Spinal Decompression FAQs
Why Spinal Disc Decompression Works:
This FDA approved technology relieves pain by enlarging the space between
the discs. The negative pressure of decompression releases pressure that
builds on to the disc and nerves, allowing the herniated and bulging
disc to eventually go back into normal position. Decompression is the
only treatment that is truly most effective for severe cases of herniation,
degeneration, arthritis, stenosis and pressure on the nerve root. According
to a clinical study performed by the Orthopedic Technological Review
in 2004, said that 86% of all cases experienced spinal pain relief with
disc decompression.
What is the difference between decompression and traction?
Many
clinicians specializing in lumbar spine pathology have criticized traditional
traction. Traction fails in many cases because it causes muscular stretch
receptors to fire, which then cause para-spinal muscles to contract.
This muscular response actually causes an increase in intradiscal pressure.
On the other hand, genuine decompression is achieved by gradual and calculated
increases of distraction forces to spinal structures, utilizing various
degrees of distraction forces.
A highly specialized computer must modulate the application of distraction
forces in order to achieve the ideal effect. The system uses applies
a gentle, curved angle pull which yields far greater treatment results
that a less comfortable, sharp angle pull. Distraction must be offset
by cycles of partial relaxation.
The system continuously monitors spinal resistance and adjusts distraction
forces accordingly. A specific lumbar segment can be targeted for treatment
by changing the angle of distraction. This patented technique of decompression
may prevent muscle spasm and patient guarding. Constant activity monitoring
takes place at a rate of 10,000 times per second, making adjustments
not perceived by the eye as many as 20 times per second via its fractional
metering and monitoring system.
Genuine decompression also involves the use of a special pelvic harness
that supports the lumbar spine during therapy. Negative pressure within
the disc is maintained throughout the treatment session. With genuine
decompression, the pressure within the disc space can actually be lowered
to about -150 mmHg. As a result, the damaged disc will be rehydrated
with nutrients and oxygen.
Isn’t decompression just a fancy name for a traction machine?
No. There is a big different between traction, distraction and decompression.
Traction has been around for hundreds, if not thousands of years. The
problem with traction as it is known today is that it is not always beneficial.
In 1998, the Scientific American rated traction to be of little or no
value in the examination of efficacious therapies for lower back pain.
This finding is consistent with many studies that report traction can
often times signal a nociceptive splinting response and put a patient’s
back muscles in spasm, resisting any attempts to effect a change on the
disc proper.
Distraction, a term used to describe a flexion distraction technique,
attempts to reposition the spine from the offending lesion. This technique
has been shown to be very effective, even though potentially damaging
to the person performing the technique and largely dependent on the skill
of the technician. Like traction, distraction procedures are limited
in the ability to reduce the intradiscal pressure, or produce a negative
pressure within the disc imbibing fluid, nutrients and creating an environment
for repair.
Decompression therefore is an event - a combination of restraint, angle
position and equipment engineering. One can experience traction without
decompression, but not decompression without traction. Traction is a
machine - Decompression is an event.
What Result I Expect?
Many patients with lower back syndromes may experience pain relief as
early as the third treatment session. Comparison of pre-treatment MRI’s
with post-treatment MRI’s has shown a 50% reduction in the size
and extent of herniation. In clinical studies, 86% of patients reported
relief of back pain with the our system. Within the past five years,
some private practice clinicians have reported success rates as high
as 90%.
What Time Commitments Are Required By Patients?
Each treatment session averages 25 to 30 minutes in duration (research
has established that optimum results are achieved with sessions that
incorporate 10 to 15 decompression/relaxation cycles). On average, one
daily session for 20-30 treatments is necessary for patient self-healing
to occur.
Herniated discs generally respond within 20 sessions, while patients
with degenerated discs may need ongoing therapy at regulated intervals
to remain pain free. Still other patients, due to lifestyle or occupation,
may also require maintenance therapy. Patients with posterior facet syndromes
may achieve complete remission with 10 or fewer sessions. Research has
demonstrated that most patients achieve full remission from pain after
the initial treatment regimen.
What is the typical diagnosis?
Since non-specific low back pain and cervical pain generally encompass
a myriad of mechanical failures, including muscles, tendons, ligaments,
and other soft tissue that encroach or produce pressure on the nerves,
the term intervertebral disc syndrome can be used. This diagnosis does
not necessarily require (although recommended) an MRI to confirm the
presence of a disc involvement
Who can benefit from using Disc Decompression Therapy?
The following would be inclusion criteria for the Decompression Therapy
(1) Pain due to herniated and bulging lumbar discs that is more than
four weeks old; (2) Recurrent pain from a failed back surgery that is
more than six months old; (3) Persistent pain from degenerated discs
not responding to four weeks of therapy; (4) Patients available for four
weeks of treatment protocol; and (5) Patient at least 18 years of age.
These indications are ideal candidates for enrollment into our program
and have the potential of achieving quality outcomes in the treatment
of their back pain: (1) Nerve Compression; (2) Lumbar Disorders; (3)
Lumbar Strains; (4) Sciatic Neuralgia; (5) Herniated Discs; (6) Injury
of the Lumbar Nerve Root; (7) Degenerative Discs; (8) Spinal Arthritis;
(9) Low Back Pain w/ or w/o Sciatica; (10) Degenerative Joint Disease;
(11) Myofasctois Syndrome; (12) Disuse Atrophy; (13) Lumbar Instability;
(14) Acute Low Back Pain; and (15) Post-Surgical Low Back Pain.
Lastly, the system should be utilized with patients with low back pain,
with or without radiculopathy who have failed conventional therapy (physiotherapy
and chiropractic) and who are considering surgery. Surgery should only
be considered following a reasonable trial of Decompression therapy protocols.
What conditions are contraindicated?
Patients with the following problems or symptoms are usually excluded
from using the Spinal Decompresion therapy: Pregnancy, Prior lumbar surgical
fusion, Metastatic cancer, Severe osteoporosis, Spondylolisthesis, Compression
fracture of lumbar spine below L-1, Pars defect, Aortic aneurysm, Pelvic
or abdominal cancer, Disc space infections, Severe peripheral neuropathy,
Hemiplegia, paraplegia, or cognitive dysfunction, Cauda Equina syndrome,
Tumors, osteod osteoma, multiple myeloma, osteosarcoma, Infection, osteomyelitis,
meningitis, virus, and HNP (sequestered/free floating fragment).
How long is each session and what is the treatment protocol?
Each session on the Decompression equipment is approximately 25-40 minutes
long (45 minute sessions include set-up and take-off), accompanied by
15 minutes of stimulation, heat packs and manipulation. The patient comes
for 20-30 visits over a 4-6 week period. The doctor will provide a complete
copy of the Spinal decompression treatment protocol upon request.
How long before a patient experiences change?
Often times a patient experiences some relief within the first few (3-7)
treatments. Usually by the 12th to 15th treatment all patients have reported
some remission of symptoms. Patients not showing significant improvement
by the 15th to 18th session may be referred for further diagnostic evaluation.
Does Decompression Therapy work for everyone?
Eighty-to-ninety percent of patients who have been properly selected
and comply with the Spinal Disc Decompression protocol will have good-to-excellent
outcomes. Patient’s conditions that do not respond quickly to the
therapy are often unable to be helped by anything quickly. Patients vary
in age, sex and body morphology and may require counseling in weight
loss, nutrition and other lifestyle changes.
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