We use the following methods as part of spinal therapy, especially for mild to moderate symptoms:

Medication

First of all, we can prescribe non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and inflammation. In addition, muscle relaxants can help to relieve tension that may be associated with the stenosis. For more severe nerve pain, nerve medications such as pregabalin or gabapentin are useful.

Injections and minimally invasive procedures

We use so-called spinal infiltrations to inject anti-inflammatory and pain-relieving substances near the affected nerve roots and vertebral joints. This can help to reduce inflammation and relieve pain caused by the narrowing of the spinal canal.

Traction treatments have also proven effective. Using gentle longitudinal traction and the simultaneous application of heat, we relieve pressure on your spine and the surrounding structures. This method can help to reduce the pressure on the nerves and thus alleviate the symptoms of spinal canal stenosis. We can correct misalignments or blockages of the vertebral joints using special chiropractic techniques. This can improve mobility and reduce pressure on the nerves.

Acupuncture can also provide valuable support for leg pain caused by spinal canal stenosis. Although it cannot correct the narrowing of the spinal canal, it relieves pain, relaxes the muscles and promotes blood circulation. The targeted stimulation of certain points releases the body’s own painkillers and reduces inflammatory processes. The procedure can also stabilize nerve function.

Kinesio taping, which we also offer at our practice in Frankfurt, can also have a supportive effect. Taping can support the muscles, relieve tension and promote blood circulation. The elastic tapes reduce pressure on nerves, which can relieve pain and improve mobility.

CT- and MRI-guided infiltrations (periradicular therapy, PRT)

Under imaging control (CT or MRI), we inject an anti-inflammatory medication directly into the irritated nerve roots. This precise method aims to relieve the pressure on the nerves and thus reduce the pain radiating into the leg.

Physiotherapy and physical measures

Targeted exercises to strengthen and stretch the muscles support the stability and flexibility of the spine. Physical therapies such as heat or cold applications can also relieve pain and reduce inflammation.

If conservative therapy is not enough: surgical treatment

If the symptoms increase despite conservative therapy, neurological deficits occur or the walking distance is severely restricted, surgery may be necessary. Possible options here are

Decompression surgery (pressure relief)

Excess tissue or bony growths are removed to relieve pressure on the nerves.

Stiffening surgery (fusion surgery)

If the spine is unstable, spondylodesis (fusion using screws and rods) may also be necessary.

Dynamic stabilization

In some patients, a motion-preserving implant (e.g. interspinous spreader) can be used instead of fusion to keep the spinal canal open.

Leg pain due to spinal canal stenosis: diagnosis and treatment in our practice in Frankfurt

Leg pain caused by spinal canal stenosis can significantly reduce your quality of life. At our practice in Frankfurt, we offer precise diagnostics and individually tailored treatment concepts to specifically alleviate your symptoms. Using modern examination methods, we determine the cause of the pain and develop a customized treatment plan. Our aim is to maintain your mobility and reduce the pressure on the nerves.

Let our experienced team advise you and help you find the best way to improve your mobility and quality of life. Simply contact us to arrange an appointment!

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Der Beitrag Spinal canal stenosis leg pain erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

What is a vertebral blockage?

dr-dorothee — Tue, 02 Jul 2024 07:55:45 +0000

What is a vertebral blockage?

And how can it be released?

In today’s fast-paced world, it can be easy to overstress our bodies – whether through work, sport or everyday movements, for example. Frequent consequences of this are back pain, which can have various causes. Vertebral blockage is one of them.

This is a condition that often causes severe discomfort and can significantly restrict mobility. Although the term “vertebral blockage” is widely used, for many people it remains unclear what exactly is behind it. In the following, we will enlighten you and show you how we can treat this condition.

What are vertebrae?

Vertebrae are the bony building blocks of the spinal column, which together form a flexible and stable axis in the human body. Each vertebra consists of several components:

Vertebral body
The vertebral body is the front part of a vertebra and forms the largest part of the mass. It is round in shape and bears the weight of the vertebrae above it and the torso.

Vertebral arch
The vertebral arch extends backwards from the vertebral body and surrounds the spinal canal in which the spinal cord is located. It consists of two vertebral arch roots and a spinous process.

Transverse processes
Each vertebra has two transverse processes. They protrude laterally from the vertebral arch. Muscles and ligaments attach to them, which are important for stabilizing the spine.

Spinous process
The spinous process is an extension that projects backwards and to which muscles and ligaments also attach. It also serves as a lever arm for the back muscles.

Articular processes (facet joints)
These processes are located on the sides of the vertebral arches and form joints with neighboring vertebrae. They enable movements of the spine such as bending and turning.

Intervertebral foramen
The intervertebral foramen are located laterally between the vertebrae, through which nerve roots emerge from the spinal cord and lead to the various regions of the body.

Intervertebral discs
The intervertebral discs are soft but resilient structures made of cartilage tissue that are located between the vertebrae. They act as shock absorbers and allow the spine a certain degree of flexibility.

Together, these components form each individual vertebra, which differs in shape and size depending on its position in the spine (cervical, thoracic, lumbar vertebrae, etc.). The vertebrae are not only important for the mechanical support of the body, but also for the protection of the spinal cord and the transmission of forces and movements within the spine.

What is a vertebral blockage?

A blockage causes a vertebra to lose its normal mobility. Sometimes several vertebrae are affected at the same time. A blockage can be triggered by various causes, e.g:

Muscle tension
Vertebral blockages are often caused by muscle tension due to overloading, incorrect posture, stress or sudden movements. The surrounding tense muscles can consequently pull the vertebrae into a position in which they can no longer move freely.

Changes in the facet joints
The facet joints are the small joints between the vertebrae that ensure the mobility of the spine. If there is a blockage, these joints can get stuck. This results in limited mobility.

Intervertebral disc problems
Sometimes an intervertebral disc near a vertebra can also swell or become displaced, which can lead to a blockage – especially if it presses on or irritates nerve structures.

Possible symptoms of a vertebral blockage

Local pain
Pain in the area of the blocked vertebrae can be acute or chronic. Patients describe the pain as dull, stabbing or pulling. It can intensify with movement or persist at rest.

Restricted movement
The blocked vertebrae often lead to restricted mobility of the spine in certain directions. Turning or bending the back can be painful or only possible to a limited extent.

Muscle tension
The muscles around the blocked vertebrae can tense up because they want to stabilize the affected region. This tension can cause additional pain and further restrict mobility.

Radiating pain
Sometimes the pain radiates from the blocked area. You may then feel it in neighboring regions such as the shoulders, arms, buttocks or legs. This depends on the position of the affected vertebrae and the affected nerve roots.

Muscle and sensory disorders
In more severe cases, the blockage can also cause muscle weakness or numbness in the affected areas. This may indicate irritation or compression of the nerve roots.

Stiffness and a feeling of tension
Those affected often report a feeling of stiffness and tension in the affected area of the spine, especially after prolonged sitting or lying down.

Not all symptoms occur immediately and are present with the same intensity. The symptoms can also vary from person to person.

Diagnosis of a vertebral blockage

A vertebral blockage is diagnosed through a careful clinical examination in our private practice for orthopaedics and traumatology in Frankfurt. First, we will ask you about your symptoms, the onset of your complaints and any injuries or previous treatments. This is followed by a physical examination. We look for signs of muscle tension, swelling or asymmetries. Using targeted pressure points and movement tests, we identify the area of the spine that is affected by the blockage.

This is followed by certain tests: we ask you to perform various movements (e.g. bending, twisting and flexing the spine). We will check whether and where movement restrictions or pain occur. Neurological tests may also be used to clarify whether there is evidence of nerve irritation or compression.

In most cases, a vertebral blockage is a clinical diagnosis based on symptoms and physical examination. Sometimes we use X-rays – for example, to rule out other possible causes for the symptoms or to determine whether there are additional disc problems or structural changes.

Vertebral blockage, bulging disc, herniated disc – differential diagnosis necessary

There are various findings that can trigger similar symptoms. However, they have completely different causes and therefore different treatment approaches. In order to plan the right treatment, it is therefore important for us to find out what your underlying situation is.

Vertebral blockage

Cause
A vertebral blockage is caused by a temporary restriction in the mobility of one or more vertebrae in the spine. This can be caused by muscle tension, incorrect posture, overloading or sudden movements.
Symptoms
Local pain in the area of the blockage, restricted movement, tension in the surrounding muscles and possible radiation of the pain to neighboring regions are characteristic.

Protrusion of the intervertebral disc

Cause
In a bulging disc, the outer fibrous ring of an intervertebral disc is weakened due to strain or wear. This causes the inner, gel-like core of the intervertebral disc to push outwards or bulge. However, it does not break through the fibrous ring.
Symptoms
The disc protrusion can lead to back pain, which is often localized. Depending on the location of the protrusion, the pain may also radiate. Numbness or weakness in the affected areas is also possible.

You can find out more about this finding here: Treating a bulging disc: What you need to know

Herniated disc

Cause
In a slipped disc, the inner, gel-like core of an intervertebral disc leaks through a tear or a weak point in the outer fibrous ring. This can happen due to sudden strain, wear and tear or degenerative changes.
Symptoms
A herniated disc is accompanied by pain, which is often severe and can radiate to neighboring regions such as the arms or legs. Depending on the location of the prolapse and the affected nerve roots, neurological symptoms such as numbness, tingling or muscle weakness may also occur.

You can find more information here: Slipped disc treatment: these options are available

Relieving vertebral blockages in Frankfurt

If we have diagnosed you with a vertebral blockage, treatment can take place directly in our practice in Frankfurt. The therapy aims to restore the normal mobility of the blocked vertebrae, relieve the pain and avoid further complications.

The treatment of choice is chirotherapy. We use special manual techniques to mobilize and manipulate the blocked vertebrae. In this context, many people refer to this as “realignment”. There is a cracking, popping sound when the vertebra returns to its normal position and the normal mobility of the spine is restored. Traction treatments, which have a similar approach, are also suitable for treating a vertebral blockage.

Depending on the individual case, painkillers such as non-steroidal anti-inflammatory drugs (NSAIDs) can also be used for short-term relief of pain and inflammation. We may also prescribe muscle relaxants to reduce the muscle tension often associated with a vertebral blockage.

In some cases, we can administer injections directly to the blocked area or around the nerve roots to reduce pain and inflammation. Simply contact us to make an appointment! After a thorough examination, we will address your findings.

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Der Beitrag What is a vertebral blockage? erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

Chiropractic thoracic spine: alleviating discomfort in the thoracic spine

dr-dorothee — Thu, 13 Jun 2024 13:07:20 +0000

Chiropractic thoracic spine

alleviating discomfort in the thoracic spine

The thoracic spine plays a crucial role in our daily lives. It enables us to make many movements and gives the entire upper body stability. Unfortunately, however, complaints in this area are not uncommon. In our modern world, where we often spend hours at a desk or interacting with screens, it’s no wonder that thoracic spine complaints are on the rise. Back pain, stiffness and discomfort can make everyday life difficult and affect quality of life. But there is hope! Chiropractic, a proven method of manual medicine, offers a promising solution to relieve a variety of thoracic spine complaints.

What is the thoracic spine?

The thoracic spine is the middle section of the spine. It extends from the lower neck to the lower back. The thoracic spine consists of 12 vertebrae, which are referred to as T1 to T12. These vertebrae are larger and more stable than those of the cervical spine, but smaller than those of the lumbar spine.

The thoracic spine forms the connection between the upper body and the trunk. It supports the ribs and the sternum, which makes it crucial for breathing. It also enables movements such as bending, twisting and stretching the upper body.

Overview: Common complaints of the thoracic spine

Discomfort in the thoracic spine can cause a variety of symptoms that can interfere with daily life. Common complaints that can be associated with problems in the thoracic spine include:

Back pain
This is one of the most common symptoms. The pain can be localized or spread to other areas of the back.

Stiffness
People with thoracic spine problems often notice stiffness in the upper back. This can restrict movements such as bending and twisting.

Shoulder and neck pain
Pain in the shoulders and neck can also originate from the thoracic spine. These areas are interconnected and can affect each other.

Numbness and tingling sensations
Compression, for example, can irritate nerves that emerge from the thoracic spine. This can result in numbness, tingling or weakness in the arms and hands.

Headaches
Muscle tension in the upper back and neck area and problems with the thoracic spine often cause (tension) headaches.

Important for you to know: The symptoms can always vary. Not everyone affected by problems in the thoracic spine experiences all of these symptoms – nor do they experience them with the same intensity. Other factors can also trigger the symptoms.

What is chiropractic?

Chiropractic is a form of manual medicine that aims to diagnose and treat functional disorders of the musculoskeletal system. It includes techniques such as manual mobilization, manipulation, muscle stretching and strengthening as well as soft tissue techniques. The aim is to relieve pain, improve mobility and optimize the body’s ability to function. At our private practice for orthopaedics and traumatology in Frankfurt, we often use chiropractic for back, neck and joint complaints.

A colloquial term for a well-known chiropractic technique is “adjusting” (in technical jargon: manipulation). This is a quick, controlled movement. It aims to bring a restricted or blocked joint back into its normal position or to restore normal mobility. During the adjustment, we apply targeted pressure to the affected joint and mobilize it with a short, precise impulse. A characteristic “cracking” sound can often be heard. This is caused by gas bubbles escaping from the joint fluid.

Chiropractic treatment of the thoracic spine: how manual techniques can help you

Chiropractic treatment of the thoracic spine can be useful for various complaints. These include pain, restricted movement, poor posture, muscle tension or rehabilitation measures following injuries or operations. We also often use it to treat chronic complaints. Whether we use chiropractic treatment depends on various factors – e.g. the type and cause of your complaints, your medical history and your general state of health.

If you are eligible for this type of treatment, chiropractic therapy for the thoracic spine can have various positive effects:

Relief from pain
Through targeted manipulation and mobilization techniques, we can reduce pain in the thoracic spine. We do this by restoring the normal mobility of the vertebral joints and releasing muscular tension.

Improving mobility
Chiropractic techniques can help to improve the mobility of your spine. This can have a positive effect on your posture and ability to move freely.

Correction of misalignments
In the case of vertebral blockages or misalignments in the thoracic spine, chiropractic therapy can help to correct these through targeted manipulation and bring the spine into optimal alignment.

How does chiropractic treatment of the thoracic spine work?

The procedure for chiropractic treatment of the thoracic spine varies depending on your individual complaints. As a rule, we begin the session with a thorough medical history and examination in our private practice for orthopaedics and traumatology in Frankfurt. Here we analyze your symptoms and identify possible causes for the complaints. We then ensure that the treatment is appropriate for you and meets your needs.

Based on this diagnosis, we develop an individual treatment plan, which may include various manual techniques. These include, for example, manipulations, mobilizations, stretching exercises and muscular strengthening exercises.

Chiropractic thoracic spine Frankfurt

Dr. Tabrizi is your experienced orthopaedist and chiropractic doctor in Frankfurt. He offers you a variety of chirotherapeutic techniques to improve your health and well-being – e.g. for complaints of the thoracic spine. His focus is on a thorough diagnosis and individual treatment planning.

Simply contact us to make an appointment! Together we will address your back problems.

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Der Beitrag Chiropractic thoracic spine: alleviating discomfort in the thoracic spine erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

Treating a bulging disc: What you need to know

dr-dorothee — Mon, 22 Jan 2024 09:34:50 +0000

Treating a bulging disc

What you need to know

Even the strongest of us can be confronted with back problems in the course of our lives. One possible and common cause of back pain is a bulging disc. This condition can significantly affect quality of life and make daily activities a challenge. In this article, we explain the difference between a disc prolapse and a disc protrusion. We will also show you how we can help you with this condition and treat bulging discs at our private practice for orthopaedics and traumatology in Frankfurt.

What are intervertebral discs?

Intervertebral discs are structured, cartilaginous “cushions” between the individual vertebrae in the spine. They are designed to support pressure and weight while allowing the spine to be flexible.

When you move, they are compressed and then stretched apart again, allowing you to move in different ways. The intervertebral discs also act as shock absorbers to absorb shocks and stresses placed on the spine.

Intervertebral discs are structured as follows:

Outer fibrous ring (annulus fibrosus)
The outer ring of the intervertebral disc consists of strong, fibrous tissue and surrounds the inner core. This ring serves to support the inner, softer substance and keep the disc stable.

Inner gel nucleus (nucleus pulposus)
The inner part of the intervertebral disc consists of a gel-like substance containing water and proteins. This nucleus is elastic and enables the intervertebral disc to deform and absorb loads when the spine moves.

What is a disc protrusion?

In a disc protrusion, part of the disc between the vertebrae in the spine pushes outwards. This occurs when the outer fibrous ring of the intervertebral disc is weakened or cracked and the inner gel core partially protrudes into the outer area of the intervertebral disc – but without breaking through the outer shell.

A bulging disc can cause pain and discomfort as the protruding part of the disc can press on nearby nerve roots or other anatomical structures. Symptoms can vary from person to person and can cause pain, numbness, tingling or weakness in the affected areas of the body.

What are the causes of a disc protrusion?

A protrusion of the intervertebral disc can be caused by various factors and risk factors. Such a finding is often not attributable to a single cause. In many cases, there is also a combination of different factors.

Typical causes and risk factors include

Age
Over the years, the intervertebral discs undergo a natural process. They lose elasticity and become more susceptible to degeneration, which increases the risk of protrusion.

Stress and overload
Repetitive strain and overloading of the spine, particularly in occupations or activities that require heavy lifting, severe bending or twisting of the spine, can stress the discs.

Injuries
Acute injuries or trauma, such as falls, accidents or sports injuries, can damage the discs and trigger a protrusion.

Poor posture and body mechanics
Poor posture and inadequate body mechanics, e.g. when lifting, can also increase the strain on the intervertebral discs.

Being overweight
Obesity increases the strain on the spine and can also lead to a bulging disc.

Genetic predisposition
There is evidence that genetic factors may play a role in susceptibility to intervertebral disc disease. If you have a family history of disc problems, you may have an increased risk of developing the condition.

Smoking
This can reduce blood flow to the intervertebral discs and impair the supply of nutrients. This can result in disc problems.

Bulging and herniated discs: what’s the difference?

Bulging and herniated discs are two different conditions related to the discs in the spine. They differ mainly in terms of the severity and type of disc problem.

Bulging disc (disc protrusion)
In a disc protrusion, part of the disc pushes outwards, but without breaking through the outer sheath (the outer fibrous ring). A disc protrusion is often considered less severe than a herniated disc. Therefore, the symptoms are usually less pronounced.

Herniated disc (prolapsed disc)
In the case of a herniated disc, the inner gel nucleus of the disc breaks through the outer fibrous ring and enters the space outside the disc. There it presses on nearby nerve roots or the spinal cord. A herniated disc can cause more severe symptoms than a bulging disc. It can cause more severe pain, numbness, muscle weakness and in some cases even neurological impairment. You can find more information on prolapse in our separate blog post “Slipped disc treatment: these options are available”

A disc protrusion can also be a kind of precursor or forerunner of a herniated disc. If the strain on the disc continues or worsens, the outer fibrous ring can weaken further. As a result, there is a risk that the inner gel nucleus will eventually break through the outer sheath and enter the space outside the disc.

However, not every protrusion necessarily leads to a prolapse. Many people have a disc protrusion without ever developing a herniated disc.

How is a bulging disc diagnosed?

A bulging disc is usually diagnosed through a combination of medical history, physical and imaging examinations. Here are the steps we usually take in our practice in Frankfurt when diagnosing a bulging disc:

Medical history
First, we will ask you about your symptoms and medical history. It is important that you tell us about any pain, numbness, tingling or other complaints relating to your back or extremities.

Clinical examination
The next step is to carry out a physical examination to check the mobility of your spine, muscle strength, reflexes and sensitivity. This will allow us to determine if there are any signs of nerve compression.

Imaging examinations
X-rays of the spine help us to identify changes in the spine, such as osteoarthritis or vertebral fractures. Bulging discs themselves are not normally easy to see on X-rays, as they consist mainly of soft tissue. We therefore use additional radiological procedures in this case. MRI is the most commonly used imaging technique for diagnosing bulging discs. It allows a detailed visualization of the discs and their surroundings. A CT scan can be used to provide additional information about the discs and their effects on the surrounding structures. This is particularly useful when an MRI is not possible or additional information is required.

How can a bulging disc be treated?

The treatment of a bulging disc depends on the severity of your symptoms, the degree of the bulge and your individual needs. In most cases, treatment begins conservatively with the following measures:

Pain management
We will prescribe painkillers and/or muscle relaxants. These medications can help with muscle tension and spasms caused by the bulging disc.

Injections
Depending on your individual findings, we can also administer epidural steroid injections into the area around your affected disc. Bulging discs can lead to inflammation in the area of the affected disc. Inflammation can cause pain and press on nearby nerve structures. The injected steroids are anti-inflammatory drugs that can reduce the inflammatory reaction in the area of the spine. This can also reduce the intensity of the pain. Less pain and inflammation can increase the mobility of the spine and allow you to perform everyday activities better.

Physiotherapy
Targeted physiotherapy can be helpful in strengthening the back muscles, stabilizing the spine and promoting correct posture. Physiotherapists can show you techniques to relieve pain and improve mobility.

Heat or cold applications
You can also use heat or cold applications to combat the symptoms. Some people prefer heat, while others benefit from cold. It is important to choose the method that is best suited to the individual’s discomfort.

Ergonomic adjustments
Changing workplace conditions (such as your desk chair and monitor height), for example, can also help to promote better posture and avoid unnecessary strain.

Weight management
If obesity is a contributing factor to bulging discs, weight loss is recommended. This will reduce the strain on your spine.

Treating a bulging disc: Further supportive therapy options in our practice in Frankfurt

Kinesio taping
This is a technique in which we apply special medical and elastic tapes to your skin. We use taping to treat various muscle and joint problems or to support their therapy. Kinesio taping can – in addition to conservative treatment – help to relieve pain and improve the stability of the surrounding muscles. The tapes lift your skin and promote blood circulation. They can relieve the muscles and spine and reduce the pressure on the diseased disc. This in turn can help the spine to improve functionality.

Acupuncture
In this alternative treatment method from Traditional Chinese Medicine (TCM), we place thin needles at specific points on your skin to relieve pain and promote overall health. Acupuncture can release endorphins. These are your body’s own pain-relieving substances. These help to reduce pain associated with bulging discs. The treatment also helps to relieve muscle tension. This can be beneficial for disc protrusions, which are often accompanied by tense muscles. The stimulation of acupuncture points can promote blood circulation and improve the supply of nutrients to the intervertebral disc.

Treating a bulging disc in Frankfurt

As you can see: There are various ways to treat a bulging disc. Usually, this does not require surgery. The combination of treatment options depends on your individual situation and your symptoms.

Our top priority is to develop an optimal conservative therapy strategy to minimize the pain and impairment caused by the disc protrusion as much as possible. Do not hesitate to contact us – we are your experts for spinal therapy in Frankfurt!

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Der Beitrag Treating a bulging disc: What you need to know erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

Lower back pain: What could it be?

dr-dorothee — Fri, 17 Nov 2023 07:19:46 +0000

Lower back pain

What could it be?

Back pain is widespread and affects most people at some point in their lives. This pain often manifests itself in the lower back, as the lumbar spine is generally more susceptible to injury and damage than the cervical or thoracic spine. Below we show you possible causes of lower back pain and explain how we can treat them at our orthopaedic practice in Frankfurt.

Lower back pain: Possible orthopaedic causes

Sacroiliac joint syndrome (SIJ syndrome)
Pain in the lower back is often caused by sacroiliac joint syndrome. The sacroiliac joint connects the spine to the pelvis and is also known as the sacroiliac-iliac joint. Compared to other joints, the SIJ has limited mobility as it is held taut by strong ligaments. A blockage of the SIJ, which can be caused by prolonged incorrect posture, overloading or accidents, for example, can result in pain and restricted movement. In this case, the joint surfaces of the SIJ shift against each other and also become blocked due to increased muscle tension.

Slipped disc
A slipped disc, medically known as a prolapse, can also affect the lumbar spine (lumbar disc herniation). The gelatinous core of an intervertebral disc breaks through its fibrous ring and presses on the nerves, which typically causes pain that can radiate into the legs and feet. Sensory disturbances such as tingling or numbness in the leg also occur frequently. The pain intensifies when coughing, sneezing and during movement. Poor posture and incorrect movements are the main causes of a herniated lumbar disc.

Wear and tear on the spine
Over the years, the joints of the spine wear out. In some cases, pronounced age-related joint wear occurs, which can be accompanied by unpleasant pain in the lower back. In such situations, osteoarthritis may also be behind the symptoms.

Spinal canal stenosis
The spinal canal runs through the spine and houses the spinal cord. It carries nerve signals back and forth between the brain and the body. In the case of spinal canal stenosis, the canal is narrowed at certain points and exerts pressure on the spinal cord and nerve roots. This can cause pain in the sacrum area.

Curvature of the spine
In scoliosis, the natural alignment of the spine is disturbed. In this clinical picture, the spine sometimes leans visibly to the left or right. This lateral curvature can also cause pain in the lower back. Tension and a tilted pelvis are also often associated with scoliosis.

Spondylolisthesis
If the vertebrae are unstable, they can shift more easily. While some sufferers may have no or only minor symptoms, others may experience back pain when straining or making certain movements. In some cases, sensory disturbances and paralysis can also occur if a displaced vertebra presses on a nerve root.

Muskelverspannungen
Manchmal sind es auch verspannte Muskeln, die Schmerzen im unteren Rücken verursachen. Sie resultieren oft aus Fehlhaltungen oder Bewegungsmangel.

Muscle tension
Sometimes it is also tense muscles that cause pain in the lower back. It often results from poor posture or lack of exercise.

Treating lower back pain: how we can help you at our practice in Frankfurt

Depending on your findings, we can help you with various therapies at our private practice for orthopaedics and traumatology in Frankfurt. We can treat your lower back pain with the following methods:

Neural therapy
In neural therapy, we inject local anaesthetics and anti-inflammatory substances near nerves or hardened muscles. Neural therapy can help with lower back pain by reducing inflammation and muscle tension.

Segmental therapy
Segmental therapy is a form of manual therapy that focuses on the targeted treatment of specific spinal segments and their effects on the body. Through targeted exercises and mobilisation, we can use segment therapy to strengthen your back muscles and realign the spine. In this way, we can relieve pain and improve the function of the lower back.

Infiltrations close to the spine
In this specialised treatment, we inject special therapeutic substances into the area near your spine. There are different types of spinal infiltrations, including epidural injections (into the epidural space around the spinal cord), facet joint infiltrations (into the small joints between the vertebrae) and sacroiliac joint infiltrations (into the joints between the sacrum and the pelvic bones). We can use these procedures for various back problems such as herniated discs, osteoarthritis or inflammation to relieve your pain and improve your symptoms.

Chiropractic therapy
This is based on manual techniques in which we use our hands to apply targeted movements, pressure or manipulation to the affected tissue. This enables us to improve the function and mobility of the affected structures. Chiropractic can help with lower back pain by correcting misalignments of the vertebrae or joints that may be the cause of the pain. We can also use it to release muscle tension and blockages that can trigger lower back pain. Manual therapy can also be used to increase the mobility of your spine and joints, which can relieve pain and improve function. We can also promote blood circulation and metabolism in the affected area to support healing.

Traction treatments
Traction therapy uses traction forces on the spine or other parts of the body to treat certain orthopaedic problems. For lower back pain, traction treatments can reduce pressure on the discs and create space for the nerve roots. We stretch your muscles and ligaments to relieve tension and improve flexibility. Traction treatments can also increase blood flow to the affected area, which promotes healing and reduces inflammation.

Kinesio taping
Kinesio taping is a therapy method in which we apply elastic, self-adhesive tapes to your skin in a specific system to treat various muscular and orthopaedic problems. These tapes are specially designed to lift the skin and apply gentle tension to the underlying muscles and tissues without restricting your freedom of movement. We can use taping to relieve your lower back pain. The tapes provide gentle support and reduce tension in the affected muscles. They can also help to increase the stability of your spine, especially in the case of minor injuries or muscle tension in the lower back. The procedure can also activate circulation in the affected area to help heal tissue damage. We can apply the kinesio tapes to help you adopt a more correct posture and avoid the misalignments that can cause your back pain.

Acupuncture
We like to use this traditional Chinese healing method in orthopaedics to relieve pain and treat musculoskeletal problems. For the treatment, we place fine needles at specific points on your skin, the so-called acupuncture points. These are located along the energy pathways in the body, known as meridians. The treatment is also indicated for lower back pain. The needles can stimulate the release of the body’s own pain-relieving substances, such as endorphins, and thus reduce acute or chronic pain. They can also relieve muscle tension in the lower back, which leads to improved blood circulation and loosening of your affected muscles. In Traditional Chinese Medicine (TCM), acupuncture is also believed to harmonise the flow of energy (Qi) in the body. Blockages or stagnation of Qi can cause pain and the needles can release these blockages. Acupuncture can also reduce inflammatory processes in the body that can cause pain and discomfort in the lower back.

Lower back pain treatment: We are here for you at our practice in Frankfurt!

As you can see: There are many different causes of lower back pain – and just as many treatment options! At our orthopaedic practice in Frankfurt, we will examine you in detail and check where your pain is coming from. After a thorough diagnosis, we will determine which treatments are best suited to your individual symptoms and draw up a personalised treatment plan. Feel free to contact us to tackle your pain!

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Der Beitrag Lower back pain: What could it be? erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

Spine Treatment Archive - Dr. Tabrizi, Dr. Chwalek, Dr. Gruber

Sciatica: what can cause pain radiating into the leg

Orthopaedics Blog

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What does sciatica feel like?

How can you tell whether the sciatic nerve is really affected?

What causes sciatica?

When is sciatica an emergency?

How is sciatica diagnosed?

How can sciatica be treated?

Sciatica treatment: your experienced orthopaedic team in Frankfurt

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Cervical spine syndrome: causes, symptoms and treatment for neck pain

Orthopaedics Blog

Spine Treatment

In this article, you will learn

What is cervical spine syndrome?

What are the symptoms of cervical spine syndrome?

What causes cervical spine syndrome?

When is cervical spine syndrome acute, and when is it chronic?

Why does cervical spine syndrome sometimes become worse?

How is cervical spine syndrome diagnosed?

How can cervical spine syndrome be treated?

Treatment for cervical spine syndrome in Frankfurt

Private practice in Frankfurt

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Rib hump in scoliosis: when treatment is advisable and what options are available

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Not all rib humps look the same: there are different degrees of severity

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Improving rib humps and alleviating discomfort: complementary treatments at our practice in Frankfurt

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Types of scoliosis: Not all spinal curvatures are the same

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