3 Conditions Colchester Chiropractors Treat Most Often
Low back pain, neck pain with headaches, and sciatica: what each one feels like, what usually causes it, and what care actually involves.
By Dr. Christine Lebiecki, D.C. · December 1, 2020

Chiropractors treat a wide range of things, but three complaints account for most of the schedule. There is a good chance yours is one of them.
Below is what each one looks like from the inside, what tends to be driving it, and what care at Family First Chiropractic in Colchester, Vermont typically involves. No promises about outcomes, just what usually happens.
Low Back Pain
What it feels like. A sharp catch when you bend to load the dishwasher. A deep ache that builds through the afternoon. Stiffness in the morning that takes twenty minutes to work out. Some people can point to the exact spot. Most cannot, and describe a band across the lower back instead.
What is usually driving it. Rarely one dramatic injury. Far more often it is accumulated load: years of sitting, repetitive lifting, an old strain that healed into a compensation pattern, or a pregnancy that shifted how the pelvis carries weight. Lumbar joints stop moving through their full range, the muscles around them tighten to protect the area, and the whole region becomes reactive.
What care looks like. An exam first, to find which segments are restricted and whether the pain is mechanical or something that needs imaging. Then adjustments to restore lost motion, paired with specific movement work so the change holds between visits. Acute cases often improve within a handful of visits. Long-standing patterns take longer, because you are unwinding years of adaptation, not days.
For the fuller picture, including the daily habits that make the difference, read why back pain is rarely just back pain.
When to see someone else. New loss of bladder or bowel control, numbness through the groin, or real leg weakness means the emergency department, not this office.
Neck Pain and the Headaches That Come With It
What it feels like. Usually the two arrive together. Tightness at the base of the skull, restricted rotation on one side, and a headache that starts at the back of the head and wraps forward toward the temple or behind an eye. Worse by mid-afternoon, and worse on screen days.
What is usually driving it. The upper cervical spine and the muscles at the base of the skull share nerve pathways with the structures that produce head pain. When those segments are restricted and the surrounding muscles stay contracted, the result is a cervicogenic headache, meaning a headache generated in the neck. Add a forward head posture from a laptop and you have a mechanical setup that repeats daily.
What care looks like. Adjustments focused on the upper cervical spine and soft tissue work through the suboccipital muscles, plus an unglamorous conversation about monitor height and how often you get up. Many patients notice a change in headache frequency before they notice a change in neck pain.
If your headache has a pattern, a time of day, a side, a set of days, then something mechanical is usually feeding it.
More on the different headache types and how to tell them apart is here.
When to see someone else. A headache that arrives suddenly and severely, or comes with vision changes, fever, confusion, or a head injury, needs medical evaluation right away.
Sciatica and Radiating Leg Pain
What it feels like. Distinct from ordinary back pain. It travels. Pain, burning, numbness, or a pins-and-needles sensation running from the low back through the buttock and down the back of the leg, sometimes past the knee. Frequently on one side only. Often worse sitting, worse driving, worse with a cough.
What is usually driving it. Irritation or compression of the sciatic nerve somewhere along its path. Sometimes a lumbar disc bulge. Sometimes narrowing of the space where the nerve exits the spine. Sometimes the piriformis muscle, deep in the buttock, clamping down on the nerve. Those causes are treated differently, which is why the exam matters more here than anywhere else on this list.
What care looks like. Identify the source, address the mechanical component, give the nerve room. That commonly means lumbar adjustments, targeted soft tissue work, and specific positional exercises. Many patients find the leg symptoms retreat upward toward the back before they fade, which is generally a good sign. Full detail lives in the post on sciatic leg pain.
When to see someone else. Symptoms in both legs at once, foot drop, or progressive weakness means imaging and a medical referral before anything else.
If Yours Is Not on This List
These three are the most common, not the only ones. Pregnancy discomfort, TMJ, and pediatric complaints come through regularly, and the full scope of care is laid out here. If you are still deciding whether this fits your family, here is why families in Colchester choose it.
Either way, the useful first step is an exam that tells you what you are dealing with. Family First Chiropractic is in Colchester, and you are welcome to come find out.
Please don't hesitate to call our team with any questions you might have.
Or call (802) 860-0382



