Vehicle alignment depends largely on the durability of tires working in tandem with the structure and function of the axle. Unbalanced alignment contributes to an eventual breakdown due to the asymmetrical stress load eroding at the structure. The rate and symmetry of breakdown depends on alignment. This same principle occurs with the human spine.

The spine consists of 24 hard bones called vertebrae. 23 of these bones maintain space from one another through the presence of intervertebral discs. Intervertebral discs are specifically designed to separate the bones and protect the elements that exist between each bone. These essential elements include spinal nerves and blood vessels. Spinal nerves extend off the spinal cord at each level of the spine and transverse through a disc-sized hole created by the space between each bone. The spinal nerve relays life-giving information from the brain to the entire body to keep a person alive and well.

The intervertebral discs serve an essential purpose. These buffers are comprised of 70% water and 30% soft tissue and provide shock absorption that cushion stress created in the spine from moving, jumping, and bending. Better alignment means better protection and function.

Abnormal movement or alignment of a spinal vertebra leads to minor asymmetries in the spine that increase rates of disc degeneration and arthritis. Small spinal misalignments, known as subluxations, also increase tension and interference in the nervous system. Interference in the nervous system puts the body into a state of dysfunction, eventually leading to a deterioration of health and the increased risk of symptoms and disease.

Studies show that small asymmetries in the spine and discs create health problems that lead to pain and disease. Research determined that asymmetric distribution of herniated discs attributed to altered mechanical load. Patients with herniated lumbar discs often underwent surgery at the recommendation of their physician. Continued research determined an unfortunate correlation that many people with disc problems fail to experience health improvement following spinal surgeries. Even surgeries deemed successful that go as planned do not remedy persistent pain and health problems.

Well-known athletes and coaches often have access to the finest health professionals and surgeons in the world. The world champion head coach of the Golden State Warriors experienced a spinal surgery that rendered him completely unable to function for months due to the pain and disability experienced following spinal surgeries to address disc problems. Steve Kerr publicly advised all listeners to avoid back surgery at all costs.

The healthiest long-term approach to treating spinal asymmetry problems begins with improving movement and strength. Chiropractors address spinal asymmetries and help those with chronic spinal pain through gentle, corrective adjustments and specific lifestyle care recommendations. No vehicle has more value than the one each person lives in. Optimal maintenance comes from chiropractic.

Asian Journal of Neurosurgery
April-June 2017
Neglected knowledge: Asymmetric features of lumbar disc disease.
Ayhan Kanat, Ugur Yazar, Bulent Ozdemir, Hizir Kazdal, and Mehmet Sabri Balik

The presence of pain does not represent a strong indicator of a person’s overall health status. In other words, health cannot be accurately measured by the presence or absence of pain. Incredible amounts of research indicates that pain does not usually represent the root of a problem but alerts an individual to a greater problem that advanced far beyond the body’s ability to cope or manage. Pain usually represents a final symptom rather than a root cause. Achieving optimal health and healing means addressing the causes of health conditions rather than simply masking pain.

Many care providers agree that pain speaks loudest and stays longest. A problem existed long before the pain and demands attention before the pain will subside. Long term health and improvement without drugs or surgery require intervention that gets to the source. As a chiropractor I focus on finding and addressing the structural cause of painful problems rather than simply treating the symptoms or the effects of the cause.

Many parts, functions, and processes in the body cannot be felt. Cavities in teeth, plaque build-up in blood vessels, high cholesterol, and even cancer represent some of the many examples of silent problems that speak up loudly and painfully in the late stages of sickness. Consistent check-ups and teeth cleaning at the dentist, health physicals with the family physician, stress tests with the cardiologist, and cancer screenings serve as examples of health care providers understanding the immense value in proactive health care in advance of signs or symptoms. Regular spinal check-ups and adjustments with the chiropractor offer one of the most powerful forms of proactive health care available to men, women, and children.

The benefits of a chiropractic adjustment go far beyond pain relief, and the benefits begin to manifest in many ways that prevent pain from ever occurring.  Research from 2015 looked at spinal MRI scans of a large population of people who experienced no pain or symptoms. Over twenty percent of those studied were found to have disc degeneration, disc herniations, or protrusions in the spine with no symptoms. These ailments would eventually lead to chronic low back pain and the likelihood of needing to use powerful pharmaceuticals or invasive surgery. This example represents one of many ways in which a silent and unhealthy condition exists without pain until the condition becomes extremely advanced and nearly irreparable. 

The benefit of chiropractic has no prerequisite of pain. Kids, adults, and even infants of all ages experience the benefits of chiropractic without ever experiencing conditions in need of pain resolution. Chiropractic benefits everyone. Doctors of Chiropractic undergo extensive training and education that enables them to assess, diagnose, and begin the process of allowing the body to heal proactively. The proactive path to optimal health begins with chiropractic.

American Journal of Neuroradiology September 2015
MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis.”
W Brinjikji, F E Diehn, J G Jarvik, C M Carr, D F Kallmes, M H Murad, P H Luetmer

New Research Sheds Light On A Painful Topic

Disc herniations plague millions of people every year. The most common route taken by most seeking pain relief comes from strong medication, cortisone shots, and back surgery. Back pain can be so severe that many suffering from such stabbing and burning pain resort to anything that produces even the slightest bit of comfort. Sleep becomes a chore and evening rest tends to be the worst for those suffering from the pain of a disc herniation. No amount of positioning provides enough pain relief to sleep as the minutes dwindle by before the start of another pain-filled workday. Solutions outside of drugs and surgery exist that reduce pain and promote healing for those suffering from disc herniations.

Sometimes people call a herniation a slipped disc. That image proves inaccurate because the discs within the spine cannot slip. The discs in the spine look somewhat like two dinner plates stacked with a water balloon in between them. The plates represent the bones, and the water balloon represents the gel comprising an intervertebral disc. Injuries, degeneration, continuous wear and tear, or a combination of all these factors cause a part of the water balloon to tear. The tear forces the gel-like substance to protrude outside the balloon. This resembles the mechanism of what happens with a herniated disc.

The cartilage material on the outside of the disc tears, and a gel-like substance protrudes out into the spinal canal. Discomfort and pressure on the nerves produce burning and stabbing pain along the path of the nerve. Disc herniations can heal without surgery and many therapies have been proven to help people suffering from disc herniations. Disc decompression, nutrition, lifestyle modifications, and natural therapies represent some pathways to success.

Research from 2014 studied a group of adults living with back pain, leg pain, and disc herniations (confirmed by an MRI). The patients receiving low back adjustments from a chiropractor achieved extraordinary results. The percentage of patients in this study reporting substantial improvement after one month of care was close to 80%. Approximately 90% of patients with back pain, leg pain, and disc herniations reported significant benefits from spinal adjustments after six months.

Unaddressed spinal subluxations also represent a cause of disc herniations. Proactive chiropractic care serves as a method of prevention evident in the research study. Chiropractors do not specifically target herniated discs or other symptoms related to the spine. A chiropractic adjustment improves spinal mobility and alignment and reduces interference in the nervous system to allow the body to better heal itself. Chiropractic represents a front-line option for those suffering from back pain, sciatica, or disc related issues. Options exist for those faced with a decision regarding whether or not to pursue invasive care like spinal surgery or the risk of powerful and addicting pharmaceuticals. Pain relief exists with chiropractic care.

Journal of Manipulative and Physiological Therapeutics March-April 2014
“Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up.” Serafin Leemann, Cynthia K Peterson, Christof Schmid, Bernard Anklin, Kim Humphreys

Hi, I just want to make a quick video about spinal decompression. You guys might’ve heard of this. My name is Dr. Aaron Casselman at Pinnacle Chiropractic here in Highlands Ranch. So this is a spinal decompression table and spinal decompression is a treatment that very gently, basically pulls apart decompresses the spine. And the goal is to target the disc. So this is for people who have disc injuries, disc irritations, bulging disks, herniated disc, etc. And by taking the pressure off it, we can decrease pain at the area. And also by pulling the disc apart, very gently pulling a disc apart, you can get bulges and even herniations to sort of draw back away from the edge of the disc towards the center. So if the disc is putting pressure on a nerve, for example, which goes down the leg, you can actually mechanically remove tension off of that nerve.

So done repetitively, you can actually get a disc which has a very poor blood supply and heals rates slowly. Typically in an adult, you can get a disc to heal using the spinal decompression therapy. So the table, again, it’s not aggressive. It’s a very gentle and slow treatment, but it can have very profound results. And typically we can do that on people with neck, disc issues and lower back disc issues. So some of the symptoms of a disc problem in a neck, aside from neck pain, is going to be numbness and tingling at your arms and hands in the lower back, the same thing. You can have numbness, tingling, and pain into the legs or feet in some people even get weakness in their extremities, weakness in the feet or hands. So on your first visit in the office, we would check for these types of things.

We do a full spinal examination and there’s tests that we can do in the office to see if we suspect there’s a disc involved without getting an MRI or something like this. In addition, we can take x-rays that actually help our suspicions that we maybe come across during our exam. So during the first exam and consultation, we’ll be able to determine if spinal decompression is something that would help you if you’re having a disc injury. And then at that point, we would determine if you qualify for the treatment. So we do have a new patient special that you can use for this type of thing. If you go to the website, you can find these things. And if you have any questions, just give us a call. Otherwise, thanks for watching. And if you think spinal decompression is something that could help you with a disc injury, just give us a call.

These are our three favorite exercises for strengthening the core for people with Back Pain, Sciatica and Disc Pain.

Dr. Aaron Casselman here from Pinnacle Chiropractic here in Highlands Ranch, Colorado. And I just want to go over my three favorite exercises that are good for strengthening the core for people with back pain, sciatic pain, disc pain, all sorts of the lower back stuff. So these are the three big ones.

These exercises will allow you to strengthen your core muscles in your lower back without having to really move your lower back a lot. So most people can still do these, even when they’re in pain. Although if they do make you feel worse, you shouldn’t do these. The other thing is that they actually target your core muscles really nicely. A lot of core exercises are done incorrectly and they allow you to recruit other muscles in the body. So the core muscles actually don’t fire. So let’s get started.

There are four quadrants in the core. We’ve got the front, we’ve got the back and two sides. So we’re going to start with the one that targets the exercise that targets the back. It’s very simple. It’s called a hip bridge. 

So you can align your back, put your arms to your side, feet on the floor. And all you have to do is lift your hips up to the ceiling. So you’re flat through your thighs and stomach, you don’t want to be dropped down, and you’re gonna hold this for seven seconds. And the goal is to do 30 repetitions of this. So you hold for seven and then you just dropped back down and you’re going to do it again. You’re going to feel a very strong contraction, isolated to the lower back, but again, your lower back is in a neutral position the whole time. So it’s very hard to aggravate something. So that’s the hip bridge for the lower back.

Now we’re going to do the side bridge for the obliques are the side muscles. So you’re going to be on your side. Your knees are bent to 90 degrees and you’re up when your elbow. And then you’re just going to lift your hips up and forward. Your top arm can beat to the side or holding your shoulder, either one is fine. Correct form is your ear, shoulder, hip and knee are all in alignment. Same hold and repetitions as the previous exercise. You’re going to hold this for seven seconds, and then down. And then you do it again. Again, you can see in this exercise, your lower back is very neutral. You don’t want to hold this for long periods of time. Just seven seconds. You’re gonna try to do 30 on your right side, 30 on your left side.

So the last muscle group to get to is the abdominal group. And we’re going to do something called a curl up. So you have one leg bent, one leg straight. You gonna take your hands and place them under your lower back. You do not want your lower back flattening out to the floor on this one. So what you’re going to do is you’re going to first is engage all your abdominal muscles. So tighten them up. And then while you’re engaging, you’re gonna use that muscle engagement to bring your chest closer to your knees. Your bending point is right below the chest area. It’s not in the lower back. Remember all these exercises, your lower back stays neutral, lower back does not move. You’re going to hold this for seven seconds and then relax back down. You can do 15 of those with one leg bent and 15 with your other leg bent.

So those are my three favorite exercises for lower back issues. We started with the one that targets the lower back, then we target the side and one that targets the front. And if you’re consistent with these exercises and you’re still dealing with a lot of pain, give us a call. We specialize in chronic pain and we have a lot of treatment options here. We do traditional chiropractic. We do rehab. We have spinal decompression, class four laser. We even have a new patient special for folks if they want to try it out. So give our office a call. If you have questions or are having trouble with your back issues.

Give us a call today to schedule and take advantage of our new patient special (includes a free 60 minute massage). 303-683-5060

Insurance: We are part of a multidisciplinary provider network that allows us to use multiple parts of your In-Network insurance policy. At Pinnacle you are no longer limited to just your chiropractic benefit. This allows for better treatment and In-Network insurance coverage for our patients. If you have any questions regarding this please don’t hesitate to call our office. 303-683-5060


Many turn to Chiropractic care in search of relief from their neck or back pain. Too many other adults still follow a process of taking dangerous drugs or consulting with surgeons under the assumption that these options best serve their desire to live life free from pain. Few medical doctors understand the benefits of Chiropractic for disc herniations, sciatica, or radiating arm or leg pain.

Research from 2014 showed startling results involving a group of adults living with back pain, leg pain, and disc herniations (confirmed by an MRI). Patients who received low back adjustments by a Chiropractor achieved extraordinary results. It showed 80% of patients reported substantial improvement after one month of care. After 6 months of care, 90% of patients with back pain, leg pain, and disc herniations reported significant benefits from spinal adjustments.

Millions pf people suffering with chronic pain begin using opioid drugs every week. Many thousands begin this process due to back pain. Chiropractic accomplishes so much more than simply providing an alternative remedy for back pain. Chiropractors assess alignment and movement of the spine while looking for problem areas which interfere with the delicate nervous system. Areas of misalignment and stiffness receive immediate attention through specific and gentle adjustments designed to improve biomechanics and communication within the nervous system. Pain relief represents one of many side effects of spinal adjustments.

Chiropractors do not treat herniated discs or other symptoms related to spinal conditions involving back pain, arm pain, or leg pain. Chiropractic adjustments improve spinal mobility and alignment and reduce interference from the nervous system to allow the body to better heal itself. Chiropractic represents a proactive first resort for those suffering from back pain, sciatica, or disc related issues. Evidence based results provide a health care alternative that renders invasive care as a last resort.

Science, research, and evidence substantiate the need for the type of care Chiropractic delivers. Chiropractic represents one of the world’s largest drugless healing professions and continues to gain notoriety and popularity in a world searching for alternatives to a health system that offers reactive care filled with dangerous drugs and invasive surgeries. Most problems in the spine occur without pain, symptoms or are left unaddressed until symptoms form. Subluxations form like cavities and occur slowly over durations of time. Chiropractors focus on educating as many people as possible. Education empowers individuals and families with a choice to experience the blessings and benefits that Chiropractic care provides.

Journal of Manipulative and Physiological Therapeutics 2014
Outcomes of Acute and Chronic Patients With Magnetic Resonance Imaging-Confirmed Symptomatic Lumbar Disc Herniations Receiving High-Velocity, Low-Amplitude, Spinal Manipulative Therapy: A Prospective Observational Cohort Study With One-Year Follow-Up Serafin Leemann, Cynthia K Peterson, Christof Schmid, Bernard Anklin, Kim Humphreys