www.drshoshany.com
Clinical results to be presented at the 2007 annual New York State Society of Anesthesiologists PGA meeting.
Tampa, FL November 13, 2007: The clinical results of an IRB-approved prospective, multi-center, phase II, non-randomized pilot study utilizing the DRX9000™ will be presented by three of its authors at the New York State Society of Anesthesiologists PGA meeting in New York, NY December 7 – 11, 2007. The study, authored by Dr. John Leslie of The Mayo Clinic and others, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of ten years of chronic back pain. After two weeks of treatments on the DRX9000 there was a 50% reduction in pain scores and upon completion of the entire six week protocol an amazing success rate of 88.9% was documented. The patients also reported an improvement in their Oswestry Disability score. Abstracts and copies of the presentation will be made available following the presentation at the New York State society of Anesthesiologists PGA meeting.
I plan on attending this confernece, I will have abstracts and copies of this study to present to patients if they are interested.
If you suffer with a disc herniation in NYC and are considering surgery, please call me first at 212 645-8151
Monday, November 26, 2007
nyc chiropractor DRX 9000 treatment
www.drshoshany.com
Clinical results to be presented at the 2007 annual New York State Society of Anesthesiologists PGA meeting.
Tampa, FL November 13, 2007: The clinical results of an IRB-approved prospective, multi-center, phase II, non-randomized pilot study utilizing the DRX9000™ will be presented by three of its authors at the New York State Society of Anesthesiologists PGA meeting in New York, NY December 7 – 11, 2007. The study, authored by Dr. John Leslie of The Mayo Clinic and others, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of ten years of chronic back pain. After two weeks of treatments on the DRX9000 there was a 50% reduction in pain scores and upon completion of the entire six week protocol an amazing success rate of 88.9% was documented. The patients also reported an improvement in their Oswestry Disability score. Abstracts and copies of the presentation will be made available following the presentation at the New York State society of Anesthesiologists PGA meeting.
I plan on attending this confernece, I will have abstracts and copies of this study to present to patients if they are interested.
If you suffer with a disc herniation in NYC and are considering surgery, please call me first at 212 645-8151
Clinical results to be presented at the 2007 annual New York State Society of Anesthesiologists PGA meeting.
Tampa, FL November 13, 2007: The clinical results of an IRB-approved prospective, multi-center, phase II, non-randomized pilot study utilizing the DRX9000™ will be presented by three of its authors at the New York State Society of Anesthesiologists PGA meeting in New York, NY December 7 – 11, 2007. The study, authored by Dr. John Leslie of The Mayo Clinic and others, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of ten years of chronic back pain. After two weeks of treatments on the DRX9000 there was a 50% reduction in pain scores and upon completion of the entire six week protocol an amazing success rate of 88.9% was documented. The patients also reported an improvement in their Oswestry Disability score. Abstracts and copies of the presentation will be made available following the presentation at the New York State society of Anesthesiologists PGA meeting.
I plan on attending this confernece, I will have abstracts and copies of this study to present to patients if they are interested.
If you suffer with a disc herniation in NYC and are considering surgery, please call me first at 212 645-8151
Wednesday, November 21, 2007
Costs of DRX 9000
Manhattan's Back pain experts. Call (212) 645-8151 Stop sufffering today.
I recently had an inquiry regarding the fees associated with spinal decompresssion therapy.
Over my 9 years of treating severe chronic back problems, herniated disc and stenosis there has been a shift in some insurance companies thinking about treatment. When I first started there was no way, no how and insuranace company would even look at DRX9000 decompression therapy for reimbursement. Now I have had some insurances pay towards the care, and some have actually paid the entire amount. I had successful dealings with some medical inurance carriers and an auto accident insurance company.I have had two recent New York workers compensation cases pay for an entire spinal decompression protocol.
If someone suffering with chronic back problems, herniated disc(s) and stenosis has insurance that does not pay for spinal decompression or if they don't have any insurance coverage the entire fee could be financed for as little as $89 per month. This is another ancillary benefit you can not get from back surgery (which could run from $40,000 - $100,000). I use the company Carecredit what's nice about Care credit is they offer 18 months interest free payments.
If you do suffer with chronic back problems, herniated disc or stenosis I suggest you take advantage of our complimentary evaluation. At that time we can determine if you are a candidate for the DRX9000 spinal decompression treatment or not. If you are accepted as a patient, my staff will then verify any insurance coverage.
I have also added a medical doctor to my practice, this allows me to refer patients to him for pain management.
Manhattan Chiropractor.
Manhattan Chiropractic care.
www.drshoshany.com
If are considering spinal decompression in Manhattan contact me for a complimentary consultation and review of your MRI's.
Call (212) 645-8151 for Chiropractic care in Manhattan
New York City Spinal Decompression
Saturday, November 10, 2007
EFFECTIVENESS & SAFET Y OF NON-SURGICAL SPINAL DECOMPRESSION
I recently obtained a recent study on the DRX 9000 spinal decompression table, it shows a 89% percent success rate. Of course we need randomized double blind studies, this is a start in the right direction.
I am confident that within a year we will have these studies and spinal decompression on the DRX 9000 will be the standard of care for management of disc herniations.
www.drshoshany.com
Effectiveness and Safety of Non-Surgical Spinal Decompression as presented at the American Academy of Pain Management AAPM 18th. Annual Clinical Meeting September 27-30, 2007
John Leslie MD, Charlotte Richmond, PhD, Alex Macario, MD, Christian Apfel, MD, Frank Florio,DC, Darren Clair, MD, Joseph Pergolizzi, MD
Mayo Clinc, Universty of California at San Francisco, John Hopkins University
EFFECTIVENESS & SAFET Y OF NON-SURGICAL SPINAL DECOMPRESSION
OBJECTIVE :Prospective, multi-center, phase II, non-randomized clinical study to evaluate the effectiveness and safety of the Axiom Worldwide DRX9000 for active treatment of chronic LBP utilizing a standardized clinical research multimodal protocol.
METHODS: 20 patients with chronic LBP based on a diagnosis of musculoskeletal or mechanical LBP, herniated discs bulging or protruding discs, degenerative disc, pain from failed back surgery more than 6 months previously, posterior facet syndrome or sciatica underwent a series of 20 DRX treatments (28 mins each) for 6 weeks with 5 sessions the first week tapering to 1 session/wk. Treatment multimodal protocol included ice after DRX sessions, lumbar stretching exercises, and adjunct analgesics as required. Assessments of pain, analgesic use, functionality, satisfaction, activities of daily living and safety were collected through examinations, questionnaires and patient diaries.
RESULTS: 18 evaluable subjects (33.3%female,83.3% white, mean age 44.6, 77.8% employed) had mean pain score 5.8 on a 0 to 10 scale(0 = no pain 10 = worst pain) at initial presentation that decreased to 2.9 after last DRX treatment. Patients reported a mean 88.9% (16 out of 18) improvement in back pain, and a better function as measured by activities of daily living. On a ) to 10 scale (0 = not satisfied 10 = very satisfied) patients rated the DRX9000 an 8.1 . No patient required any invasive therapies (e.g. , epidural injections, surgery).
CONCLUSION: Overall, patients’ pain improved immediately after DRX treatment, requiring fewer analgesics, with better function. There were no safety issues identified with multimodal treatment routine. Non-treatment or control groups were not included making efficacy outcome versus placebo or spontaneous recovery difficult to determine. Randomized double-blinded or comparative long-term outcome trials are needed to further prove the efficacy of the DRX9000 non-surgical spinal decompression system for the routine treatment of chronic LBP.
DISCLOSURE: This study was funded by Axiom Worldwide.
BACKGROUND
Paucity of literature on benefits of non-surgical spinal decompression over other non-surgical treatments
Previous studies are poorly designed
Results are descriptive in nature
Efficacy versus placebo or spontaneous recovery difficult to determine
Over 1,200 DRX9000 in use today
MATERIALS & METHODS
METHODS
Prospective, multi-center, Phase II , non-randomized clinical trial
3 free- standing clinics (2 MDs and 1DC)
Diagnosis: Low back pain > 12 weeks
Outcome measures assessed:
Daily Pain Diary
Verbal Rating Scale (VRS)
Oswestry Pain Questionnaire
Adverse Events
Satisfaction Survey
TREATMENT PROTOCOL
DRX9000 sessions
28 minute sessions for 6 weeks
Total of 20 treatments
5 sessions week 1&2
3 sessions week 3&4
2 sessions week 5&6
Additional Therapy
Ice therapy post DRX
Back exercises after week 2
FAILED THERAPY PRIOR TO DRX9000
PROCEDURE # PROCEDURE # PROCEDURE
CHIROPRACTIC 16 TENS 5 Facet injections 1
MUSCLE STIMULATION 10 ACUPUNCTURE 3 Ultra sound 1
ICE THERAPY 9 LUMBAR SUPPORT 3 Other Decompressive therapy 1
MASSAGE THERAPY 9 Epidural injections 3
ADVERSE EVENTS
ADVERSE EVENT RELATED TO DEVICE ADVERSE EVENT RELATED TO DEVICE
Neck Pain Possibly Shoulder pain No
Head cold (2) No LBP/flu like symptoms No
Sinus headache 2) No
Vertigo No
Sinus Infection No
Adrenal Insufficiency No
Week 3 Week 6 Would you recommend DRX9000 to anyone else?
7.6 8.1 Yes 88.9% No 11.1%
www.drshoshany.com
Manhattan's Spinal decompression specialist
If you suffer with chronic back pain or have been diagnosed with a herniated disc call (212) 645-8151 for Non surgical spinal decompression
Monday, November 05, 2007
Make Back Pain Disappear Without Drugs or Scalpel
Dr. Shoshany New York City's top Chiropractor contributed to this article that over 70,000 people subscribe to monthly
Make Back Pain Disappear Without Drugs or Scalpel
Spinal Decompression Is a Magical Cure for Some People
Call (212) 645-8151 in Manhattan www.drshoshany.com
reprinted from Daily Health News, November 1, 2007
URL: http://www.bottomlinesecrets.com/blpnet/article.html?article_id=43340
Luckily I've never suffered a serious bout of back pain -- and staying strong in the hope I won't have problems like that is one reason I am so committed to fitness. Even so, though, the truth is that most of us (80% by some estimates) will have back pain at some time or another -- whether from over-exertion, injury or simply a result of the aging process. Chronic back pain is frustrating, not only because of how badly it hurts but also because it can be difficult to cure. It is the fifth most common reason for doctor visits.
A particularly common cause of such pain is a herniated disk, also referred to colloquially as a "slipped disk." For a long time, the usual mainstream medical solutions were surgery, physical therapy and/or pain medication, all of which take a long time and may not work for everyone. So I was very interested to learn about a non-surgical, non-invasive treatment for herniated disks called spinal decompression.
Visualize the disks in your back as being like hard donuts filled with a jelly-like material in the center. With age, the strong fibrous cartilage (the donut) can weaken, allowing the jelly-like material (nucleus pulposus) to bulge, which in and of itself is not painful. But more seriously, with a herniated disk the hard tissue has actually torn or ruptured, causing this material to ooze and press on spinal nerves. This causes pain that can range from mild to horrible.
SPINAL DECOMPRESSION 101: A PRIMER
One of the first devices used for spinal decompression was approved by the FDA in 1995. Because spinal decompression requires special expertise and pricey equipment, few chiropractors have offered this treatment -- but numbers are growing as training and better insurance reimbursement becomes more commonplace, I was told by Steven Shoshany, DC, a New York City-based chiropractor who specializes in spinal decompression.
Here's how it works: The patient lies on a comfortable table made specifically for this purpose, comfortably strapped down with a pelvis and torso harness that resembles a girdle. Calling it a "high-tech traction device," Dr. Shoshany explained how it works. "Slowly and comfortably, almost imperceptibly, the machine creates traction by pulling and holding for one minute. Then, intermittently, it releases. It is believed that this creates a negative pressure, or a vacuum within the disk, which then draws back the herniated-disk material which was displaced." With less pressure inside the disk, and thus less on the spinal nerves, pain often decreases or might even disappear -- sometimes instantaneously. To "fix the hold," however, numerous sessions may be required.
This technique also allows nutrient-rich fluid to go to the area where there is less pressure, stimulating the healing process. Most patients either sleep or watch a DVD during the treatment, Dr. Shoshany told me. Each session takes about 30 minutes and a typical treatment program may take between 20 to 30 sessions.
Critics contend that there are no long-range, well-designed studies looking at efficacy over time, but there has been some research on the treatment and the results are promising. In one study published in 2001 in Neurological Research, researchers reported that a spinal decompression therapy called VAX-D produced a success rate of 68.4%, compared with 0% for a placebo therapy in treatment of chronic low back pain. Another study from a team of researchers at the University of Illinois and Rome found a 71% success rate for treatment of herniated disk and other causes of low back pain, with "success" defined as a reduction in pain to 0 or 1 on a scale of 0 to 5.
NOT FOR EVERYONE
Dr. Shoshany noted that some people get much more benefit from spinal decompression than others, and it is not an option for everyone. "It's not a good choice for a person who has metal implants in the spine," he warned. It's better for people with a single-disk herniation than those who have herniation in several or all of them. Also, people who are morbidly obese and/or who smoke likely won't find much relief from spinal decompression either.
The procedure is thought to be safe, though there is no hard science supporting its efficacy. If you do decide to seek out this somewhat unconventional form of treatment, it's safest and best to do so with the oversight of your orthopedic surgeon, who can help you ascertain whether it might work in your case. For more information on spinal decompression, go to http://www.drshoshany.com
Effectiveness and safety of Non Surgical Spinal Decompression reveals a 89% reduction on severity of chronic LBP once this article is converted to a text form i will post it.
Make Back Pain Disappear Without Drugs or Scalpel
Spinal Decompression Is a Magical Cure for Some People
Call (212) 645-8151 in Manhattan www.drshoshany.com
reprinted from Daily Health News, November 1, 2007
URL: http://www.bottomlinesecrets.com/blpnet/article.html?article_id=43340
Luckily I've never suffered a serious bout of back pain -- and staying strong in the hope I won't have problems like that is one reason I am so committed to fitness. Even so, though, the truth is that most of us (80% by some estimates) will have back pain at some time or another -- whether from over-exertion, injury or simply a result of the aging process. Chronic back pain is frustrating, not only because of how badly it hurts but also because it can be difficult to cure. It is the fifth most common reason for doctor visits.
A particularly common cause of such pain is a herniated disk, also referred to colloquially as a "slipped disk." For a long time, the usual mainstream medical solutions were surgery, physical therapy and/or pain medication, all of which take a long time and may not work for everyone. So I was very interested to learn about a non-surgical, non-invasive treatment for herniated disks called spinal decompression.
Visualize the disks in your back as being like hard donuts filled with a jelly-like material in the center. With age, the strong fibrous cartilage (the donut) can weaken, allowing the jelly-like material (nucleus pulposus) to bulge, which in and of itself is not painful. But more seriously, with a herniated disk the hard tissue has actually torn or ruptured, causing this material to ooze and press on spinal nerves. This causes pain that can range from mild to horrible.
SPINAL DECOMPRESSION 101: A PRIMER
One of the first devices used for spinal decompression was approved by the FDA in 1995. Because spinal decompression requires special expertise and pricey equipment, few chiropractors have offered this treatment -- but numbers are growing as training and better insurance reimbursement becomes more commonplace, I was told by Steven Shoshany, DC, a New York City-based chiropractor who specializes in spinal decompression.
Here's how it works: The patient lies on a comfortable table made specifically for this purpose, comfortably strapped down with a pelvis and torso harness that resembles a girdle. Calling it a "high-tech traction device," Dr. Shoshany explained how it works. "Slowly and comfortably, almost imperceptibly, the machine creates traction by pulling and holding for one minute. Then, intermittently, it releases. It is believed that this creates a negative pressure, or a vacuum within the disk, which then draws back the herniated-disk material which was displaced." With less pressure inside the disk, and thus less on the spinal nerves, pain often decreases or might even disappear -- sometimes instantaneously. To "fix the hold," however, numerous sessions may be required.
This technique also allows nutrient-rich fluid to go to the area where there is less pressure, stimulating the healing process. Most patients either sleep or watch a DVD during the treatment, Dr. Shoshany told me. Each session takes about 30 minutes and a typical treatment program may take between 20 to 30 sessions.
Critics contend that there are no long-range, well-designed studies looking at efficacy over time, but there has been some research on the treatment and the results are promising. In one study published in 2001 in Neurological Research, researchers reported that a spinal decompression therapy called VAX-D produced a success rate of 68.4%, compared with 0% for a placebo therapy in treatment of chronic low back pain. Another study from a team of researchers at the University of Illinois and Rome found a 71% success rate for treatment of herniated disk and other causes of low back pain, with "success" defined as a reduction in pain to 0 or 1 on a scale of 0 to 5.
NOT FOR EVERYONE
Dr. Shoshany noted that some people get much more benefit from spinal decompression than others, and it is not an option for everyone. "It's not a good choice for a person who has metal implants in the spine," he warned. It's better for people with a single-disk herniation than those who have herniation in several or all of them. Also, people who are morbidly obese and/or who smoke likely won't find much relief from spinal decompression either.
The procedure is thought to be safe, though there is no hard science supporting its efficacy. If you do decide to seek out this somewhat unconventional form of treatment, it's safest and best to do so with the oversight of your orthopedic surgeon, who can help you ascertain whether it might work in your case. For more information on spinal decompression, go to http://www.drshoshany.com
Effectiveness and safety of Non Surgical Spinal Decompression reveals a 89% reduction on severity of chronic LBP once this article is converted to a text form i will post it.
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