Where The Heck Is My Pinched Nerve Coming From? Dermatomes, Sciatica And Lower Back Pain

By Dr Ken Nakamura+

Where My Nerve Pinched ? Dermatomes, Sciatica And Lower Back Pain: Dr. Ken Nakamura Downtown Toronto Chiropractor
How do doctors determine where my pinched nerve is?   Which tests best determine the offending nerve?   What can I do to help with this trapped nerve?   I get dozens of emails everyday from people with detailed MRI reports with no information about their history or examination. A typical report might look like this:   “L4 – L5 shows broad based posterior protrusion causing indentation of thecal sac, filar roots, severe narrowing of neural foramina and mild compression of exiting, traversing nevre roots (L > R) L5 – S1 disc shows diffuse annular bulge causing mild narrowing of[...]

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Getting X-rays Or MRI Early: Will Imaging Make A Difference For You?

By Dr Ken Nakamura+

MRI Lumbar Spine -Better To Have MRI Early: Downtown Toronto Chiropractor Dr. Ken Nakamura
Should you get an X-ray or MRI right away?   Do you need a CAT scan?   What type of imaging is best for your lower back pain?   Chiropractic guidelines like their medical guidelines recommend that a preliminary X-ray be taken if you are over 70 years old, and for even minor trauma if you are over 50 years old.    As a general guideline, X-rays are necessary in the following cases.   If you have sustained a significant traumatic injury at any age. If you have experienced any type of trauma (even a minor one) if over age 50. For[...]

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Effective Therapy For TMD Is Inside Your Mouth | Jaw Pain Therapy

By Dr Ken Nakamura+

TMD Temporomandibular Joint Dysfunction: Toronto Downtown Chirorpactor Dr. Ken Nakamura
Do you have Jaw pain that just won’t go away ?   Do you have TMD or Temporomandibular Joint Dysfunction?   Have you asked your dentist about your jaw pain with no success so far or even thought of jaw surgery?   Temporomandibular Joint or TMJ is your jaw joint found just in front of your ear. When something goes wrong with your TMJ it’s called Temporomandibular Dysfunction (TMD). TMD is a problem for 40% of people, affecting your muscles or joints (TMJ) or both.   With TMD you can often hear clicking when you open or close your mouth often[...]

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Disc Herniations Vs. Spinal Stenosis. What’s Causing My Sciatica?

By Dr Ken Nakamura+

Disc herniation Vs. Spinal Stenosis. Why Do I have Sciatica? Dr. Ken Nakamura
Do you have sciatica?   Is your pain from a disc herniation or is it caused by spinal stenosis (trapped nerves in the spinal cord)?   Knowing the cause of your sciatica will determine the treatment for you, so it’s important to find out the true diagnosis.   Disc herniations and spinal stensosis are often misdiagnosed by chiropactors and medical doctors alike. It’s important to know the true cause as the treatments for each a quite different.   For example when you are diagnosed with a disc herniation you often need extension exercises, while with spinal stenosis you often need[...]

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Can Acupuncture Help My Lower Back Pain? Treatments For Back Pain

By Dr Ken Nakamura+

Can Acupuncture Help My Lower Back Pain: Toronto Downtown Chiropractor, Dr. Ken Nakamura
Are you considering getting acupuncture for your lower back?   Have you tried physiotherapy, chiropractic and rehabilitation for your lower back and it still hurts?   How do you know acupuncture is for you?   In this issue of Bodi Empowerment I go over the criteria you use to determine if you are a candidate for acupuncture.   First when I talk about acupuncture there are many forms of acupuncture. There is acupuncture for the ear called auricular acupuncture, Korean hand acupuncture, laser acupuncture which utilizes laser instead of a needle, acupressure techniques like Shiatsu and reflexology.   All of[...]

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Will My Lower Back Surgery Fail? Criteria for Low Back Surgery

By Dr Ken Nakamura+

Failed Back Surgery Syndrome: FBSS
Are you contemplating lower back surgery?   What criteria clearly indicates you need back surgery?   When should you do conservative care instead of surgery?   Failed Back Surgery Syndrome ( FBSS ) is recurring or persistent pain in the low back or low back pain with pain down the leg after spinal surgery. It’s incredible that 10-50% of people have Failed Back Surgery Syndrome (FBSS). [1]   The failure rate for microdiscectomy surgery is 19-25% while lumbar fusion has a failure rate of 30-46%.[2]   The results two years after laminectomy surgery for back pain and for people treated[...]

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5 Strategies To Improve Your Chronic Lower Back Pain Using Exercises.

By Dr Ken Nakamura+

Exercises Strategies For Your Lower Back| Downtown Toronto Chirorpactor
Have you tried exercises for your lower back pain and haven’t gotten anywhere?   In this issue of Bodi Empowerment we find ways to improve your lower back pain and function through exercises. While I don’t go over specific exercises in this case I give you useful guidelines to help you with your chronic lower back pain.   According to the scientific research article called Annals of Internal Medicine in 2005 [1] the best way to improve pain is if: Your exercises program is designed for you and is supervised and Includes home exercises with a therapist follow-up High intensity[...]

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2 Exercises For Lumbar Facet Irritation: Lumbar Facet Syndrome

By Dr Ken Nakamura+

Lumbar Facet Joint Pain: Low back pain |Toronto Downtown Chiropractor
Do you have very localized pain about the size of a golf ball in your lower back?   Does it hurt to bend forwards or sideways on the side of the pain?   Is your backwards bending more limited than your forward bending?   You could have Lumbar Facet Irritation. In this issue of Bodi Empowerment I go over what a facet is, how it progresses and the exercises that can help.   What’s A Facet? Your lower back is made up of 5 vertebrae stacked on top of each other. Each of these vertebrae are separated by a disc[...]

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Does Tylenol (Paracetamol) Help Acute Low Back Pain?

By Dr Ken Nakamura+

Paracetamol For Acute Low back Pain: Helpful? - Downtown Toronto Chiropractor
Do you take Tylenol or Parcetamol for your acute back pain?   Do you know if Tylenol or Paracetamol actually helps your acute back pain?   Did you know that there is no research evidence that shows that Tylenol actually helps your long-term recovery from acute back pain?   Lack of evidence was the prime reason why researchers decided to find out if  a “universally recommended, first line analgesic for low back pain, appearing in most clinical practice guidelines worldwide” [1,2] was sound.   No research even compared Paracetomol (Tylenol) with placebo or taking Tylenol on a “as neeeded” basis.[...]

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Cuboid syndrome: Relief For Mid Lateral Foot Pain

By Dr Ken Nakamura+

Cuboid Syndrome: Downtown Toronto Chiropractor Dr. Ken Nakamura
Do you have pain on the outer (lateral), middle part of the foot?   Do you have trouble putting weight on the outside (lateral) part of your foot especially when you are pushing off to step?   Then you may have cuboid syndrome. The cuboid is one of 26 bones in your foot. The bones along with the ligaments and muscles need to hold up your body weight when you stand and absorb the shock from walking, running and jumping.   Your cuboid is pretty stable when you consider all the ligament attachements. A muscle tendon called the peroneus longus[...]

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