What is Degerative Disc Disease?

www.drshoshany.com
Degenerative Disc Disease (DDD) occurs when the spinal disc...the shock absorber like pad in between the vertebrae...wear abnormally. This usually happens when the spine is out of alignment (degenerative disc disease video).

The same thing can happen to the tread on your tire when the front end of your car is out of alignment. Both a tire and a spinal disc require proper positioning in order to function at optimum levels.

However...unlike the tire on your car...the spinal disc is living tissue and is capable of healing and repairing itself to a certain extent. In fact, this is why spinal harnessing technology such as the DRX9000 lumbar decompression system was created.

With your car...you can align the front end and rotate or replace the tires. You can't do that with your spinal disc...you only have one set to work with. However, in many cases you can re-align the spine and re-position the disc. Once a degenerating cervical or lumbar disc is repositioned, it is better able to function as intended, often times regaining lost height and water content. We can certainly slow down the degenerative process.

The DRX9000 lumbar decompression and the DRX9000c cervical decompression systems were designed and built to do this. This type of nonsurgical treatment for chronic back and neck pain has become very popular lately...even within the medical community.

WARNING: This will not work for everyone. It just depends how bad the disc degeneration is. Other factors, such as multiple levels of involvement, disc herniations, spondylolisthesis, and osteoporosis, may actually disqualify a patient from spinal decompression therapy.

Each case needs to be looked at individually. Often times the patient and doctor will manage the expectations together so that even a little bit of improvement is considered a successful outcome in severe cases.

The age and overall physical condition of the patient plays a big roll as well.

Recently, there has been some exciting research that has come out. It is available in the new Spinal Decompression Special Report. This report highlights the benefits of spinal decompression with the DRX9000, and paves the way for double blind studies. The future looks bright for nonsurgical spinal decompression with the DRX9000.
If you are in New York City and have DJD and are interested in DRX 9000 visit www.drshoshany.com

DRX 9000 nyc

www.drshoshany.com
Call (212) 645-8151 for Chiropractic, Massage, Physical therapy, Pain management in Manhattan NYC.I was interviewed by Chiropractic Products magazine for the March issue.The topic was of course Spinal decompression.
I have not read it but once I get it I will post the link to the Chiropractic Products website. This is such a hot topic for Chiropractors. NYC Chiropractors are starting to add this modality into their practice. I often refer patients that come to me to Chiropractors that are closer to them, I am in Greenwich Village in Manhattan. I do not like for patients to spend to much time traveling to me because sitting is the worst position for the Low Back.
If you live or work near Midtown Manhattan or Lower Manhattan and have back pain or sciatica consider treatment like Chiropractic, Medical Massage, Spinal Decompression.
Medical massage is covered by most major medical plans.
Treatment on The DRX 9000 may be partially paid my most major medical carriers.

Chiropractic NYC is covered by BC/BS, Cigna,Aetna, United and many more.
If you want to be seen today call our office at (212) 645-8151 and we can verify if your insurance will cover Massage, Chiropractic, Physical therapy.

DRX 9000 Manhattan New York Chiropractor, DRX 9000 Manhattan

www.drshoshany.com
Patients always ask if the big companies have proof that the table can change the disc herniation, well below is a recent press release put out by the makers of the DRX 9000
Case Study reveals visual evidence of the positive hydrating effect that DRX9000™ Non-Surgical Spinal Decompression treatment has on the inter-vertebral disc.

Tampa, FL, FEBRUARY 20, 2008: The DRX9000 aims to relieve pain by enlarging intra-discal spaces, reducing herniation, and decreasing intra-discal pressure during treatment. A case report underwritten with a grant from Axiom Worldwide is now featured in issue 2 of US Musculoskeletal Review 2007. The case study titled, Magnetic Resonance Imaging Findings after Treatment with a Non-surgical Spinal Decompression System (DRX9000™)-Case Report reveals the pre- and post-MRI findings of a 33-year old male with a six year history of low back pain. Prior to treatment with the DRX9000 an MRI of the lumbar spine revealed moderate degenerative disc disease of the lumbar spine with loss of disc signal at most levels, as well as disc bulges at L3/L4, L4/L5, and L5/S1. The patient also reported an overall pain level of 6 on a 0-10 scale. The patient underwent DRX9000 treatment over a six-week period. At his final DRX9000 treatment, the patient reported a pain level of 0. Follow-up MRI showed an increase in intra-discal signal on T2-weighted sagittal images at L2/L3, L3/L4, L4/L5, and L5/S1, reflecting an improvement in disc morphology. The authors conclude, “Our case report demonstrates the positive hydrating effect that the DRX9000 treatment has on the inter-vertebral disc.”

If you have a herniated disc and work or live in NYC, Call my Manhattan Chiropractic office at (212) 645-8151

Axiom Worldwide manufactures and distributes its flagship products, the DRX9000 True Non-surgical Spinal Decompression System™, DRX9000C™, and DRX9500™ in medical markets around the globe. Axiom also manufactures a digital electroceutical device, the EPS8000™, for use in relieving pain and for use in muscular rehabilitation. Axiom prides itself on providing safe, non-surgical alternatives that patients should consider prior to undergoing surgery. For additional information or to receive a copy of the Case Report featured in Issue 2 of US Musculoskeletal
www.drshoshany.com

DRX 9000 Manhattan New York Chiropractor, DRX 9000 Manhattan

Medicare Provider partially funds study on back pain device, yet Still Calls treatment investigational and experimental! Why?

DRX 9000 NYC call (212) 645-8151 or visit or website www.drshoshany.com


A prospective study of 296 patients recruited between 2002 and 2005, and supported in part by a grant from Independence Blue Cross, a Medicare provider, was recently published in the February 2008 issue of Archives of Physical Medicine and Rehabilitation. The authors of the study titled, “Outcomes after a Prone Lumbar Traction Protocol for Patients with Activity-Limiting Low Back Pain: A Prospective Case Series Study” found that, “Patients reported significantly improved pain and RMDQ [Roland-Morris Disability Questionnaire] scores after 16 to 24 visits of prone traction at discharge, and at 30 days and 180 days discharge.” On average pain intensity decreased from a score of 5.8 at preintervention to a score of 3.7 at discharge. The authors go on to state that, “Arguments can be made that if outcomes after prone traction using the VAX-D are superior to those after conventional traction or other equivalent interventions, investing in and reimbursing for traction provided by the VAX-D system may be cost effective.” Although the pain reduction data in this study represents a lower percentage than recent data published on a competitive supine device, it does indicate, “…the likelihood that these measures reflected clinically detectable improvement.” Yet, regardless of this positive outcome, the study clearly states that, “Independence Blue Cross does not endorse any findings from this study.” In fact, per Independence Blue Cross’s current medical policy number 07.08.01b, they consider this treatment modality to be, “experimental/investigational.” To review this policy go to:

http://medpolicy.ibx.com/policies/mpi.nsf/e94faffabc7b0da68525695e0068df65/85256aa800623d7a8525725e006b0727!OpenDocument



This is not the first time that Blue Cross has demonstrated that its medical reimbursement polices are inconsistent. On September 3, 2007 Alice Dembner of the Boston Globe reported on the controversy surrounding the innovative surgical procedure vertebroplasty. In her article, Ms. Dembner writes,



“Although Medicare pays for the procedures in most of the country, Blue Cross Blue Shield, Massachusetts’ largest private insurer does not. The Blue Cross decision is based on a 2005 analysis that found there was not enough evidence to show that vertebroplasty was effective and beneficial. An expert committee convened by Medicare the same year also found evidence lacking, but committee members were convinced that both procedures would eventually be determined to work better than basic treatment for reducing pain and improving mobility. Last year, Medicare spent more than $600 million on the procedures. “If we stopped paying for everything that had no evidence of benefit, we would be a very unpopular organization, “said Dr. Steve Phurrough, director of Medicare’s coverage and analysis group. “Back pain is an increasing problem in our country and people … want something done.”



To view this article visit:

http://www.boston.com/news/globe/health_science/articles/2007/09/03/spine_tuning/

DRX 9000 Manhattan New York Chiropractor, DRX 9000 Manhattan

For Treatment of Chronic Low back pain call the Dr. Steven Shoshany at (212) 645-8151
or visit www.drshoshany.com
If you have a herniated disc and if you suffer from Sciatica and have been told you need a back surgery and are not sure, call or visit the website to learn more about this technique.

SPECIAL REPORT on Nonsurgical Spinal Decompression to treat chronic low back pain now in the January issue of Pain Medicine News.

In most industrialized countries, chronic low back pain is recognized as a widespread condition. However, a Special Report supported through a grant from Axiom Worldwide is now featured in the January issue of Pain Medicine News. The Special Report was first featured in the December 2007 issue of Anesthesiology News and was then presented on-line at: www.painmedicinenews.com in early January. The article has since become the most read article on this website. The Special Report highlights exciting research on a medical device that offers patients a non-surgical treatment option in treating chronic low back pain. The device is called the DRX9000™ and is manufactured by Axiom Worldwide of Tampa, FL. The authors of this Special Report are from the prestigious institutions of Duke University School of Medicine, Mayo Clinic, and Johns Hopkins University School of Medicine. They conclude their Special Report by stating, “The DRX9000™ computerized nonsurgical spinal decompression systems were designed to provide maximum patient benefits with the use of a noninvasive approach that may help minimize health care resources and offer a potentially optimal therapeutic approach to the treatment of LBP [low back pain].”
Manhattan's top Chiropractor has combined the DRX 9000 treatment with the Cox flexion distraction decompression table to provide the most comprehensive treatment for low back pain due to herniated disc's in NYC.
This protocol has provided the best non surgical treatment of the herniated disc.
Dr. Shoshany has combined Chiropractic, Physical therapy and Pain management to provide the best treatment options for patients in New York that are suffering with Chronic low back.
www.drshoshany.com

Spinal Decompression using the DRX 9000 and the Cox technic

www.drshoshany.com
I was recently contacted and asked about the safety of the DRX 9000 spinal decompression machine. In my NYC spinal decompression practice I carefully screen patients for contra-indications and if they are not a candidate for the procedure I do not put them on the machine. In addition to spinal decompression using the DRX 9000 I also combine use of the Cox technic. This technic has been proven to open the IVF or intervertebral foreamen by 28%.
Call (212)645-8151 for spinal decompression in NYC or visit www.drshoshany.com
This past weekend I attended a post graduate seminar on the Cox technic.
I recently added the seventh generation Cox table to my practice.
I wanted to add some information on my blog about what I learned and a description of why I think this techic will improve patient outcomes.
Cox® Technic (aka flexion-distraction or F/D) relieves back and leg pain and neck and arm pain. Disc herniation and/or stenosis may be the cause of pain. Or simple arthritis or a back sprain may be the culprit.

Cox® Technic is a gentle, non-surgical, chiropractic spinal manipulation adjustment procedure.

95% of back pain and neck pain patients DO NOT require surgery.

Cox® Technic is a safe alternative to back surgery. It is also appropriate for failed back surgery patients who still suffer after surgery.

Cox® Technic is a well-researched (with research studies completed and underway), well-referenced (with over 90+ articles in medical and chiropractic journals) chiropractic spinal adjusting manipulation

Cox® Technic drops intradiscal pressures to -192 mmHg and increases the foraminal area by 28%.

Cox® Technic stops pain, realigns the spine and restores ranges of motion inherent to the spine while reducing low back pain, especially in radiculopathy (extremity pain--leg pain or arm pain) patients, better than active exercise therapy.

Innovated by James M. Cox, DC, DACBR, in the 1960's, Cox® Technic is a marriage of osteopathic and chiropractic manipulation principles. It is an accepted and widely used form of spinal manipulation.

THE RESEARCH SAYS...

The Biomechanics Study

Federally Funded Research has thus far proven the following about Cox® Flexion Distraction:


Reduces intradiscal pressures (on nerve roots to relieve pain)

Increases intradiscal height

Increases foraminal size up to 28% (more room for nerve roots and spinal cord)



CLINICAL APPLICATION IS...

The following is presented as a general overview of the treatment.

Cox® Technic is DOCTOR-APPLIED, DOCTOR-CONTROLLED, HANDS-ON, SPECIFIC CONTACT, PATIENT-FOCUSED care. During a treatment on this instrument, the patient lies prone while the treating physician concentrates on one vertebral motion segment at a time. The goal is to reduce stenotic effects by dropping intradiscal pressure to allow disc reduction, increasing the size of the intervertebral foramen, and lowering pressure on the dorsal root ganglion and the exiting nerve roots. While concentrating on the low back, the doctor may use the instrument's caudal (the part the legs lie on) section to allow lateral and circular motion which returns normal motion to the spine with reduced pain. The cervical spine can be treated similarly using a specially designed table.

The Lumbar Spine Adjustment

After undergoing a thorough examination which leads the doctor to a diagnosis of the back condition to be treated, the patient lies on a table that is built to traction the spine and also to produce motions that are normal for the spine. To attain these motions, the table goes "up and down" (flexion and extension), goes "side to side" (lateral flexion), or moves in a circular motion (circumduction). All movements are slow.

The doctor will hold a spinous process (the back part of the vertebra that feels like a "bump" on your spine) to isolate a single segment for treatment. The distraction manipulation is applied manually by the doctor to the patient's low back at the levels of the spine to be treated or that are painful. Tolerance testing is performed prior to the application of distraction manipulation to be sure it causes no pain to the patient. This technic is designed to help patients with low back pain and leg pain.

The Cervical Spine Adjustment

The patient will lie prone (face down) on the table whose headpiece moves in motions that are normal for the cervical spine (Flexion, Extension, Rotation, Lateral flexion, and Circumduction). This headpiece also allows traction to be applied to the cervical or thoracic spines alone or while these motions are being administered. The doctor will hold the appropriate spinous process (back of the vertebra) of the cervical spine to isolate the level of pain or the level of vertebra to be adjusted.



This recent study was posted on the DRX 9000 site.

ORIGINAL ARTICLE
Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000:

A Retrospective Chart Review

Alex Macario, MD, MBA**Departments of Anesthesia and Health Research & Policy, Stanford University School of Medicine, Stanford, California; Alex Macario MD, MBA, Professor of Anesthesia and Health Research & Policy, Department of Anesthesia H3580, Stanford University School of Medicine, Stanford, CA 94305-5640, U.S.A. Tel: +1 650 498 6810; E-mail: amaca@stanford.edu. ; Charlotte Richmond, PhD††Biomedical Research & Education Foundation, LLC, Miami Beach, Florida; ; Martin Auster, MD, MBA‡‡Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, ; Joseph V. Pergolizzi, MD§§Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.*Departments of Anesthesia and Health Research & Policy, Stanford University School of Medicine, Stanford, California; †Biomedical Research & Education Foundation, LLC, Miami Beach, Florida; ‡Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, §Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.
Alex Macario MD, MBA, Professor of Anesthesia and Health Research & Policy, Department of Anesthesia H3580, Stanford University School of Medicine, Stanford, CA 94305-5640, U.S.A. Tel: +1 650 498 6810; E-mail: amaca@stanford.edu.
Reprints will not be available from authors.

■ Abstract

Background: This study's goal was a retrospective chart audit of 100 outpatients with discogenic low back pain (LBP) lasting more than 12 weeks treated with a 2-month course of motorized spinal decompression via the DRX9000 (Axiom Worldwide, Tampa, FL, U.S.A.).

Methods: Patients at a convenience sample of four clinics received 30-minute DRX9000 sessions daily for the first 2 weeks tapering to 1 session/week. Treatment protocol included lumbar stretching, myofascial release, or heat prior to treatment, with ice and/or muscle stimulation afterwards. Primary outcome was verbal numerical pain intensity rating (NRS) 0 to 10 before and after the 8-week treatment.

Results: Of the 100 initial subjects, three withdrew their protected health information, and three were excluded because their LBP duration was less than 12 weeks. The remaining 94 subjects (63% female, 95% white, age = 55 (SD 16) year, 52% employed, 41% retired, LBP median duration of 260 weeks) had diagnoses of herniated disc (73% of patients), degenerative disc disease (68%), or both (27%). Mean NRS equaled 6.05 (SD 2.3) at presentation and decreased significantly to 0.89 (SD 1.15) at end of 8-week treatment (P < 0.0001). Analgesic use also appeared to decrease (charts with data = 20) and Activities of Daily Living improved (charts with data = 38). Follow-up (mean 31 weeks) on 29/94 patients reported mean 83% LBP improvement, NRS of 1.7 (SD 1.15), and satisfaction of 8.55/10 (median 9).

Conclusions: This retrospective chart audit provides preliminary data that chronic LBP may improve with DRX9000 spinal decompression. Randomized double-blind trials are needed to measure the efficacy of such systems. ■

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A Review of the Epidemiology of Painful Diabetic Peripheral Neuropathy, Postherpetic Neuralgia, and Less Commonly Studied Neuropathic Pain Conditions
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www.drshoshany.com
So in conclusion I am confident in my ability to provide patients that have herniated discs, failed back surgery and chronic low back pain a effective means to end their pain and return them to a pain free lifestyle.

Sciatica? DRX9000 Lumbar Spinal Decompression May Be The Answer

Sciatica? DRX9000 Lumbar Spinal Decompression May Be The Answer.
Sciatica treatment in NYC call (212) 645-8151 or visit www.drshoshany.com
The sciatic nerve is the largest nerve in the body. The nerve roots that exit the lumbar spine to form the sciatic nerve are very sensitive. Even the weight of a pencil erasure can irritate them and cause pain that travels down into the buttocks or leg.

In fact...sciatica is pain in the buttocks or leg (radicular pain) from irritation of the sciatic nerve.

So, how does the sciatic nerve become irritated?

Well, this can happen several different ways, here are most of them:

1. A Herniated Lumbar Disc (most common cause of sciatica).

2. Spinal Stenosis or Foraminal Stenosis.

3. Vertebral Subluxation.

4. Degenerative Disc Disease (DDD).

5. Piriformis Syndrome.

6. Sacroiliac Joint Dysfunction.

7. Spondylolisthesis.

8. Trauma (auto accident, skiing injury, sports, etc)

There are a few other causes...but this list covers most of them. The big question here is what can be done to get rid of the symptoms? In my NYC Chiropractic practice I utulize the DRX 9000 along with Cox flexion distaction and Cold laser therapy

DRX 9000 Manhattan New York Chiropractor, DRX 9000 Manhattan

Call 212 645-8151 for DRX 9000 treatment in Manhattan.
I recently purchased the Cox flexion distraction with long axis traction to complement my spinal disc decompression protocol.
This table will allow me to get even better results with patients that medial disc herniations in the lower lumbar spine.
If you suffer from Failed Back Surgical Syndromes

Disc Herniation / Ruptured Disc / Bulging Disc / Herniated Disc

Sciatica / Leg Pain

Stenosis

Arm Pain

Neck Pain

Failed course of Steroid Injections

Chemical Radiculitis

Spondylolisthesis

Synovial Cyst

Headache

"Hip Pain" due to sciatic nerve irritation

Transitional segment
The combination of the DRX 9000 spinal decompression table and the Cox technique is tremendously effective in treating these conditions without surgery.
I am the only Chiropractor in New York city that combines these two amazing tools to give the most complete Non-surgical approach to treat these difficult conditions.

herniated disc DRX 9000 treatment

Call (212) 645-8151 for DRX 9000 treatment in NYC.
First off Happy New Year to everyone!
I have had doctors from across the world contacting me about my spinal decompression protocols.The one thing I tell them is Be picky with who you accept.
I turn down more patients than I accept. This is usually due to the fact that they are not the ideal candidate.
To get great results with spinal decompression I believe the equipment you use is crucial.
I do not work for any table manufactures but I have used many tables and I prefer the DRX 9000 table. It is the workhorse of the industry and is in my opinion the most comfortable to the patient and the most sturdy and reliable table. I have to agree that some of the marketing that went along with was questionable but the table does provide excellent results when combined with proper PT and rehab it is a tool not the end all.
I highly urge any doctor looking to buy a table to test drive different table and decide not only on price.
I know to many "cheap chiropractors" to but DTS tables only to sell them 2 months later because they do not get the results they expected and patients get upset about results.
www.drshoshany.com

Manhattan Chiropractor granted Patent

Manhattan Chiropractor Granted Patent for His Spinal Decompression Group -- First Chiropractor in New York to Receive Patent for Non-surgical Spinal Decompression Treatment

NYC Chiropractor is granted a Patent for his spinal decompression group. This group is dedicated to Non Surgical treatment of bulging/ Herniated discs, Sciatica, spinal stenosis,and Chronic low back pain. This group has the highest success rate in New York.

(PRWEB) December 17, 2007 -- Manhattan Chiropractor Dr. Steven Shoshany has been recently granted a Certification of registration from the United States of America for a Patent Service Mark for his Spinal decompression group NYCDISC which stands for New York Spinal Decompression specialists. This group was formed over three years ago and is comprised of the best trained and equipped spinal decompression doctors in New York City. To be a service provider the doctor must meet certain criteria and utilize special equipment like the DRX 9000.



The DRX9000™ computerized nonsurgical spinal decompression systems were designed to provide maximum patient benefits with the use of a noninvasive approach that may help minimize health care resources and offer a potentially optimal therapeutic approach to the treatment of LBP (low back pain).
In order to be considered you must have a DRX 9000 table or a comparable table, sorry not DTS tables or modified traction tables allowed. This group was formed out of necessity as spinal decompression grew in its popularity more chiropractors are offering this service and the goal of NYCDISC is to maintain a level of excellence in providing spinal decompression services.

Dr. Steven Shoshany is the founder of this group and has consulted with doctors nationwide on the principles and protocols of spinal decompression. This non surgical procedure has been shown to be 89% effective in resolving disc herniation, sciatica spinal stenosis and disc degeneration.

Spinal decompression when combined with a targeted Physical therapy and nutritional program can help many patients that have been suffering needlessly. In the United States, low back pain is the second most common reason for physician visits and the third most common indication for surgery. However, a special report published in the December issue of Anesthesiology News highlights exciting research on a medical device that offers patients a non-surgical treatment option in treating chronic low back pain. The device is called the DRX9000™ and is manufactured by Axiom Worldwide of Tampa, FL. The authors of this special report are from the prestigious institutions of Duke University School of Medicine, Mayo Clinic, and Johns Hopkins University School of Medicine. They conclude their special report by stating, "The DRX9000™ computerized nonsurgical spinal decompression systems were designed to provide maximum patient benefits with the use of a noninvasive approach that may help minimize health care resources and offer a potentially optimal therapeutic approach to the treatment of LBP (low back pain)." The report is attached.

DRX 9000 nyc

DRX 9000 nyc
www.drshoshany.com
I received several good questions from a Chiropractor overseas and i wanted to post his questions and my answers. I hope that will answer his questions and if anyone has any questions please feel free to email me at drstevenshoshany@yahoo.com
drx 9000 nyc (212) 645-8151


Ballinalee Rd. Killoe, Longford, Co.Longford, EIRE

Discussion points re. DRX9000C Spinal Decompression experience – JUL 2007 to date:
1. How many treatments would you define as optimal requirement for both Cervical and Lumbar - we are following 18 and 20 Axiom recommended with inconsistent results and therefore continuing some patients for several weeks – is this normal? It depends sometimes 20-24 times, no real magic number. Depends on patient I have had patients that respond great with 20 visits some patients need more. The protocol calls for 20 visits but some patients that present to your office may be in horrible case and may need 30-35 visits.
2. We note from your website that you also utilise the Power Plate and Cold Laser Therapy & exercises – is this a standard part of your rehabilitation protocol following Spinal Decompression? We are using a mix of deep tissue work and MEDX Core Fitness and exercises but are finding symptoms aggravated for some patients and are in the process of eliminating each element to understand more the impact. I utilize the power plate to stimulate deep spinal muscles and cold laser is great in reducing swelling and pain in fact the cold laser has been an incredible tool when dealing with patient that are in extreme pain.


Do you find it necessary to adjust the level of degrees angle part way through treatment to get the correct angle of pull for some patients? If so, what proportion? This depends on disc level affected, In some cases I have adjusted the disc angel to help with patient comfort. I tend to want to stick with the disc that is affected and diagnosis is made from a recent MRI.
3. How soon do you get results? I note from the wealth of information on your website and blog that many patients respond after a few days of treatment. Do you generally find that if they are not responding by week 3 the treatment will not be successful? Would you recommend stopping treatment if this happens and using other pain management techniques? I have had patients that completed 24 visits and after a week or so they felt better and some patients that feel better after the first visit. Symptom reduction is fantastic but some patients have such a severe case that symptom reduction should not be their only goal. I base my results on if the patient can work without pain and return their normal activities and on post MRI changes, I usually do not refer for an MRI till 2-23 months following the last decompression visit.
4. I note the charge for Spinal Decompression is noted on your site as $1000- $5000. Do you offer spinal decompression as an alternative to permanent pain management and surgery (i.e. 6 weeks protocol) or as a temporary pain relief system also (i.e. a few sessions on the bed for short term relief for those not able to afford the more permanent solution). I am concerned if we do this it will devalue the sophistication of the treatment? What is your view following your excellent experience? This is a great question, It truly depends on the patient and the extent of their problem and if surgery is an option. I have had patients that I have consulted with that are not candidates for spinal decompression and need a surgery but did not want a surgery. I have had patients that where scheduled for surgery and tried a couple of visits on the table only to change their mind after 5 visits. I believe that care should be situational every patient is unique and can not be lumped into 20 visits.
5. Do you ever pull more than ½ body weight + 15lbs to achieve result? I have had conflicting advice from Axiom and feel the wisdom of first hand experience the most beneficial.
This depends on the persons build and their level of pain, had a pro wrestler that could handle the max the machine could pull and then some, also some patients if you add more then 5lbs. over their body weight are very sore the next day. I believe that it can be done but gradually and depending on patient comfort levels. I do not want the patient to be uncomfortable throughout the process but they will be a bit sore until decompression stops. Also make sure that they are drinking plenty of water and supplementing with omega 3’s.



THANK YOU AGAIN for any support you can provide. I would welcome the opportunity to talk with you subject to you having time. I truly believe the DRX9000C Spinal Decompression will be instrumental in helping many people in Ireland live a better quality of life and am keen to learn as early as possible to ensure it’s success and reputation.

DR.HICKEY Bsc. (Chiro) DC MMCAI, Chiropractor (Registered)

nyc chiropractor DRX 9000 treatment

www.drshoshany.com
Clinical results to be presented at the 2007 annual New York State Society of Anesthesiologists PGA meeting.

Tampa, FL November 13, 2007: The clinical results of an IRB-approved prospective, multi-center, phase II, non-randomized pilot study utilizing the DRX9000™ will be presented by three of its authors at the New York State Society of Anesthesiologists PGA meeting in New York, NY December 7 – 11, 2007. The study, authored by Dr. John Leslie of The Mayo Clinic and others, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of ten years of chronic back pain. After two weeks of treatments on the DRX9000 there was a 50% reduction in pain scores and upon completion of the entire six week protocol an amazing success rate of 88.9% was documented. The patients also reported an improvement in their Oswestry Disability score. Abstracts and copies of the presentation will be made available following the presentation at the New York State society of Anesthesiologists PGA meeting.


I plan on attending this confernece, I will have abstracts and copies of this study to present to patients if they are interested.
If you suffer with a disc herniation in NYC and are considering surgery, please call me first at 212 645-8151

nyc chiropractor DRX 9000 treatment

www.drshoshany.com
Clinical results to be presented at the 2007 annual New York State Society of Anesthesiologists PGA meeting.

Tampa, FL November 13, 2007: The clinical results of an IRB-approved prospective, multi-center, phase II, non-randomized pilot study utilizing the DRX9000™ will be presented by three of its authors at the New York State Society of Anesthesiologists PGA meeting in New York, NY December 7 – 11, 2007. The study, authored by Dr. John Leslie of The Mayo Clinic and others, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of ten years of chronic back pain. After two weeks of treatments on the DRX9000 there was a 50% reduction in pain scores and upon completion of the entire six week protocol an amazing success rate of 88.9% was documented. The patients also reported an improvement in their Oswestry Disability score. Abstracts and copies of the presentation will be made available following the presentation at the New York State society of Anesthesiologists PGA meeting.


I plan on attending this confernece, I will have abstracts and copies of this study to present to patients if they are interested.
If you suffer with a disc herniation in NYC and are considering surgery, please call me first at 212 645-8151

nyc chiropractor DRX 9000 treatment

www.drshoshany.com

Costs of DRX 9000

Manhattan's Back pain experts. Call (212) 645-8151 Stop sufffering today.


I recently had an inquiry regarding the fees associated with spinal decompresssion therapy.

Over my 9 years of treating severe chronic back problems, herniated disc and stenosis there has been a shift in some insurance companies thinking about treatment. When I first started there was no way, no how and insuranace company would even look at DRX9000 decompression therapy for reimbursement. Now I have had some insurances pay towards the care, and some have actually paid the entire amount. I had successful dealings with some medical inurance carriers and an auto accident insurance company.I have had two recent New York workers compensation cases pay for an entire spinal decompression protocol.

If someone suffering with chronic back problems, herniated disc(s) and stenosis has insurance that does not pay for spinal decompression or if they don't have any insurance coverage the entire fee could be financed for as little as $89 per month. This is another ancillary benefit you can not get from back surgery (which could run from $40,000 - $100,000). I use the company Carecredit what's nice about Care credit is they offer 18 months interest free payments.

If you do suffer with chronic back problems, herniated disc or stenosis I suggest you take advantage of our complimentary evaluation. At that time we can determine if you are a candidate for the DRX9000 spinal decompression treatment or not. If you are accepted as a patient, my staff will then verify any insurance coverage.

I have also added a medical doctor to my practice, this allows me to refer patients to him for pain management.
Manhattan Chiropractor.
Manhattan Chiropractic care.
www.drshoshany.com
If are considering spinal decompression in Manhattan contact me for a complimentary consultation and review of your MRI's.
Call (212) 645-8151 for Chiropractic care in Manhattan
New York City Spinal Decompression

EFFECTIVENESS & SAFET Y OF NON-SURGICAL SPINAL DECOMPRESSION

I recently obtained a recent study on the DRX 9000 spinal decompression table, it shows a 89% percent success rate. Of course we need randomized double blind studies, this is a start in the right direction.
I am confident that within a year we will have these studies and spinal decompression on the DRX 9000 will be the standard of care for management of disc herniations.
www.drshoshany.com



Effectiveness and Safety of Non-Surgical Spinal Decompression as presented at the American Academy of Pain Management AAPM 18th. Annual Clinical Meeting September 27-30, 2007

John Leslie MD, Charlotte Richmond, PhD, Alex Macario, MD, Christian Apfel, MD, Frank Florio,DC, Darren Clair, MD, Joseph Pergolizzi, MD

Mayo Clinc, Universty of California at San Francisco, John Hopkins University

EFFECTIVENESS & SAFET Y OF NON-SURGICAL SPINAL DECOMPRESSION
OBJECTIVE :Prospective, multi-center, phase II, non-randomized clinical study to evaluate the effectiveness and safety of the Axiom Worldwide DRX9000 for active treatment of chronic LBP utilizing a standardized clinical research multimodal protocol.
METHODS: 20 patients with chronic LBP based on a diagnosis of musculoskeletal or mechanical LBP, herniated discs bulging or protruding discs, degenerative disc, pain from failed back surgery more than 6 months previously, posterior facet syndrome or sciatica underwent a series of 20 DRX treatments (28 mins each) for 6 weeks with 5 sessions the first week tapering to 1 session/wk. Treatment multimodal protocol included ice after DRX sessions, lumbar stretching exercises, and adjunct analgesics as required. Assessments of pain, analgesic use, functionality, satisfaction, activities of daily living and safety were collected through examinations, questionnaires and patient diaries.
RESULTS: 18 evaluable subjects (33.3%female,83.3% white, mean age 44.6, 77.8% employed) had mean pain score 5.8 on a 0 to 10 scale(0 = no pain 10 = worst pain) at initial presentation that decreased to 2.9 after last DRX treatment. Patients reported a mean 88.9% (16 out of 18) improvement in back pain, and a better function as measured by activities of daily living. On a ) to 10 scale (0 = not satisfied 10 = very satisfied) patients rated the DRX9000 an 8.1 . No patient required any invasive therapies (e.g. , epidural injections, surgery).
CONCLUSION: Overall, patients’ pain improved immediately after DRX treatment, requiring fewer analgesics, with better function. There were no safety issues identified with multimodal treatment routine. Non-treatment or control groups were not included making efficacy outcome versus placebo or spontaneous recovery difficult to determine. Randomized double-blinded or comparative long-term outcome trials are needed to further prove the efficacy of the DRX9000 non-surgical spinal decompression system for the routine treatment of chronic LBP.
DISCLOSURE: This study was funded by Axiom Worldwide.

BACKGROUND
Paucity of literature on benefits of non-surgical spinal decompression over other non-surgical treatments
Previous studies are poorly designed
Results are descriptive in nature
Efficacy versus placebo or spontaneous recovery difficult to determine
Over 1,200 DRX9000 in use today
MATERIALS & METHODS
METHODS
Prospective, multi-center, Phase II , non-randomized clinical trial
3 free- standing clinics (2 MDs and 1DC)
Diagnosis: Low back pain > 12 weeks
Outcome measures assessed:
Daily Pain Diary
Verbal Rating Scale (VRS)
Oswestry Pain Questionnaire
Adverse Events
Satisfaction Survey
TREATMENT PROTOCOL
DRX9000 sessions
28 minute sessions for 6 weeks
Total of 20 treatments
5 sessions week 1&2
3 sessions week 3&4
2 sessions week 5&6
Additional Therapy
Ice therapy post DRX
Back exercises after week 2

FAILED THERAPY PRIOR TO DRX9000
PROCEDURE # PROCEDURE # PROCEDURE
CHIROPRACTIC 16 TENS 5 Facet injections 1
MUSCLE STIMULATION 10 ACUPUNCTURE 3 Ultra sound 1
ICE THERAPY 9 LUMBAR SUPPORT 3 Other Decompressive therapy 1
MASSAGE THERAPY 9 Epidural injections 3

ADVERSE EVENTS
ADVERSE EVENT RELATED TO DEVICE ADVERSE EVENT RELATED TO DEVICE
Neck Pain Possibly Shoulder pain No
Head cold (2) No LBP/flu like symptoms No

Sinus headache 2) No
Vertigo No
Sinus Infection No
Adrenal Insufficiency No


Week 3 Week 6 Would you recommend DRX9000 to anyone else?
7.6 8.1 Yes 88.9% No 11.1%
www.drshoshany.com
Manhattan's Spinal decompression specialist
If you suffer with chronic back pain or have been diagnosed with a herniated disc call (212) 645-8151 for Non surgical spinal decompression

Make Back Pain Disappear Without Drugs or Scalpel

Dr. Shoshany New York City's top Chiropractor contributed to this article that over 70,000 people subscribe to monthly
Make Back Pain Disappear Without Drugs or Scalpel
Spinal Decompression Is a Magical Cure for Some People
Call (212) 645-8151 in Manhattan www.drshoshany.com

reprinted from Daily Health News, November 1, 2007
URL: http://www.bottomlinesecrets.com/blpnet/article.html?article_id=43340


Luckily I've never suffered a serious bout of back pain -- and staying strong in the hope I won't have problems like that is one reason I am so committed to fitness. Even so, though, the truth is that most of us (80% by some estimates) will have back pain at some time or another -- whether from over-exertion, injury or simply a result of the aging process. Chronic back pain is frustrating, not only because of how badly it hurts but also because it can be difficult to cure. It is the fifth most common reason for doctor visits.

A particularly common cause of such pain is a herniated disk, also referred to colloquially as a "slipped disk." For a long time, the usual mainstream medical solutions were surgery, physical therapy and/or pain medication, all of which take a long time and may not work for everyone. So I was very interested to learn about a non-surgical, non-invasive treatment for herniated disks called spinal decompression.

Visualize the disks in your back as being like hard donuts filled with a jelly-like material in the center. With age, the strong fibrous cartilage (the donut) can weaken, allowing the jelly-like material (nucleus pulposus) to bulge, which in and of itself is not painful. But more seriously, with a herniated disk the hard tissue has actually torn or ruptured, causing this material to ooze and press on spinal nerves. This causes pain that can range from mild to horrible.

SPINAL DECOMPRESSION 101: A PRIMER

One of the first devices used for spinal decompression was approved by the FDA in 1995. Because spinal decompression requires special expertise and pricey equipment, few chiropractors have offered this treatment -- but numbers are growing as training and better insurance reimbursement becomes more commonplace, I was told by Steven Shoshany, DC, a New York City-based chiropractor who specializes in spinal decompression.

Here's how it works: The patient lies on a comfortable table made specifically for this purpose, comfortably strapped down with a pelvis and torso harness that resembles a girdle. Calling it a "high-tech traction device," Dr. Shoshany explained how it works. "Slowly and comfortably, almost imperceptibly, the machine creates traction by pulling and holding for one minute. Then, intermittently, it releases. It is believed that this creates a negative pressure, or a vacuum within the disk, which then draws back the herniated-disk material which was displaced." With less pressure inside the disk, and thus less on the spinal nerves, pain often decreases or might even disappear -- sometimes instantaneously. To "fix the hold," however, numerous sessions may be required.

This technique also allows nutrient-rich fluid to go to the area where there is less pressure, stimulating the healing process. Most patients either sleep or watch a DVD during the treatment, Dr. Shoshany told me. Each session takes about 30 minutes and a typical treatment program may take between 20 to 30 sessions.

Critics contend that there are no long-range, well-designed studies looking at efficacy over time, but there has been some research on the treatment and the results are promising. In one study published in 2001 in Neurological Research, researchers reported that a spinal decompression therapy called VAX-D produced a success rate of 68.4%, compared with 0% for a placebo therapy in treatment of chronic low back pain. Another study from a team of researchers at the University of Illinois and Rome found a 71% success rate for treatment of herniated disk and other causes of low back pain, with "success" defined as a reduction in pain to 0 or 1 on a scale of 0 to 5.

NOT FOR EVERYONE

Dr. Shoshany noted that some people get much more benefit from spinal decompression than others, and it is not an option for everyone. "It's not a good choice for a person who has metal implants in the spine," he warned. It's better for people with a single-disk herniation than those who have herniation in several or all of them. Also, people who are morbidly obese and/or who smoke likely won't find much relief from spinal decompression either.

The procedure is thought to be safe, though there is no hard science supporting its efficacy. If you do decide to seek out this somewhat unconventional form of treatment, it's safest and best to do so with the oversight of your orthopedic surgeon, who can help you ascertain whether it might work in your case. For more information on spinal decompression, go to http://www.drshoshany.com
Effectiveness and safety of Non Surgical Spinal Decompression reveals a 89% reduction on severity of chronic LBP once this article is converted to a text form i will post it.

DRX 9000 Spinal Decompression

New York Spinal deccompression
Call (212) 645-8151

www.drshoshany.com

AXIOM WORLDWIDE RECEIVES NUMEROUS INQUIRIES REGARDING PROFESSIONAL GOLFER AND FORMER DRX9000™ PATIENT, FRANK NOBILO!

Tampa, FL October 17, 2007: Axiom Worldwide has received numerous inquiries regarding professional golfer Frank Nobilo’s return to the PGA Tour. Mr. Nobilo left the tour in 2003 because of serious back problems. On October 9, 2007 the Associated Press reported that he was making a comeback and had registered for the PGA Tour’s qualifying school. The report also went on to state that Mr. Nobilo was expected to play in this year’s New Zealand Open. The inquiries to Axiom Worldwide are in response to Frank Nobilo’s video testimonial regarding his treatment on the DRX9000™; specifically the teaser that he may play professionally again one day. A copy of the Frank Nobilo testimonial may be found at: www.axiomworldwide.com. View Frank Nobilo's Video Testimonial. In the video Mr. Nobilo is quoted as saying:



“Eventually after X-Rays and MRI’s I realized I had my last three vertebra which was L4, L5 as well as L3 just above there as well were almost touching each other, I had virtually no disc on those last three vertebra and effectively as a golfer you need the function of your whole spine to rotate and whatever and all the symptoms that I’d had, the pain, the lack of movement, stiffness, everything , and literally I was in agony, were caused through literally bone on bone; no disc.”



“So when I had an MRI, it shows disks again, so to me it’s like a modern miracle, so I am now a believer.”



“The only thing that’s missing in my life right now is that I don’t play competitive golf anymore but you know I can play with my daughter, I can play with my pets for example, you know, I can get out and play the odd game of tennis, I can play the odd game of golf, I can do that now, I can actually have a normal life that I never thought was possible.”



“I have seen players getting ready for the champions tour and I was nearing 50 years of age trying to get back into shape, for example using the DRX9000, and I’ve seen players in their 30’s that are perfectly healthy using the DRX9000 to stay perfectly healthy.”



“So for me the DRX9000, I can’t put a value on it. All the things that I thought I’d forgotten, I can do most of them again now. All of a sudden, my life is totally different, I really feel like I can achieve pretty much everything I wanted to do outside golf and maybe, you never know, when I reach 50 with the Champions tour these days and I keep using the DRX9000 on a regular basis, I might just, you never know, I might just compete once again.”



In an open letter found on his website: www.nobilo.com, Mr. Nobilo states, “I have not, nor did I have any intention of entering this year’s PGA Tour Qualifying School.” In the letter he goes on to state that there were conversations regarding his return to this year’s New Zealand Open to help support the event, but that there have been no further conversations and he has not arranged his schedule to participate. In summary, Mr. Nobilo states, “I am flattered with the response from many well wishers in the short period of time since the article was released. While never a day goes by when I wish I wasn’t back out on the golf course the reality of getting back to competitive golf, whether it be regular or Champions Tour, is extremely unlikely.” We at Axiom continue to wish Frank and his family the very best in all of his endeavors.

www.drshoshany.com

Why Spinal decompression for my sciatica?

SPINAL DECOMPRESSION FOR MANHATTAN
BACK PAIN SUFFERERS:

Non-Surgical
100% Safe
100% Painless
FDA Approved
86% Patient Success Rate (“Good to Excellent”)
Corrects Underlying Problem—Doesn’t Just Relieve Symptoms
No Drugs, Incisions or Injections
Pre-determined Treatment Period
Relieves Leg, Neck & Back Pain
Covered By some Health Insurance
Proven Effective For Herniated Discs, Degenerative Discs, Sciatica, Facet Syndrome, Spinal Stenosis, Pre/Post Surgical Patients
call (212) 645-8151 or visit www.drshoshany.com

Herniated Disc Treatments-What Works Best?

Herniated Disc Treatments-What Works Best?

Call (212) 645-8151

New York Chiropractor and Herniated Disc Doctor Comments on the benefits of Nonsurgical Spinal Decompression with the DRX9000:

Have you been diagnosed with a herniated disc in the neck or low back?

Have you been told that surgery is the only way to repair your disc herniations?

Well...there may be a better way for you...a way that does not involve drugs or surgery. There is a technology that has been around for several years now called nonsurgical spinal decompression. There are several manufacturers...but the machine we use at our New York Chiropractic and Disc Herniation Center is the DRX9000, made by Axiom Worldwide.

I chose the DRX9000 over the other machines because it just seemed like it would be more comfortable for the patient...and I knew some doctor friends that had tried some of the other machines. I also flew in to the Tampa headquarters of Axiom Worldwide where they had all the machines side by side for comparison.

Anyway...I'm sure they all work fine, but the machines we use are the DRX9000 lumbar decompression system for herniated lumbar discs...and the DRX9000c for herniated cervical discs.

Before I offered decompression therapy at my New York chiropractic clinic, I would refer out chronic back pain patients with disc herniations if they did not respond to chiropractic care. Now we can offer a very safe and effective treatment in-house. Sure, the treatment does not help everyone...nothing does.

But...the treatments are very safe. To my knowledge, nobody has ever become paralyzed from the DRX9000, or sustained permanent bodily harm. This happens all the time with surgery. Some people get sore in the beginning because the treatment is physical...but that's about it. Either it works or it doesn't. The risks are time and money. It really is worth a shot if you feel you have nowhere else to turn. Chances are...you will be glad you did.

If you would like to find out if you are a candidate for nonsurgical spinal decompression with the DRX9000 at my New York Decompression Center...please call 212-645-8151 and ask for a complimentary DRX dvd
physical therapy in NYC