Seth Kouba, D.C.

It’s estimated that about one-in-seven adults in the United States have chronic low back pain (lasting longer than three months), which can have a major effect on one’s ability to carry out their daily activities. As such, it’s important to identify which factors may be associated with an increased risk for progressing from acute low [..]

We’ve all been told—especially as children—to stop slouching and to stand or sit up straight. As it happens, this is great advice to keep the spine healthy and reduce the risk for a painful low back condition. A landmark 1981 study calculated the amount of pressure placed on the intervertebral disks in the lower back [..]

The pelvic floor is the muscular “hammock” that carries the weight of the viscera located in the pelvis. If these muscles become too loose or too tight, an individual may experience urinary (or fecal) urgency or incontinence, sexual dysfunction, pelvic organ prolapse, as well as pain in the pelvic region and even in the lower [..]

For the older adult, pain that radiates into the leg is a common complaint. This process, called neurogenic claudication, occurs when the spinal cord and/or nerve roots are pinched as they exit the arthritic spine (a condition called spinal stenosis). However, there is another degenerative condition that can cause pain in the legs called peripheral [..]

The current available research notes that 52% of all opioid prescriptions are for patients with low back pain, and over two million Americans suffer from opioid use disorder (OUD), with 47,000 dying from OUD in 2017. In light of the opioid epidemic, the high cost of diagnostic tests and invasive treatment, and the low level [..]

Low back-related leg pain (LBRLP) is a common condition that drives patients into primary care clinics, including chiropractic offices, but these cases are often complex, and determining the underlying cause can be clinically challenging. Let’s take a look at the current treatment strategies for LBRLP. To begin with, the patient’s doctor will need to determine [..]

Serious falls can lead to a number of negative outcomes in older adults, from impaired mobility to loss of independence to early death. Thus, steps that can be taken to reduce the risk for falls will not only potentially result in a longer life, but also help support a higher quality of life in those [..]

The cauda equina (Latin for “horse’s tail”) is made up of many nerves that travel down and exit out the sides of the lumbar spine and sacrum (tail bone) and transfer information (motor and sensory) to and from our legs and brain. If the cauda equina becomes compressed, the resulting cauda equina syndrome (CES) is [..]

The roots of the sciatic nerve exit the spine through several levels in the lower back, join in the buttock region, and travel down into the lower extremities. When pressure is applied to the sciatic nerve in the lower back area, it can generate pain and other sensations down the nerve into one of the [..]

In addition to neck pain and back pain, patients seek chiropractic care for many musculoskeletal conditions, including groin pain. Pain in the groin area can emanate from a myriad of causes from issues involving the reproductive organs, the renal/urinary system, the lymph glands, a pelvic flood disorder, a hip joint condition, and even a lumbar [..]