When things come up in the office I like to write about them.  Not that this will end them being a topic of conversation but maybe it will give someone something to think about.  Just this morning I had a gentleman come in, not quite in a straight position, saying his back had been hurting like this for about a month.  First of all that is a long time to go around bent over in pain!  But secondly, he said he thought he had “pulled a muscle”.  That CAN happen, however, if it does not start to at least improve symptomatically in 3-5 days, it is probably something more.  My experience ( 25 years as a practicing chiropractor) is that very few things happen with the body inside a bubble.  Meaning, if you develop a biceps tendonitis from doing too many curls at the gym, you probably also have some elbow joint irritation as well.  Or a more common issue is someone has some plantar facitis in their foot, which causes them to favor that side, so the opposite knee starts to swell and ache, and then miraculously the low back goes “out, for no reason!”.  Basically everything is tied together in some form or fashion, and we need to start looking at the whole body, and how all of the systems work together, and not individual complaints.  But back to my month long sufferer.  So he has a low back muscle spasm, but that has been caused by an irritated low back nerve root, which is getting  irritated because his low back joints, ( his spine) is not functioning properly.  If I as a chiropractor help him with his low back joints, that is going to make his nerve root happy, which will help his low back muscle.  Of course we want to also treat his low back spasm with muscle stim, ice, stretching, and a casual conversation about losing a little weight, and strengthening his core muscles.  As I said, nothing happens in a bubble.  I hope you have a wonderful day…. and don’t PULL A MUSCLE!!!