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
Sunday, May 31, 2009
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
Wednesday, May 06, 2009
Disc Herniation? Before Surgery Consider Non surgical spinal decompression in Manhattan, NYC
www.drshoshany.com
Disc herniation? Before committing surgery consider Non-surgical spinal decompression in Manhattan,NYC.
Why?
Non-surgical spinal decompression is not invasive and provides excellent results.
I found this recently while doing a Medline search on herniated discs.
Recurrent disc herniation and long-term back pain after primary lumbar
discectomy: review of outcomes reported for limited versus aggressive
disc removal
OBJECTIVE: It remains unknown whether aggressive disc removal with
curettage or limited removal of disc fragment alone with little disc
invasion provides a better outcome for the treatment of lumbar disc
herniation with radiculopathy. We reviewed the literature to determine
whether outcomes reported after limited discectomy (LD) differed from
those reported after aggressive discectomy (AD) with regard to long-term
back pain or recurrent disc herniation.
METHODS: A systematic MEDLINE search was performed to identify all
studies published between 1980 and 2007 reporting outcomes after AD or
LD for a herniated lumbar disc with radiculopathy. The incidence of
short- and long-term recurrent back or leg pain and recurrent disc
herniation was assessed from each reported LD or AD cohort and the
cumulative incidence compared. RESULTS: Fifty-four studies (60
discectomy cohorts) met the inclusion criteria, reporting the outcomes
of 13 359 patients after lumbar discectomy (LD, 6135 patients; AD, 7224
patients). The reported incidence of short-term recurrent back or leg
pain was similar after LD (mean, 14.5%; range, 7-16%) and AD (mean,
14.1%; range, 6-43%) (P < 0.01). However, more than 2 years after
surgery, the reported incidence of recurrent back or leg pain was
2.5-fold less after LD (mean, 11.6%; range, 7-16%) compared with AD
(mean, 27.8%; range, 19-37%) (P < 0.0001). The reported incidence of
recurrent disc herniation after LD (mean, 7%; range, 2-18%) was greater
than that reported after AD (mean, 3.5%; range, 0-9.5%) (P < 0.0001).
CONCLUSION: Review of the literature demonstrates a greater reported
incidence of long-term recurrent back and leg pain after AD but a
greater reported incidence of recurrent disc herniation after LD.
Prospective, randomized trials are needed to firmly assess this possible
difference.
Japanese study reports 76% of patients were satisfied after treatment on the DRX-9000!
A study titled, “The treatment of lumbar disc disease using DRX-9000” is published in the December issue of the Nigata University Journal of Health and Welfare. After treating fifty patients on the DRX-9000, Dr. Noriaki Yamamoto and others reported that 76% of patients were satisfied with the treatment. The patients received 30-minute sessions every week or 2 weeks, for 3 months and revealed a decrease in pain of 4.91 ± 0.93 to 2.69 ± 1.02 (p<0.01). Although the treatment program used by Dr. Yamamoto did not follow Axiom’s published protocol, positive results were still demonstrated. A previous study following Axiom’s protocol which was published in the December 2008 issue of the Journal of Medicine revealed a mean patient rating of 7.61 (0-10 scale) at the mid point of treatment and 8.1 after the final week of treatment. To review additional clinical studies please go to www.axiomworldwide.com/research.aspx.
If you suffer with chronic back pain or have a herniated disc and live in Manhattan contact the NYC spinal decompression specialist
Disc herniation? Before committing surgery consider Non-surgical spinal decompression in Manhattan,NYC.
Why?
Non-surgical spinal decompression is not invasive and provides excellent results.
I found this recently while doing a Medline search on herniated discs.
Recurrent disc herniation and long-term back pain after primary lumbar
discectomy: review of outcomes reported for limited versus aggressive
disc removal
OBJECTIVE: It remains unknown whether aggressive disc removal with
curettage or limited removal of disc fragment alone with little disc
invasion provides a better outcome for the treatment of lumbar disc
herniation with radiculopathy. We reviewed the literature to determine
whether outcomes reported after limited discectomy (LD) differed from
those reported after aggressive discectomy (AD) with regard to long-term
back pain or recurrent disc herniation.
METHODS: A systematic MEDLINE search was performed to identify all
studies published between 1980 and 2007 reporting outcomes after AD or
LD for a herniated lumbar disc with radiculopathy. The incidence of
short- and long-term recurrent back or leg pain and recurrent disc
herniation was assessed from each reported LD or AD cohort and the
cumulative incidence compared. RESULTS: Fifty-four studies (60
discectomy cohorts) met the inclusion criteria, reporting the outcomes
of 13 359 patients after lumbar discectomy (LD, 6135 patients; AD, 7224
patients). The reported incidence of short-term recurrent back or leg
pain was similar after LD (mean, 14.5%; range, 7-16%) and AD (mean,
14.1%; range, 6-43%) (P < 0.01). However, more than 2 years after
surgery, the reported incidence of recurrent back or leg pain was
2.5-fold less after LD (mean, 11.6%; range, 7-16%) compared with AD
(mean, 27.8%; range, 19-37%) (P < 0.0001). The reported incidence of
recurrent disc herniation after LD (mean, 7%; range, 2-18%) was greater
than that reported after AD (mean, 3.5%; range, 0-9.5%) (P < 0.0001).
CONCLUSION: Review of the literature demonstrates a greater reported
incidence of long-term recurrent back and leg pain after AD but a
greater reported incidence of recurrent disc herniation after LD.
Prospective, randomized trials are needed to firmly assess this possible
difference.
Japanese study reports 76% of patients were satisfied after treatment on the DRX-9000!
A study titled, “The treatment of lumbar disc disease using DRX-9000” is published in the December issue of the Nigata University Journal of Health and Welfare. After treating fifty patients on the DRX-9000, Dr. Noriaki Yamamoto and others reported that 76% of patients were satisfied with the treatment. The patients received 30-minute sessions every week or 2 weeks, for 3 months and revealed a decrease in pain of 4.91 ± 0.93 to 2.69 ± 1.02 (p<0.01). Although the treatment program used by Dr. Yamamoto did not follow Axiom’s published protocol, positive results were still demonstrated. A previous study following Axiom’s protocol which was published in the December 2008 issue of the Journal of Medicine revealed a mean patient rating of 7.61 (0-10 scale) at the mid point of treatment and 8.1 after the final week of treatment. To review additional clinical studies please go to www.axiomworldwide.com/research.aspx.
If you suffer with chronic back pain or have a herniated disc and live in Manhattan contact the NYC spinal decompression specialist
Thursday, April 30, 2009
DRX 9000 NYC,Manhattan New study
Japanese study reports 76% of patients were satisfied after treatment on the DRX-9000! Are you suffering with a herniated disc? Have been told you need back surgery? Did you know that Non-surgical spinal decompression is available in Manhattan NYC? Visit our NYC herniated disc center If you live or work in New York City we are hosting a 45 minute presentation on how non surgical spinal decompression can help with chronic back pain and herniated discs. This workshop is a fantastic way to learn more about spinal decompression using the DRX 9000 and the SpineForce 3D rehabilitation system. Bring your MRI's and once the presentation is complete we will review MRI findings and help determine if you are a candidate for this procedure. There is no charge for this workshop and refreshments will be served. May 6th. at 7:30 please email drstevenshoshany@yahoo.com to register or visit NYC Disc herniation specialists Herniated disc doctor: A study titled, “The treatment of lumbar disc disease using DRX-9000” is published in the December issue of the Nigata University Journal of Health and Welfare. After treating fifty patients on the DRX-9000, Dr. Noriaki Yamamoto and others reported that 76% of patients were satisfied with the treatment. The patients received 30-minute sessions every week or 2 weeks, for 3 months and revealed a decrease in pain of 4.91 ± 0.93 to 2.69 ± 1.02 (p<0.01). Although the treatment program used by Dr. Yamamoto did not follow Axiom’s published protocol, positive results were still demonstrated. A previous study following Axiom’s protocol which was published in the December 2008 issue of the Journal of Medicine revealed a mean patient rating of 7.61 (0-10 scale) at the mid point of treatment and 8.1 after the final week of treatment. To review additional clinical studies please go to www.axiomworldwide.com/research.aspxTuesday, April 28, 2009
DRX 9000 NYC, Manhattan-Question regarding DRX 9000
www.drshoshany.com
I wanted to post a recent question I had a reader email me, In my usual fashion I will answer below. If you are suffering with a Herniated disc or Sciatica Non surgical spinal decompression is an effective treatment.Visit our Manhattan NYC practice where we specialize in non surgical spinal decompression.
Hi Dr. Shoshany,
Just a quick question. A DC with both the DRX and the DTS told me that studies show the DRX can achieve up to (unsure of the measurement scale) minus 200 negative pressure on the disc while the DTS only reaches a plus 70. Just want to hear any comments you may have regarding this specific issue... For example, have you heard of the study, can it be accessed on the internet...
I have read your comments regarding the differences in the different tables on the market, including the following summary:
"So in conclusion you get what you pay for, A Mercedes cost more than a Ford and they both get you from point A to B but the amenities on the Mercedes makes it more comfortable and a better experience."
For me the heart of the matter is this: can the DRX and the DTS both get you from point A to B? Could the end result of treatment with the DTS be just as effective without being able to achieve negative pressure on the disk (according to the DC mentioned above)? Thanks in advance for any response you might send me, no matter how brief!
I have had this question asked more then any other, I have several decompression tables in my NYC spinal decompression office. I was one of the first to bring spinal decompression to NYC.
Hands down you will get a more consistent and concise pull with the DRX 9000.
I often recommend patients to try and see the difference in my office, once they get on the DRX 9000 they don't want to go back on the DTS.
Now I am sure you will read conflicting information on the web by doctors that only own the DTS saying it does the same thing.
If that is all I had access to then I would use it, but if I had a choice? I would always go with the better equipment.
I do recommend that you incorporate a core strengthening protocol with you spinal decompression program. One mistake I hear about is patient that where just put on the machine and then only had ice and stim. If a patient does not educate the core muscles or learn proper bending and lifting they are prone to re-injury.
I find that the treatment lasts when you strengthen the core and teach the patient how to keep the core strong.
I utilize the SpineForce machine, I believe this is the finest piece of equipment to strengthen all of the postural muscles. Check out the website at www.spineforce.com
I posted some of the information about the benefits of the SpineForce below:
Prior to SpineForce, there was no KNOWN technology in the world able to precisely target and strengthen the most important muscle chains in the body, the 180 core spinal muscles. SpineForce fills this void.
SpineForce (the device/treatment) can be used for all athletes and sports/fitness enthusiasts, regardless of age or physical condition. It is a gentle, strengthening and rehab device to complement traditional training and strengthening exercises, building a foundation of core strength, aiding in proprioception, balance and equilibrium, while preventing debilitating structural disorders. SpineForce (the treatment) is affordable for all, as the benefits of improved core strength and back health, (preventing career-ending injuries, etc.). Many insurance providers will cover treatments & offset the cost.
Key Benefits of SpineForce (Treatments):
Precisely targets core strength irregularity
Strengthens core spinal muscles that are responsible for fluidity & bodily movement
Improves proprioception, balance, range of motion, coordination, fluidity, equilibrium and posture
Relieves back pain to prevent sports injuries and other debilitating spinal conditions
Supports sports trainer/therapist strengthening exercises/routines
Stimulates spinal fluids for improved neural responses
Provides whole-body cardio workout
Description: As one knowingly applies pressure to the handles with the upper body, a push/pull action, a moving platform works synergistically to keep the torso in highly targeted positions, forcing specific core spinal muscle chains to work in coordinated effort.
The effect? The core spinal muscles are strong and the spine is flexible, healthy and pain-free.
So to sum it up, Spinal decompression for treatment of herniated disc is excellent and I highly recommend the DRX 9000 table but I do urge you to take a more active role and request a core strengthening protocol. If you can make it up to Manhattan NYC I would be happy to see you! I am sure there is a a Chiropractor in your town that utilizes the protocols that I follow. Please email me a update.
www.drshoshany.com
Thursday, April 23, 2009
DRX 9000 NYC, Manhattan
DRX 9000 in Manhattan,NYC
Stop The Pain Before It Stops You!!
With the DRX 9000 technology, you can receive treatment of herniated and degenerative discs without surgery! If you are like many who suffer from chronic neck and back pain, you have probably tried several prescribed remedies to help ease your discomfort: frequent bed rest, high doses of pain medication. Perhaps even non-traditional approaches such as acupuncture. And like so many, you have come to accept the fact that you just have to learn to live with your pain.
You Don't Have To Live With That Pain Anymore!
Thanks to the concerted efforts of a team of top physicians and medical engineers, a major advancement in medical technology was made to effectively treat low back pain resulting from herniated or deteriorating discs. The result of their efforts not only significantly reduces back pain in 92-96% of patients, but enables the majority of patients to return to more active lifestyles.
The decompression can help if you have herniated and bulging lumbar discs with or without complication, degenerative disc disease, a relapse or failure following surgery or facet syndromes.
This new treatment uses state-of-the-art technology to gradually relieve neurocompression often associated with lumbar, lower back pain. The process has been proven to relieve pain by enlarging disc space, reducing herniation, strengthening outer ligaments to help move herniated areas back into place and reversing high intradiscal pressures through application of negative pressure.
For Lumbar Decompression
An upper chest harness / shoulder support and a pelvic harness are used to help distribute the applied forces evenly. Once in place, you are slowly reclined to a horizontal position. Following the physician's orders, the therapist localizes the pain, makes any adjustments and directs the treatment to the proper area. The pull of decompression helps to mobilize the troubled disc segment without inducing further damage to the spine. Following each therapy session a cold pack and/or electrical muscle stimulation pad is applied to help the paravertebral muscles consolidate and strengthen after treatment. This also prevents muscles from swelling and going into spasm.
Considering the DRX 9000 Technology in NYC?
Contact our Manhattan clinic at (212) 645-8151 or visit our website www.drshoshany.com
we will review your MRI,CAT scans or xrays and determine if you are a candidate for this procedure.
We utulize the Spineforce 3D rehab system, Power Plate whole body vibration, Cold laser therapy using the Erchonia laser, Kinesio taping and the Cox flexion distraction table.
ny chiropractor, nyc chiropractor new york, manhattan chiropractor, ny chiropractic, lumbar pain, spinal decompression, back pain new york nyc, herniated disc new york nyc, neck pain manhattan nyc new york
Monday, April 13, 2009
Manhattan DRX 9000 Spinal Decompression
Manhattan DRX 9000 Spinal Decompression
visit www.sohochiropractor.com
If you are visiting Manhattan and your back or neck goes out what do you do?
Spinal decompression on the DRX 9000 is a protocol that calls for numerous visits over a period of 6 weeks.
Chiropractic care can effectively reduce pain without medication.
Our Manhattan Spinal decompression practice offers Chiropractic care, Physical therapy, Acupuncture, massage and Pain management with a MD.
Our office is open Monday-Saturday and if it is a emergency chiropractic visit we can be reached anytime. www.emergencychiropractor.com
visit www.sohochiropractor.com
If you are visiting Manhattan and your back or neck goes out what do you do?
Spinal decompression on the DRX 9000 is a protocol that calls for numerous visits over a period of 6 weeks.
Chiropractic care can effectively reduce pain without medication.
Our Manhattan Spinal decompression practice offers Chiropractic care, Physical therapy, Acupuncture, massage and Pain management with a MD.
Our office is open Monday-Saturday and if it is a emergency chiropractic visit we can be reached anytime. www.emergencychiropractor.com
Wednesday, April 01, 2009
New table addition to Spinal Decompression NYC
I am excited to announce that I have added a new piece of equipment to my practice.
This table will compliment our Spinal decompression and Physical therapy programs.
It is based on the Mckenzie protocol.
To learn more visit our website at www.drshoshny.com
What is unique about this table?
The Evolution RMT Repetitive Motion Table
Rehab following a full decompression therapy treatment series is extremely important if the patient is to ensure themselves against reoccurrence and further injury. The Evolution DT has two computerized rehab programs incorporated within its 8 total programs available. These two programs are available for strengthening of the lumbar soft tissue. However, for more rehab we offer the Evolution RMT known for its outstanding results.
The Evolution RMT “Repetitive Motion Therapy” Table addresses mechanical disorders of the lower back using clinically proven techniques. The Evolution RMT Table is used in the clinical setting to enhance the effectiveness of repeated end range movement therapy for the low back. The RMT table enables the lumbar spine to be moved to the full degree of end-range movement in flexion and or extension a greater number of times than is physically possible by the patient alone. In the beginning stage of rehab, the patient often times has a hard time getting to full end-range position due to pain and because of poor physical endurance levels of the patient they cannot do movements long enough for a good enough response. The evolution RMT allows the patient to start rehab earlier and maintain the success of their prescribed home exercise program.
Evolution RMT Philosophy and Centralization Principles
The treatment protocols of the RMT Table are based on the patient’s directional movement preference and provides measurable and positive outcomes particularly in the management of acute & chronic, severe low back and leg pain (without a neurological deficit). Directional movement preference theory uses the rule of “Centralization” to evaluate and proceed into rehab using activities that “Centralize” the patient’s pain. Recently published scientific research articles have established that the presence of “Centralization” can be a strong indicator of discogenic pathology and is a highly accurate and reliable predictor of treatment outcome. Movement, activities and postures that cause the symptoms to “centralize” indicates the “preferred direction(s)” for the Doctor/Therapist to use in developing both an in office and self-treatment strategy for each patient. Simultaneously, the Doctor/Therapist must teach the patient how to avoid those positions, activities, and movements that cause the symptoms to move “Peripherally”. Many patients suffering from low back or neck pain, with or without referred pain, will unmistakably exhibit a “direction preference” when repeated movement and/or static positioning are applied to the spine. This means there will be a particular movement or position which will cause the symptoms to shift to a more central (proximal) location. Frequently there will be other movements or positions which will cause the symptoms to shift to a more peripheral (distal) location. An example of this is the patient who when asked to go into an extension movement (restoring normal lordosis) which in turn reduces the pain. This is the directional movement we want to begin exercise movements that will start their rehab. The Evolution RMT takes the patient through end-range passive range of motion repetitive movements and reduces the patient’s pain while increasing the patient’s range of motion.
Indications for use of the Evolution RMT
Patients who are assessed to benefit from the repeated movements on pain centralization, intensity, and location in flexion or extension.
These may include Disc patients, Stenosis patients, Facet Syndromes, or Sacroiliac syndromes where a limitation of movement occurs in the direction of “Centralization”.
Contraindications
Grade 3 and 4 Spondylolisthesis patients
Tumor or infection of the spine: Paget’s Disease etc.
Active Inflammatory diseases: Rheumatoid Arthritis, Ankylosing Spondylitis, Osteoporosis, or severe Osteomalacia (-2.0 or higher on T Scale)
Advanced diabetes
Fractures, dislocations, ligament tears or ruptures.
Instability of lumbar segments or has peripheral signs on both flexion and extension.
Patients with Neurological signs: Cauda Equina Lesions, Neurological Deficits, Loss of Bladder control, etc.
Patients that have surgical fusions.
Pregnancy
Evolution RMT Advantages
Variable Speed 1 – 8 Cycles per minute
Touch screen Digital Readout
Exact, Measurable Movement
Pause Button to Change Function During Treatment
Sliding Face and Lower Back Sections for Added Comfort During Motion
Automatic Return to Horizontal Neutral Position at the End of Treatment
Slide out Foot Section.
Programmable Timed Automatic Hold at end of Extension or Flexion.
Safety in Using the Evolution RMT
Table must never be used by untrained people.
Never have patients get on or off the table while it is in motion.
Instruct the patient to never reach underneath the table while it is in motion.
Instruct patients to keep their arms on the arm rests ensuring they do not allow their arms to go below the bed level.
Make sure patient’s clothing does not drape below the table top while in motion.
Always dismount table when in the Horizontal Neutral Position
Treatment Protocols
The Physician’s diagnosis and treatment of back and neck problems involves the use of repetitive end range movements that can influence the location and intensity of pain that arises from the spine. A skilled physical examination will reveal the direction of therapeutic motion that is used to resolve the condition. This is referred to as the “directional preference.” While restoring function can be an overwhelming task, the focus can be narrowed down to the primary goal of increasing the patient's functional range (FR). Initially, this consists of the painless or pain-centralizing activities revealed in the patient's history or range-of-motion examination. Therefore, the limits of the patient's FR consist of the aggravating movements and positions, and the key functional pathology related to those symptoms. So logically, before exercise can be prescribed, a thorough history and examination of the patient's mechanical sensitivities should be carried out.
Both history, examination, and imaging tests (X-Ray, MRI, CAT Scan) are involved in this analysis. For instance, the history should identify what positions or movements aggravate, relieve or are neutral to the patient's symptoms, in particular, peripheral symptoms. An example of this would be; the patient’s sitting and forward-bending intolerances strongly suggest a disc problem, and initial setting for the RMT and self-treatment would be "biased" toward extension. Another example of the importance of a thorough history is that many patients explain that they are worse after sitting or standing for a prolonged period of time. Such postural findings are often the only clues when the examination cannot reproduce time-dependent mechanical sensitivities.
Clinical examination should include orthopedic tests that seek out the movements or positions that provoke the patient's characteristic symptoms. Examples of these would be Kemp’s, Ganslens etc. Adding the use of repetitive tests of movements, such as those in the active and passive full range ROM tests, with the intention of better simulating normal activities that are typically repetitious is very important in establishing treatment parameters. In addition, the patient's own historical report of functional activities that aggravate symptoms can be confirmed by the examination of functional activities.
The movements and positions found to aggravate symptoms are used as an audit for pre and post-testing to assess the patient's progress. In contrast, the pain-centralizing or relieving positions and movement ranges are utilized for exercise training.
Patient Treatment General Safety Precautions
The Evolution RMT provides repetitive end-range of movement for the mitigation of pain with recovery of function for mechanical spinal disorders. It is a very effective tool but it should be used with some caution. Use the following guidelines in your treatment protocols.
Start your treatment in the mid-range of movement until familiarity has provided finer conclusions to be made in selecting starting and treatment angles.
We had said before that a Grade 3 or 4 Spondylolisthesis should not be treated with the RMT but if treating a Grade 1 or 2 the fixation belt should not be used.
In the presence of significant fixation of joint movement, joint and soft tissue scarring can be overstretched if the end range of movement is too excessive or if too many cycles are performed. Always be conservative in choosing end range points and cycle repetitions.
Posterior Disc Derangements will respond very well to the RMT. It is possible to reverse the derangement but once they appear to be stable it is to the patient’s advantage to place to transfer the patient to a more active therapy of self improvement procedures.
It is especially important to watchfully scrutinize the patient’s pain and or neurological status before, during, and after treatment. Communication of treatment results will ensure modifications that will improve results.
Patients should always be reminded to use the control “Stop” treatment button when treatment is uncomfortable or increasing symptoms.
Belt fixation with the patient prone creates the opportunity to cause injury. Before applying belt fixation it is important to manually test for appropriateness. Provided the “more pressure, less pain” test is answered in the confirmatory, belt fixation may be applied. Always apply belt fixation with the patient in their maximum tolerated extended position.
Treating the Chronic Low Back Pain Patient
The patient with “Chronic Low Back Pain” is our most difficult low back case. These patients typically enter the office complaining of constant pain and have been told they will have to “Live with their pain”. In actuality they do not have continuous pain. They actually suffer from recurring episodes that create the notion that their pain is continuous. The use of the RMT will increase the mobility of soft tissue, increase joint flexibility, and increase muscle strength. When these goals are accomplished the pain often has periods of days, months, and even years of discontinued pain and healthy function. In the beginning of treatment the clinician must be aware that the chronic patient may experience a pain of a different quality. His mobility may be restored but some persisting aching, probably of chemical origin may be present for 48-72 hours after the initial treatment. The patient should be made aware of this possibility. If pain persists proper modifications to treatment should be made.
www.drshoshany.com
This table will compliment our Spinal decompression and Physical therapy programs.
It is based on the Mckenzie protocol.
To learn more visit our website at www.drshoshny.com
What is unique about this table?
The Evolution RMT Repetitive Motion Table
Rehab following a full decompression therapy treatment series is extremely important if the patient is to ensure themselves against reoccurrence and further injury. The Evolution DT has two computerized rehab programs incorporated within its 8 total programs available. These two programs are available for strengthening of the lumbar soft tissue. However, for more rehab we offer the Evolution RMT known for its outstanding results.
The Evolution RMT “Repetitive Motion Therapy” Table addresses mechanical disorders of the lower back using clinically proven techniques. The Evolution RMT Table is used in the clinical setting to enhance the effectiveness of repeated end range movement therapy for the low back. The RMT table enables the lumbar spine to be moved to the full degree of end-range movement in flexion and or extension a greater number of times than is physically possible by the patient alone. In the beginning stage of rehab, the patient often times has a hard time getting to full end-range position due to pain and because of poor physical endurance levels of the patient they cannot do movements long enough for a good enough response. The evolution RMT allows the patient to start rehab earlier and maintain the success of their prescribed home exercise program.
Evolution RMT Philosophy and Centralization Principles
The treatment protocols of the RMT Table are based on the patient’s directional movement preference and provides measurable and positive outcomes particularly in the management of acute & chronic, severe low back and leg pain (without a neurological deficit). Directional movement preference theory uses the rule of “Centralization” to evaluate and proceed into rehab using activities that “Centralize” the patient’s pain. Recently published scientific research articles have established that the presence of “Centralization” can be a strong indicator of discogenic pathology and is a highly accurate and reliable predictor of treatment outcome. Movement, activities and postures that cause the symptoms to “centralize” indicates the “preferred direction(s)” for the Doctor/Therapist to use in developing both an in office and self-treatment strategy for each patient. Simultaneously, the Doctor/Therapist must teach the patient how to avoid those positions, activities, and movements that cause the symptoms to move “Peripherally”. Many patients suffering from low back or neck pain, with or without referred pain, will unmistakably exhibit a “direction preference” when repeated movement and/or static positioning are applied to the spine. This means there will be a particular movement or position which will cause the symptoms to shift to a more central (proximal) location. Frequently there will be other movements or positions which will cause the symptoms to shift to a more peripheral (distal) location. An example of this is the patient who when asked to go into an extension movement (restoring normal lordosis) which in turn reduces the pain. This is the directional movement we want to begin exercise movements that will start their rehab. The Evolution RMT takes the patient through end-range passive range of motion repetitive movements and reduces the patient’s pain while increasing the patient’s range of motion.
Indications for use of the Evolution RMT
Patients who are assessed to benefit from the repeated movements on pain centralization, intensity, and location in flexion or extension.
These may include Disc patients, Stenosis patients, Facet Syndromes, or Sacroiliac syndromes where a limitation of movement occurs in the direction of “Centralization”.
Contraindications
Grade 3 and 4 Spondylolisthesis patients
Tumor or infection of the spine: Paget’s Disease etc.
Active Inflammatory diseases: Rheumatoid Arthritis, Ankylosing Spondylitis, Osteoporosis, or severe Osteomalacia (-2.0 or higher on T Scale)
Advanced diabetes
Fractures, dislocations, ligament tears or ruptures.
Instability of lumbar segments or has peripheral signs on both flexion and extension.
Patients with Neurological signs: Cauda Equina Lesions, Neurological Deficits, Loss of Bladder control, etc.
Patients that have surgical fusions.
Pregnancy
Evolution RMT Advantages
Variable Speed 1 – 8 Cycles per minute
Touch screen Digital Readout
Exact, Measurable Movement
Pause Button to Change Function During Treatment
Sliding Face and Lower Back Sections for Added Comfort During Motion
Automatic Return to Horizontal Neutral Position at the End of Treatment
Slide out Foot Section.
Programmable Timed Automatic Hold at end of Extension or Flexion.
Safety in Using the Evolution RMT
Table must never be used by untrained people.
Never have patients get on or off the table while it is in motion.
Instruct the patient to never reach underneath the table while it is in motion.
Instruct patients to keep their arms on the arm rests ensuring they do not allow their arms to go below the bed level.
Make sure patient’s clothing does not drape below the table top while in motion.
Always dismount table when in the Horizontal Neutral Position
Treatment Protocols
The Physician’s diagnosis and treatment of back and neck problems involves the use of repetitive end range movements that can influence the location and intensity of pain that arises from the spine. A skilled physical examination will reveal the direction of therapeutic motion that is used to resolve the condition. This is referred to as the “directional preference.” While restoring function can be an overwhelming task, the focus can be narrowed down to the primary goal of increasing the patient's functional range (FR). Initially, this consists of the painless or pain-centralizing activities revealed in the patient's history or range-of-motion examination. Therefore, the limits of the patient's FR consist of the aggravating movements and positions, and the key functional pathology related to those symptoms. So logically, before exercise can be prescribed, a thorough history and examination of the patient's mechanical sensitivities should be carried out.
Both history, examination, and imaging tests (X-Ray, MRI, CAT Scan) are involved in this analysis. For instance, the history should identify what positions or movements aggravate, relieve or are neutral to the patient's symptoms, in particular, peripheral symptoms. An example of this would be; the patient’s sitting and forward-bending intolerances strongly suggest a disc problem, and initial setting for the RMT and self-treatment would be "biased" toward extension. Another example of the importance of a thorough history is that many patients explain that they are worse after sitting or standing for a prolonged period of time. Such postural findings are often the only clues when the examination cannot reproduce time-dependent mechanical sensitivities.
Clinical examination should include orthopedic tests that seek out the movements or positions that provoke the patient's characteristic symptoms. Examples of these would be Kemp’s, Ganslens etc. Adding the use of repetitive tests of movements, such as those in the active and passive full range ROM tests, with the intention of better simulating normal activities that are typically repetitious is very important in establishing treatment parameters. In addition, the patient's own historical report of functional activities that aggravate symptoms can be confirmed by the examination of functional activities.
The movements and positions found to aggravate symptoms are used as an audit for pre and post-testing to assess the patient's progress. In contrast, the pain-centralizing or relieving positions and movement ranges are utilized for exercise training.
Patient Treatment General Safety Precautions
The Evolution RMT provides repetitive end-range of movement for the mitigation of pain with recovery of function for mechanical spinal disorders. It is a very effective tool but it should be used with some caution. Use the following guidelines in your treatment protocols.
Start your treatment in the mid-range of movement until familiarity has provided finer conclusions to be made in selecting starting and treatment angles.
We had said before that a Grade 3 or 4 Spondylolisthesis should not be treated with the RMT but if treating a Grade 1 or 2 the fixation belt should not be used.
In the presence of significant fixation of joint movement, joint and soft tissue scarring can be overstretched if the end range of movement is too excessive or if too many cycles are performed. Always be conservative in choosing end range points and cycle repetitions.
Posterior Disc Derangements will respond very well to the RMT. It is possible to reverse the derangement but once they appear to be stable it is to the patient’s advantage to place to transfer the patient to a more active therapy of self improvement procedures.
It is especially important to watchfully scrutinize the patient’s pain and or neurological status before, during, and after treatment. Communication of treatment results will ensure modifications that will improve results.
Patients should always be reminded to use the control “Stop” treatment button when treatment is uncomfortable or increasing symptoms.
Belt fixation with the patient prone creates the opportunity to cause injury. Before applying belt fixation it is important to manually test for appropriateness. Provided the “more pressure, less pain” test is answered in the confirmatory, belt fixation may be applied. Always apply belt fixation with the patient in their maximum tolerated extended position.
Treating the Chronic Low Back Pain Patient
The patient with “Chronic Low Back Pain” is our most difficult low back case. These patients typically enter the office complaining of constant pain and have been told they will have to “Live with their pain”. In actuality they do not have continuous pain. They actually suffer from recurring episodes that create the notion that their pain is continuous. The use of the RMT will increase the mobility of soft tissue, increase joint flexibility, and increase muscle strength. When these goals are accomplished the pain often has periods of days, months, and even years of discontinued pain and healthy function. In the beginning of treatment the clinician must be aware that the chronic patient may experience a pain of a different quality. His mobility may be restored but some persisting aching, probably of chemical origin may be present for 48-72 hours after the initial treatment. The patient should be made aware of this possibility. If pain persists proper modifications to treatment should be made.
www.drshoshany.com
Thursday, February 26, 2009
Chiropractor NYC-Physical therapy NYC
Dr. Steven Shoshany-Chiropractor NYC
www.drshoshany.com
The Latest DRX9000 Study Data Published in Peer-Reviewed Journal!
A study titled, “Prospective Evaluation of the Efficacy of Spinal Decompression via the DRX9000 for Chronic Low Back Pain” was published in the December issue of The Journal of Medicine. The study authored by Dr. John Leslie, Mayo Clinic, et al, 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 266 weeks of low back pain. At the conclusion of the study, 16 of the 18 patients reported improvement in low back pain greater than 50%. The authors state, “Patients also reported having better daily activity function as measured by the Oswestry Disability Index.” Reprints are available through Axiom Worldwide. To view this article please visit: http://www.sequencemed.com/site_media/sequencemed-sample.pdf
Spinal decompression combined with Physical therapy and SpineForce 3D rehabilation in Manhattan.
Tuesday, February 03, 2009
DRX 9000 Frequently asked question
DRX 9000 FAQ
DRX9000 Therapy: Most Frequently Asked Questions
As non-surgical spinal decompression therapy gains popularity in the chronic pain community, more and more back pain sufferers may want to learn if they qualify for the DRX9000 treatment. Below you will find a list of the most frequently asked DRX9000 therapy questions.
Who qualifies for the DRX9000 treatment?
Patients that may benefit most from non-surgical spinal decompression therapy could be those with: Pain from a herniated or bulging disc that is more than 4 weeks old. Recurrent pain from a failed back surgery that is more than six months old. Continual pain from degenerated discs and have not responded well to four weeks of traditional therapy. Patients with four weeks availability for treatment protocol. Patients with a minimum age of 18.
What can I expect during treatment?
During each 30-minute treatment session the patient relaxes comfortably on a heavily-padded bed. After being secured into position by an upper and lower body harness, the patient can completely relax by watching a DVD, listening to music, or simply taking a nap. Typically, each 30-minute session is divided into 18-phases where spinal decompressive forces alternate between a maximum and minimum therapeutic level.
What will I experience during the course of therapy?
Some patients may experience light side effects with this form of treatment. Mild muscular discomfort during therapy could occur. The feeling would be comparable to what a person may feel at the commencement of a new exercise routine. The majority of patients find this treatment rather comfortable and relaxing. For the period of 30-minute sessions, many patients feel a gentle stretch in the lumbar spine and have a tendency to fall asleep. Adjunctive treatments to non-surgical lumbar decompression normally include electrical stimulation and cold therapy. A lumbar support belt and/or exercise are often prescribed to preserve the benefits of non-surgical lumbar decompression therapy and advance patient compliance.
Am I still able to receive treatment on the DRX9000 if I have had back surgery?
Yes. It really depends on the kind of surgery you had. If you’ve had plates, screws, cables, and/or any sort of metal implant inserted in your spine you would not be a candidate for therapy.
Are there any exclusions why someone could not be treated on the DRX9000™?
The DRX9000™ cannot treat patients with: compression fractures, pelvic or abdominal cancer, prior lumbar fusion, severe osteoporosis, spondylolisthesis (unstable), pars defect, Pathologic Aortic aneurysm, disc space infections, severe peripheral neuropathy, hemiplegia or cognitive dysfunction
Can I be treated during my pregnancy?
No. Pregnant patients can’t be treated.
While under DRX9000 treatment, will my activities be restricted?
During the initial two weeks of treatment, patients are instructed to limit activities and are placed on light duty at work. After the second week of treatment, beginning activity is permitted. Patients who have improved by 50% are instructed on various lumbar stretching exercises to be performed in conjunction with treatment.
After finishing my 20 treatments, will I ever need to be treated again?
Patients will be put on a strengthening and rehabilitation program for about 4-6 weeks to help strengthen paravertebral musculature. Patients are to return one month after treatment for evaluation and follow-up to see if maintenance DRX9000™ treatments are needed.
To learn more about non-surgical spinal decompression therapy and the DRX9000, please contact your local DRX9000 physician.
If you are seeking DRX 9000 treatment in NYC visit my website www.drshoshany.com
DRX9000 Therapy: Most Frequently Asked Questions
As non-surgical spinal decompression therapy gains popularity in the chronic pain community, more and more back pain sufferers may want to learn if they qualify for the DRX9000 treatment. Below you will find a list of the most frequently asked DRX9000 therapy questions.
Who qualifies for the DRX9000 treatment?
Patients that may benefit most from non-surgical spinal decompression therapy could be those with: Pain from a herniated or bulging disc that is more than 4 weeks old. Recurrent pain from a failed back surgery that is more than six months old. Continual pain from degenerated discs and have not responded well to four weeks of traditional therapy. Patients with four weeks availability for treatment protocol. Patients with a minimum age of 18.
What can I expect during treatment?
During each 30-minute treatment session the patient relaxes comfortably on a heavily-padded bed. After being secured into position by an upper and lower body harness, the patient can completely relax by watching a DVD, listening to music, or simply taking a nap. Typically, each 30-minute session is divided into 18-phases where spinal decompressive forces alternate between a maximum and minimum therapeutic level.
What will I experience during the course of therapy?
Some patients may experience light side effects with this form of treatment. Mild muscular discomfort during therapy could occur. The feeling would be comparable to what a person may feel at the commencement of a new exercise routine. The majority of patients find this treatment rather comfortable and relaxing. For the period of 30-minute sessions, many patients feel a gentle stretch in the lumbar spine and have a tendency to fall asleep. Adjunctive treatments to non-surgical lumbar decompression normally include electrical stimulation and cold therapy. A lumbar support belt and/or exercise are often prescribed to preserve the benefits of non-surgical lumbar decompression therapy and advance patient compliance.
Am I still able to receive treatment on the DRX9000 if I have had back surgery?
Yes. It really depends on the kind of surgery you had. If you’ve had plates, screws, cables, and/or any sort of metal implant inserted in your spine you would not be a candidate for therapy.
Are there any exclusions why someone could not be treated on the DRX9000™?
The DRX9000™ cannot treat patients with: compression fractures, pelvic or abdominal cancer, prior lumbar fusion, severe osteoporosis, spondylolisthesis (unstable), pars defect, Pathologic Aortic aneurysm, disc space infections, severe peripheral neuropathy, hemiplegia or cognitive dysfunction
Can I be treated during my pregnancy?
No. Pregnant patients can’t be treated.
While under DRX9000 treatment, will my activities be restricted?
During the initial two weeks of treatment, patients are instructed to limit activities and are placed on light duty at work. After the second week of treatment, beginning activity is permitted. Patients who have improved by 50% are instructed on various lumbar stretching exercises to be performed in conjunction with treatment.
After finishing my 20 treatments, will I ever need to be treated again?
Patients will be put on a strengthening and rehabilitation program for about 4-6 weeks to help strengthen paravertebral musculature. Patients are to return one month after treatment for evaluation and follow-up to see if maintenance DRX9000™ treatments are needed.
To learn more about non-surgical spinal decompression therapy and the DRX9000, please contact your local DRX9000 physician.
If you are seeking DRX 9000 treatment in NYC visit my website www.drshoshany.com
Tuesday, January 06, 2009
DRX 9000 Spinal Decompression NYC
www.drshoshany.com
Non-Surgical Back Decompression and Your Mid Back Pain
Non-surgical decompression therapy aims to non-surgically alleviate patients’ back and neck pain. The DRX9000 True Non-surgical Spinal Decompression System™ aims to provide pain relief for compressive and degenerative injuries of the lumbar spine.
Non-surgical lumbar decompression therapy with the DRX9000 offers patients relief from pain associated with the following conditions:
Disc Herniations
Considered the most common root source of back pain associated with a certain structural irregularity. Pain may come overnight, but seldom does a herniated disc appear overnight.
Degenerative Disc Disease
DDD is a state of dehydration and deterioration marked by the steady erosion of the discs ability to dispense and resist mechanical loads. As discs worsen, they become more prone to injury from physical pressure. Degenerative disc disease may also play a large part in conditions such as disk bulges, disc herniations and stenosis.
Sciatica
It is a condition often associated with a herniated or ruptured disc. When the injured disc restricts one of the spinal nerves leading to the sciatic nerve, it can generate a shock-like pain that travels through the buttocks and down one leg to under the knee. Tingling and numbness are familiar in this condition. Sciatica can arise abruptly, or develop slowly.
How does non-surgical decompression therapy alleviate pain involved with herniated discs and degenerative disc disease?
The theory behind non-surgical back decompression is a course of action whereby forces are applied to the spine in a manner that maximizes spinal elongation. By enlarging intradiscal space, a disc herniation size may decrease.
Are there any exclusions why a back pain patient could not be treated on the DRX9000?
The DRX9000 cannot treat back pain patients with: compression fractures, pelvic or abdominal cancer, prior lumbar fusion, severe osteoporosis, spondylolisthesis (unstable), pars defect, Pathologic Aortic aneurysm, disc space infections, severe peripheral neuropathy, hemiplegia or cognitive dysfunction.
If anyone you know is suffering from a herniated disc, bulging disc, degenerative disc disease or sciatica, simply ask you doctor if you qualify for the DRX9000 therapy.
I also like to emphasis that this treatment is not 100% there are some patients that will not respond. It my 7 years of utilizing spinal decompression on over 500 patients maybe 5 patients did not respond favorably but they did not have a negative outcome.
To learn more about non-surgical spinal decompression treatment, please ask your physician if the DRX9000 is right for you or visit www.drshoshany.com
This post is not intended nor should be used as a substitute for professional medical help. Speak with your physician before considering any medical treatment option available.
NYC rehabilitation and Physical therapy
Wednesday, December 24, 2008
Spinal Decompression-Physical therapy NYC
I found this great article about a man that regained the ability to walk with spinal decompression.
Read article click here
This article makes me think of a patient that I am currently treating.
She is 65 with severe spinal stenosis and needs a wheelchair because walking more than 5 feet was painful.
She has undergone 12 visits of decompression on the DRX 9000 and now she is able to stand without pain and walk several blocks with no pain. She is also regained strength and stability by using the PowerPlate.
www.drshoshany.com
Paralyzed man regains use of legs
By MICHELE MARCOTTE
The Daily Sentinel
Monday, December 22, 2008
Dr. Florencio Singson describes him as a success story.
Jerry Mason, a 66-year-old Parkinson's disease patient, lost the use of his legs nearly two years ago. But he has regained the ability to walk following a 40-course-treatment of Intervertebral Differential Dynamics — a noninvasive spinal decompression treatment that stretches the discs of the back — followed by laser acupuncture.
Christy Wooten/The Daily Sentinel
(ENLARGE)
Dr. Florencio Singson stands next to his office's Accu-Spina, the Intervertebral Differential Dynamics treatment that helped Jerry Mason, who suffers from Parkinson's disease, regain movement in his legs.
Christy Wooten/The Daily Sentinel
A trained staff member at Dr. Florencio Singson's office performs laser acupuncture to the back of Jerry Mason's leg. Mason, who suffers from Parkinson's disease, lost the use of his legs two years ago, but recently began to walk again as a result of acupuncture and spinal decompression.
Mason, seated inside Singson's Nacogdoches office on a recent Thursday, explained that regaining the use of his legs has been a gradual process.
"I'm limited in how far I can walk," he said. "I can make three laps around the house and then I'm done ... But it's been great."
Mason said approximately two years ago, back pain caused from two herniated discs slowly reduced his ability to move, and eventually hindered him completely from walking.
He said he relied almost entirely on his wife, Judy, to get him from one place to the other.
"I couldn't even go to the kitchen to make a sandwich because halfway through getting the mayo on there, I'd go down," he said.
His doctors recommended surgery, but warned Jerry that it would be a long procedure, requiring the insertion of steel rods, and he might not survive.
Judy said just about that time, she saw an advertisement for Dr. Singson which read, "Tired of living with neck and back pain?"
Having spinal complications of her own, she set up an appointment for herself and Jerry, who continued to suggest his paralysis stemmed from back problems.
Judy said during Jerry's treatments, which were Monday through Friday, Jerry would be placed on this long table-like contraption with something holding his chest and hips.
Singson said the spinal compression stretches the spine, enabling herniated discs to realign through oscillation. He noted that heat and massage are also incorporated into the computer-based treatment.
Judy said her husband began the spinal decompression treatments in August, and after a few weeks she began to notice a change.
"One day it just got easier for me to pull him out of the chair," she said, adding that she used to move her husband by pulling on a thick white strap he wore across his chest.
While the spinal decompression treatment proved successful, enabling Jerry to regain some lower body movement and reduce his pain, Singson felt laser acupuncture might further his recovery.
So after Jerry completed his last decompression treatment, Singson started him on acupuncture once a week. The acupuncture treatments, which lasted about 30 minutes, were painless, according to Jerry.
"Most of the time he just slept," Judy said with a laugh.
Singson started with the back of Jerry's legs to help improve nerve function, and has plans to move up to the hands later. The laser, which resembles a reflex hammer, is connected to a large box where adjustments can be made for frequency and time. Singson, a native of the Philippines, became familiar with the practice while in medical school, following a doctor who had learned acupuncture techniques while in China. When he moved to the United States, Singson received acupuncture certification from the University of California Irvine.
Singson said when Jerry began the acupuncture treatments, his staff would need to help Jerry onto the table, but one day, after several weeks of treatments, Jerry was able to do it by himself, and began to walk soon thereafter.
"For him to be able to do so much, it just makes you feel kind of good," Singson said, as he supervised members of his staff perform laser acupuncture on Jerry. "He's just doing great."
Singson said it is unknown how long Jerry will have to continue acupuncture, or if he will ever regain enough leg movement to be able to walk without a walker.
"It's just something we all have hopes for," Judy said.
www.drshoshany.com
Read article click here
This article makes me think of a patient that I am currently treating.
She is 65 with severe spinal stenosis and needs a wheelchair because walking more than 5 feet was painful.
She has undergone 12 visits of decompression on the DRX 9000 and now she is able to stand without pain and walk several blocks with no pain. She is also regained strength and stability by using the PowerPlate.
www.drshoshany.com
Paralyzed man regains use of legs
By MICHELE MARCOTTE
The Daily Sentinel
Monday, December 22, 2008
Dr. Florencio Singson describes him as a success story.
Jerry Mason, a 66-year-old Parkinson's disease patient, lost the use of his legs nearly two years ago. But he has regained the ability to walk following a 40-course-treatment of Intervertebral Differential Dynamics — a noninvasive spinal decompression treatment that stretches the discs of the back — followed by laser acupuncture.
Christy Wooten/The Daily Sentinel
(ENLARGE)
Dr. Florencio Singson stands next to his office's Accu-Spina, the Intervertebral Differential Dynamics treatment that helped Jerry Mason, who suffers from Parkinson's disease, regain movement in his legs.
Christy Wooten/The Daily Sentinel
A trained staff member at Dr. Florencio Singson's office performs laser acupuncture to the back of Jerry Mason's leg. Mason, who suffers from Parkinson's disease, lost the use of his legs two years ago, but recently began to walk again as a result of acupuncture and spinal decompression.
Mason, seated inside Singson's Nacogdoches office on a recent Thursday, explained that regaining the use of his legs has been a gradual process.
"I'm limited in how far I can walk," he said. "I can make three laps around the house and then I'm done ... But it's been great."
Mason said approximately two years ago, back pain caused from two herniated discs slowly reduced his ability to move, and eventually hindered him completely from walking.
He said he relied almost entirely on his wife, Judy, to get him from one place to the other.
"I couldn't even go to the kitchen to make a sandwich because halfway through getting the mayo on there, I'd go down," he said.
His doctors recommended surgery, but warned Jerry that it would be a long procedure, requiring the insertion of steel rods, and he might not survive.
Judy said just about that time, she saw an advertisement for Dr. Singson which read, "Tired of living with neck and back pain?"
Having spinal complications of her own, she set up an appointment for herself and Jerry, who continued to suggest his paralysis stemmed from back problems.
Judy said during Jerry's treatments, which were Monday through Friday, Jerry would be placed on this long table-like contraption with something holding his chest and hips.
Singson said the spinal compression stretches the spine, enabling herniated discs to realign through oscillation. He noted that heat and massage are also incorporated into the computer-based treatment.
Judy said her husband began the spinal decompression treatments in August, and after a few weeks she began to notice a change.
"One day it just got easier for me to pull him out of the chair," she said, adding that she used to move her husband by pulling on a thick white strap he wore across his chest.
While the spinal decompression treatment proved successful, enabling Jerry to regain some lower body movement and reduce his pain, Singson felt laser acupuncture might further his recovery.
So after Jerry completed his last decompression treatment, Singson started him on acupuncture once a week. The acupuncture treatments, which lasted about 30 minutes, were painless, according to Jerry.
"Most of the time he just slept," Judy said with a laugh.
Singson started with the back of Jerry's legs to help improve nerve function, and has plans to move up to the hands later. The laser, which resembles a reflex hammer, is connected to a large box where adjustments can be made for frequency and time. Singson, a native of the Philippines, became familiar with the practice while in medical school, following a doctor who had learned acupuncture techniques while in China. When he moved to the United States, Singson received acupuncture certification from the University of California Irvine.
Singson said when Jerry began the acupuncture treatments, his staff would need to help Jerry onto the table, but one day, after several weeks of treatments, Jerry was able to do it by himself, and began to walk soon thereafter.
"For him to be able to do so much, it just makes you feel kind of good," Singson said, as he supervised members of his staff perform laser acupuncture on Jerry. "He's just doing great."
Singson said it is unknown how long Jerry will have to continue acupuncture, or if he will ever regain enough leg movement to be able to walk without a walker.
"It's just something we all have hopes for," Judy said.
www.drshoshany.com
Saturday, December 13, 2008
Can Sciatica Be Treated Without Surgery?
www.drshoshany.com
Can Sciatica Be Treated Without Surgery?
Author: Randall Pruitt, DC, DACNB, DAAPM, MUAC, CES-NASM | Posted in Health & Fitness
by Randall Pruitt, DC, DACNB, DAAPM, MUAC, CES-NASM
The word sciatica is used by most people suffering leg pain. Many low back pain sufferers can also suffer from sciatica. Even though the term is used frequently many other conditions can be mistaken for sciatica.
The sciatic nerve is made of several spinal nerves combining together as they exit the spine. This nerve travels down the posterior thigh and splits into 2 nerves at the knee. Pain caused by sciatic irritation most often starts in the lower back and radiates down the back of the leg and into the calf or foot. Sensations may include burning, stabbing, shooting and numbness. If the pain is high enough difficulty with movement or straightening the leg is often seen.
The sciatic nerve is typically irritated from a herniated or bulging disc in the spine. This occurs when either by direct compression or chemical irritation from the inflammatory process.
The accurate diagnosis of sciatica is quite easy to make. A series of orthopedic and neurological tests are performed to determine the involvement of the sciatic nerve. If the diagnosis is made then I usually order an MRI to determine the cause.
Many different approaches are used to treat sciatica. In most cases the symptoms are the only thing addressed and not the actual cause. That is why in my opinion spinal decompression is the best choice, because it actually works to fix the underlying cause which is the disc. By reducing the pressure in the disc, the herniated material is drawn back into the disc and away from the nerve relieving the pain and soothing the irritated nerve.
Sciatica pain sufferers need to be aware of the consequences of not dealing with the actual cause of their pain. It is important to see a qualified professional to get at the root cause of your discomfort, especially if you have had sciatica before. Studies confirm that you are highly likely to experience another episode of sciatica if you only deal with the pain and not the reason behind it.
Dr. Steven Shoshany a Chiropractor in NYC specializes in delivering Non-surigcal spinal decompression.
Visit website at www.drshoshany.com
Wednesday, December 03, 2008
Non surgical spinal decompression NYC
Spinal decompression in Manhattan- Pain Relief
I pulled a recent ad that appeared in the NY Post on 12/03/08 for a spinal decompression doctor that uses the DRX 9000.
I found a similar ad for a Chiropractor in Ohio.
I have been a advocate of Non-surgical spinal decompression utilizing the DRX 9000.
www.drshoshany.com
Back Surgeons Laughed At My New Disk Machine
Until My First Patient…
Finally, A Breakthrough In The Treatment Of Back Pain And Sciatica Caused By Bulging, Herniated, Or Squashed Discs
We believe the greatest back pain breakthrough of our century that this doctor has seen is NOT surgery,
but a little-known, state of the art technology that’s safe, painless and has recently become available inWilmington.
Wilmington - My name is Dr. Wayne Albain and the following is a true story.
1181732
Wilmington - My name is Dr.Wayne Albain
and the following is a true story.
A very well known area surgeon told one of my
very first patients… “That won’t hurt you, but
it’s not going to help”. Those were the words of
this well known surgeon.
He was referring to my new disc machine that
reduces and eliminates the back pain and sciatic
pain out of those with disc problems.
I really could not believe that a surgeon would
make that comment about a new treatment they
obviously knew nothing about.
Back SurgeonWas DeadWrong!
Lucky for my patient, he chose to take my
advice. After a thorough examination, I determined
he was a candidate for Non-Surgical
Decompression.
I recommended a course of treatments that
lasted five weeks and to my patient’s pure
delight, the severe back pain he had been taking
drugs for was going away.
By the end of his treatment, he was totally pain
free! He was pain free and off the pain medications
for good.
Do You Have A Disc Problem?
If you experience any of the following in your
back or neck, chances are your pain is due to a
disc bulge, herniation or degeneration:
1. A vice squeezing your back
2. Sitting causes back or leg pain
3. Stabbing pain at the belt line or in your neck
4. Can’t turn over in bed without hurting
5. Numbness in your toes and fingers
6. Fire down your legs
7. Searing pain radiates into your arm
8. Prickling in your thigh
Finally, Some Good News
If you’ve been suffering with back pain or
arm/leg pain caused by a disc bulge, disc herniation,
or squashed or compressed discs.
It’s all because of 14 recent medical studies on
spinal decompression.
Until recently, the only advice for many of you
suffering in pain was to try what you’ve been
told:
1. Try exercising
2. Try physical therapy
3. Try pain medications
4. Try muscle relaxers
5. Try pain shots
6. Try dangerous back surgery
7. Just live with it
If you’re like most, none of these have worked
for you or you are afraid of what could happen
if you do try some of these. Exercising makes
you hurt more, pain medications and muscle relaxers
cover up the problem and give you side
effects. Pain shots can cause more pain, don’t
work or don’t last very long or FIX the problem,
back surgery didn’t work or made you
worse. Or maybe you were one of the lucky
ones that back surgery actually helped, but now
the problem is back with a vengeance.
Whatever your situation, you owe it to yourself
to check into a Breakthrough Computerized
Non-Surgical Treatment for back pain and sciatic
or leg pain caused by a bulging, herniated
or squashed disc or discs. It has helped hundreds
of people who were suffering just like
you. This new treatment machine I’m calling
my squashed disc machine.
How Do Discs Go Bad?
Over time the discs in your back tend to get
squashed or compressed, especially if you’ve
played certain sports when younger or have a
job that requires lots of sitting or standing in
one place for long periods of time. Car
accidents, lifting things, very physical jobs just
to name a few.
It’s kinda like a cookie with cream filling, and
the cream filling will start to ooze out from
between the sides of the cookie if pressure is
applied on top of the cookie (like gravity on our
spines).
Eventually this happens to a lot of us. Statistics
are something like over 80% of Americans will
suffer with back pain sometime in their life.
Back to my new computerized squashed disc
machine.You’re probably wondering how this
new machine works.
How Does This MachineWork?
Haven’t you ever had the thought…“Gosh, if
somebody could just pull me apart…I would
feel a whole lot better”.Yeah, I know you have.
And it kinda makes a bit of sense.
Well someone else, actually a medical manufacturer,
back pain specialists, neurosurgeons
and engineers have come up with just that. A
machine that gently pulls you apart, stretches
the disc to a certain point that causes a drop in
pressure inside the disc (like a little vacuum in
the middle of the cream filling) causing the
cream filling to suck back in!
In my clinic, I’ve successfully treated hundreds
of patients with spinal decompression so there’s
no reason your back problem should be any
different.
In fact, I am so confident we can help you, I’m
willing to back it up…but not with empty
promises.
Yes, a real old-fashioned satisfaction guarantee…
but there’s one small catch…for your benefit.
You see, there’s a very small percentage of
folks we can’t help.
And that’s why I am offering for the next 7
days…
The FREE 19-Point
“Squashed-Disc”
Qualifying Exam
That’s right, no charge and we won’t
try to sell you anything. But you will
find out if you are a candidate for this
revolutionary new therapy. You won’t
be left wondering if it’s something that
could have eliminated your pain.
During the exam (a $250.00 value),
we’ll check out your ligaments, muscles,
hips, pain index, reflexes, discs,
tendons, spine, pelvis, x-rays, MRI’s,
flexibility, motion, balance, & nerves.
Offer Good for Next 7 Days
PLUS with Qualifying
Insurance 3 Treatmests
At No Cost To You!
Call Today!
SPACE IS LIMITED!
937-655-8600
Albain Chiropractic
and Rehab
Wayne R. Albain D.C.
120 Fairway Drive,
Wilmington, OH 45177
*Free Spinal exam. Free x-rays (if indicated).
Does not include further consultation, x-rays, or care.
I pulled a recent ad that appeared in the NY Post on 12/03/08 for a spinal decompression doctor that uses the DRX 9000.
I found a similar ad for a Chiropractor in Ohio.
I have been a advocate of Non-surgical spinal decompression utilizing the DRX 9000.
www.drshoshany.com
Back Surgeons Laughed At My New Disk Machine
Until My First Patient…
Finally, A Breakthrough In The Treatment Of Back Pain And Sciatica Caused By Bulging, Herniated, Or Squashed Discs
We believe the greatest back pain breakthrough of our century that this doctor has seen is NOT surgery,
but a little-known, state of the art technology that’s safe, painless and has recently become available inWilmington.
Wilmington - My name is Dr. Wayne Albain and the following is a true story.
1181732
Wilmington - My name is Dr.Wayne Albain
and the following is a true story.
A very well known area surgeon told one of my
very first patients… “That won’t hurt you, but
it’s not going to help”. Those were the words of
this well known surgeon.
He was referring to my new disc machine that
reduces and eliminates the back pain and sciatic
pain out of those with disc problems.
I really could not believe that a surgeon would
make that comment about a new treatment they
obviously knew nothing about.
Back SurgeonWas DeadWrong!
Lucky for my patient, he chose to take my
advice. After a thorough examination, I determined
he was a candidate for Non-Surgical
Decompression.
I recommended a course of treatments that
lasted five weeks and to my patient’s pure
delight, the severe back pain he had been taking
drugs for was going away.
By the end of his treatment, he was totally pain
free! He was pain free and off the pain medications
for good.
Do You Have A Disc Problem?
If you experience any of the following in your
back or neck, chances are your pain is due to a
disc bulge, herniation or degeneration:
1. A vice squeezing your back
2. Sitting causes back or leg pain
3. Stabbing pain at the belt line or in your neck
4. Can’t turn over in bed without hurting
5. Numbness in your toes and fingers
6. Fire down your legs
7. Searing pain radiates into your arm
8. Prickling in your thigh
Finally, Some Good News
If you’ve been suffering with back pain or
arm/leg pain caused by a disc bulge, disc herniation,
or squashed or compressed discs.
It’s all because of 14 recent medical studies on
spinal decompression.
Until recently, the only advice for many of you
suffering in pain was to try what you’ve been
told:
1. Try exercising
2. Try physical therapy
3. Try pain medications
4. Try muscle relaxers
5. Try pain shots
6. Try dangerous back surgery
7. Just live with it
If you’re like most, none of these have worked
for you or you are afraid of what could happen
if you do try some of these. Exercising makes
you hurt more, pain medications and muscle relaxers
cover up the problem and give you side
effects. Pain shots can cause more pain, don’t
work or don’t last very long or FIX the problem,
back surgery didn’t work or made you
worse. Or maybe you were one of the lucky
ones that back surgery actually helped, but now
the problem is back with a vengeance.
Whatever your situation, you owe it to yourself
to check into a Breakthrough Computerized
Non-Surgical Treatment for back pain and sciatic
or leg pain caused by a bulging, herniated
or squashed disc or discs. It has helped hundreds
of people who were suffering just like
you. This new treatment machine I’m calling
my squashed disc machine.
How Do Discs Go Bad?
Over time the discs in your back tend to get
squashed or compressed, especially if you’ve
played certain sports when younger or have a
job that requires lots of sitting or standing in
one place for long periods of time. Car
accidents, lifting things, very physical jobs just
to name a few.
It’s kinda like a cookie with cream filling, and
the cream filling will start to ooze out from
between the sides of the cookie if pressure is
applied on top of the cookie (like gravity on our
spines).
Eventually this happens to a lot of us. Statistics
are something like over 80% of Americans will
suffer with back pain sometime in their life.
Back to my new computerized squashed disc
machine.You’re probably wondering how this
new machine works.
How Does This MachineWork?
Haven’t you ever had the thought…“Gosh, if
somebody could just pull me apart…I would
feel a whole lot better”.Yeah, I know you have.
And it kinda makes a bit of sense.
Well someone else, actually a medical manufacturer,
back pain specialists, neurosurgeons
and engineers have come up with just that. A
machine that gently pulls you apart, stretches
the disc to a certain point that causes a drop in
pressure inside the disc (like a little vacuum in
the middle of the cream filling) causing the
cream filling to suck back in!
In my clinic, I’ve successfully treated hundreds
of patients with spinal decompression so there’s
no reason your back problem should be any
different.
In fact, I am so confident we can help you, I’m
willing to back it up…but not with empty
promises.
Yes, a real old-fashioned satisfaction guarantee…
but there’s one small catch…for your benefit.
You see, there’s a very small percentage of
folks we can’t help.
And that’s why I am offering for the next 7
days…
The FREE 19-Point
“Squashed-Disc”
Qualifying Exam
That’s right, no charge and we won’t
try to sell you anything. But you will
find out if you are a candidate for this
revolutionary new therapy. You won’t
be left wondering if it’s something that
could have eliminated your pain.
During the exam (a $250.00 value),
we’ll check out your ligaments, muscles,
hips, pain index, reflexes, discs,
tendons, spine, pelvis, x-rays, MRI’s,
flexibility, motion, balance, & nerves.
Offer Good for Next 7 Days
PLUS with Qualifying
Insurance 3 Treatmests
At No Cost To You!
Call Today!
SPACE IS LIMITED!
937-655-8600
Albain Chiropractic
and Rehab
Wayne R. Albain D.C.
120 Fairway Drive,
Wilmington, OH 45177
*Free Spinal exam. Free x-rays (if indicated).
Does not include further consultation, x-rays, or care.
Thursday, November 13, 2008
Spinal Decompression, Clinical Study
www.drshoshany.com
Spinal decompression-Chiropractor NYC-
A Comparative Study: Non-Surgical Spinal Decompression and Spinal Manipulative Therapy- Utilizing a Quantifiable Musculoskeletal Functional Assessment Risk Analysis Tool (MSDR®) in Patients With Chronic Low Back Pain
This study is currently recruiting participants.
Verified by MedAppraise, Inc., August 2008
Sponsored by: MedAppraise, Inc.
Information provided by: MedAppraise, Inc.
ClinicalTrials.gov Identifier: NCT00732394
Purpose
To administer the MSDR® (Musculoskeletal Disorder Reporting) instrument to document the musculoskeletal profile of patients with chronic low back pain, a prospective, non-randomized, multicenter treatment trial
Condition Intervention
Chronic Low Back Pain
Other: MSDR
MedlinePlus related topics: Back Pain
U.S. FDA Resources
Study Type: Interventional
Study Design: Screening, Randomized, Open Label, Parallel Assignment
Official Title: This is a Study is for the Purpose of Quantifying Function of the Back and Lower Extremities, and to Assess the Inter-Regional Biomechanical Relationships of the Neck, Upper Extremities, Back, and Lower Extremities in Patients Suffering From Chronic Low Back Pain.
Further study details as provided by MedAppraise, Inc.:
Primary Outcome Measures:
To document the musculoskeletal profile of patients with low back pain [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
To determine if a particular lower back diagnosis or MSDR® score can predict which patients will respond particularly well to the DRX9000™ treatment protocol and spinal manipulative therapy. [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Estimated Enrollment: 200
Study Start Date: August 2008
Estimated Study Completion Date: January 2010
Estimated Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Intervention Details:
Other: MSDR
The MSDR® questionnaire establishes an individual's musculoskeletal functional status using information gathered from 1) a questionnaire the patient fills out regarding medical history, chronic medical conditions, and health risk factors; 2) anatomic pain survey completed by the patient; and 3) evaluation by a trained researcher of various patient biometric parameters related to range of motion. Stratifying an individual into a risk category with this evidence-based assessment tool then permits an assessment of which patients respond long term to therapy.
MSDR® demonstrates the ability to benchmark specific musculoskeletal findings (both clinical and sub-clinical) to ICD-9 Diagnoses supported by diagnostic, radiographic and/or MRI findings where clinically indicated.
Eligibility
Ages Eligible for Study: 18 Years to 65 Years
Genders Eligible for Study: Both
Accepts Healthy Volunteers: Yes
Criteria
Inclusion Criteria:
Must have Informed Consent Signed
Lumbar Disc Herniations under 5mm without Sequestered Fragments
Lumbar Disc Bulging
Lumbar Degenerative Disc Disease (mild and moderate severity)
Non-pregnant Females and Males suffering from Chronic Low Back Pain from 18 to 65 years of age
Segmental Dysfunction Secondary to Dyskinesia
Unresolved Nerve Entrapment Syndrome
Patients must be able to comply with study protocol
Joint Fixation Syndrome
Premenopausal Female Patients, excluding patients who have undergone a hysterectomy, oophorectomy, or tubal ligation, must have one of the following methods of contraception and must have a negative serum or urine b-HCG pregnancy test performed within 48 hours before initiating protocol specified treatment.
Exclusion Criteria:
Contraindications to Spinal Manipulative Therapy
Lumbar Canal Stenosis resulting in significant neurological comprimise
Any Spinal Cord Compression resulting in significant neurological comprimise
Cauda Equina Syndrome
Infection
Osteomyelitis
->65 years of age
History of Back or Neck Surgery
Acute Arthritis
Signs or Symptoms of Arterial Aneurysm
History of Active Cancer with Bone Metastasis
Widespread Staphyloccal and/or Strepococcal Infection
Acute Gout
Serious unstable medical illness such as cardiovascular, renal, respiratory, endocrine, gastrointestinal, or psychiatric.
Unstable Spondylosis, Spondylolisthesis, or Spondylolysis
Prior adverse experience with Spinal Manipulation Therapy
Uncontrolled Diabetic Neuropathy
Gonorreal Spinal Arthritis
Tuberculosis to the Bone
Maligancy with Metatasis to Bone
Excessive Spinal Osteoporosis
Osteomalacia
Ankylosis
Syphlitic Articular or Peri-Articular Lesions
Active Low Back Injury Resulting from a Motor Vehicle Accident or Work Related Injury
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00732394
Contacts
Contact: Eric K Groteke, DC 727-797-0500 egroteke@medappraise.com
Contact: Damon J Stafford, DC 727-797-0500 drdamon7@aol.com
Locations
United States, Florida
Back2Life of Florida, Inc. Recruiting
Clearwater, Florida, United States, 33761
Contact: Tammy Cravotta 727-797-0500
Contact: Matt Erickson, DC 727-797-0500
Sponsors and Collaborators
MedAppraise, Inc.
Investigators
Study Chair: Eric K Groteke, DC MedAppraise, Inc.
Principal Investigator: Luis Crespo, MD Crespo and Associates
Study Director: Mark Scinico, MD Concentra
Principal Investigator: Damon J Stafford, DC Back2Life of Florida, Inc.
More Information
MSDR
Responsible Party: Back2Life of Florida, Inc. ( Damon J. Stafford, D.C. )
Study ID Numbers: TCT06-002
First Received: August 8, 2008
Last Updated: August 8, 2008
ClinicalTrials.gov Identifier: NCT00732394
Health Authority: United States: Institutional Review Board
Study placed in the following topic categories:
Signs and Symptoms
Neurologic Manifestations
Low Back Pain
Pain
Back Pain
Additional relevant MeSH terms:
Nervous System Diseases
ClinicalTrials.gov processed this record on November 12, 2008
Spinal decompression-Chiropractor NYC-
A Comparative Study: Non-Surgical Spinal Decompression and Spinal Manipulative Therapy- Utilizing a Quantifiable Musculoskeletal Functional Assessment Risk Analysis Tool (MSDR®) in Patients With Chronic Low Back Pain
This study is currently recruiting participants.
Verified by MedAppraise, Inc., August 2008
Sponsored by: MedAppraise, Inc.
Information provided by: MedAppraise, Inc.
ClinicalTrials.gov Identifier: NCT00732394
Purpose
To administer the MSDR® (Musculoskeletal Disorder Reporting) instrument to document the musculoskeletal profile of patients with chronic low back pain, a prospective, non-randomized, multicenter treatment trial
Condition Intervention
Chronic Low Back Pain
Other: MSDR
MedlinePlus related topics: Back Pain
U.S. FDA Resources
Study Type: Interventional
Study Design: Screening, Randomized, Open Label, Parallel Assignment
Official Title: This is a Study is for the Purpose of Quantifying Function of the Back and Lower Extremities, and to Assess the Inter-Regional Biomechanical Relationships of the Neck, Upper Extremities, Back, and Lower Extremities in Patients Suffering From Chronic Low Back Pain.
Further study details as provided by MedAppraise, Inc.:
Primary Outcome Measures:
To document the musculoskeletal profile of patients with low back pain [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
To determine if a particular lower back diagnosis or MSDR® score can predict which patients will respond particularly well to the DRX9000™ treatment protocol and spinal manipulative therapy. [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Estimated Enrollment: 200
Study Start Date: August 2008
Estimated Study Completion Date: January 2010
Estimated Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Intervention Details:
Other: MSDR
The MSDR® questionnaire establishes an individual's musculoskeletal functional status using information gathered from 1) a questionnaire the patient fills out regarding medical history, chronic medical conditions, and health risk factors; 2) anatomic pain survey completed by the patient; and 3) evaluation by a trained researcher of various patient biometric parameters related to range of motion. Stratifying an individual into a risk category with this evidence-based assessment tool then permits an assessment of which patients respond long term to therapy.
MSDR® demonstrates the ability to benchmark specific musculoskeletal findings (both clinical and sub-clinical) to ICD-9 Diagnoses supported by diagnostic, radiographic and/or MRI findings where clinically indicated.
Eligibility
Ages Eligible for Study: 18 Years to 65 Years
Genders Eligible for Study: Both
Accepts Healthy Volunteers: Yes
Criteria
Inclusion Criteria:
Must have Informed Consent Signed
Lumbar Disc Herniations under 5mm without Sequestered Fragments
Lumbar Disc Bulging
Lumbar Degenerative Disc Disease (mild and moderate severity)
Non-pregnant Females and Males suffering from Chronic Low Back Pain from 18 to 65 years of age
Segmental Dysfunction Secondary to Dyskinesia
Unresolved Nerve Entrapment Syndrome
Patients must be able to comply with study protocol
Joint Fixation Syndrome
Premenopausal Female Patients, excluding patients who have undergone a hysterectomy, oophorectomy, or tubal ligation, must have one of the following methods of contraception and must have a negative serum or urine b-HCG pregnancy test performed within 48 hours before initiating protocol specified treatment.
Exclusion Criteria:
Contraindications to Spinal Manipulative Therapy
Lumbar Canal Stenosis resulting in significant neurological comprimise
Any Spinal Cord Compression resulting in significant neurological comprimise
Cauda Equina Syndrome
Infection
Osteomyelitis
->65 years of age
History of Back or Neck Surgery
Acute Arthritis
Signs or Symptoms of Arterial Aneurysm
History of Active Cancer with Bone Metastasis
Widespread Staphyloccal and/or Strepococcal Infection
Acute Gout
Serious unstable medical illness such as cardiovascular, renal, respiratory, endocrine, gastrointestinal, or psychiatric.
Unstable Spondylosis, Spondylolisthesis, or Spondylolysis
Prior adverse experience with Spinal Manipulation Therapy
Uncontrolled Diabetic Neuropathy
Gonorreal Spinal Arthritis
Tuberculosis to the Bone
Maligancy with Metatasis to Bone
Excessive Spinal Osteoporosis
Osteomalacia
Ankylosis
Syphlitic Articular or Peri-Articular Lesions
Active Low Back Injury Resulting from a Motor Vehicle Accident or Work Related Injury
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00732394
Contacts
Contact: Eric K Groteke, DC 727-797-0500 egroteke@medappraise.com
Contact: Damon J Stafford, DC 727-797-0500 drdamon7@aol.com
Locations
United States, Florida
Back2Life of Florida, Inc. Recruiting
Clearwater, Florida, United States, 33761
Contact: Tammy Cravotta 727-797-0500
Contact: Matt Erickson, DC 727-797-0500
Sponsors and Collaborators
MedAppraise, Inc.
Investigators
Study Chair: Eric K Groteke, DC MedAppraise, Inc.
Principal Investigator: Luis Crespo, MD Crespo and Associates
Study Director: Mark Scinico, MD Concentra
Principal Investigator: Damon J Stafford, DC Back2Life of Florida, Inc.
More Information
MSDR
Responsible Party: Back2Life of Florida, Inc. ( Damon J. Stafford, D.C. )
Study ID Numbers: TCT06-002
First Received: August 8, 2008
Last Updated: August 8, 2008
ClinicalTrials.gov Identifier: NCT00732394
Health Authority: United States: Institutional Review Board
Study placed in the following topic categories:
Signs and Symptoms
Neurologic Manifestations
Low Back Pain
Pain
Back Pain
Additional relevant MeSH terms:
Nervous System Diseases
ClinicalTrials.gov processed this record on November 12, 2008
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