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Restoration of disk height

On March 12, 2012, in , by admin
BMC Musculoskelet Disord. 2010 Jul 8;11:155. Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study. Apfel CC, Cakmakkaya OS, Martin W, Richmond C, Macario A, George E, Schaefer M, Pergolizzi JV. Source Perioperative Clinical Research Core, Department of Anesthesia and Perioperative Care, University of […]
BMC Musculoskelet Disord. 2010 Jul 8;11:155.

Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.

Source

Perioperative Clinical Research Core, Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California, USA. apfel@ponv.org

Abstract

BACKGROUND:

Because previous studies have suggested that motorized non-surgical spinal decompression can reduce chronic low back pain (LBP) due to disc degeneration (discogenic low back pain) and disc herniation, it has accordingly been hypothesized that the reduction of pressure on affected discs will facilitate their regeneration. The goal of this study was to determine if changes in LBP, as measured on a verbal rating scale, before and after a 6-week treatment period with non-surgical spinal decompression, correlate with changes in lumbar disc height, as measured on computed tomography (CT) scans.

METHODS:

A retrospective cohort study of adults with chronic LBP attributed to disc herniation and/or discogenic LBP who underwent a 6-week treatment protocol of motorized non-surgical spinal decompression via the DRX9000 with CT scans before and after treatment. The main outcomes were changes in pain as measured on a verbal rating scale from 0 to 10 during a flexion-extension range of motion evaluation and changes in disc height as measured on CT scans. Paired t-test or linear regression was used as appropriate with p < 0.05 considered to be statistically significant.

RESULTS:

We identified 30 patients with lumbar disc herniation with an average age of 65 years, body mass index of 29 kg/m2, 21 females and 9 males, and an average duration of LBP of 12.5 weeks. During treatment, low back pain decreased from 6.2 (SD 2.2) to 1.6 (2.3, p < 0.001) and disc height increased from 7.5 (1.7) mm to 8.8 (1.7) mm (p < 0.001). Increase in disc height and reduction in pain were significantly correlated (r = 0.36, p = 0.044).

CONCLUSIONS:

Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height. The correlation of these variables suggests that pain reduction may be mediated, at least in part, through a restoration of disc height. A randomized controlled trial is needed to confirm these promising results. CLINICAL TRIAL REGISTRATION NUMBER: NCT00828880.

A prospective randomized controlled study of non surgical spinal decompression therapy for the treatment of chronic low back pain

On December 16, 2011, in Studies, by admin
A prospective randomized controlled study of VAX-D and TENS for the treatment of chronic low back pain The single randomized controlled trial of spinal decompression therapy compared the VAX-D® unit, which places the patient a prone rather than supine position, to transcutaneous electrical nerve stimulation (TENS) for the treatment of chronic low back pain. Subjects […]

A prospective randomized controlled study of VAX-D and TENS for the treatment of chronic low back pain

The single randomized controlled trial of spinal decompression therapy compared the VAX-D® unit, which places the patient a prone rather than supine position, to transcutaneous electrical nerve stimulation (TENS) for the treatment of chronic low back pain. Subjects were recruited through advertisement and had chronic low back pain of greater than 3 months duration with associated leg pain. Disc protrusion or herniation confirmed by CT or MRI was also required. Average duration of pain in the study population was 7.3 years and average age was 42 years old. This study enrolled 44 patients and 40 completed the study. Patients were randomized in sequential order to their appropriate group. Outcome measures were the 10 centimeter visual analog pain scale (VAS) and a disability scale. The disability scale rated the subject’s ability to perform their most affected activity on a 0 to 4 scale, with 4 being “can do without limitation”. Treatments consisted of 30 minute sessions, five times per week for four weeks followed by weekly sessions for 4 weeks. The control group received TENS for 30 minutes daily for 20 days followed by weekly treatment for 4 weeks. Both groups were able to take anti-inflammatory and non-narcotic pain relievers as needed. Success of treatment was defined by 50% improvement in VAS and any improvement in disability. At the conclusion of the study 13 out of 19 (68.4%) of the treatment group showed improvement while 0 of 21 for the TENS group. At follow-up 7 of the original 19 subjects (36.8%) in the treatment group showed sustained improvement.

Sherry E, Kitchener P, Smart R. A prospective randomized controlled study of VAX-D and TENS for the treatment of chronic low back pain. Neurol Res 2001; 23(7):780-784.

CLINICAL STUDIES ON THE EFFECTIVENESS OF SPINAL DECOMPRESSION

On September 16, 2011, in Studies, by admin
“Eighty-six percent of ruptured intervertebral disc (RID) patients achieved ‘good’ (50-89% improvement) to ‘excellent’ (90-100% improvement) results with decompression. Sciatica and back pain were relieved.” “Of the facet arthrosis patients, 75% obtained ‘good’ to ‘excellent’ results with decompression.” C. Norman Shealy, MD, PhD, and Vera Borgmeyer, RN, MA. Decompression, Reduction, and Stabilization of the Lumbar […]

“Eighty-six percent of ruptured intervertebral disc (RID) patients achieved ‘good’ (50-89% improvement) to ‘excellent’ (90-100% improvement) results with decompression. Sciatica and back pain were relieved.” “Of the facet arthrosis patients, 75% obtained ‘good’ to ‘excellent’ results with decompression.”

C. Norman Shealy, MD, PhD, and Vera Borgmeyer, RN, MA. Decompression, Reduction, and Stabilization of the Lumbar Spine: A Cost-Effective Treatment for Lumbosacral Pain. American Journal of Pain Management Vol. 7 No. 2 April 1997

“Serial MRI of 20 patients treated with the decompression table shows in our study up to 90% reduction of subligamentous nucleus herniation in 10 of 14. Some rehydration occurs detected by T2 and proton density signal increase. Torn annulus repair is seen in all.”

Eyerman, Edward MD. Simple pelvic traction gives inconsistent relief to herniated lumbar disc sufferers. Journal of Neuroimaging. Paper presented to the American Society of Neuroimaging, Orlando, Florida 2-26-98.

“Results showed that 86% of the 219 patients who completed the therapy reported immediate resolution of symptoms, while 84% remained pain-free 90 days post-treatment. Physical examination findings showed improvement in 92% of the 219 patients, and remained intact in 89% of these patients 90 days after treatment.”

Gionis, Thomas MD; Groteke, Eric DC. Surgical Alternatives: Spinal Decompression. Orthopedic Technology Review. 2003; 6 (5).

“All but two of the patients in the study improved at least 30% or more in the first three weeks.” “Utilizing the outcome measures, this form of decompression reduces symptoms and improves activities of daily living.”

Bruce Gundersen, DC, FACO; Michael Henrie, MS II, Josh Christensen, DC. A Clinical Trial on Non-Surgical Spinal Decompression Using Vertebral Axial Distraction Delivered by a Computerized Traction Device. The Academy of Chiropractic Orthopedists, Quarterly Journal of ACO, June 2004

Wikipedia’s opinion about Spinal Decompression Therapy Effectiveness

In a small randomized study of 44 subjects, in which one author disclosed a proprietary interest in Vax-D, it was shown to have a clinical success rate of 68.4%. 11

A 2004 report by the State of Washington Department of Labor and Industries concluded “Published literature has not substantially shown whether powered traction devices are more effective than other forms of traction, other conservative treatments, or surgery.” 12 A 2005 review of VAX-D (including the Sherry study above) by the Workers’ Compensation Board of British Columbia concluded “To date there is no evidence that the VAX-D system is effective in treating chronic LBP associated with herniated disc, degenerative disc, posterior facet syndrome, sciatica or radiculopathy.” 13

A 2006 systematic review of studies of spinal decompression using motorized traction devices conducted between 1975 and October 2005 (including the two mentioned above) concluded that “…the efficacy of spinal decompression achieved with motorized traction for chronic discogenic low back pain [remained] unproved”, and called for “Scientifically more rigorous studies with better randomization, control groups, and standardized outcome measures … to overcome the limitations of past studies.” 14 A technology assessment conducted in 2007 by the Agency for Healthcare Research and Quality (for which the two studies cited above were included for analysis) said “Currently available evidence is too limited in quality and quantity to allow for the formulation of evidence-based conclusions regarding the efficacy of decompression therapy as a therapy for chronic back pain when compared with other non-surgical treatment options.” 15

A 2007 critique of research studies, including the two cited above, said:

There is very limited evidence in the scientific literature to support the effectiveness of non-surgical spinal decompression therapy. This intervention has never been compared to exercise, spinal manipulation, standard medical care or other less expensive conservative treatment options which have an ample body of research demonstrating efficacy. Considering the cost-benefit relationship, many better researched and less expensive treatment options are available to the clinician. 16

The truth about nonsurgical spinal decompression studies

More studies about spinal decompression

References

Nonsurgical Spinal Decompression To Treat Chronic Low Back Pain

On September 15, 2011, in Studies, by admin
Special Report on Nonsurgical Spinal Decompression to treat low back pain in the January 2008 issue of the journal “Pain Medicine News”. In most industrialized countries, chronic low back pain is recognized as a widespreadcondition. However, a Special Report is now featured in the January issue of Pain Medicine News. The Special Report was first […]

Special Report on Nonsurgical Spinal Decompression to treat low back pain in the January 2008 issue of the journal “Pain Medicine News”.

In most industrialized countries, chronic low back pain is recognized as a widespreadcondition. However, a Special Report is now featured in the January issue of Pain Medicine News. The Special Report was first featured in the December 2007 issue of Anesthesiology News and was then presented on-line at: www.painmedicinenews.com in early January.

The article has since become the most read article on this website. The Special Report highlights exciting research on a medical device that offers patients a non-surgical treatment option in treating chronic low back pain. The authors of this Special Report are from the prestigious institutions of Duke University School of Medicine, Mayo Clinic, and Johns Hopkins University School of Medicine. They conclude their Special Report by stating, “computerized nonsurgical spinal decompression systems were designed to provide maximum patient benefits with the use of a noninvasive approach that may help minimize health care resources and offer a potentially optimal therapeutic approach to the treatment of LBP (low back pain).”

Spinal decompression table

On October 23, 2010, in , by admin
Decompression table, spinal decompression table or non surgical decompression tables are all terms used for computerized traction tables that do spinal decompression. Decompression Tables are used for patients that are suffering from back and neck pain. Spinal decompression tables are high-tech form of mechanical traction devices, controlled by a computer, which can provide relief in […]

Decompression table, spinal decompression table or non surgical decompression tables are all terms used for computerized traction tables that do spinal decompression. Decompression Tables are used for patients that are suffering from back and neck pain.

Spinal decompression tables are high-tech form of mechanical traction devices, controlled by a computer, which can provide relief in many cases of back pain. Unfortunately, it is widely promoted with unsubstantiated claims that it can correct all cases of degenerated and herniated discs without surgery. 

When the FDA cleared spinal decompression tables as traction devices, it set limits on what the manufacturer can claim. However, unscrupulous providers and one manufacturer in particular, Axiom International, the manufacturer of the DRX-9000 table, have exceeded these limits and consequently lost their homologation from Health Canada. You have to understand that non-surgical spinal decompression therapy may provide relief for properly selected patients, but it is not a cure all magic bullet.

Some believe that manual treatment can usually accomplish the same thing more quickly, safely, and less expensively. This couldn’t be further from the truth: the same people also say that over 80% of back pain will go away on its own after 30 days, so you should not spend your money on spinal decompression. You have to understand that spinal decompression is for those patients who have much worse back conditions and have had them for months: herniated discs and chronic back pain. Such conditions do not go away on its own and, in most cases, won’t respond well to more traditional methods such as physical therapy, acupuncture, medication, massage therapy, osteopathy or chiropractic.

Others will market a particular decompression table brand as being the only device capable of curing your back or neck pain. This is a deceiving way of saying “come to our clinic and our magical table will take away your suffering”. The truth is, spinal decompression therapy is a chiropractic technique which is administered by a competent certified chiropractic, medical or osteopathic doctor. You should ask for a certified decompression therapy practitioner (CDTP), one that will do an exam, read your MRI, do a differential diagnosis and set up a treatment plan adapted to your diagnosis. Remember, most spinal decompression table will do the job if the practitioner knows what he is doing. The doctor treats you, not the table.

There are many decompression table manufacturers out there:  Vax-D, Accu-Spina, DRX-3000, DRX9000, SpineMED, and Lordex Traction Unit, Triton DTS 600, Z-Grav, Chattanooga ADP-400,  ATX, Eurotech DOC, Saunders, Spina IDD , Da Vinci X10, Alpha Spina, Extentrac, Kennedy, Antalgic Trak, etc . All have been FDA approved as decompression devices.

Spinal decompression

On September 27, 2010, in , by admin
Spinal decompression: an effective treatment for herniated disc and chronic back pain.   Non-surgical spinal decompression therapy is: Noninvasive Conservative Painless Safe Supervised by a health professional who holds a doctorate degree Effective for a variety of back conditions (herniated disc, chronic pain, arthrosis, facet syndrome, etc.)   If you are visiting our website …It […]

Spinal decompression: an effective treatment for herniated disc and chronic back pain.

 

Non-surgical spinal decompression therapy is:

  • Noninvasive
  • Conservative
  • Painless
  • Safe
  • Supervised by a health professional who holds a doctorate degree
  • Effective for a variety of back conditions (herniated disc, chronic pain, arthrosis, facet syndrome, etc.)

 

If you are visiting our website …It is because you suffer from a condition described below!

This site was designed for those who suffer from chronic back pain, herniated disc or disc herniation, bulging of a disc, sciatica, leg pain, degenerative disc disease, tingling, numbness, pain in arms, neck pain, and for some patients with spinal stenosis and finally for those who underwent back surgery but still suffering from pain.

 

 What are your treatment options?

 

Types of Care

Efficiency

Acupuncture Unlikely
Heat & cryotherapy (cold) Unlikely
Electrotherapy (ultrasond, tens, etc.) Unlikely
Exercices Unlikely
Osteopathy Unlikely
Massage Therapy Unlikely
Surgery  likely
Spinal decompression  likely

 

Spinal decompression demystified

 

Spinal decompression reduces the pressure that builds up inside the discs. This technique consists of a mechanical disc decompression by suction causing decompression of the disc. The pain decreases because of resorption of the herniated disc, bulging disc or because of the reduced pressure on the nerves or spinal cord: that is to say that the disc returns to its original shape when the bulge or bulging disc disappears and the pressure on the spinal nerves is therefore eliminated.

Spinal decompression achieves this by creating a negative pressure inside the disc, known as negative intra-discal pressure. This essentially creates a vacuum to suck the bulging and herniated material inside the disc space by reducing the pressure.

 

The same phenomenon happens when you break the window of a pressurized airplane flying at high altitude: everything that is inside the airplane (positive pressure) is violently expelled to the outside (negative pressure).

 

When there is a bulging of the intervertebral disc and / or herniated disc, the ligaments that hold up the disk material has become stretched or torn. Spinal Decompression strengthens the ligament bands that hold the disc material in place, allowing healing and preventing a recurrence.

 

In most cases, the healing process requires only a few weeks of outpatient treatment.

 

Next Page – Herniated disc

Reduction of disc herniation

On September 27, 2010, in , by admin
Tags: disc herniation, non surgical spinal decompression, spinal decompression, spinal decompression therapy

Contact

On September 27, 2010, in , by admin
TAG MED is a group of independent owner-practitioners for whom health is paramount. By visiting our site you will find a wealth of information about our services. Practitioners who administer non-surgical spinal decompression care are solely responsible for services provided in their clinic. Laval – North Shore Clinique TAG 1200 boul. Chomedey, suite 221 Laval, […]

TAG MED is a group of independent owner-practitioners for whom health is paramount. By visiting our site you will find a wealth of information about our services. Practitioners who administer non-surgical spinal decompression care are solely responsible for services provided in their clinic.

Laval – North Shore

Clinique TAG
1200 boul. Chomedey, suite 221
Laval, Qc, H7V 3Z3
Tél.: (450) 934-7430

 

 

Terrebonne – Lachenaie – Lanaudière

Clinique TAG
293 Montée des Pionniers,
Terrebonne, Qc, J6V 1H4
Tél.: (450) 704-4447

 

 

Jonquière – Saguenay

La clinique du Dr Sylvain Simard
2655 Boulevard du Royaume, local 660,
Saguenay (Québec), G7S 4S9
Tél.: (418) 412-7008

 

 

Alma – Saguenay

La clinique du Dr Sylvain Simard
535 avenue du Pont Nord,
Alma (Québec), G8B 5E8
Tél.: (418) 758-1533

 

 

Gatineau

Centre chiropratique de l’Outaouais
456, boul de l’Hôpital, local 1
Gatineau, QC, J8T 8M5
Tél.: (819) 568-6661

 

 

Eastern Townships

Kiro Sherbrooke
2102 rue King Ouest #040
Sherbrooke Québec J1J 2E8
Tél.: (819) 820-2242

 

 

Montreal South Shore

Clinique TAG
1005 boul. du Séminaire Nord suite 106,
Saint-Jean-sur-Richelieu, Qc, J3A 1R7
À 20 minutes du pont Champlain
Tél.: (450) 348-4477

 

 

 

Herniated disc treatment

On September 27, 2010, in , by admin
A gentle conservative treatment for herniated disc: non-surgical spinal decompression therapy Once diagnosed by a competent health professional, the treatment of herniated disc can be done, in some cases, with conservative treatment, without resorting to surgery. Our method is scientifically recognized: it is a distraction with a high-tech device that enables safe treatment. Non-surgical spinal […]

A gentle conservative treatment for herniated disc: non-surgical spinal decompression therapy

Once diagnosed by a competent health professional, the treatment of herniated disc can be done, in some cases, with conservative treatment, without resorting to surgery. Our method is scientifically recognized: it is a distraction with a high-tech device that enables safe treatment.

Non-surgical spinal decompression and its specialized equipment is used in all our clinics.

What will happen during the treatment?

Lumbar treatment : after a comprehensive exam, allowing the clinician to determine the nature of the vertebral infringement, the patient is laid down on the table and a traction force on the lumbar spine is applied, mobilizing the segment of the spine causing the problem. Thus, movements of deep traction or distraction are induced by the practitioner with precision and gentleness: all these movements are done without feeling any pain.

Cervical Treatment : The patient is lying flat on his back on the treatment table, allowing a segmental traction and mobilization of the cervical spine.

Other types of treatment may be required in some cases.

Every patient is unique, no two patients have with exactly the same condition, the same threshold of tolerance to pain and the same resilience.In this regard, we customize our treatment to respond to the unique needs of each of our patients, while maintaining a treatment protocol which has been proven.

Current therapies for disc pathology

  • medication and limited activity
  • spinal rehabilitation
  • interventional pain management
  • spinal manipulation
  • spinal surgery
  • non-surgical spinal decompression

Non-surgical spinal decompression

  • Spinal decompression is a term that describes the relief of pressure on one or many pinched nerves (neural impingement) of the spinal column
  • Spinal decompression can be achieved both surgically and non-surgically and is used to treat conditions that result in chronic back pain such as disc bulge, disc herniation, sciatica, spinal stenosis, and isthmic and degenerative spondylolisthesis.
  • Non-surgical spinal decompression was originally developed and pioneered in 1985, by Dr. Allan Dyer, PhD, MD, a canadian doctor who had served as Deputy Minister of Health in Ontario, Canada.
  • Non-invasive procedure designed to target underlying disc pathology

Goals of treatment

  •  actively distract and passively retract the spine in order to affect intervertebral disc space
  • reduce intradiscal pressures
  • increase fluid and nutrient exchange
  • promote disc regeneration
  • retract nucleic material of bulging or herniated disc

Guarding reflex

  •  Traditional spinal traction causes natural guarding reflex
  • Muscles contract or spasm to prevent distraction (deep traction or decompression) in order to protect the spine
  • Old style traction devices are not able to bypass or overpower reflex contractions and achieve distraction of the disc space – (aka spinal decompression)

Next page – Spinal Decompression Studies

Business Opportunity

We are looking for new partners with an existing chiropractic clinic in Trois-Rivières, Drummundville, Longueuil and Sherbrooke to open up new spinal decompression clinics.

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