Wednesday, November 25, 2009

Disc Herniation and Age-Related Degenetation

As we get older, it’s normal for the spongy discs in our spines to degenerate somewhat. It’s just part of the aging process. However, it is not normal for this degenerative cycle to cause pain, and for certain individuals, that’s exactly what happens. Commonly referred to as Degenerative Disc Disease (DDD for short), the shrinking disc can become a chronic source of pain, occasionally leading to issues with mobility and performing normal activities. Unfortunately, there are other causes of disc degeneration that are not related to age; a herniated disc, bone spurs, and osteoarthritis are all precursors to Degenerative Disc Disease and the pain that can come with it. At our office, Living Well Medical in NYC, we help patients who are suffering with disc problems and pain like DDD without surgery.


Among the more common precipitators of premature disc degeneration is a herniated disc. Anyone who has ever suffered from a herniated disc can tell you about the pain, the restrictions it can place on the way you live your life, the frustration. The typical reason that a herniated disc is so painful is nerve compression. In the lower back, the nucleus (the soft center of an intervertebral disc) of a herniated disc has broken through the annulus (the protective outer layer of a spinal disc) and presses up against the sciatic nerve roots leading to inflammation and irritation. In more serious cases, numbness, tingling and muscle weakness may also be experienced. We regularly treat herniated disc at Living Well Medical in NYC, but there are occasionally long-term ramifications like the early onset of disc degeneration as mentioned above. For patients suffering from herniated disc or disc degeneration, we have developed a comprehensive treatment protocol that combines several potent, non-surgical options to ease pain and suffering without surgery.

One of the core components of treatment for most Degenerative Disc Disease sufferers is non-surgical spinal decompression with the DRX 9000. This form of back pain treatment focuses on correcting spinal imbalances that result from disc malfunctions like DDD, herniated discs, bulging discs and disc-related spinal stenosis. During a treatment session, patients lie down on a table with a special harness around the waist. The harness connects them to a traction element that can be angled to target different areas of the spine, and a computer-guided program gentle applies a therapeutic stretch to the spine, elongating it and increasing the space between the vertebrae. This helps the disc bring in badly needed fluids and nutrients to repair itself. In addition, if herniation is occurring, the stretches can also help pull the nucleus of a herniated disc back inside the fibrous tissue of the annulus, potentially reducing or even eliminating the nerve compression that often causes pain.

To get the best possible results for our patients, physical therapy, chiropractic, cold laser therapy, and postural corrections might also be part of a treatment program involving spinal decompression. Only after a complete examination can our physicians establish whether or not spinal decompression with the DRX 9000 is right for you. As the NYC chiropractor who has been using the DRX 9000 the longest in the city, Living Well Medical’s Dr. Steven Shoshany can help you make the right decision for treatment.

Using fully digital x-ray and other cutting edge diagnostics right in our office like Nerve Conduction Velocity studies and EMG (electromyography), we have all the tools to find the source of your pain and effectively treat it. Call Living Well Medical in NYC today to find out more at 212-645-8151.

Monday, November 09, 2009

Cervical Pain in NYC: What Makes my Neck Hurt?


Next to back pain, neck pain is one of the principle reasons that people miss work in the United States, but of course, there isn’t just one hard and fast reason for neck pain. Each person’s pain will be different based on factors like lifestyle choices, previous injuries and genetic predispositions; however, one thing all types of neck pain have in common is their overwhelming ability to shut down activity, particularly for cases that are severe or chronic.

At our practice, Living Well Medical in NYC, we regularly treat patients with cervical pain (cervical refers to the uppermost portion of the spine and correlates to the neck in vertebrate mammals such as humans), taking a comprehensive approach that combines a variety of non-surgical techniques for pain relief. Below, you will find a few of many causes of neck pain, each of which will contain possibilities for treatment we make available to our patients.

Degenerative Disc Disease

As we age, the spongy material in between the vertebrae can degrade, reducing its ability to act as a shock absorber. The weakening of the outer wall of the disc, the annulus fibrosus, can also lead to bulging or herniation. Degenerative disc disease is not a painful problem for most people as it is a normal part of aging, but can lead to significant impairment in some circumstances. Symptoms of this condition are numerous and can include neck/back pain, tingling, and weakness, among others.

At Living Well Medical in NYC, we bring together a number of non-surgical treatment options for patients suffering with degenerative disc disease. Often that will include non-surgical spinal decompression with the DRX9000, cold laser therapy (which can help encourage faster healing), physical therapy and gentle chiropractic treatments.

Herniated Disc

Spinal discs that develop a tear in the fibrous tissue that surrounds the gel-like center sometimes spill some of their contents out, causing pressure on the sciatic nerve. This can occur in any of the spinal discs, but the cervical (neck) and lumbar (lower back) discs are particularly susceptible. Herniated discs are not always painful, but compression of the nerve roots in the spine associated with disc herniation can be debilitating, causing severe lower back pain, leg pain, and muscle weakness.

For many of our patients, the DRX9000 non-surgical spinal decompression system has proven to be an effective alternative to the surgeries that are often prescribed by traditional medical doctors. Spinal decompression with the DRX9000 is a gentle stretching of the spine that is guided by a computer system. By adjust the angle of the stretch and the force, important nutrients can reach the discs, promoting healing and relieving pain.

Pinched Nerve

A pinched nerve is a broader term for any nerve impingement or irritation as a result of compression. A pinched nerve can be the result of a herniated disc, a bulging disc, facet joint syndrome, or a muscular issue like piriformis syndrome, to name a few. Pain from pinched nerves is often acute, sometimes described as a stabbing pain or a burning sensation. Weakness, numbness and tingling often accompany a pinched nerve. A pinched nerve in the neck can produce an effect called ‘referred pain,’ meaning a patient is experiencing pain in a part of the body that is adjacent to or distant from the actual site of injury. That’s one of the reasons that an extensive evaluation is necessary to pinpoint the actual site of the injury.

Treatment for a pinched nerve will depend on the specific type, but may include elements of non-surgical spinal decompression with the DRX9000, manual therapy, physical therapy, cryotherapy and cold laser treatment.



Neck pain can be a serious problem without effective treatment. At Living Well Medical in NYC, we can help stop the pain without surgery. If cervical pain has taken control of your life, give us a call at 212-645-8151 to make an appointment.

Wednesday, November 04, 2009

Repairing a Herniated Disc without Surgery in NYC



If you are suffering with severe back pain and have been diagnosed with a herniated disc (sometimes called a prolapsed disc), you may be considering surgery as a solution. However, at our practice, Living Well Medical in NYC, we take an integrative approach that can stop pain without the need for back/spine surgery. Using chiropractic care and non-surgical spinal decompression with the DRX9000, pain from conditions like pinched nerves and herniated discs can feel like themselves again.

In many cases, when no other forms of treatment have been effective, discs in the lower back (lumbar discs) or neck (cervical discs) respond favorably to chiropractic, non-surgical spinal decompression or a combination of both. So many of the people we see have been everywhere, tried everything and found little or no relief. They have tried pain medication regimens, muscle relaxants, even spinal injections through pain management and are still in agony. They have exhausted the options that conventional medicine has presented them. But, of course, back surgery for a herniated disc can be a terrifying prospect, so they come to our NYC office in search of an alternative.

Chiropractic adjustment seeks to root out spinal misalignments that can be the cause of pain. A herniated disc will in many cases respond to manual therapy like chiropractic, but it’s true that a small percentage will not find relief. For these patients a combination of non-surgical spinal decompression and adjustment can help ease the pain in their neck or lower back.

Non-surgical spinal decompression with the DRX9000 is a huge technological advancement in the field of treatment of conditions like herniated or bulging disc, pinched nerves, and degenerative disc disease without having to go under the knife. This computer-guided machine puts patients in a harness that helps direct a precise amount of force at the specific intervertebral disc that has bulged, herniated or otherwise failed in its function. Over the course of a treatment, the machine goes through a stretching phase followed by a period of semi-relaxation. The stretching helps increase the space between the vertebrae, stretch ligaments, and elongate the spine. In addition, the DRX9000 monitors biofeedback to determine if muscle guarding is occurring so that it can reduce the amount of stretching.

Over the course of a typical spinal decompression treatment cycle, these stretches help to create negative pressure inside of a disc which can pull herniated or bulging disc material back into its proper position, relieving nerve compression and pain in the process.

It’s true that non-surgical spinal decompression with the DRX9000 is not a panacea for back pain. There are a number of other factors to be addressed like lifestyle choices, exercise training and overall wellness. However, it’s also true that non-surgical spinal decompression with the DRX9000 gives patients hope for back and neck pain relief without surgery.

For patients still in pain because of a herniated or bulging disc, Living Well Medical in NYC wants to help you. Call us today at 212-645-8151 or visit our website at Living Well Medical.

Monday, October 26, 2009

DRX 9000 NYC-How does the DRX 9000 work to treat Herniated discs?


We have used the DRX 9000 spinal decompression system in our NYC practice for over 7 years to treat Sciatica,Herniated disc, and Chronic Low back pain. www.livingwellnewyork.com

The Theory of Non-Surgical Spinal Decompression

The DRX9000 True Non-Surgical Spinal Decompression System provides a primary treatment modality for the management of pain and disability for patients suffering with incapacitating low back pain and sciatica. It is designed to apply spinal decompressive forces to compressive and degenerative injuries of the spine. Non-surgical spinal decompression treatment involves a series of stretching/relaxation cycles aimed to relieve the pain and symptoms associated with herniated discs, bulging discs, sciatica and facet syndrome through unloading due to distraction and positioning.

Nested Closed-Loop Feedback Technology

The entire DRX line of products feature Closed-loop feedback which is defined as an automatic control system that can adjust and self-correct its operation according to differences between the actual and desired output. Closed-loop feedback systems improve overall system performance.

The effectiveness of closed-loop feedback systems vary based on the variables measured, how they are measured, and how often they are measured. With respect to spinal decompression or traction systems, the measured variable is most often force, which is the amount of tension used to distract the intervertebral segments of the spine.



High-Speed Nested Closed Loop Feedback

Sophisticated Servo Motion Control

Custom Dynamometer and Feedback Electronics

Windows / PC-based Treatment Algorithms and Application

Forces applied to maximize spinal elongation

Floating Lower Mattress (Split Table Design)

Hardened Steel Shafting and Steel Bearings to reduce friction as much as possible
Adjustable Treatment Angle

Treatment angle adjusted to target various intervertebral spaces.



The DRX 9000 device series incorporates a closed-loop feedback system within a closed-loop feedback system, referred to as nested closed-loop feedback. As illustrated above, one of the three stops on the closed-loop feedback path in the DRX 9000 devices is the servo-amplifier and servo-motor. The servo-amplifier receives corrective force commands from the treatment computer 13 x per second. The servo-motor itself contains very accurate measurement devices that measure position, speed, and power consumption. The servo-amplifier monitors these variables, correcting the actions of the servo-motor 4,000 x per second. This explains the nested closed loop feedback difference that separates the DRX 9000 series from all other decompression devices. The nested closed-loop feedback system is one of the technological hallmarks of the DRX 9000 device series.
Dr. Steven Shoshany NYC spinal decompression specialist.
www.drshoshany.com

Tuesday, October 20, 2009

Case Study Reveals an Increase in Disc Height and a Decrease in Size of Disc Herniation After Treatment With the DRX9000 NYC


Case Study Reveals an Increase in Disc Height and a Decrease in Size of Disc Herniation After Treatment With the DRX9000 NYC



The DRX9000 True Non-surgical Spinal Decompression System„ was developed to provide a non-invasive option for discogenic low back pain. Researchers of a case reportDRX 9000 NYC published in Volume 2 Issue 1 of the European Musculoskeletal Review state, Evidence-based data that show the promising effects of DRX9000 on the safe and effective treatment of LBP [low back pain] continue to accumulate. The report titled, Management of Low-Back Pain with a Non-surgical Decompression System (DRX9000„) “ Case Report reveals the pre- and post-treatment MRI findings of a 69-year old male with low back pain. Prior to treatment with the DRX9000, the patient reported experiencing low back pain radiating into both legs. When asked to describe his pain intensity on a scale of 0-10, the patient rated his pain intensity at 10. The patient underwent 22 treatments over a seven-week period. Utilizing the same pain intensity scale the patient reported a pain level of 1 post-treatment. Four months after the initial visit, a follow up MRI revealed decreased herniation size and increased disc height at multiple lumbar levels.

The authors conclude, This case report further builds on previous findings that have demonstrated improvements in disc morphology after treatment with the DRX9000.
DRX 9000 NYC? visit www.drshoshany.com
Contact the NYC Herniated disc specialist Dr. Steven Shoshany
Call in Manhattan (212) 645-8151

Monday, October 05, 2009

Herniated disc NYC, Back pain NYC


www.drshoshany.com

Spinal decompression for herniated discs in Manhattan,NYC
visit us online at www.drshoshany.com
or www.livingwellnewyork.com


Pain may be defined as either an acute or chronic condition that can interfere with an individual’s overall mental state and daily activities such as work, recreation, and relaxation.



Acute Back Pain
The National Institute of Neurological Disorders and Stroke defines acute or short-term low back pain as generally lasting from a few days to a few weeks. Most acute back pain is the result of trauma to the lower back or from a disorder such as arthritis. Pain from trauma may be caused by a sports injury, work around the house, or a sudden jolt such as a car accident or other stress on spinal bones and tissues. Symptoms may range from muscle ache to shooting or stabbing pain, limited flexibility and range of motion, or an inability to stand straight.1



Chronic Back Pain
The Mayo Clinic defines chronic back pain as “nonspecific” long lasting, recurrent pain usually present for three months or more. Chronic back pain is nonspecific because in most cases the cause is unknown or difficult to pin down.2 The constant presence of chronic pain can not only affect a person’s physical well being, but may also affect a person’s emotional state. Chronic pain does not normally respond to the same treatments used for acute pain. Physical causes of chronic pain and symptoms such as sciatica can often be attributed to degenerative disc disease, herniated/bulging discs, and posterior facet syndrome.





It is estimated that Americans spend at least $50 Billion each year on low back pain and it is the second most common neurological ailment in the United States.1



With these staggering numbers, the DRX9000 True Non-surgical Spinal Decompression System™ was developed to provide an effective non-surgical treatment alternative for chronic low back pain patients.



The DRX9000 True Non-surgical Spinal Decompression System™ is designed to provide pain relief for compressive and degenerative injuries of the spine. Through the application of spinal decompressive forces to these injuries, the DRX9000 provides relief of pain and symptoms associated with herniated discs, bulging or protruding intervertebral discs, degenerative disc disease, posterior facet syndrome, and sciatica. The DRX9000 is a non-surgical alternative to back and neck surgery.



The theory behind non-surgical spinal decompression therapy is a process whereby forces are applied to the spine in a manner that maximizes spinal elongation. Spinal elongation is maximized when paraspinal muscles, the muscles that guard the spine from injury, are relaxed. When paraspinal muscles relax, applied spinal decompressive forces spread apart the bony vertebra of the spine.



This relieves pressure on nerves and intervertebral discs. Where this spinal elongation occurs, pressure drops within the disc which facilitates movement of fluid, carrying nutrients and oxygen inside the disc.



Additionally, the reduction in pressure can help draw in herniated disc fluids, reducing the size of the herniation.



Spinal decompression on the DRX9000 involves application of forces logarithmically to elongate the spine without causing the muscles that guard the spine to contract. The technology required to apply spinal decompressive forces is very advanced.



The DRX9000 True Non-Surgical Spinal Decompression System utilizes high-speed treatment computers to calculate the logarithmic spinal decompression treatment curve for each patient.



A recent study titled, "Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review," indicated that patients with a mean pain duration of 535 weeks (Over 10 years) reported a mean verbal numerical pain intensity rating equal to 6.05 on a 0 to 10 scale prior to treatment with the DRX9000™. After the completion of the DRX9000 non-surgical spinal decompression therapy, the mean verbal numerical pain intensity rating decreased to a statistically and clinically significant rating of 0.89. Patients were treated at four clinics throughout the United States. They received 30-minute DRX9000 sessions daily for the first 2 weeks tapering to 1 session/week.



Furthermore, patients also reported a decrease in analgesic use and improvement in activities of daily living.



The authors were able to follow-up at a mean 31 weeks with 29 patients and reveal mean values of 83% improvement in back pain and satisfaction of 8.55 on a 10-point scale. None of these 29 patients reported requiring surgery. The authors also acknowledge that there are other non-surgical spinal decompression systems available commercially. However, they suggest that the design difference between these devices, "may lead to differing physical responses to therapy, so studies of one type of apparatus should not readily be applied across all machines."



In addition to the Pain Practice study, a newly published case report in Volume 2 Issue 1 of the European Musculoskeletal Review, demonstrated positive results utilizing the DRX9000 True Non-surgical Spinal Decompression System. The report titled, "Managament of Low-Back Pain with a Non-surgical Decompression System (DRX9000) - Case Report" displayed the pre- and post-treatment MRI findings of a 69-year old male with low back pain.



Prior to the DRX9000 treatment, the patient described experiencing low back pain radiating in both legs. When asked to describe his pain intensity on a scale of 0-10, the patient rated his pain intensity at 10. After completion of 22 treatments, over a seven-week period, the patient reported a pain intensity level of 1.



What's more fascinating is the fact that four months after the initial visit, a follow up MRI revealed decreased herniation size and increased disc height at multiple lumbar levels.



To learn if you are a potential DRX9000 candidate, please contact us at (212) 645-8151 or visit us online at www.livingwellnewyork.com DRX9000
Dr. Steven Shoshany is a Chiropractor in New York City, NYC that specializes in treating Acute and Chronic Back pain.

Thursday, September 10, 2009

Understanding the results of an MRI of the Lower Spine-Herniated disc

A recent question posted regarding Herniated disc

Subject: Understanding the results of an MRI of the Lower Spine

Question:

About 2 years ago I was doing a relaxation/Yoga course in NYC and I started to feel tingling in my back. By the end of the program (4 days later) I had severe pain in my lower back and could not sit up for any amount of time. I also found that I was standing bent (to one side) since that was the only relief I could get.

After 3 months of limited mobility I strapped myself up with elastic bandages to hold myself up straight and I found relief.

In July (just over 2 years later) I lifted a heavy suitcase and once more the the pain in the lower back re-started . The problem now is that it is radiating down my left leg, specifically from the side of my buttock down the side of the left leg just above my ankles. Further, I have difficulties walking and if I walk excessively I have numbness in my toes.

I went to a doctor who said I should rest, but now since the problem has gotten a bit more painful he has ordered a MRI.

Could you please explain to me the results:

It says as follows:

There is straightening of the lumbar spine with loss of lumbar lordosis due to paraspinal muscle spasm.

There is loss of T2W signal with complete loss of Height of L4-L5 disc due to desiccastion of the prolapsed disk material. Posterior central and left paracentral extrusion of nucleus pulposus of L4-L5 disc (8-9mm) with compression of the thecal sac and left L5 nerve root in the lateral recess.

The rest of the lumbar vertebrae and discs appear normal. The pedicles, laminac and spinous processes appear normal. The posterior facet joints appear normal. No evidence of any fracture, bone contusion or bone infection seen. No evidence of any bone erosion or destruction seen. The spinal cord appears normal. No definite mass lesion is seen. The conus medullaris and cauda equina appears normal. the pervertebral muscles appear normal.

Thank you for any help provide

The disc material has herniated and is pushing on your nerve root (this is called Sciatica)that would explain the numbness is the toes and difficulty in walking.
Surgery is one option or you may want to consider looking into Non-surgical spinal decompression.
The type of disc herniation you have presents a challenge.
I would recommend that you have a NCV and EMG ordered to see if the nerves are effected and the degree of severity.
In our practice www.livingwellnewyork.com we see patients that have herniated discs and they do great on the spinal decompression table BUT once the disc is extruded 8-9 mm it does make the case more challenging and I would recommend that you have a Neurosurgical consultation to further understand the condition.
Good luck.....


Spinal Decompression works?

Subject: Spinal Decompression For Sports Injury
Question: Hello Dr Shoshany-

My name is Jason. I suffered from a hockey related injury 10 years ago which caused a degenerative disc (i believe the 4L or 3L). At the present time i am in no pain and can handle most exercises without any problem, however, whenever I attempt to play hockey the injury gets severely aggravated and I am essentially paralyzed for a week. Its usually a long, sudden and intense stride that will cause the back to "pop". My question is do you feel i would be a good candidate for decompression? My only fear is that the technique will actually make the injury worse. If it works will I be able to play hockey again or is it just too risky? I would appreciate your feedback - thanks a bunch!


I don't think that if an activity makes your condition worse that you should continue the activity.
Spinal decompression can be very effective in reducing your symptoms.
I would seek out a spinal decompression specialist that can carefully evaluate your recent MRI to determine if you are a candidate for this procedure. This treatment is not for everyone and is not for all types of back injuries. If you have a bulging or herniated disc or a spinal stenos is then consider this treatment.
If you decide to move forward with this treatment you should lay off the activity until you fully recover. What I like about this treatment is that it is very safe and the only real side effect I have seen in 7 years is soreness that goes away once the treatment stops.
Hope this info helps.
Steven Shoshany DC, CCEP
Manhattan Herniated disc treatment
www.drshoshany.com

Excercise with Oxygen therapy in NYC



About EWOT - Exercise With Oxygen Therapy in NYC

We continue to add to our practice, and bring the latest treatments and therapies to our NYC practice.
We pioneered Spinal decompression therapy and brought Spider tech tape to NYC Chiropractors.
Now the newest treatment modality....

EWOT - Exercise with oxygen therapy. Oxygen is king during exercise!
Learn what most people don’t know about living longer, slowing the aging process, and staying healthy.


About Oxygen: What’s the first thing ER technicians put on your face after a major injury? An Oxygen mask. Did you suddenly forget how to breath the air everyone else is? Are you unable to get enough oxygen because you’re injured (assuming your lungs are ok)? None of the above. Oxygen reduces the stress your body will endure. Stress is an oxygen killer. Lack of oxygen kills cells and slows down brain function and other organs. We are all aging due to enzymatic systems failure which are responsible for the body’s uptake and utilization of oxygen. If a cell is deprived of oxygen, it dies. If the cells die, you slowly start to die. If this happens often enough, you begin to age (and fast). In fact, cancer thrives in oxygen poor environments. So why do you need to increase the oxygen during exercise? Isn’t exercise the way to a long healthy life? Yes and no. Consistent strenuous exercise requires a great deal of oxygen. Your body burns the existing oxygen in your red blood cells, regardless of how much you are breathing in. It’s not the quantity of O2, its the purity that is important. You are using far more oxygen than you are taking in. Your oxygen levels (pO2), measured in millimeters of mercury, should be between 85 and 100 depending on your age. Many doctors will advise that your low score "... is normal for your age." It’s true that it’s normal, but it’s only normal because 99% of people don’t know that it doesn’t have to be low and you can keep it high where it belongs! It is the single easiest step you can take to help prevent cancer, premature aging, illness and more. Walk into any gym... notice how many people look great from the neck down? Why does everyone look older than they should? It’s true they’re burning calories and building muscle, but many are not aware they may be aging themselves at a greater rate and increasing the opportunity for many illnesses unless they are performing EWOT.


How to do EWOT: Purchase a small oxygen generator which is a small portable device that plugs into the wall and produces 94-95% pure oxygen (they do not require oxygen tanks; they use your room air and remove the nitrogen which produces a high oxygen purity). Shown on the left is an oxygen generator being used with the now popular whole body vibration machine, the Turbo Sonic. A 7’ tube (cannula, oxygen mask or head set) connects to the machine and then goes over your ears and under the nose. While exercising (e.g., riding an exercise bike, elliptical, whole body vibration trainer (such as a TurboSonic) you will breathe approx. 20% higher levels of O2. With an oxygen mask you can almost double the O2 intake to between 35-40%! EWOT increases your strength during the same time period, allowing you to perform at a higher level and burn more calories. EWOT can literally make the difference between aging faster and slowing the aging to a crawl. It is suggested to do EWOT 15 minutes three times a week or more if possible.

How are we getting more oxygen by increasing the saturation level we breathe normally?
A red blood cell carries no more than 97% oxygen. Many will argue that you cannot force another 3% into the cell. This is true. However, additional oxygen is absorbed by the plasma (which carry the red and white blood cells) and is then pushed into the body’s cells & deep tissues without the aid of the red cells. This is called the Law of Mass Action. Very little oxygen actually gets through, but if you are consistently feeding your body the extra oxygen, there will be an extensive increase in your total tissue oxygen level. The goal is to keep the oxygen level of your blood at 100 points for your entire life.

www.livingwellnewyork.com

to learn more about EWOT visit www.EWOT.com

Thursday, August 27, 2009

Back pain - NYC as seen in the New York Time-Back pain NYC


Back pain NYC- visit www.livingwellnewyork.com
The more I research about back pain causes and treatment the more I realize that a Multi-discipline approach is the best,to not only eliminate the pain but solve the underlying problem.

Most of the time the problem stems from a Mechanical problem ie( pelvic misalignment, tight muscle)
Dr. Vladimir Janda MD before he died years ago had an understanding of how the body worked and how to correct problems.
Most of the time a patient has a tight muscle group that needed to be stretched or a weak muscle group that needed to be strengthened.
A patients diet and needs to be looked into as well as their working posture and ergonomics. Maintaining proper spinal alignment is important.
When all the disciplines (Chiropractic, Physical therapy,Medical) can look at the patient as a whole the patient gets better quicker and stays better.

Back Pain Eludes Perfect Solutions

By LESLIE BERGER

BACK pain is one of the most common physical complaints, so it’s no surprise that treatments for it have multiplied over the years. That ought to be good; instead, many patients find that sudden back pain opens the door to a world of medical confusion.


The effectiveness of virtually every pharmaceutical or surgical remedy, however, has been questioned. And for all the money sufferers spend on doctor visits, hospital stays, procedures and drugs, backs are not improving. The Journal of the American Medical Association reported that spending on back treatments jumped 65 percent to nearly $86 billion from 1997 to 2005, after adjusting for inflation. But during the same period, the proportion of people with reduced function because of spine problems increased, even after controlling for an aging population.

Low back pain represents so many different diseases that there really hasn’t been a breakthrough treatment,” said Dr. Russell K. Portenoy, chairman of the department of pain medicine and palliative care at Beth Israel Medical Center in New York. “It’s good for the public to know how little we know.”

The mystery begins with the first doctor’s visit. The exact cause of back pain is never found in 85 percent of patients, said Dr. Dennis C. Turk, professor of anesthesiology and pain research at the University of Washington and a past president of the American Pain Society. Even magnetic resonance imaging seldom sheds light; in many studies the scans have picked up spinal abnormalities in many people who have never reported back pain.

So what’s a sufferer to do?

Narcotic pain relievers like OxyContin, used regularly by more than eight million Americans, can help, but doctors remain deeply divided over when to prescribe them. The painkillers can also be highly addictive and lead to mood changes.

“I think we are an overmedicated society, and I would not recommend narcotics for everyday back pain except for in most rare of circumstances,” said Dr. James N. Weinstein, editor of the medical journal Spine and chairman of the department of orthopedic surgery at Dartmouth-Hitchcock Medical Center in Lebanon, N.H.

Alternatives to narcotics have proved problematic, too. Two anti-inflammatory drugs, Vioxx and Bextra, were taken off the market after being linked to heart attacks. And ibuprofen and aspirin can cause gastrointestinal bleeding or organ damage at high doses.

Spinal injections of steroids and anesthetics increased by nearly a third during the 1990s, but several scientific reviews found scant evidence that these provided more than short-term relief. Some doctors have begun prescribing drugs like Lyrica, an anticonvulsant, and Cymbalta, an antidepressant, to treat chronic back pain. But the data on antidepressants is also mixed. A study last fall in The Annals of Internal Medicine found that antidepressants help back sufferers, but this year a review by the respected Cochrane Collaboration, a nonprofit organization for health information, concluded there was no evidence that antidepressants offered relief.

While the quest for a safe and effective pain pill continues, Americans undergo more than 300,000 spinal fusion surgeries a year, at an average cost of $59,000 each, according to the National Center for Health Statistics. Almost as many undergo laminectomies or diskectomies to remove damaged vertebrae and disks.

For some, back surgery can be life-changing, eliminating pain and disability. But for others, it can have serious consequences. One study found that 11.6 percent of patients in the 78 spinal surgeries that were analyzed developed infections and other complications.

Newer procedures, like implants of medication pumps and stimulators, have received mixed reviews, too. The jury is still out on kyphoplasty, an outpatient procedure for patients with vertebrae fracture from osteoporosis. The doctor inserts a needle into the spine and inflates a balloon, then injects a cement, gluing the bones together. The procedure works only for some patients.

With such uncertainties, it is little wonder that many doctors have fallen back on more traditional approaches to easing the pain, like exercise or counseling. This year, the Accreditation Council for Graduate Medical Education began requiring that medical residents who want to become pain specialists study not only anesthesiology but also psychology, neurology and rehabilitative medicine.

The reality is that most people with back pain heal on their own, slowly, without major intervention. “The best treatment for straightforward back pain without a specific diagnosis is reactivating yourself to what you normally do as fast as possible,” Dr. Weinstein, the Spine editor, said.

This was a interesting article BUT we do know that Chiropractic care is extremely safe and effective for back pain suffers. We do know that once we teach patients on how to sit properly and bend without putting strain on the low back the chances of re injury are decreased.
I like the portion of the article that mentions painkillers,These medications are highly addictive and can destroy patients lives. I have seen friends change into someone else once they get hooked on something like vicodin. There is a time and place for medication but Back pain responds well to Chiropractic care.
We utilize Spinal Decompression using the DRX 9000 and Spinal Strengthening using the SpineForce.
We see patient that have had Back surgeries and are taking Vicodin,Percosets and suffer with Sciatica and Herniated and bulging discs.
When we can reduce the intra discal pressure using spinal decompression and utilize technologies like Cold laser therapy,Kinesiolgy taping and Oxygen therapy the results are outstanding.
to learn more about our practice visit us online at www.livingwellnewyork.com
or call us at (212) 645-8151 for Chiropractic, Physical therapy, Pain Management, Acupuncture,Massage or Herniated disc treatment in NYC.

A little more information about Back pain from the American Chiropractic Association

Back Pain Facts & Statistics


Although chiropractors care for more than just back pain, many patients visit chiropractors looking for relief from this pervasive condition. In fact, 31 million Americans experience low-back pain at any given time.1



A few interesting facts about back pain:

One-half of all working Americans admit to having back pain symptoms each year.2
Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.3
Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.4
What Causes Back Pain?

The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.



Manipulation as a Treatment for Back Problems

Used primarily by Doctors of Chiropractic (DCs) for the last century, manipulation has been largely ignored by most others in the health care community until recently. Now, with today's growing emphasis on treatment and cost effectiveness, manipulation is receiving more widespread attention.



Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5



In fact, after an extensive study of all currently available care for low back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6



The American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about how chiropractic manipulation may help you, contact a Doctor of Chiropractic in your area. Search our online database of ACA members to find a doctor of chiropractic near you.



Tips to Prevent Back Pain

Maintain a healthy diet and weight.
Remain active—under the supervision of your doctor of chiropractic.
Avoid prolonged inactivity or bed rest.
Warm up or stretch before exercising or other physical activities, such as gardening.
Maintain proper posture.
Wear comfortable, low-heeled shoes.
Sleep on a mattress of medium firmness to minimize any curve in your spine.
Lift with your knees, keep the object close to your body, and do not twist when lifting.
Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.
Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct.



--------------------------------------------------------------------------------

References:

1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.

2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.

3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD, Summer 1994.

4. In Vallfors B, previously cited.



5. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.

6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.


Chiropractic care in Manhattan

Wednesday, August 12, 2009

NYC Chiropractor and Herniated Disc Doctor

DRX9000 Nonsurgical Spinal Decompression: A Respirator For The Spine

NYC Chiropractor and Herniated Disc Doctor Comments:

Dr. Eben Davis a prominent Herniated disc doctor in San Fransisco,He posted this to one of his blogs recently. He summed up what spinal decompression does so well. I posted portions below. If you are looking for an excellent Chiropractor in San Fransico visit his website @ http://www.executiveexpresschiro.com/

Spinal Decompression is to the spine, what a respirator is to the lungs.

Spinal decompression helps the spine to do what it would if it could...just like a respirator helps the lungs to do what they would do on their own if they could.

DRX9000 nonsurgical decompression therapy to the lumbar or cervical spine (DRX9000c) recreates the pumping action on the isolated/targeted disc that occurs under normal conditions. It's this pumping action by the spine on the discs that keep them healthy and hydrated. In fact...this pumping/absorption action has it's own name...Imbibition.

The DRX9000 lumbar disc repair system and the DRX9000c cervical disc repair system are designed and built to help re-create imbibition, elongate the spine, re-position the spinal disc, and promote herniated disc repair.

Is this possible? It must be because most of the herniated disc patients we treat at our NYC Spinal Decompression center achieve favorable outcomes.

Is there research to support the DRX9000? There is very favorable preliminary research that was done at the Mayo Clinic, John Hopkins University, and Duke University. The results are summarized in the Special Report on Nonsurgical Spinal Decompression.

Will the DRX9000 or DRX9000c work for me? There's only one way to find out, and that's to actually go through the decompression treatment protocol. But unlike surgery...if the DRX fails to deliver you are left whole. Nothing removed. Nothing cut into. No Drugs. No needles.

So should I do it? That's up to you. But you do need to qualify medically...not everyone does.
To learn more about Spinal decompression to treat your herniated disc in Manhattan, NYC visit our website @ www.livingwellnewyork.com

Monday, August 03, 2009

C5/C6 herniated disc nyc, L4/L5/S1 herniated disc nyc


C5/C6 herniated disc nyc, L4/L5/S1 herniated disc nyc
DRX 9000 NYC?

Your Doctor tells you have a herniated disc. Now what?
Physical therapy?
Chiropractic?
Spinal decompression is known to be the most effective non-surgical treatment for herniated discs.I been using this in our SOHO physical therapy/Chiropractic office.

In fact today I had a 15 year old that had 6 months of physcial therapy with little to no results.
Surgery was not a option,
He is an excellent candidate for Spinal decompression with the DRX 9000.
www.drshoshany.com

Wednesday, July 29, 2009

Spinal Decompression Or Back Surgery, Which Is A Better Option? Considering a back surgery in NYC?

Spinal Decompression Or Back Surgery, Which Is A Better Option?

Comments by NYC Chiropractor Dr.Steven Shoshany D.C.,C.C.E.P. at the end of the article www.drshoshany.com

Credits| Author: Dr. Ronald Fielden with Dr. George Best
by Dr. Michael Golab with Dr. George Best

For people with severe disc-related back pain and sciatica, long-term relief can be hard to come by and the treatment options often come down to spinal decompression or back surgery. Each treatment option has its pros and cons, but in the end, the best option will depend on a variety of factors that are unique to each case.

There are some misconceptions about both spinal decompression and surgery that can lead to confusion when attempting to determine the best treatment option, especially when pain or medication may be disrupting the ability to think clearly. The following information will help to dispel some of the misconceptions regarding these forms of treatment and will assist pain sufferers in selecting which option is best for their circumstances.

Although spinal decompression is a kind of traction, the effects of spinal decompression vary considerably from those of regular traction. True spinal decompression systems utilize computer controlled motors that can “fool” the muscles along the spine into staying relaxed during the treatment session. This allows for a suction effect inside the spinal disc being treated, which pulls bulging disc material back into the disc and also pulls in fluid and nutrients that help the disc to recover and heal. Since ordinary traction machines must contend with muscular resistance, their effects on the discs are much less and traction typically does not provide long-term improvements in disc health, nor lasting elimination of pain.

Although spinal decompression is extremely effective in the vast majority of disc-pain cases, it does not work in every case, and their are situations in which it cannot be safely applied. From my experience in my San Antonio Spinal Decompression office, I have found that decompression is not usually effective in cases of large disc extrusions (when large amounts of the inner gel of the disc breach the disc wall). In addition, spinal decompression cannot be safely used when there is substantial ligamentous instability in the spine because the stretching effect of the decompression would tend to make such instability worse. In cases where spinal decompression is not appropriate, surgery is indicated as really the only option for getting long term relief for the patient.

Although it may be the best option in a small number of disc-pain cases, back surgery is far from being an ideal solution. Patients sometimes have the impression that a back surgery will completely solve their back pain once and for all, but this is rarely the case. In fact, one of the leading predictors that someone will eventually need back surgery in the future is having had back surgery in the past. Although aggressive surgical techniques that involve removing a problematic disc will guarantee that a patient will not have any trouble with that particular disc again, these surgeries create other problems that over time can make things even worse than the original problem.

Post-surgical scar tissue and increased wear and tear on adjacent discs can conspire to create new areas of spinal cord and/or spinal nerve compression months or years after spinal surgery. Due to the high probability of these post-surgical complications, it is my opinion that surgery should always be considered a last option when all other treatments have either failed or cannot be used due to existing contraindications.

I have always told patients that surgery should be a last resort when all non-surgical methods have failed.
To learn more about spinal decompression in NYC visit www.drshoshany.com or
www.livingwellnewyork.com

Thursday, July 09, 2009

Is "Decompression" therapy appropriate for my "moderately large L5-S1 central herniation which is "significantly distorting the Thecal Sac"?




Recent herniated disc Question:

herniated disc treatment in Manhattan-www.drshoshany.com
L5-S1 MRI T1 Axial view

Is "Decompression" therapy appropriate for my "moderately large L5-S1 central herniation which is "significantly distorting the Thecal Sac"?

My herniation is actually central and just slightly para-central to my left, with about 90% low-back pain and about 10% left upper-thigh/leg pain... and it likely happened (or was grossly exacerbated) about 8 months ago when I also fractured my left Pelvis in a bicycle accident where I got thrown over the handlebars by a pot-hole. I am 50 years old, female with mild osteoporosis, and also have a "broad-based concentric bulge" at L4-L5 and a few bulging discs in my neck with some mild foraminal encroachment. I have had some bad low-back pain on and off for about 20 years, but since I have seven children I have always dismissed it as back-strain, but the point is that my herniation may have been extant for years, but I do know that it got magnitudes of intensity worse after I fractured my Pelvis. My pelvis was fractured with several networks of "comminuted" (crushed or shattered) fractures but was not 'displaced' so I didnt get pelvic surgery, and then it just took a long time to realize that my ongoing severe low back pain is probably not all from the pelvic fracture.

Since I just got diagnosed by MRI a few weeks ago by my primary care doctor, I am now waiting for an appointment with a Neurologist, so I am researching options to prepare questions. I promise that I will get proper personal guidance from an MD before actually doing anything based on your response, I just want to ask the right questions and best use the time I will have in my upcoming appointments. Thank you very much for your time and consideration!

Answer from Herniated disc doctor NYC

If I had to pick my favorite type of disc herniation to treat it would be the central disc herniation.
I primarily use the DRX 9000 spinal decompression system in my Manhattan Herniated disc treatment facility.
We see excellent results with most disc herniations when all other methods have produced little to no results.
The reason is that the disc is a avascular structure (poor blood supply) and once injured it rapidly degenerates.
The decompression allows pressure to come off the affected spinal nerve and allows disc to reabsorb vital fluid and increase in disc height.
I would also find a facility that offers cold laser therapy,(look into a class four laser) this help with tissue healing.
Good luck,
Look into spinal decompression on the DRX 9000
Spinal decompression for herniated disc in Manhattan visit www.livingwellnewyork.com

Tuesday, July 07, 2009

Low Back pain sufferers in New York City (NYC)


Low Back Pain Sufferers In New York City Finding New Option With Dr. Steven Shoshany Through The Use of Spinal Decompression with the DRX 9000

Local New York City Residents Benefiting From Dr. Shoshany's Non-Surgical Solutions To Back Pain Caused By Herniated Discs,Sciatica,Spinal Stenosis,Degenerative Disc Disease,Bulging Discs, =and Spinal Arthritis since introducing non-surgical spinal decompression to Manhattan and treating over 1000 patients over the last 7 years, our clinic has boasted great success with patients who have been suffering from chronic lower back and leg pain for years and are finally now getting better.

So many patients come to me explaining that they have tried medications, physical therapy, chiropractic care and steroid shots - all with little or no results.


I have had patients come to me suffering with back pain for 30 years or more. People who have been told by their primary doctors, neurologists, and orthopedic surgeons that there is nothing left that they can do for them. These are people who have come to us with little or no hope, and have been pleasantly surprised by their outcomes
By decompressing the spine, we can help the disc heal, which in turn will eliminate pain and pressure in the lower back and leg.

Patients suffering from spinal related conditions such as herniated discs, degenerative disc disease, bulging discs, sciatica, chronic lower back pain, and spinal stenosis are soon discovering the benefits of non surgical spinal decompression, and the DRX 9000.

Spinal decompression in NYC-visit www.drshoshany.com

Most people suffering with back pain that is due to disc compression issues try a variety of treatments - from chiropractic care, physical therapy, epidural injections, and eventually surgery. However, for many patients the conservative approach taken has been less than hopeful.

"I can't tell you how many patients come to me explaining that they have tried medications, physical therapy, water therapy, chiropractic care and steroid shots - all with little or no results. It's disheartening for these people."

And now there is a new answer. Since 2002, non-surgical spinal decompression has been helping hundreds of back and leg pain sufferers improve their conditions, and avoid invasive procedures such as back surgery. In my previous Spinal Decompression NYC posts I wrote about the current guidelines set by the American Pain society and how back surgery is not recommended for most back pain and herniated disc cases.
If you live or work in New York City, NYC make it a point to learn more about this treatment, It is non-invasive and provides excellent results without drugs or surgery.



Non surgical spinal decompression utilizes the premise of decompressing injured discs of the lower back that are causing pressure onto nearby structures of the back, including nerves that create pressure.

"By decompressing the spine, we can help the disc heal, which in turn will elimiate pain and pressure in the lower back and leg."
End Sciatica pain today!
Call the herniated disc specialists in Manhattan,NYC (212) 645-8151 or visit us online at www.drshoshany.com

Sunday, June 21, 2009

Spinal Decompression In New York City, DRX 9000

Spinal Decompression question

Spinal decompression in Manhattan,New York City,NYC for herniated discs, Sciatica, Chronic back pain call (212) 645-8151 or visit www.drshoshany.com

I wanted to posted a couple of questions that I received below and answers.


Is Spinal decompression safe on someone that already had a back surgery?

There defintley is a time and place for back surgeries, when it comes to treating Chronic back pain, Sciatica, and herniated discs.

BUT I believe that all Non-surgical treatment options should be tried first before rushing to get a surgery.

Subject: spinal decompression treatment

Question:

I had a discectomy in Feb/09 as I had herniated my L5-S1 disc and it was pushing on the S1 nerve. I had been pain free for two months post recovery period but I have reinjured myself as I am feeling the same pain again radiating down my leg and in my ankle.
As I am not able to persue surgery, I was hoping this may be an effective treatment but is it advisable so soon after surgery?
Spinal decompression treatment should be considered a safe alternative to a second discetomy.

4-5 months after a microdisectomy you should of healed tissues in that area. In our NYC spinal decompression practice we have successfully treated patients that have had failed back surgeries.

I would be sure to seek out a experienced spinal decompression specialist that has at least several years of experience on top notch equipment. I favor the DRX 9000 and I feel it offers the patient the most comfort and safety with a proven track record.

As you go through treatment be sure to gradually increase pull and avoid bending lifting and twisting during the treatment protocol.
I would also consider looking in Cold laser therapy, this has been helpful in reducing swelling and decreasing pain.
Soreness is normal throughout treatment,the pain radiating down the leg should get better when pressure is removed from the nerve root.

Only you and your doctor can decide if this treatment is right for you, but consider spinal decompression treatment if far less invasive then a surgery.
Physical therapy should definitely be integrated into your treatments during and after spinal decompression treatments.

Wednesday, June 17, 2009

Back Pain treatment NYC, Sciatica NYC

Back Pain treatment NYC, Sciatica NYC
www.drshoshany.com
As a Chiropractor in Manhattan I see patients that have back pain, neck pain and Sciatica everyday,it is my job to get them better and most of my patients want to get better in a New York minute.
I was working out yesterday and pulled a muscle in my back, oh boy I thought.

The first thing I did was when I got back to office was ICE my back after a Chiropractic adjustment and had our Physical therapist do some ultrasound and electro-stimulation.
This morning I woke up sore and in some pain, so again I had some Physical therapy done this time I had the Graston technique done on my lower back, I truly believe this is the Best soft tissue treatment available today.
If you have a muscle spasm this stuff works,especially with a lumbar sprain/strain.
The combination of Chiropractic, Physical therapy, Kinesiotaping, graston technique and cold laser is awesome for back pain.

Monday, June 15, 2009

Back Pain NYC, Back pain treatment nyc,herniated disc treatment NYC


Back Pain NYC,Herniated disc Manhattan
Back pain treatment call (212) 645-8151 for an immediate appointment.
www.livingwellnewyork.com


Pain in the lower back is a symptom that can take many forms. It is not a disease, although very rarely lower back pain may be due to a disease. Most of the time, low back pain appears suddenly, and often it is agonizing. But it may also be experienced as a low-key pain. This can be a dull or nagging pain.

Lower back pain is pain affecting the lower part of the back. It is described as:

Lower back pain is acute if it has lasted less than 6 weeks.
Lower back pain is sub-acute if it has lasted 6-12 weeks.
Lower back pain is chronic if it has lasted more than 12 weeks.



Lower back pain is a pain or ache somewhere between the bottom of the ribs, at the back, and the top of the legs. The pain often begins suddenly, and may follow an obvious strain or injury.
Back Pain NYC, Back pain treatment nyc,herniated disc treatment NYC
The lower back pain may travel to or be felt in other parts of your body. It often goes into the buttocks, but may go further down the leg and even into the foot.

The back pain may be worse on bending and is often worse sitting, especially in an easy chair. Sometimes turning over in bed and sitting up is painful. Coughing or sneezing can often make the pain much worse. The muscles of the back may go into painful spasm.

Back pain may be combined with pain into the leg, traveling down below the knee, this is otherwise known as sciatica, because the main nerve to the leg (the sciatic nerve) is being irritated by pressure on it.
Sciatica can be caused by a herniated disc.
We specialize in Non-surgical spinal decompression using the DRX 9000 in our New York City Back pain treatment office.
visit us online at www.drshoshany.com

Tuesday, June 09, 2009

Spinal Decompression in Manhattan,New York City, NYC for Herniated disc-Case study/testimonial

Spinal Decompression in Manhattan,New York City, NYC
Visit herniated disc specialist in Manhattan

Another patient success story with spinal decompression treatment in our Manhattan Herniated disc treatment facility; read below

An Alternative to Surgery

I was diagnosed with a severe disc hernia and additional disc bulge in my lower back. I was not able to walk, sit for more than just short periods of time.
On the basis of my MRI pictures most neurosurgeons and chiropractors that I initially consulted suggested surgery. However, there were some who disagreed and suggested spinal decompression (Spinal decompression) followed by physical therapy (PT). While looking for a practice where I could be treated with SD I started with conventional chiropractic treatment. This helped a little, but I was still not able to walk longer distances or work full time and in full capacity. Eventually I got into contact with Dr Shoshany and started SD under his care. I went through 20 sessions in a time-course of six weeks, PT was added after the fourth Spinal decompression session. Already after two sessions I could feel a noticeable difference in the flexibility of my movements. Two weeks into SD treatment the pain in the lower back decreased considerably fast. By the third week I was able to walk down streets pain-free and enjoy being back at work full time.
I have meanwhile completed my Spinal decompression and am now continuing Physical therapy in order to strengthen my core muscles and ensure that the state of flexibility is at least maintained, if not further increased. I am now able to fulfill my daily duties without much pain, if any.
I highly recommend the great work of the “Living Well Medical” team. Here you are definitely in professional hands. The SD treatment itself is absolutely pain free. The atmosphere at the practice is fantastic, everyone is just superbly friendly and supportive, and your best comfort is guaranteed during your entire stay. All finances are dealt with professionally and a huge effort is put into trying to make the treatment cause the least financial stress.
I am not an expert in the details of how Spinal decompression works for all different back and neck disc problems – I advise you to consult Dr Shoshany and his colleagues if you wanted to learn more about Spinal decompression etc. Yet, from talking to other patients and surgeons I have learned that surgery of herniated discs has not always been a successful remedy. Furthermore, surgery, whether successful or not, will always damage your back tissue to a considerable extent. In fact, I have met patients who told me that damage caused to the spine during surgery is now part of their back pain diagnosis. I definitely acknowledge the usefulness of surgery in specifically severe cases, but I tend to favour the general view that surgery should be left as last resort. There have been cases in which surgery failed to relief the symptoms, some where these have become worse. To my knowledge there is no data that describes the latter outcome after Spinal decompression. In the light of this and my own experience I can only recommend SD therapy for cases of severe disc hernia or bulges. And if you are in the NY area I definitely recommend the “Living Well Medical” team for SD as well as conventional chiropractic and PT treatment. I would like to take this opportunity to thank all of the team, especially Drs Shoshany, Weissman, Piwnicka and Blank as well as David Vargas for all their help!

His treatment involved DRX 9000, SpineForce 3D Rehab,Chiropractic adjustments, Physical therapy in our Manhattan office. Call(212) 645-8151

Friday, June 05, 2009

DRX9000 Non-Surgical Spinal Decompression Therapy in Manhattan, New York City, NYC

DRX9000 Non-Surgical Spinal Decompression Therapy in Manhattan, New York City, NYC contact (212) 645-8151 or visit www.drshoshany.com
Manhattan's only patented Spinal decompression facility.
The most comprehensive treatment for the herniated disc.
We are proud to announce our 1000th. patient successfully treated with the DRX 9000.

If you live or work in Manhattan, NYC and suffer with back pain,Herniated disc's learn how non-surgical spinal decompression can not only reduce your pain but get your life back.

Read another patient review below.

I got my life back with Dr. Shoshany‎ - alec S.‎ -

I herniated my L4/L5 S1 disc and was in pain for 8 months. I tried everything and nothing worked. I had nasty Sciatica leg and back pain and showed up ...‎ More »
I herniated my L4/L5 S1 disc and was in pain for 8 months. I tried everything and nothing worked. I had nasty Sciatica leg and back pain and showed up crooked to his office for my first visit. I wanted to avoid surgery and was willing to do anything before taking that route. I was almost there when I found Dr. Shoshany and his team. He was my last hope and came through big time. After just 7 weeks of going through his spinal decompression program, the pain was gone. I had my life back. It took commitment on my end to go and see him three times a week and focus on my stretches at home....but it was working so I was pumped. I could not even bend down to pick up my children for 7 months and now I am giving piggy back rides again! Dr. Shoshany runs a great practice with very professional and pleasant staff. There are physical therapists that stretched me out every time I was there and guided me through a program to help in the rehab as well. I cannot say enough about this practice....they saved me! Also...one of the best things about Dr. Shoshany office is that I NEVER had to wait. I showed up and got seen right away EVERY time. Now that is service. I highly recommend Dr. Shoshany and the care he and his team provided me .
Non-surgical spinal decompression Manhattan, NYC.
visit www.drshoshany.com

Chiropractor New York City, NYC

Sunday, May 31, 2009

Spinal decompression treatment Pros and Cons, Manhattan Back pain treatment

I found this interesting article posted by a Chiropractor from Texas. I am glad Doctors are being truthful about their success and failures. Our New York City Spinal decompression office recently completed our 1000th. spinal decompression session. Over the past 7 years I have personally seen amazing results with patients that have been told surgery is their only option. I can count on my hands patients that did not respond to treatment and patient compliance is one of the primary reasons.
If you are suffering with chronic back pain or have a herniated disc call the Manhattan, NYC herniated disc specialists at (212) 645-8151 or visit us online at www.nycdisc.com or www.drshoshany.com

Pros And Cons Of Spinal Decompression Treatment

Posted by Back Pain - 30/05/09 at 10:05 pm

Spinal decompression is a high-tech form of traction used to treat disc bulging and degeneration and their associated pain and disability. Spinal decompression differs from regular traction in that it uses computer-controlled motors to trick the spinal muscles into remaining relaxed and uncontracted during the treatment session. This results in much greater reduction in disc pressure than regular traction, which usually must work against the resistance of contracted muscles. Most people get excellent results from spinal decompression treatment, but some do not get any improvement, and a few may actually get worse. The following is an explanation of the reasons for the failures in spinal decompression treatment and ways you can know whether or not spinal decompression is likely to help in your particular circumstances.

I have been using spinal decompression in San Antonio for a few years now, and while it is a highly effective treatment for many people, it is not for everyone. Unfortunately, the costs of providing spinal decompression services sometimes influences doctors to recommend it in cases where it may not be entirely appropriate. Even with proper patient selection, spinal decompression is not 100% effective - no treatment is. But when doctors are not as discriminating as they need to be in what patients they accept, the results can be far from ideal and some patients may even get worse with this form of treatment when doctors prescribe it inappropriately for financial reasons.

From my experiences in my San Antonio practice, the patients who get the best results with spinal decompression are those with one or more bulging/herniated discs and patients with mild to moderate disc degeneration. Patients who have previously undergone disc surgery are somewhat more complicated, but most still get good results when they meet the selection criteria (no metal implantation in the spine, no spinal instability, and no impaired healing at the site of surgery). The vast majority of people who meet these criteria get very good results and are usually able to return to their normal activities without any significant pain.

Although complete disc ruptures (disc extrusions) may sometimes be helped with spinal decompression, my experience has been that people with true disc ruptures (the term “rupture” is often used incorrectly even by doctors to describe disc bulges and herniations - actual disc ruptures are relatively rare) do not tend to get good results.

In addition to the importance of applying spinal decompression only in the appropriate cases, it is extremely important for the doctor or technician operating the machine to set the patient up properly for the treatment. Several factors are involved, and every spinal decompression system has its own unique set-up procedure. Ongoing training of any personnel who operate this type of equipment is essential. It is very easy to get sloppy with setting up patients on the equipment, and this leads to ineffective treatment. Overall, because of the design of the better spinal decompression systems, even very poor patient set-ups rarely lead to patient injury, but mistakes in the use of the machine can definitely prevent the patient from getting the desired results and might cause a temporary flare-up in symptoms. To help avoid this problem, I recommend asking any potential spinal decompression provider you may be considering seeking treatment with about his or her training for the operators of the equipment. A one-time training done when the equipment was first received is simply not sufficient. I strongly recommend working with providers who perform re-training on the equipment on at least a quarterly basis.

One other consideration is the fact that some patients are not good candidates for spinal decompression treatment because of their inability or unwillingness to follow the recommended treatment protocol. In my experience, the primary reasons why a patient can’t or won’t follow the treatment recommendations are usually related to money and/or time.

A full spinal decompression treatment program that includes spinal decompression and other adjunctive treatments can seem somewhat expensive. In actuality, it is a much lower-cost treatment option than surgery for most people and has a statistically much higher success rate, so it can be a very good value, but nonetheless, some people try to cut down their costs by trying to cut down the amount of treatment. This can be a big mistake. In my San Antonio office, most people who complete the recommended treatment plan get lasting relief and can safely return to their normal activities. Those who discontinue care prematurely will often relapse, and may suffer worse pain and worse damage to the disc because they resume excessively exertive activities before the disc has stabilized.

Of course, some people fail to follow treatment recommendations primarily because they have busy lives and are unwilling to spend the time on getting better. This type of patient tends to miss a lot of appointments and may go long periods of time between treatment sessions. Unfortunately, the success of spinal decompression usually depends on getting the recommended amount of treatment at the recommended frequency of treatments. The effectiveness and results are not as good when people don’t make time for their appointments. What some busy people fail to realize is that if they don’t set aside time to properly deal with their health problem, sooner or later that health problem will deteriorate to the point where it forces them to make time to get treatment, and this often occurs when they are at their busiest and treatment is least convenient. It is my recommendation to invest the necessary time in getting better, rather than do the treatment intermittently and not get the best results.

In summary, spinal decompression is a very effective means of treating the pain and disability associated with herniated and degenerated spinal discs, but there are some important factors in getting maximum results. Doctors and patients alike are responsible for making sure the treatment is done properly to get maximum results.

Dr. George Best has been providing spinal decompression in San Antonio, Texas since 2006 with the DRX9000 system. For additional infomation, visit his website at www.spinesanantonio.com.

Great article, to read more research on the benefits of spinal decompression visit
www.drshoshany.com

Monday, May 25, 2009

Manhattan,NYC DRX 9000-Another Herniated disc success story!


DRX 9000 Success Story in Manhattan,NYC
Read below
I recently had a patient that just completed a spinal decompression protocol email me an awesome testimonial. This patient was determined not to have a back surgery and through a protocol of spinal decompression,SpineForce Rehab,Cox Technique,Chiropractic care and a stretching home care program he is so much better When a patient can become part of their protocol and become an active participant in their recovery the results are greatly enhanced. It is an awesome feeling to have helped a patient without a surgery.

SPINAL DECOMPRESSION REALLY WORKS--STOP SUFFERING

by DAJT2 March 17, 2009

I have a new back!!! BY A NEW BACK, I MEAN one that has stability, flexibility, adjusts itself naturally, and free of the tricky discs, the gripping spasms & debilitating pain. Those that suffer with back disorders, know that this is pretty amazing testimony. DR. SHOSHANY IS THE SPINAL HEALTH CARE LEADER, an expert in spinal decompression, and a healer of back pain: he has the winning team, the high-tech facilities, and the proven approach. (Read this review, and others.) DR. SHOSHANY AND HIS TEAM OF WELLNESS PROFESSIONALS TOOK MY COMPLICATED CASE to create a healing program of core strengthening, chiropractic adjustment, stretching, and spinal decompression. This is a high-tech operation with a very caring and knowledgeable team of experts that all pull together to cause wellness in their patients TO SUM UP DR. SHOSHANY, SPINAL DECOMPRESSION, DRX 9000 IN TWO WORDS: Very Effective! In one word: Incredible! While perhaps I’ve gained only millimeters in additional disc space by Spinal Decompression, it feels like inches to be free from the non-stop nagging of back pain. It was so easy, just 20 consecutive treatments. I scheduled my therapy three times a week. I WAS SERIOUS AND I GOT SERIOUS RESULTS. Although it’s not inexpensive, for a new back, revived energy, and no back pain—it’s great value! Unlike surgery, the expense is not astronomical, it’s non-invasive, there’s no recovery time, nor the possible complications of surgery FOR MY PART, I have taken their direction & the spinal decompression opportunity very seriously. Anyone with back issues understands the importance of a strong relationship with your back; and I was serious about creating one and I applied myself to reinforce the opportunity. I have put into practice all that Dr. Sho and his team have taught me (a special thanks to David Vargas, Trainer). My core muscles have strengthened significantly, and engaging my core strength in the simple routines of life has become second nature. THE RESULTS HAVE PROVEN THE WORK THAT I WAS WILLING TO TAKE ON TO MAKE THE MOST OF SPINAL DECOMPRESSION. I have a new back: if you’re suffering with serious back issues, don’t delay. Make an appointment to see Dr. Shoshany. I’m back in action with a spinal column to support it. It’s truly incredible. Pros: BEST COMPREHENSIVE CHIROPRACTIC CARE Cons: NOT CONTRARY, YOU MUST BE COMMITTED TO YOUR OWN WELLNESS

Sunday, May 10, 2009

What is Spinal decompression therapy? Proven treatment for herniated discs in Manhattan, NYC


What Is Spinal Decompression Therapy? Proven Non - Surgical Treatment for Back Pain in Manhattan,New York Herniated disc treatment in NYC Spinal Decompression Therapy (also known simply as Spinal Decompression or SD), is a non-surgical therapy proven to treat back pain and sciatica caused by bulging, herniated, and degenerative discs or facet syndrome. Even post-surgical patients and those suffering from stenosis (a narrowing of the spinal canal) have reported significant pain relief from SD treatments. Over a series of relaxing treatment sessions, patients experience powerful pain reduction and healing. Some patients even notice an improvement in their symptoms after the first few treatments! Spinal Decompression, not to be confused with traction, gently lengthens and decompresses the spines, creating negative pressures within the discs. This reversal of pressure creates an intradiscal vacuum that not only takes pressures off of pinched nerves, but helps to reposition bulging discs and pull extruded disc material back into place. Simultaneously, spinal experts believe nutrients, oxygen and fluids are drawn into the disc to create a revitalized environment conducive to healing. By bringing disc pressures to negative levels, many experts surmise that SD stimulates the body’s repair mechanism, providing the building blocks needed to mend injured and degenerated discs. “I served on the police force for 18 years. I injured a disc in my back while on duty. I got treatment from the work comp doctor and a physical therapist. I tried to go back to work, but the crippling back and leg pain wouldn’t stop. Eventually, the city forced me to take a medical retirement. I was 39 years old! I continued to live on pain medication and struggle just to sleep at night. Simple everyday became painful tasks. Finally, I heard about Spinal Decompression Therapy, and shortly thereafter found out that I was a candidate. I got my life back! No more pain and no more sleepless nights.”- Joe M. “Chronic low back pain was a regular part of my everyday experience for almost three years, but I tried not to let it take over my life. I continued to work as an RN and stayed in shape at the health club. Then my back pain took a turn for the worst. I had trouble getting out of bed, getting dressed, and I couldn’t bend over to brush my teeth. I got an MRI and went to a board certified anesthesiologist. He gave me an epidural and a nerve block. Neither was effective. My pain began to rapidly worsen and I ended up at the emergency room. They gave me more shots and pain medication. Finally, I heard about Spinal Decompression Therapy and decided to give it a try. I was skeptical, but to my surprise I started feeling relief after my first treatment. Now after two weeks of treatment my pain is almost completely gone.”—Bobbie Invention Born of Necessity - How one doctor’s injury led to his invention of Spinal Decompression Therapy. Allan Dyer, MD, PHD, is the inventor and founder of the founder of the revolutionary technology behind Spinal Decompression. As former Deputy Minister of Health in Ontario, Canada, Dr. Dyer’s many contributions to health sciences include, among others his extensive research that led to the development of the heart defibrillator. Dr. Dyer’s own experience with back pain began when he was debilitated by a herniated disc. After conventional treatments failed, his creative intelligence went into high gear. He developed a method of exerting pull o n the spine that is far more sophisticated than traditional traction. He discovered that by slowly increasing pull-tension on the spine, followed by a hold then partial release, and repeating these steps over a 30-45 minute time period, a vacuum could be created within injured discs. This vacuum was found to assist in repositioning extruded disc material back into place, and has been credited with creating an environment within injured discs conducive to healing. Dr. Dyer set about designing a device to implement this method. After more than six years in research and development with a team of physicians, engineers, and technicians at major teaching hospitals, Dr. Dyer introduced the VAX-D unit in 1991. VAX-D, short for Vertebral Axial Decompression, is the predicate device after which all Spinal Decompression Therapy units are modeled. Happily, Dr. Dyer used his invention to cure his own injured disc. Soon he was able to walk pain-free and has been doing so for more than 15 years. Today thousands of Spinal Decompression units operate throughout the world, treating thousands of patients a day. What Is Causing My Back Pain? While only a trained medical professional can accurately diagnose your condition and prescribe appropriate treatment, a basic understanding of common causes of back pain and how Spinal Decompression works to alleviate them can help you make a more informed decision concerning your treatment options. Understanding How The Spin Works Your spine is composed of 24 bones called vertebrae. In between each vetebra is a fibrous disc (annulus fibrosus) filled with a jelly-like substance (nucleus pulposus), which provides flexibility and cushioning to the spine. The vertebrae protect the spinal cord, which runs through a tube at the back of the spine called the spinal canal. In the lower portion of the back, spinal nerves exit the spinal canal between the vertebrae and unite as they move down through the pelvis. Some of these spinal nerves join to become the sciatic nerves, which travel down through the buttocks, along the back and sides of the thighs and calves, and into the feet. With such a dense network of nerves traveling throughout the back, it is easy to see how a slight upset in the delicate architecture of the spine may cause great discomfort. Accidents and injury may damage discs and vertebrae, putting pressure on nerves. This results in tingling, numbness, muscle weakness, or even sharp shooting pain. Shown in the illustration below are some of the more common diagnoses for the back pain that will be covered at the length in the coming pages. Consider These Facts on Back Pain: •On any given day, 6.5 million people are in bed because of back pain. •Approximately 5.4 million Americans are disabled annually due to back pain. •Back pain is the # 2 reason for hospitalization. •Up to 85% of the U.S. population will have back pain at some time in their life. •After cold and flu, back pain is the number one cause of work absence. •Spine surgery is the second leading surgical procedure in America, with the total number in the U.S approaching 500,000 per year. •An estimated 93 million workdays are lost each year due to back pain. Lift with Your Legs, Not with your Back! Many bulging and herniated discs can be attributed to lifting objects incorrectly. When picking up an object from the floor, bend at the knees, keeping the spine as erect as possible. Rise using the strength of your legs, as their study, more simplistic architecture is designed for such exertions. Putting great amounts of pull or pressure on the spine, when bent forward or backward, can compromise its delicate alignment. Of course, there is no right way it lift an object that is simply too heavy. Listen to your body, and if you feel any discomfort while doing heavy lifting, back off and save your back! “ For three very long years I had severe lower back pain. Doctors tried epidural, to no avail, and said I would have to learn to live with it. I’d been using a walker to get around and could not stand more than five to ten minutes without excruciating pain. My activities were very limited; I was unable to sleep in a bed for three years. After reading an article on Spinal Decompression Therapy, I decided to try it out. After 12 visits, I am now sleeping in a bed, and my walker is put away. I’m able to go shopping for over an hour without any increased pain. I’m cooking meals and cleaning without having to sit down every five minutes because of the pain. My family cannot believe the changes. I thought I would have to live with this for the rest of my life. I am so thankful that I tried this and would encourage you to do the same.”—Mariella S Bulging and Herniated Discs Bulging and Herniated Discs: Discs are located between each vertebra and provide flexibility and shock absorption for the spine. The thick, fibrous outer disc wall, known as the annulus fibrosus, surrounds a jelly-like center, called the nucleus pulposus. Discs undergo tremendous amounts of stress, which can sometimes lead to a bulging disc, a weakening of the disc wall that causes the disc to bulge out and press painfully on surrounding nerves. A herniated disc occurs when the pressure within a disc becomes too great, tearing through the disc wall (annulus fibrosus), allowing a portion of the nucleus pulposus to protrude. The escaped nucleus pulposus may then impinge painfully on the nerve roots, leading also to numbness, tingling, and/or muscle weakness associated with the condition of sciatic pain. The illustration below gives a bird’s eye view of what exactly is going on when a disc bulges or herniates. The Jelly Donut Analogy: Comparing the disc in your back to jelly donuts gives you a good idea of what happens when a disc hernaites. Picture in your mind a jelly donut, plump with the strawberry filling. Have you ever set a box of donuts on your office chair, only to absent-mindedly plop down on them a few moments later? What happens? The jelly oozes out under the pressure. When a disc ruptures or hernaites, the same thing happens, except, unlike the jelly donut, a herniated disc can be repaired! That’s where Spinal Decompression comes in. Sciatic, Spinal Stenosis.
What is Sciatica? Sciatica is the sensation of pain, tingling, or numbness in the buttocks, and/or legs produced by an irritation of the sciatic nerve. Multiple nerve roots extend from the spinal cord between the vertebrae and join to form the sciatic nerve, which branches as it descends into the buttocks, down each leg to the ankles and feet. The primary causes of sciatica and herniated, bulging, or degenerated discs, which induce pressure on the spinal nerve roots. Other causes include small, bony growths on the spine (bone spurs) or compression of the nerves through injury. In rare cases, the sciatic nerve may be irritated by conditions such as piriformis syndrome, tumors, or pregnancy. •Where Does it Hurt? In the illustration below, the letters L1-L5 refer to the lumbar (lower) portion of the spine and s1 refers to the first segment of the sacral vertebrae. Over 90% of herniated discs occur in the lowest two levels of the lumbar spine, between L4-L5 and L5 – S1. The colors reflect the regions of the lower body potentially affected by compression of each given lumbar and sacral nerve root. Do you experience pain, tingling, or numbness in any of these regions? •What Is Spinal Stenosis?Stenosis is a narrowing of the spinal canal due to the encroachment of disc material or bony growths that squeeze and irritate the spinal cord and/or extending nerve roots. This can lead to pain, numbness, tingling or weakness in the legs ,feet or buttocks. The benefits that may stenosis patients derive from the Spinal Decompression may be due to it’s positive repositioning and rejuvenating effect on the herniated and degenerative discs that often accompany stenosis. Spinal stenosis, which may be found in conjuction with any of the above conditions, is commonly a contributing cause for sciatic symptoms. Degenerated Disc Disease.
What Is Degenerative Disc Disease? Degenerated disc disease is not technically a disease, but rather a state of disc Dehydration and deterioration due to a combination of cumulative trauma, poor dietary and exercise habits, and aging. As discs degenerate they become more prone to failure from physical stress, which may tear disc fibers and result in more complications, such as osteoarthritis, disc bulging, disc hernaition and stenosis. Many spine experts surmise that the vacuum of negative pressure created in the discs by Spinal Decompression can actually help attract moisture from surrounding tissues, rehydrating and revitalizing thinning and torn degenerating discs. If You Don’t Use It, You’ll Lose It Traumatic spinal injuries may cause patients to avoid their normal daily activities. Without proper treatment, pain will progressively worsen, resulting in decreased physical activity and gradual weakening of the supportive spinal muscles, leading to accelerated disc degeneration. Going, Going …and Finally Gone. Phase One: Dysfunctional – Phase one of degenerated disc disease, is categorized by tears around the outer surface of the annulus. Further damage to the disc and surrounding tissue is exacerbated by the less effective disc. Phase Two: Unstable- In Phase two, the joint progressively loses strength. Disc changes include further tearing along the horizontal axis of the disc, greater loss of the disc height, and cartilage degeneration. Phase Three: Stabilization- Further loss of disc height, disc space narrowing, moderate to severe endplate damage, disc fibrosis and the formation of osteophytes can eventually cause surrounding vertebrae to fuse together. What is Facet Syndrome? Facet syndrome, an inflammation of the facet joints, is one of the lesser-known causes of back pain. Facets are the bony wing-like protrusions extending form the back of the vertebrae that align with the facets on the vertebrae and discs. At the point where the facets of two vertebrae meet are small ligaments that join corresponding facets together. Bearing the Brunt of Unhealthy Discs As a result of lost disc height for one reason or another, the spine may shift its weight, adding pressure to facet joints. Bearing the brunt of all that weight can lead to tearing or degeneration of the ligaments, as well as inflammation of surrounding tissues. Adhesions over the joint surface usually form over time, leading to loss of mobility and breakdown of facet cartilage. Symptoms are usually characterized as a deep ache in the lower back that may extend to the buttocks, hip, and even below the knee. Facet syndrome is often associated with degenerative disc disease and soft tissue damage in the lumbar spine. Contributing factors to Spinal Injury and Disease Age: As we grow older, discs may dry and crack, losing flexibility and the ability to cushion the vertebrae. Good diet, plenty of exercise, and water intake can help slow the process. Exercise: Exercise keeps the muscles surrounding the spine strong, decreasing injury susceptibility. Exercise also helps to maintain healthy blood flow to discs and surrounding tissues. Diet: A healthy diet with appropriate supplementation will help ensure that your bones and tissues are receiving proper nutrients. Activities: Maintain an awareness of what your body can handle. Falls or reckless exertions on the body, such as lifting heavy objects, can lead to severe spinal injuries. Be smart! How Spinal Decompression Works High intradiscal pressures cause discs to bulge out and press painfully on nerve roots. They also make for a compressed, anaerobic environment unsuitable for healing. Spinal Decompression produces negative pressures within the disc, creating a vacuum effect which many doctors believe helps the disc draw in nutrients and fluids to promote the repair of injured discs and surrounding tissues. This vacuum has also been shown to aid in the retraction of escaped cushioning gel from herniated discs. When Negative Is a Positive Much like gauging the air pressure in a car tire, scientists have been able to use pressure sensors to measure the various pressures put on spinal discs while lifting, standing, sitting lying down, undergoing traction, and during SD therapy. Like other pressures found in the body such as blood pressure, intradiscal pressure is measured in millimeters of mercury (mmHg). While traction, physical therapy, and manipulation may reduce disc pressures to as low 40 mmHg, only SD has been shown to achieve negative pressures within the spine. It has been clinically proven that SD creates negative pressures as low as -160 mmHg with in the injured disc during the treatment session! Traction Is not Decompression With traction, weights are added one by one to the end of the traction bed, which, in turn, adds tension to a harness secured around the patient’s pelvis lengthening the spine. The intention is to relieve pressure but the linear force of this traction can produce spasming which may lead to greater injury. Studies confirm that the benefits of traction come from simply immobilizing the spine. In fact, the Quebec Task Force ruled in 1996 that traction was not an effective treatment for chronic herniated discs; the results are not long-lasting and cannot produce negative pressures in the disc. Like traction, SD also lengthens and exerts tension upon the spine. However, the approach is far different, producing vastly superior results. Fooling the Back Into Relaxing Normally, pulls exerted on the spine trigger sensory receptors in the back to tighten the muscles surrounding the vertebrae and discs in an effort to protect them from injury- a mechanism in the body known as the proprioceptor response. SD bypasses this response by gently pulling on the spine and relaxing the back over an extended period of time, allowing the spine to be repositioned without tension and without setting off the “lock down” proprioceptor response. •The Key to Decompression Formula for Relief Each automated session of Spinal Decompression (SD) cycles the patient through a series of gentle pulls, holds, and releases. Super-smooth transitions between each phase of Spinal Decompression can make for an experience so relaxing during which patients often fall asleep. As a session of Spinal Decompression commences, tension slowly mounts, lengthening the spine. Up to one- half of the patient’s body weight, plus as much as 25 pounds of tension, can be exerted directly on the injured discs--- all without triggering the “guarding” proprioceptor response. This is where spinal pressures drop and decompression actually occurs. The differing amounts of tensions administered throughout the session, when graphed on a chart, produce a logarithmic curve similar to the one shown above. After a holding period, tension is slowly decreased and the spine is retracted slowly. This cycle is repeated several times throughout a treatment session. Is Spinal Decompression Right for Me? You Are a Candidate for SD If: •You have chronic or severe back pain caused by bilging or herniated discs, degenerated disc disease, sciatica, and/or facet syndrome. •You have been diagnosed with a clinically unstable low back. •You have failed back surgery syndrome. •You have been told to consider surgery. You Are Not a Candidate for SD If: •You are pregnant. •You have sustained a recent vertebral fracture. •You have any retained surgical hardware (titanium rods or fusion cages). •You suffer from severe osteoporosis. •You have any rare conditions such as certain spinal infections and pelvic abdominal cancer. When Can I Expect Results? Many patients report a reduction in pain after their first few SD treatments sessions and happily feel they have had all the treatments. They need. This is a wonderful sign that SD is working, but the scientific reality is that the healing process is not finished! Quitting the treatment regimen early usually results in a relapse of symptoms, as well as wasted time and money. On the other hand, it may take several sessions before patients experience a noticeable remission of symptoms. Why is this? Bulging and herniated discs may need several sessions to fully reposition themselves depending on your physiology. You can be sure that your spine is responding to SD’s vacuum effect, but results are not always immediate. Using time-tested protocols, SD Can be tremendously effective at the eliminating back pain! SD Works, Given the Chance Many patients report more than a 50% reduction in pain after their first treatment! For those suffering form the herniated and degenerated discs, the escaped nucleus pulpous may be partially or completely retracted back into the disc after just the first session (though usually it takes longer),relieving a great deal of pain. However pain reduction does not indicate full recovery and a full recovery is essential to preventing reinjury. This may mean completing as many as 20 to 25 treatment sessions. Some patients require even more sessions. This may seem like a lot of treatments, but SD is working with your back as it heals, and that is a process that cannot be rushed. Why is this? Much like a scab heals, tears in the disc wall need time to heal. The absence of pain does not mean the tears have had time to seal up, which is crucial to preventing the newly retracted nucleus pulpous from escaping and putting pressure back on the nerves. Completing your course of Spinal Decompression, as determined by your doctor and according to the severity of your condition, takes time. Each session prescribed is needed to maintain a fully hydrated and oxygen-rich environment for the damaged disc. The same principles apply for those with the degenerated disc disease. Visible Progress! After as little as nine treatments, the disc wall may have almost completely healed. However, a small fissure remains. Continuing wit the SD protocol will allow for an enriched disc environment speed the body’s natural healing mechanism. The last remaining SD sessions will enable the disc to heal completely. What Can I Expect? Getting Started At your first visit, your doctor will recommend an x-ray or MRI to pinpoint the specific areas of damage and discomfort. Using this information, your doctor will determine your course of therapy and whether you are a candidate for Spinal Decompression (SD). The Pressure Is Off! A t the beginning of each session, you will be comfortably fitted with a pelvic harness designed to achieve optimal decompression of the lumbar spine. As a session of SD commences, you will notice a slow, gentle lengthening in your spine as your discs are gradually decompressed and relieved of pressure. This process is safe and relaxing. While some patients with extensively injured discs have reported mild discomfort during the first few treatments sessions, their discomfort subsides upon subsequent visits. A patient safety switch, or quick release clasps on the upper-body harness, provide an extra safety feature, allowing you to stop at any point should you feel discomfort. Each treatment session lasts approximately 30-45 minutes. Typical Treatment Plan A typical SD treatment regimen consists of about 20 daily sessions over four to six weeks. Some conditions require fewer visits; some require more. Many patients report their pain and other symptoms during the first few treatment sessions, and most experience dramatic pain relief after completion of their prescribed SD program. As a session of Spinal Decompression progresses, the discs are relieved of pressure, or decompressed, creating a vacuum, many experts believe this decompressed state aids in pulling nutrients, oxygen and moisture back into the discs. Before Surgery, Consider This! While back surgery may be the only solution to some existing back problems, many medical professionals and surgeons themselves feel strongly that every non –invasive option should be explored before turning to surgery. Although advances in surgery have been made many procedures less invasive and more effective, surgery does come with the inherent risks. With high costs and lengthy recovery time, it only makes sense to consider all of your options before making a decision about surgery. Failed Back Surgery Syndrome Failed Back Syndrome is a real term used when a patient continues to suffer from pain and loss of mobility long after surgery. According to the American Academy of Orthopedic Surgeons, there are approximately 200,000 laminectomies performed every year with an estimated 20-30 % of these operations reported to be unsuccessful. A laminectomy removes bone and thickened tissue that is narrowing the spinal canal and squeezing the spinal cord and nerve roots. Great News for Post-Surgical Patients If you still suffer form pain after surgery, we have great news for you! Post-surgical patients have experienced fantastic therapeutic results form Spinal Decompression. While those with surgical hardware, such as brackets, plates, and screws, are not candidates for SD, many post-operative patients are. If you have had surgery with unsatisfactory results or have suffered a relapse, consult your doctor about the possible benefits of Spinal Decompression Therapy. Dramatic Results Without Surgery Case Study: Severe Herniated Disc Almost two years ago, Terence M. ruptured a disc while lifting a box out of the trunk of his car. As a result, he lost the use his right leg and suffered relentless excruciating pain. Desperate for relief, he went to Bala Spine & Wellness Center of Bala Cynwyd, PA to see Harvey Kleinberg, DO , a Physical Medicine and Rehabilitation Specialist for over 35 years. Dr. Kleinberg used Spinal Decompression Therapy to alleviate Terence’s pain and restore his lost function. “When patients have injuries, you want to make them feel better as quickly as possible and that is what Spinal Decompression Therapy is capable of doing for many patients,” Dr. Kleinberg said. Dr. Kleinberg prescribed a treatment plan of three 30 minute sessions a week, which eventually tapered off as the pain began to subside. Patients usually undergo about 20 to 25 treatments, and easy maintenance can keep people from ever having a repeat injury again. “My pain was excruciatingly horrible,” Terrance said. “I thought I’d never be able to be up and about again. My pain was gone in two weeks. I was feeling so good I couldn’t wait to go back to work.” “I Was a Pain Doctor In Pain!” Dr. Kleinberg knows first-hand how unbearable back pain can be- he suffered from herniated discs three years ago. “I had undergone three laminectomies, but continued to suffer form severe sciatica of my problem, it took 29 treatments for a total elimination of pain. It’s been three years now and I’m still pain-free!” Because Spinal Decompression Therapy alleviated his back pain, he is determined to inform people about this non-surgical treatment for herniated or degenerative discs. “No one should have to suffer form pain for the rest of their lives if there is a treatment outside of surgery that can offer them relief with no risk involved,” Dr. Kleinberg said. New York City Spinal Decompression Center Call (212) 645-8151 or visit our website to learn more www.drshoshany.com
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