www.drshoshany.com
Spinal Decompression and the DRX9000
Herniated disc treatment-Sciatica-bulging disc treatment- Spinal stenosis
Treatment of 94 Outpatients with Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review
Charlotte Richmond, PhD, NEMA Research, Inc.
Alex Macario, MD, Stanford University
Joseph Pergolizzi, MD, Johns Hopkins University and NEMA Research, Inc.
Ninety-four low back pain patients diagnosed with herniated intervertebral discs and/or degenerative disc disease underwent spinal decompression treatment using the DRX9000 at one of 4 clinics for 8 weeks. Demographics, clinical characteristics, MRI findings, analgesic use, and activities of daily living were measured and reported here.
Other Spinal Decompression tables,especially new manufactures that make Range of motion tables have little to no research on the effectiveness on their tables.These new manufacturers claim superiority over tables that have been scrutinized and have been stood the test of time.I always let patient know that they need to do their homework and chose the "right" table.
PILOT: Effectiveness & Safety of Non-surgical Spinal Decompression
John Leslie, MD, Mayo Clinic Arizona
Charlotte Richmond, PhD, NEMA Research, Inc.
Alex Macario, MD, Stanford University
Christian Apfel, MD, University of California at San Francisco
Frank Florio, DC, Axiom Worldwide, LLC
Darren Clair, MD, Vibrance Medical
Martin Auster, MD, Johns Hopkins University
Joseph Pergolizzi, MD, Johns Hopkins University and NEMA Research, Inc.
Eighteen patients diagnosed with different intervertebral disc disorders, including one patient with failed back surgery, were treated using the DRX9000 for 6 weeks. Patient satisfaction scores were high with 88.9% indicating they would recommend the treatment to others.
No other spinal decompression table has this many studies confirming its effectiveness.
The inter-vertebral discs are the shock-absorbing cushions between each pair of vertebrae in your spine. Each disc has a strong outer ring of fibers, called the annulus, and a soft, gelatinous center, called the nucleus pulposus. The disc’s nucleus serves as the main shock absorber for the adjacent vertebrae.
When a tear occurs in the outer (annular) ring of the disc, the soft nucleus pulposus can protrude into the spinal canal. This common and painful disorder is called a herniated disc (also known as a ruptured disc or a prolapsed disc). The protrusion of the nucleus pulposus can press on a nerve root or the spinal cord. The damaged disc can also leak fluid, which may inflame nerve roots. For this reason, herniated discs can become extremely painful.
When a herniated disc occurs in the mid back it can be extremely serious. The smaller spinal canal in the thoracic (mid back) region leaves very little space around the spinal cord. In severe cases, the pressure of a herniated disc on the thoracic spinal cord can lead to paralysis below the waist. Fortunately, herniated discs much more commonly occur in the lumbar or cervical spine, where the spinal canal is larger.
Symptoms
In addition to back pain, a herniated disc can cause pain in other parts of the body. Because nerve roots carry signals to other parts of the body, a herniated disc that compresses a nerve root can cause pain in other body parts. For example, a herniated disc in the lower back may compress the sciatic nerve root, causing the pain and/or numbness known as sciatica, which runs down the back of the leg. A herniated cervical disc, on the other hand, can cause neck and arm pain. In fact, the hallmark of a herniated disc is radicular pain—pain that runs down into the arm or leg. This pain also may be associated with numbness or weakness in the same distribution.
Potential Causes
Regular wear and tear, degeneration or trauma can all cause a herniated disc. Like muscles and ligaments, discs heal from a tear by forming scar tissue, which is weaker than normal tissue.
A traumatic event can put too much pressure on a disc all at once, causing a sudden rupture. For example, falling from a ladder and landing in a sitting position applies a tremendous amount of sudden force on the spine, which can result in a broken vertebra or a ruptured disc. A smaller amount of force can also rupture a disc, especially if the tough outer ring (annulus) has been weakened by repeated injuries that have added up over time. A weakened disc may rupture while lifting or bending, low-impact activities that probably would not have caused a problem five years earlier. The effects of aging on the spine, which makes discs more vulnerable to ruptures, is the most common cause of disc herniation in the thoracic spine.
Diagnosis
To diagnose a herniated disc, the doctor will begin by obtaining a complete history of the problem and administering a physical exam. An MRI, the most common test used to diagnose a herniated disc, is painless and accurate.
Treatment Options
The treatment of a herniated disc depends on the symptoms. Since most herniated discs heal without surgical treatment, your doctor may first suggest careful monitoring. If the symptoms improve, no other treatment may be needed. However, if symptoms worsen, your doctor might suggest surgery.
Conservative Treatment
Your doctor may prescribe rest and observation to monitor the progression of the problem. Depending on the amount of pain, medications and/or physical therapy may be prescribed. If you have severe pain from nerve root irritation, your doctor may prescribe an epidural steroid injection (ESI). Unfortunately, this treatment succeeds in reducing the pain from a herniated disc in only about half of all cases.
Surgical Treatment
The traditional surgical treatment for a herniated disc is a combination of laminotomy and discectomy. In a laminotomy, an opening is made in the lamina (covering of the disc) to relieve pressure on the affected spinal nerves; a discectomy removes the herniated disc. Microdiscectomy achieves the same results as traditional discectomy, but uses a less invasive technique, enabling a faster recovery for the patient. Endoscopic Discectomy is an even newer, more technologically advanced version of the microdiscectomy. The specific nature of the herniated disc will determine what the best procedure will be
Spinal Decompression
No comments:
Post a Comment