A Safer Alternative to Ibuprofen for Back Pain

Back pain relief infographic

Back pain is one of the most common health problems in the world today, and it results in most cases of disability globally. For example, in the US, low-back pain is the leading cause of disability for those age 45 and under. A 2006 estimate was that 26 million adult Americans under the age of 65 were experiencing chronic lower back pain.

As lower back pain problems become more common, the source of the issue is becoming clear. In many cases, back-pain is the result of long-term injuries. While a person may occasionally experience trauma that leads to immediate back problems, most people can’t even identify the origin of the problem as it happened a long ago.

Causes of Lower Back Pain

Here are a few things that can set a person on the path to chronic back pain:

Office Work

Sitting all day can be tough on the spine. In order to counteract this problem, a person should keep work spaces ergonomic. Keep monitors at eye level, so you don’t have to tilt your head forward. Make sure your chair allows your feet to touch the ground (or at least a stool). And be sure to get up at least once an hour to stretch or walk around a little.

Technology Use

Monitors at an office aren’t the only type of technology leading to back pain. Overuse of mobile devices has a major effect on posture. Tilting of the head forward at angles up to 60 degrees add extra weight to the head. The 12-pound weight of the average head increases up to 60 pounds of pressure on the spine. Try to keep mobile devices at eye level if possible when in use.


Whether repetitive motions from work or a single case of lifting something outside of your abilities, straining the muscles and joints can cause damage and lead to pain.


Sitting behind the wheel of a vehicle for hours at a time, whether for work, travel, or other reasons can result in back pain, especially if you have bad posture.

This is by no means a comprehensive list of the causes of chronic back-pain. Of course, sudden trauma like a car accident or a sports injury can also lead to long-term pain, even if the back didn’t seem to take the brunt of the injury at the time.

Unfortunately, one of the most common coping mechanisms, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, may be causing additional problems while providing very little benefit. Consider the results of a study involving more than 6,000 patients.

A Study of Low Back Pain and NSAIDs

The study wasn’t trying to minimize the value of pain relievers when it comes to assisting people who are in pain with mitigating that symptom. However, pain medications do nothing to correct the underlying problem. This means that while these medications may provide some pain relief in the short-term, they are not a long-term solution to the problem.

Another thing to consider is that these drugs have side effects. For example, according to the study, someone on NSAIDs is 2.5 times more likely to have a stomach problem than someone who is not taking this type of medication to deal with back pain.

Something Better than Medication for Lower Back Pain

If you are one of the millions suffering from back pain, don’t feel that the only way to get relief is from a bottle. Not only do these medications cause potentially harmful side effects, but they also do not address an underlying cause that is frequently overlooked by the medical community as a whole. What is this common cause of back-pain?

Believe it or not, back pain often begins in the neck. When the atlas (top bone in the spine) becomes misaligned, the rest of the spine shifts to compensate. Since the pain will often occur where the biggest adjustments take place, the lower or mid back may be where the pain occurs despite the initial problem being in the neck.

These shifts can also lead to a chronic pain condition known as sciatica. What is sciatica and how is it caused?

Back pain relief infographic

Symptoms of Back Pain Due to Sciatica

Sciatica is a very common condition that affects the lower back. As much as 3 million people per year may deal with sciatica in the US alone. Sciatica is caused when something compresses or irritates the sciatic nerve, one of the largest in the body.

The sciatica nerve springs from the lower part of the spinal cord and then branches down either side of the body throughout the hips, buttocks, and each leg. As a result, sciatic pain is usually felt on just one side depending on where the irritation or compression is taking place, usually somewhere in the lumbar region.

Symptoms of sciatica include:

  • Lower back-pain
  • Pain that radiates down one side of the body from the hip into the leg
  • Numbness, tingling, or weakness may occur in the leg or foot on the affected side
  • Pain can range from aching and burning to acute and severe
  • Bowel and bladder function may be affected (this indicates severe sciatica)

Causes of Sciatica

The pain of sciatica may begin following trauma such as a car accident or a fall. However, sciatica is often related to degenerative problems in the spine. For example, a disc may become herniated in the lumber spine and begin to press on the sciatic nerve.

Again, upper cervical misalignments can have far reaching effects in this region of the body. One of the most common ways to check for an upper cervical misalignment before diagnostic imaging is to compare leg lengths. A C1 or C2 misalignment will eventually cause one shoulder to become higher than the other. This, in turn, causes one hip to drop and leg lengths to become uneven. The uneven hips can result in degeneration of the lumbar spine and lead to sciatica. In this case, it is important to correct the underlying problem in the neck in order to ensure long-term relief of lower back pain.

Let’s look at two cases studies that show the benefits of upper cervical chiropractic care for both lower back pain in general as well as sciatica in particular.

Case Study: Back Pain Due to Scoliosis Helped by Upper Cervical Care

The case study involved a 15-year-old female patient with a history of scoliosis and lumbar (lower back) pain. Using the Cobb scale, the girl’s scoliosis was measured at 44 degrees. The patient also suffered from vertigo, which is a false sensation of movement (i.e. the room spinning suddenly).

Diagnostic imaging revealed that the girl did indeed suffer from an upper cervical misalignment. The patient visited an upper cervical chiropractor 35 times over the course of 4 years and 2 months. However, she was only adjusted the 5 times that her atlas (C1) was out of alignment when examined. Her adjustments averaged once every 10 months or so.

Further x-rays showed a correction of the atlas misalignment. Lower back pain and vertigo were both completely gone. Doctors had previously recommended surgery to correct the severe scoliosis, but by 5 months into care, the scoliosis had been reduced to 32 degrees on the Cobb scale. By the completion of the study, the degree of scoliosis had further been reduced to 25-degrees and surgery was no longer recommended.

This study reveals the benefits of upper cervical chiropractic in caring for lower back pain, even when that pain is being caused by something as serious as a scoliosis severe enough to warrant surgery.

Case Study: Relief of Sciatica Through Upper Cervical Chiropractic

In this case study, a 45-year-old woman was experiencing a severe case of sciatica along with numerous other health problems. The full list included:

  • Sciatica (on both sides)
  • Back pain
  • Neck pain
  • Knee pain (right side)
  • Numbness of the fingers
  • Depression
  • Fibromyalgia

Once again, diagnostic imaging located and measured a misalignment of the atlas (C1). Over the course of 17 months, the patient required 47 upper cervical adjustments. What were the results?

By her first reevaluation, she expressed that she was no longer experiencing sciatica on her left side. Also, all of her fibromyalgia symptoms were cleared up completely. She was able to resume her normal daily schedule and found sleeping much easier. Sciatica in her right leg improved by 60%, and she was able to stop taking all of her prescription medications.

By the next reevaluation, she was no longer experiencing any back pain whatsoever, and her headaches had also resolved. Sciatica on her right side became 98% better with just a mild case continuing. Previously, the patient had required wheelchair assistance due to her pains. Within six months of the start of her care, she no longer used the wheelchair.

These dramatic results show the benefits of upper cervical chiropractic when it comes to severe conditions such as sciatica, lower back pain and other health problems. However, you may want to know a little bit more about what upper cervical chiropractic is, so let’s see how this specialized form of chiropractic is likely different from anything you’ve ever experienced before.

Effectiveness of Upper Cervical Chiropractic Care for Back Pain

The research indicates that upper cervical chiropractic care may be effective for managing back pain, including neck pain and low back pain:

  • A retrospective case series found that upper cervical low-force chiropractic adjustments led to statistically significant and clinically meaningful improvements in neck pain and disability in patients. There were no serious adverse events reported.
  • A case report described a patient with severe cervical disc herniation and neck/back pain who experienced substantial pain relief and functional improvement after receiving upper cervical chiropractic care. The patient's neurological findings also resolved.

What Is Upper Cervical Chiropractic Care?

There are several different types of upper cervical chiropractic techniques including NUCCA, Knee-Chest, the Blair Technique, and more. We don’t have time to address all of the different methods in detail here, but what we can do is give a general overview of the difference between upper cervical techniques and general chiropractic.

Upper Cervical Focus

The first big difference is that upper cervical chiropractors (with a few exceptions) really only deal with the top two bones of the spine – the C1 and C2 (atlas and axis). We believe in a top-down approach to spine health because research shows that the position of the top bones of the spine affects all the rest of the vertebrae.

Low-Force Corrections

Upper cervical care involves very gentle adjustments. Even the knee-chest method, the most physical of the methods, is still using a low-force correction versus the high-force popping and twisting of general chiropractic. Other methods such as Advanced Orthogonal are hands-off and use a chiropractic adjusting instrument. Low-force corrections are safe, allowing upper cervical chiropractors to work on patients of all ages, and also result in long-lasting adjustments that the body is more likely to accept.

Diagnostic Imaging

While the means of diagnostic imaging differs from method to method, one thing upper cervical chiropractors have in common is that the atlas will not be adjusted without accurate measures of the degree of misalignment. General chiropractors may or may not use x-rays, but upper cervical chiropractors work in hundredths of degrees of subluxation. As a result, exact measurements are necessary. This also allows personalized adjustments to each patient.

As-Needed Adjustments

Have you ever been to a general chiropractor and not received an adjustment? It’s highly unlikely. Upper cervical practitioners, on the other hand, use supine leg checks and other physical examination methods at each visit to determine if atlas alignment has held since the last visit. Adjustments are only provided when you need one. This saves the patient money and allows for fewer visits as corrections hold longer and longer.

Even if you have been disappointed in chiropractic experiences in the past, upper cervical care is a very different form of holistic care. If you are experiencing lower back pain, sciatica, or any of the other conditions, find an upper cervical chiropractic doctor in your area to get begin your path to whole-body wellness.

Frequently Asked Questions

How can I relieve back pain at home?
Aside from over-the-counter pain relievers, you can also use an ice pack to relieve back-pain. After inflammation subsided, a heating pack can help soothe muscles and tissue. It will also help if you will sleep on a medium-firm mattress.

What is the fastest way to relieve back pain?
Although it's hard to get up or move when you are experiencing back pain, it's important that you don't rest it for more than a day. You must get up and slowly start moving again. Doing light exercises is one of the most effective and fastest ways to relieve back pain quickly.

Is walking good for lower back pain?
Walking is a low-impact form of exercise that can significantly help people with lower back pain. It has been shown to reduce the incidence of low back pain. Exercise is one of the most effective ways to relieve back-pain quickly. Try low-impact activities like swimming, walking, or yoga.

How to Relieve Back-Pain?

Ice the painful area several times a day for up to 20 minutes to reduce pain and inflammation from an injury. After a few days, switch to heat using a heating pad or warm pack to help relax the muscles and increase blood flow. Getting enough sleep, maintaining good posture, and avoiding prolonged bed rest are also important for managing back pain.

To have a thorough evaluation of your spinal alignment find an upper cervical specialist near you by utilizing our directory.

Find An Upper Cervical Doctor in Your Area

to schedule a consultation today.

Find an Upper Cervical Specialist In Your Area

to schedule a consultation today.

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The content and materials provided in this web site are for informational and educational purposes only and are not intended to supplement or comprise a medical diagnosis or other professional opinion, or to be used in lieu of a consultation with a physician or competent health care professional for medical diagnosis and/or treatment. All content and materials including research papers, case studies and testimonials summarizing patients' responses to care are intended for educational purposes only and do not imply a guarantee of benefit. Individual results may vary, depending upon several factors including age of the patient, severity of the condition, severity of the spinal injury, and duration of time the condition has been present.