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

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

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.

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

Lumbar Disc Herniation-Manhattan Chiropractor

Case Report: Subacute Lumbar Disc Herniation Successfully Treated With The DRX9000

Treatment Of An L5/S1 Extruded Disc Herniation Using A DRX-9000 Spinal Decompression Unit: A Case Report

by Terry Yochum, DC, DACBR, Fellow, ACCR, and Chad Maola, DC

Learn how a 50-year old male presented with a chief complaint of severe lower back pain and left sided sciatica persisting for two months, was successfully treated with the DRX9000 True Non-surgical Spinal Decompression System.

If you or anyone you know is suffering from chronic back pain, ask your doctor if the DRX9000 treatment is right for you.
www.drshoshany.com

Spinal Decompression NYC

Spinal Decompression NYC
Visit axiomanswers.com to listen to an interview of Dr. Shoshany on Spinal decompression treatment.

Dr. Shoshany is a chiropractic healthcare specialist with a diverse background. He holds a doctorate degree from Life Chiropractic University. Dr. Shoshany is currently the Clinic Director of Chiropractic New York, specializing in Spinal Disc Decompression. Dr. Shoshany is the only Chiropractor in NYC that holds a Patent for his spinal decompression protocol. To learn more about Dr. Steven Shoshany and his practice, please click here.

In a recent interview, Dr. Shoshany talks about the benefits of non-surgical spinal decompression therapy for the treatment of chronic back pain. Listen to his interview and learn how Dr. Shoshany's patients have responded to the treatment protocol, why he chose to incorporate non-surgical spinal decompression therapy and more.

Best Chiropractor in New York, New York

http://www.drshoshany.com - chiropractor New York City,Chiropractic and Wellness Center - New York City chiropractor




http://www.nycdisc.com - NYC Spinal Decompression Specialists



“ Voted #1 Chiropractor with Citysearch in NYC. If you are looking for a Chiropractor in Manhattan Dr. Shoshany is your man. ”

Posted by Daveb on 12 Nov 19:19

“ Best Manhattan Chiropractor ”

Posted by Daveb on 12 Nov 19:31
THIS ITEM APPEARS IN THE FOLLOWING LIST
Best Chiropractor in New York, New York (rank: 1)
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Is Spinal Disc Herniation Fixable?

Up until recently, it was thought that a herniated disc in the neck...or a herniated disc in the low back could not be repaired without surgery.

Now, it is widely accepted that nonsurgical spinal decompression of the lumbar spine or cervical spine can help a disc herniation heal naturally. It's pretty amazing if you think about it.

Sure decompression therapy will not help every single patient that does it...but nothing else will either.

We have been treating patients at my NYC Spinal Decompression clinic for over 6 years now...and the results have been outstanding. Some patients return to normal, some become a lot better than they were, some a little better...and some do not respond at all (rare).


According to preliminary research currently underway at the Mayo Clinic, John Hopkins and Duke Universities...spinal decompression is the nonsurgical treatment of the future for disc herniations, disc bulges, facet syndromes, and disc degeneration.

The spinal decompression machine used for the research was the DRX9000...the machine we have used at our NYC Chiropractic Centers.

There is a Spinal Decompression Special Report on the findings of this study that is very interesting.go to my website and look under spinal decompression research.
This is the website of NYC Spinal Decompression Dr. Steven Shoshany, D.C., C.C.E.P.
www.drshoshany.com

Sciatica treatment NYC

Sciatica is a painful symptom that may be caused by compressive forces resulting in irritation of the sciatic nerve or any of its nerve roots. It is most commonly associated with stinging, burning or numbing pain that may be experienced in the lower back, buttock, thigh, leg, or foot. Diagnosis of this particular symptom may be achieved through a physical examination or medical history review. If the condition that is causing this nerve-associated symptom is left untreated, it may have a huge impact on everyday activities such as walking, sitting, lifting and other simple movements.

This painful symptom may be caused by several conditions such as piriformis syndrome, degenerative disc disease, herniated discs and bulging discs. Although there may be several conditions that lead to similar symptoms, only herniated discs, bulging discs and degenerative disc disease are associated with the intervertebral disc.

Sciatica caused by an intervertebral disc related condition may have a wide range of painful effects. Sciatica caused by compression or irritation may produce stinging or burning lower back pain, which will quickly work its way along the buttocks and leg. In several cases, the shooting pain may lead down to the foot causing numbness. When a person is experiencing sciatica symptoms, it may be difficult for them to live a normal or active lifestyle. Unless the condition is treated, a person may not likely be able to partake in normal daily functions which may also lead to depression and other negative effects.

A physician may recommend a certain treatment option based on age, general health, medical history and degree of the sciatica causing condition. Common treatment options associated with sciatica causing conditions may include bed rest, pain medications, physical therapy, acupuncture, surgery and traction.

A relatively new treatment option to consider for intervertebral disc related conditions that lead to sciatica problems is called non-surgical spinal decompression therapy. A highly recognized device that has been shown to provide back pain relief for symptoms associated with herniated disc, bulging or protruding intervertebral discs and degenerative disc disease is called the DRX9000 True Non-surgical Spinal Decompression System. NYC spinal decompression specialist Dr. Steven Shoshany-www.drshoshany.com

This particular form of therapy is both non-invasive and non-surgical. Through the application of spinal decompressive forces to compressive and degenerative injuries of the spine, the DRX9000 has given patients relief from painful symptoms and has allowed them to resume a healthy normal life.

If you or anyone you know is suffering from an intervertebral disc condition that is causing painful sciatica symptoms, contact your local DRX9000 physician to learn more about non-surgical spinal decompression therapy. To view available clinical research data on the DRX9000, please click here.

NYC Spinal Decompression NYC for herniated discs

Clinical Data Utilizing the DRX9000 will be presented at the 27th Annual ESRA Conference in Genoa, Italy!

Clinical data utilizing the DRX9000 True Non-Surgical Spinal Decompression System™ will be presented at the 27th Annual ESRA (European Society of Regional Anesthesia) Conference in Genoa, Italy September 24-27, 2008. The first study, is an IRB-approved, prospective multi-center phase II, non-randomized pilot study authored by Dr. John Leslie of the Mayo Clinic and others. This study was designed to evaluate the effectiveness and safety of the DRX9000 in treating chronic LBP [lower back pain]. A greater than 50% reduction in pain score was observed after two weeks of treatment and upon completion of the entire six week protocol an amazing success rate of 88.9% was documented. Improvement of Oswestry scores and a decreased consumption of adjunctive pain medication was also noted. The second study, is retrospective data which included lumbar spine CT scans before and after patients were treated on the DRX9000 that demonstrates possible morphological changes associated with treatment. The authors conclude, “A significant reduction in chronic LBP after non-invasive spinal decompression correlated with an increase in disc height.” Three authors from the studies will be presenting the data at the 2008 ESRA Conference and abstracts of both studies will be available. These presentations represent an effort to further educate the International Community on the effectiveness of our products
www.drshoshany.com
Spinal decompression in NYC contact (212) 645-8151

NYC Spinal Decompression NYC

NYC Spinal Decompression NYC

www.drshoshany.com
One of the better-known tables is the DRX9000 from Axiom Worldwide, Tampa, Fla. First appearing in 2001 as the DRX2000, the table has gone through a few incarnations and now features three versions of the same model: the DRX9000, the basic lumbar table; the DRX9000 C, lumbar and cervical combo; and the DRX9500, cervical only. These tables are definitely at the higher end pricewise, running around $100,000, and there are some DCs who say they wouldn't use anything else (including Steven Shoshany, DC, of New York, about whom a profile appeared in the March 2008 issue of Chiropractic Products).

A featured aspect of this table is its Nested Closed-Loop Feedback System, an automatic control system that can adjust and self-correct according to differences between actual and desired output. The system ensures that therapy stays true to each person's logarithmic spinal decompression curve.

Other features and benefits of the DRX9000 include advanced system diagnostics that constantly monitor the device's critical subsystems, a floating lower mattress that allows natural elongation of the patient's spine utilizing special X-1R certified space technology, and a touch-screen computer that allows for easy selection of treatment parameters. There are also highly visible displays that permit monitoring of treatment from across the room, and a patient media system for advanced patient education through DVD/CD presentation.

What is it about this table that commands both the high price and the dedicated clientele? According to Axiom Worldwide marketing analyst Rick Durand, the DRX9000 series succeeds so well—1,700 units sold so far—because of two factors: first, superior components obtained through "exclusive partnerships with several technology corporations," including X-1R Lubricants, and Danaher Motion.

Durand says that in just a few weeks a research report will be issued by one of these companies that will conclusively demonstrate the higher quality of DRX components.

On a more serious note, Durand believes that "our research, documentation, and exclusive contracts" are what sets Axiom apart. In the area of patient safety, for instance, a Section 501(K) Summary of Safety and Effectiveness states that, "Axiom Worldwide maintains contact with the clinics administering the therapy, and over the past 12 years, not a single MDR report of injury has been filed for the DRX9000, which reflects the inherent safety of the device."

The company also provides educational podcasts about the DRX9000 on its Web site (www.axiomworldwide.com), currently featuring Terry Yochum, DC, DACBR, Joseph Perglolizzi, MD, and Kevin Cook, Space Foundation.
www.drshoshany.com
What about all those new tables that offer multi-directional pulls?
In my practice I utulize the Cox flexion disrtaction table visit site this table is designed by Dr. Cox with decades of expierence in treat difficult herniated disc cases.
In my opnion the DRX 9000 and cox flexion disctraction table is everything i need to provide my patients with patient with excellent results.

NYC Spinal Decompresion NYC-DRX 9000

Axiom Worldwide’s DRX9000 is placed in the A.C. Milan Soccer Club, the number one Sport Center in the World!

Axiom Worldwide is proud to announce that the DRX9000 True Non-Surgical Spinal Decompression System™ was recently placed into Milan Lab, which is based inside Milanello Sporting Center, www.acmilan.com
Milanello is home to one of the most famous and successful soccer teams in the world. International Sports Managers consider Milanello as the number one sport center in the world. Milan Lab was developed in 2002 to serve as a high tech Scientific Research Center using a combination of science, technology, IT, cybernetics and psychology, with the purpose of optimizing the physiological management of the athletes. Dr. Jean Pierre Meersseman, Director of Milan Lab, headed the decision to place the DRX9000 into the lab as an addition to the most advanced technical sports facility in the world. Dr. Meersseman and Milan Lab are constantly taking advantage of the worlds latest and sophisticated software technologies and the DRX9000 will be a perfect fit. The DRX9000 is being utilized by the club to help achieve AC Milan’s goal of potentially reducing the risk of injury to players, achieving the most optimum performance possible and continuing to be one of the most successful teams in the world.
www.drshoshany.com

Spinal Decompression Specialists NYC

Spinal Decompression- Manhattan-(212) 645-8151 or visit www.nycdisc.com

According to the Mayo Clinic four out of five people in the United States will experience low back pain at least once during their lives.

Back pain is a very common complaint. It is one of the most common causes for people to miss work or make a trip to the doctor's office.

There is a bright side. Most back pain can be prevented and in treating back pain surgery is rarely needed.

For instance, spinal decompression therapy is a safe yet effective non-surgical way to treat chronic neck and low back pain
Causes of back pain
There are several things that can develop that cause back pain to occur or reoccur.

Read more of this article below
http://hubpages.com/hub/Alleviate-Back-Pain-With-Spinal-Decompression-Therapy

Spinal decompression therapy
Spinal decompression therapy is a slow and therapeutic elongation of the spine which alleviates pressure on compressed vertebrae and discs. During decompression therapy the patient lies on the spinal decompression table and relaxes while the device applies decompression forces to the injured areas. If needed, it is equipped with a safety switch that enables the patient to immediately stop the decompression forces.

NYC Spinal Decompression NYC

NYC Spinal Decompression NYC- Contact Spinal decompression specialist Dr. Steven Shoshanny-NYC ChiropractorWith millions of back pain sufferers worldwide searching for alternative ways to find chronic back pain relief, non-surgical spinal decompression therapy arises. Non-surgical spinal decompression therapy has successfully treated many back pain sufferers who received unsatisfactory results with traditional treatment methods such as bed rest, physical therapy, pain medications, acupuncture, surgery and traction. As new clinical research demonstrating the positive outcomes of this form of therapy continues to surface, it may not take long before it is widely considered to be an effective treatment option for chronic back pain conditions.

In a recent study published in Pain Practice, patient outcomes indicated that chronic low back pain improved with treatment on the DRX9000 True Non-surgical Spinal Decompression System™.

The study titled, "Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review" indicated that patients with a mean pain duration of 535 weeks (Over 10 years) reported a mean verbal numerical pain intensity rating equal to 6.05 on a 0 to 10 scale prior to treatment with the DRX9000™.

Patients were treated at four clinics throughout the United States. They received 30-minute DRX9000 sessions daily for the first 2 weeks tapering to 1 session/week.

After the completion of the DRX9000 True Non-surgical Spinal Decompression System therapy, the mean verbal numerical pain intensity rating decreased to a statistically and clinically significant rating of 0.89.

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

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

New York Chiropractor: Kinesio tape NYC

New York Chiropractor: Kinesio tape NYC

Spinal Decompression

Table Notoriety

One of the better-known tables is the DRX9000 from Axiom Worldwide, Tampa, Fla. First appearing in 2001 as the DRX2000, the table has gone through a few incarnations and now features three versions of the same model: the DRX9000, the basic lumbar table; the DRX9000 C, lumbar and cervical combo; and the DRX9500, cervical only. These tables are definitely at the higher end pricewise, running around $100,000, and there are some DCs who say they wouldn't use anything else (including Steven Shoshany, DC, of New York, about whom a profile appeared in the March 2008 issue of Chiropractic Products).
visit www.drshoshany.com

A featured aspect of this table is its Nested Closed-Loop Feedback System, an automatic control system that can adjust and self-correct according to differences between actual and desired output. The system ensures that therapy stays true to each person's logarithmic spinal decompression curve.

Other features and benefits of the DRX9000 include advanced system diagnostics that constantly monitor the device's critical subsystems, a floating lower mattress that allows natural elongation of the patient's spine utilizing special X-1R certified space technology, and a touch-screen computer that allows for easy selection of treatment parameters. There are also highly visible displays that permit monitoring of treatment from across the room, and a patient media system for advanced patient education through DVD/CD presentation.

What is it about this table that commands both the high price and the dedicated clientele? According to Axiom Worldwide marketing analyst Rick Durand, the DRX9000 series succeeds so well—1,700 units sold so far—because of two factors: first, superior components obtained through "exclusive partnerships with several technology corporations," including X-1R Lubricants, and Danaher Motion.

Durand says that in just a few weeks a research report will be issued by one of these companies that will conclusively demonstrate the higher quality of DRX components.

The second dimension of the DRX9000 package is the comprehensive clinical, marketing support, which is provided at no additional cost. These benefits include print collateral and custom graphic advertisements.

"For instance," Durand says, "if the chiropractor wants to create a newspaper ad with a certain message specific to their local area, we would do that at no cost." There is also ongoing training at the clinical level with in-house sessions each month at the Tampa location, and commercials, infomercials, and a strong Internet presence. Durand relates that the DRX9000 is so popular that at a recent NBA playoff game, when the Los Angeles Lakers' Kobe Bryant grabbed his lower back, the announcer declared, "Looks like Kobe needs the DRX9000!"

On a more serious note, Durand believes that "our research, documentation, and exclusive contracts" are what sets Axiom apart. In the area of patient safety, for instance, a Section 501(K) Summary of Safety and Effectiveness states that, "Axiom Worldwide maintains contact with the clinics administering the therapy, and over the past 12 years, not a single MDR report of injury has been filed for the DRX9000, which reflects the inherent safety of the device."

The company also provides educational podcasts about the DRX9000 on its Web site (www.axiomworldwide.com), currently featuring Terry Yochum, DC, DACBR, Joseph Perglolizzi, MD, and Kevin Cook, Space Foundation.

The Effectiveness of Decompression

True Spinal decompression

www.truespinaldecompression.com
I am excited for the launch of our new website.
It can be visited at www.truespinaldecompression.com
In the months to come this site will be update with all of the latest research studies and videos on spinal decompression therapy.
This website is going to provide potential patients in Manhattan with all the necessary information about spinal decompression therapy. If you suffer with Herniated & Bulging Discs
Back & Neck Pain
Degenerative Disc Disease
Arthritic Pain
Headaches
Carpal Tunnel Syndrome
Tendonitis & Bursitis
Muscle Spasms
Sciatica & Leg Pain
Shoulder Pain
to learn more how Spinal decompression therapy can help you visit my website at www.drshoshany.com

Herniated disc treatment NYC

Herniated disc treatment NYC-Spinal Decompression in Manhattan

Korean Study comparing Spinal Decompression Therapy with Intermittent Mechanical Traction reports results in favor of Non-Surgical Spinal Decompression!
www.drshoshany.com
July 25, 2008: A study titled, “Effect of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation” is published in the June issue of the Korean Academy of Rehabilitation Medicine. Dr. Hee-Sang Kim, Kyung Hee University College of Medicine, compared the effects of intermittent mechanical traction with spinal decompression therapy (SDT) utilizing the DRX 3000®*. Thirty five patients experiencing low back pain with confirmed lumbosacral disc herniation on Magnetic Resonance Imaging (MRI) were selected to participate in the study. The patients were randomly assigned to SDT (20) and intermittent mechanical traction (15). Pre- and post-treatment visual analog scale (VAS) pain scores were utilized as the primary endpoint. The patients in the intermittent traction group exhibited a decrease in pain of 6.4 to 4.5 (-1.9) on a 0 to 10 scale. The patients in the SDT group revealed a much larger decrease in pain of 6.9 to 2.6 (-4.3). The authors conclude, “Spinal decompression therapy can be used as an effective treatment for discogenic low back pain without serious complications”.



The foregoing study was not sponsored by Axiom Worldwide. Axiom has made no determination of and makes no representations as to the design, scope or manner in which the study was conducted. Axiom Worldwide's referencing the presentation of the study should not be construed to mean that Axiom Worldwide represents that the study establishes any conclusive success rate or the efficacy of the device. The information is offered simply to demonstrate the exciting activity ongoing with the DRX9000. As always, individual patient’s experiences with the DRX9000 may vary and patients should always consult with their physician to determine whether treatment on the DRX9000 makes sense for them.



* The DRX3000 is the Korean version of the DRX9000 True Non-Surgical Spinal Decompression System

DRX 9000 Spinal Decompression-Herniated disc-Sciatica treatment

www.drshoshany.com

Spinal Decompression and the DRX9000
Herniated disc treatment-Sciatica-bulging disc treatment- Spinal stenosis


Treatment of 94 Outpatients with Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review
Charlotte Richmond, PhD, NEMA Research, Inc.
Alex Macario, MD, Stanford University
Joseph Pergolizzi, MD, Johns Hopkins University and NEMA Research, Inc.
Ninety-four low back pain patients diagnosed with herniated intervertebral discs and/or degenerative disc disease underwent spinal decompression treatment using the DRX9000 at one of 4 clinics for 8 weeks. Demographics, clinical characteristics, MRI findings, analgesic use, and activities of daily living were measured and reported here.
Other Spinal Decompression tables,especially new manufactures that make Range of motion tables have little to no research on the effectiveness on their tables.These new manufacturers claim superiority over tables that have been scrutinized and have been stood the test of time.I always let patient know that they need to do their homework and chose the "right" table.




PILOT: Effectiveness & Safety of Non-surgical Spinal Decompression
John Leslie, MD, Mayo Clinic Arizona
Charlotte Richmond, PhD, NEMA Research, Inc.
Alex Macario, MD, Stanford University
Christian Apfel, MD, University of California at San Francisco
Frank Florio, DC, Axiom Worldwide, LLC
Darren Clair, MD, Vibrance Medical
Martin Auster, MD, Johns Hopkins University
Joseph Pergolizzi, MD, Johns Hopkins University and NEMA Research, Inc.
Eighteen patients diagnosed with different intervertebral disc disorders, including one patient with failed back surgery, were treated using the DRX9000 for 6 weeks. Patient satisfaction scores were high with 88.9% indicating they would recommend the treatment to others.
No other spinal decompression table has this many studies confirming its effectiveness.


The inter-vertebral discs are the shock-absorbing cushions between each pair of vertebrae in your spine. Each disc has a strong outer ring of fibers, called the annulus, and a soft, gelatinous center, called the nucleus pulposus. The disc’s nucleus serves as the main shock absorber for the adjacent vertebrae.

When a tear occurs in the outer (annular) ring of the disc, the soft nucleus pulposus can protrude into the spinal canal. This common and painful disorder is called a herniated disc (also known as a ruptured disc or a prolapsed disc). The protrusion of the nucleus pulposus can press on a nerve root or the spinal cord. The damaged disc can also leak fluid, which may inflame nerve roots. For this reason, herniated discs can become extremely painful.

When a herniated disc occurs in the mid back it can be extremely serious. The smaller spinal canal in the thoracic (mid back) region leaves very little space around the spinal cord. In severe cases, the pressure of a herniated disc on the thoracic spinal cord can lead to paralysis below the waist. Fortunately, herniated discs much more commonly occur in the lumbar or cervical spine, where the spinal canal is larger.


Symptoms

In addition to back pain, a herniated disc can cause pain in other parts of the body. Because nerve roots carry signals to other parts of the body, a herniated disc that compresses a nerve root can cause pain in other body parts. For example, a herniated disc in the lower back may compress the sciatic nerve root, causing the pain and/or numbness known as sciatica, which runs down the back of the leg. A herniated cervical disc, on the other hand, can cause neck and arm pain. In fact, the hallmark of a herniated disc is radicular pain—pain that runs down into the arm or leg. This pain also may be associated with numbness or weakness in the same distribution.



Potential Causes

Regular wear and tear, degeneration or trauma can all cause a herniated disc. Like muscles and ligaments, discs heal from a tear by forming scar tissue, which is weaker than normal tissue.
A traumatic event can put too much pressure on a disc all at once, causing a sudden rupture. For example, falling from a ladder and landing in a sitting position applies a tremendous amount of sudden force on the spine, which can result in a broken vertebra or a ruptured disc. A smaller amount of force can also rupture a disc, especially if the tough outer ring (annulus) has been weakened by repeated injuries that have added up over time. A weakened disc may rupture while lifting or bending, low-impact activities that probably would not have caused a problem five years earlier. The effects of aging on the spine, which makes discs more vulnerable to ruptures, is the most common cause of disc herniation in the thoracic spine.


Diagnosis

To diagnose a herniated disc, the doctor will begin by obtaining a complete history of the problem and administering a physical exam. An MRI, the most common test used to diagnose a herniated disc, is painless and accurate.

Treatment Options

The treatment of a herniated disc depends on the symptoms. Since most herniated discs heal without surgical treatment, your doctor may first suggest careful monitoring. If the symptoms improve, no other treatment may be needed. However, if symptoms worsen, your doctor might suggest surgery.

Conservative Treatment

Your doctor may prescribe rest and observation to monitor the progression of the problem. Depending on the amount of pain, medications and/or physical therapy may be prescribed. If you have severe pain from nerve root irritation, your doctor may prescribe an epidural steroid injection (ESI). Unfortunately, this treatment succeeds in reducing the pain from a herniated disc in only about half of all cases.

Surgical Treatment

The traditional surgical treatment for a herniated disc is a combination of laminotomy and discectomy. In a laminotomy, an opening is made in the lamina (covering of the disc) to relieve pressure on the affected spinal nerves; a discectomy removes the herniated disc. Microdiscectomy achieves the same results as traditional discectomy, but uses a less invasive technique, enabling a faster recovery for the patient. Endoscopic Discectomy is an even newer, more technologically advanced version of the microdiscectomy. The specific nature of the herniated disc will determine what the best procedure will be
Spinal Decompression

Slipped Disc treatment NYC-Manhattan Herniated disc treatment

Manhattan Chiropractor comments on "slipped disc".
www.drshoshany.comMost of us have heard the term “slipped disc,” which refers to dysfunction or injury to a spinal disc.

This is actually an incorrect term, as the disc is incapable of slipping out like a child’s block slips out of the stack. The term herniation is correct, although there are others commonly used, and describes the pushing or protruding of disc material, possibly onto pain-sensitive structures.

Anyone who has experienced pain from a herniated disc will likely describe the sensation as excruciating and made worse with movement. Usually the pain will shoot down an arm or leg, as opposed to staying in one place. Also, numbness and/or tingling may be present. There are many courses of action that may be taken. Let’s light the path so you may find the way to prevention, and if needed, appropriate treatment.

The bones of the spine have spacers between them called discs. These maintain distance between important structures and provide a modicum of shock absorption. The disc has two parts: the outer ring and the inner jelly-like substance. Picture a jelly doughnut and you are not far off. The “jelly dougnhut” does not have a blood supply and this makes for a structure that struggles to meet its nourishment needs on a good day. On a bad day this amounts to a structure that is slow to heal once it has been injured. The good news is spinal discs often can heal with the right approach.

Sometimes discs are injured from catastrophic injuries, but usually injuries result from everyday activities, such as incorrect lifting, slipping on the ice, and other daily tasks that are too numerous to mention. It is my opinion that single events, such as incorrectly lifting a heavy object, are not as much the cause. Rather, poor habits over time add up until mechanical failure occurs. Examples include routinely bending at the waist to lift, poor workstation ergonomics, a general lack of physical fitness, loss of normal spinal curvature, and even chronic dehydration may be a factor. By far the most common area of spinal disc injury is in the low back, and only about 10 percent of injuries occur in the upper back and neck.

Many published scientific papers have documented the progression of disc problems. They often conclude that with conservative treatment, the disc will heal and symptoms will resolve. Seldom is surgery required. There are a few signs that merit immediate investigation: loss of bowel or bladder control, an inability to bring the top of the foot toward the shin, loss of feeling or weakness in an arm or leg, and pain accompanied by fever. This list is not all-encompassing, nor is it a substitute for the advice of a health care professional.

Spinal decompression therapy is one of the most effective and state-of-the-art types of non-invasive care for disc problems. A computer-driven unit is used to gently open the disc space, allowing hydration and nutrients to return to it and facilitate healing. MRI studies have demonstrated a retraction of disc material during this type of treatment. However, there is a certain criteria that must be met in order to be a qualified recipient of decompression therapy.If you would like to learn more how Spinal Decompression can help you visit my website www.drshoshany.com

Sciatica treatment

What You Need to Know About Sciatica
from a NYC Chiropractor
I have seen fantastic results using spinal decompression and core strengthing using the SpineForce. I wanted to provide additional information about Sciatica and other treatments that are being used to treat Sciatica.


About Sciatica
Sciatica Symptoms
Sciatica Treatment
The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg. The vast majority of people who experience sciatica get better with time (usually a few weeks or months) and find pain relief with non-surgical sciatica treatment. For others, however, sciatica can be severe and debilitating.

Common Causes of Sciatica:
lumbar herniated disc

spinal stenosis

degenerative disc disease

spondylolisthesisThe clinical diagnosis of sciatica is referred to as a "radiculopathy", which means simply that a disc has protruded from its normal position in the vertebral column and is putting pressure on the radicular nerve (nerve root) in the lower back, which forms part of the sciatic nerve.

An important thing to understand is that sciatica is a symptom of a problem — of something compressing or irritating the nerve roots that comprise the sciatic nerve — rather than a medical diagnosis or medical disorder in and of itself. This is an important distinction because it is the underlying diagnosis (vs. the symptoms of sciatica) that often needs to be treated in order to relieve sciatic nerve pain.

Sciatica occurs most frequently in people between 30 and 50 years of age. Often a particular event or injury does not cause sciatica, but rather it tends to develop as a result of general wear and tear on the structures of the lower spine.

Sciatica symptoms
For some people, the pain from sciatica can be severe and debilitating. For others, the pain might be infrequent and irritating, but has the potential to get worse.

While sciatica can be very painful, it is rare that permanent nerve damage (tissue damage) will result. Most sciatica pain syndromes result from inflammation and will get better within two weeks to a few months. Also, because the spinal cord is not present in the lower (lumbar) spine, a herniated disc in this area of the anatomy does not present a danger of paralysis.

Sciatica symptoms that may constitute a medical emergency include:
Progressive weakness in the leg
Bladder/bowel incontinence or dysfunction.
Patients with either of the above symptoms may have cauda equina syndrome and should seek immediate medical attention. In general, patients with complicating factors should contact their doctor if sciatica occurs, including people who: have been diagnosed with cancer; take steroid medication; abuse drugs; have unexplained, significant weight loss; or have HIV.

Sciatica medical definition: radiculopathy
To clarify medical terminology, the term sciatica (often misspelled as ciatica, cyatica or siatica) is often used very broadly to describe any form of pain that radiates into the leg. However, this is not technically correct. True sciatica occurs when the sciatic nerve is pinched or irritated and the pain along the sciatic nerve is caused by this nerve (radicular pain) and is called a radiculopathy. When the pain is referred to the leg from a joint problem (called referred pain), using the term sciatica is not technically correct. This type of referred pain (e.g. from arthritis or other joint problems) is quite common.

Sciatica treatment
Practical point:
Symptoms of sciatica pain can vary greatly but usually decrease after a few weeks or months with non-surgical treatment.Sciatica nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centered on relieving both of these factors. Typical sciatica treatment include:

Non-surgical sciatica treatments, which may include one or a combination of medical treatments and alternative (non-medical) treatments, and almost always includes some form of exercise and stretching. The goals of non-surgical sciatica treatment should include both relief of sciatica pain and prevention of future sciatica symptoms.
Sciatica surgery, such as microdiscectomy or lumbar laminectomy and discectomy, to remove the portion of the disc that is irritating the nerve root. This surgery is designed to help relieve both the pressure and inflammation and may be warranted if the sciatic nerve pain is severe and has not been relieved with appropriate manual or medical treatments.
Sciatica Causes
Sciatica refers to a set of symptoms which are usually caused by a problem in the lower back called a radiculopathy—when a nerve root that connects to the sciatic nerve is compressed or irritated. Common low back problems and other spinal conditions that can cause sciatica include:

Lumbar herniated disc. A herniated disc occurs when the soft inner core of the disc (nucleus pulposus) extrudes or “herniates” through the fibrous outer core (annulus) of the disc, irritating the contiguous nerve root as it exits the spine.In general, it is thought that a sudden twisting motion or injury can lead to an eventual disc herniation and sciatica.However, most discs weaken due to repetitive stress and the final result is a herniation. A herniated disc is sometimes referred to as a slipped disk, ruptured disk, bulging disc, protruding disc, or a pinched nerve and sciatica is the most common symptom of a lumbar herniated disc.

See also Lumbar disc herniation
Practical point:
Treatment of sciatica requires a diagnosis of the underlying cause of the sciatica pain.Lumbar spinal stenosis. This condition commonly causes sciatica due to a narrowing of the spinal canal. Spinal stenosis is more common in adults over age 60, and typically results from a combination of one or more of the following: enlarged facet joints, overgrowth of soft tissue, and a bulging disc placing pressure on the nerve roots as they exit the spine and causing sciatica.
Degenerative disc disease. While disc degeneration is a natural process that occurs with aging, in some cases one or more degenerated discs can also irritate a nerve root and cause sciatica. Degenerative disc disease is diagnosed when a weakened disc results in excessive micro-motion at the corresponding vertebral level and inflammatory proteins from inside the disc become exposed and irritate the area (including the nerve roots).

See also Degenerative disc disease
Isthmic spondylolisthesis. This condition occurs when a small stress fracture allows one vertebral body to slip forward on another vertebral body (e.g. the L5 vertebra slips over the S1 vertebra). With a combination of disc space collapse, the fracture, and the vertebral body slipping forward, the L5 nerve can get pinched as it exits the spine and cause sciatica.

See also Isthmic spondylolisthesis
Piriformis syndrome. The sciatic nerve can also get irritated as it runs under the piriformis muscle in the rear. If the piriformis muscle irritates or pinches a nerve root that comprises the sciatic nerve, it can cause sciatica-type pain. This is not a true radiculopathy (the clinical diagnosis of sciatica), but the leg pain can feel the same as sciatica caused by a nerve irritation.

See also Piriformis syndrome—another irritation to the sciatic nerve
Sacroiliac joint dysfunction. Irritation of the sacroiliac joint at the bottom of the spine can also irritate the L5 nerve, which lies on top of it, and cause sciatica-type pain. This is not a true radiculopathy, but the leg pain can feel the same as sciatica caused by a nerve irritation.

See also Sacroiliac Joint Dysfunction

It is important to know the underlying clinical diagnosis of the cause of sciatica, as treatments will often differ depending on the cause. For example, specific sciatica exercises are different depending on pathology causing the sciatica symptoms.
Sciatica Symptoms
For some people, sciatica pain can be severe and debilitating. For others, the sciatica symptoms might be infrequent and irritating, but have the potential to get worse. Usually, sciatica only affects one side of the lower body, and the pain often radiates from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain and other sciatica symptoms may also radiate to the foot or toes.

One or more of the following sciatica symptoms are typically experienced:

Pain in the rear or leg that is worse when sitting

Burning or tingling down the leg

Weakness, numbness or difficulty moving the leg or foot

A constant pain on one side of the rear

A shooting pain that makes it difficult to stand up

With sciatica, low back pain may be present along with the leg pain, but usually the low back pain is less severe than the leg pain
Sciatica symptoms occur when the large sciatic nerve is irritated. The sciatic nerve is the largest single nerve in the body and is composed of individual nerve roots that start by branching out from the spine in the lower back and combine to form the “sciatic nerve”.

Article continues below
The sciatic nerve starts in the lower back at lumbar segment 3 (L3).

The sciatic nerve roots run through the bony canal in the spine, and at each level in the lower back a pair of nerve roots exits from the spine and then comes together to form the large sciatic nerve that runs all the way down the back of each leg.

Portions of the sciatic nerve then branch out in each leg to innervate certain parts of the leg (e.g. the calf, the foot, the toes).

The nerve roots that originate in the lower back are named for the upper vertebral body that they run between (for example, the nerve that exits at L4-L5 in the spine is named L4). The nerve passing to the next level runs over a weak spot in the disc space, which is the reason discs tend to herniate (extrude) right under the sciatic nerve root and can cause sciatica.

The sciatica symptoms (e.g., low back pain, leg pain, numbness, tingling, weakness) are different depending on where the pressure on the nerve occurs. For example, a lumbar segment 5 (L5) nerve impingement can cause weakness in extension of the big toe and potentially in the ankle (foot drop) (See diagram of the sciatic nerve).

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What You Need to Know About Sciatica
Sciatica Causes

Sciatica Symptoms

Sciatica Treatment
Sciatica Treatment More On This Topic:
Myths About Sciatica Treatment Options
Sciatic nerve anatomy and sciatica symptoms

Sciatica Treatment
For most people, the good news is that sciatica usually will get better on its own, and the healing process usually only takes a few days or weeks. Overall, the vast majority of episodes of sciatica pain heal within a six to twelve week time span.

However, occasional flare-ups of sciatic nerve pain may be an indication of a condition that should be managed so that it does not get worse over time.

For most, readily available pain management techniques and regular exercise will go a long way to remedying the situation.
For others, when the pain is severe or does not get better on its own, a more structured pain management program (including specific physical therapy and exercise), and possibly surgery, may offer the best approach to finding pain relief and preventing or minimizing future flare-ups of sciatica.

Non-surgical sciatica treatment
During an episode of sciatica, there are a number of non-surgical treatment options available to help alleviate the sciatic pain and discomfort.

Article continues below
Heat/ice
For acute sciatica pain, heat and/or ice packs are most readily available and can help alleviate the leg pain, especially in the initial phase. Usually ice or heat is applied for approximately 20 minutes, and repeated every two hours. Most people use ice first, but some people find more relief with heat. The two may be alternated to help with sciatica pain relief.

See also Heat Therapy Cold Therapy


Sciatica Pain Medications
Over-the-counter or prescription medications may also be helpful in relieving sciatica. Non-steroidal anti-inflammatory drugs (such as ibuprofen, naproxen, or COX-2 inhibitors), or oral steroids can be helpful in reducing the inflammation which is usually a contributing factor in sciatica.

See also NSAIDs, Oral Steroids

Practical point:
Treatment of sciatica requires a diagnosis of the underlying cause of the sciatica pain.Epidural steroid injections for sciatica
If the sciatica pain is severe, an epidural steroid injection can be performed to reduce the inflammation. An epidural injection is different from oral medications because it injects steroids directly to the painful area around the sciatic nerve to help decrease the inflammation that may be causing the pain. While the effects tend to be temporary (providing pain relief for as little as one week up to a year), and it does not work for everyone, an epidural steroid injection can be effective in providing relief from an acute episode of sciatic pain. Importantly, it can provide sufficient relief to allow a patient to progress with a conditioning and exercise program.

See also Lumbar epidural steroid injections for low back pain and sciatica and Epidural Video

Alternative sciatica treatment
In addition to standard medical treatments, several alternative treatments have also been shown to provide effective sciatica pain relief for many patients. Three of the more common forms of alternative care for sciatica include acupuncture, massage therapy and chiropractic manipulation.

Acupuncture
The practice is centered on the philosophy of achieving or maintaining well being through the open flow of energy via specific pathways in the body. Hair-thin needles (that are usually not felt) are inserted into the skin near the area of pain and left in place for a few minutes to over half an hour. Acupuncture has been approved by the U.S. FDA as a treatment for back pain, and the National Institutes of Health recognized acupuncture as effective in relieving back pain, including sciatica.

Massage therapy
Certain forms of massage therapy have been shown to have a number of benefits for back pain, including increased blood circulation, muscle relaxation, and release of endorphins (the body’s natural pain relievers).

See also Massage Therapy for Lower Back Pain

Manual manipulation
Spinal adjustments and manual manipulation performed by appropriately trained health professionals (e.g. chiropractors, osteopathic physicians, physical therapists) are focused on providing better spinal column alignment, which in turn should help to address a number of underlying conditions that can cause sciatic nerve pain. Manual manipulation done to address the right indications by appropriately trained health professionals can create a better healing environment and should not be painful. In my Manhattan Spinal decompression practice I combine Medical massage, Spinal decompression and Core strengthing using the Spine Force and if patients are suffering I have a onsite MD that can provide pain management.

See also Chiropractic Treatments for Back Pain


Following initial pain relief, a program of physical therapy and exercise should usually be pursued in order to alleviate pain and prevent or minimize any ongoing sciatic pain.

Physical therapy and exercise


Practical point:
While is seems counter-intuitive, activity and exercise typically provides more sciatica pain relief than rest.When the sciatica pain is at its worst, patients may need to rest for a day or two, but resting for longer periods of time is usually not advisable. In fact, inactivity will usually make the sciatic pain worse. This is because regular movement and exercise is necessary to nourish the various structures in the low back and encourage the strength needed to support the low back.

Many sciatica exercises focus on strengthening the abdominal and back muscles in order to give more support for the back. Stretching exercises for sciatica target muscles that cause pain when they are tight and inflexible. When patients engage in a regular program of gentle strengthening and stretching exercises, they can recover more quickly from a flare up of sciatica and can help to prevent future episodes of pain.

Low impact aerobic exercise, such as walking or swimming (or pool therapy) is also usually a component of recovery, as aerobic activity encourages the exchange of fluids and nutrients to help create a better healing environment. Aerobic conditioning also has the added benefit of releasing endorphins, the body’s natural pain killers, which is a natural way to alleviate sciatic pain.
Sciatica Exercises

There are a number of types of non-surgical spine care professionals who specialize in treating sciatica symptoms, including chiropractors, physiatrists (physical medicine and rehabilitation specialists), pain medicine specialists, and physical therapists, all of whom have specialized training to provide pain relief and to help prevent future recurrences of sciatica. It is always advisable to have a qualified medical professional oversee any sciatica treatments

Sciatica Surgery
If the sciatica pain is severe and has not gotten better within six to twelve weeks, it is generally reasonable to consider spine surgery. Depending on the cause and the duration of the sciatica pain, one of two surgical procedures will typically be considered: a microdecompression (microdiscectomy) or an open decompression (lumbar laminectomy).

Microdiscectomy (microdecompression) for sciatica
In cases where the sciatica pain is due to a disc herniation, a microdiscectomy may be considered after four to six weeks if the pain is not relieved by non-surgical means. A microdiscectomy may be considered sooner than four to six weeks if the patient’s pain and disability is very severe. Urgent surgery is only necessary if the patient experiences progressive weakness in the legs, or sudden loss of bowel or bladder control.

A microdiscectomy is typically an elective procedure, and the patient’s decision to have surgery is based primarily on the amount of pain and dysfunction the patient is experiencing, and the length of time that the pain persists. Approximately 90% to 95% of patients will experience relief from their sciatica pain after this type of surgery.

See also Microdiscectomy

Article continues below
Lumbar laminectomy (open decompression) for sciatica
Lumbar spinal stenosis often causes sciatica pain that waxes and wanes over many years. Surgery may be offered as an option if the patient’s activity tolerance falls to an unacceptable level. Again, surgery is elective and need only be considered for those patients who have not gotten relief from the sciatica after pursuing non-surgical treatments. The patient’s general health may also be a consideration.

After a lumbar laminectomy (open decompression), approximately 70% to 80% of patients typically experience relief from their sciatic nerve pain.

See also Laminectomy

Practical point:
To large extent, the patient’s individual situation will dictate his or her decision to have surgery or not.In 2005 the FDA approved a new surgery designed to relieve symptoms of lumbar spinal stenosis called the X Stop. This procedure involves placing an implant in the very back of the spine that prevents the patient from leaning backwards, a position that typically causes pain in patients with lumbar spinal stenosis.

It is important to note that the decision whether or not to pursue surgical or non-surgical remedies for sciatica is almost always the patient’s decision. There are many considerations for the patient to take into account when deciding whether or not to have surgery.

Some patients may prefer to try as many different non-surgical treatments and remain with non-surgical care for as long as possible, and often they will figure out how to successfully manage their condition and keep painful symptoms at bay. For example, a patient who has intermittent flare ups of severe sciatica pain may find that a combination of initial rest and an epidural steroid injection followed by a gentle stretching and exercise program is effective in alleviating the pain as needed.

Some patients may have a personal preference or a life situation that will benefit from the more immediate pain relief that is usually afforded by surgery. For example, a parent with small children may not have the time to pursue non-surgical remedies and may need immediate pain relief in order to be able to take care of the children and household duties.

The important point is that it is almost always the patient’s decision whether or not to have the surgery, and the surgeon’s role should be to help inform that patient of his or her options to help the patient make the best choice.
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Spinal Decompression NYC, DRX 9000

Spinal Decompression Manhattan
www.drshoshany.comMRI of 69-year old male with low back pain, reveals an increase in disc height and a decrease in size of disc herniation after treatment with the DRX9000

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

With these staggering numbers, the DRX9000 True Non-surgical Spinal Decompression SystemTM was developed to provide an effective non-surgical treatment alternative for chronic low back pain patients. Furthermore, recent studies have demonstrated the DRX9000's ability to potentially decrease analgesic use for chronic low back pain patients.

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

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

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

The authors conclude the case report by stating, "This case report further builds on previous findings that have demonstrated improvements in disc morphology after treatment with the DRX9000."
Contact Dr. Shoshany in Manhattan for Spinal Decompression visit www.drshoshany.com for complete study on the DRX 9000 spinal decompression.

Spinal Decompression In New York City, DRX 9000

Spinal Decompression with the DRX 9000
Technology Investment continues at Axiom Worldwide; Fifth Patent Application published!

Axiom Worldwide continues their commitment to being a leader in the field of non-surgical pain relief. On December 27, 2007 the United States Patent Office published Axiom’s fifth patent application. This application is for a method of generating electrical stimulation waveforms as a therapeutic modality. This proposed patent may be viewed at:

http://appft1.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PG01&p=1&u=%2Fnetahtml%2FPTO%2Fsrchnum.html&r=1&f=G&l=50&s1=%2220070299895%22.PGNR.&OS=DN/20070299895&RS=DN/20070299895.



The company, as part of its ongoing research and development effort, continues to invest heavily in innovation and technology. To safeguard this investment, Axiom is committed to protecting its intellectual property for the benefit of its customers.

It is a lengthy process to be awarded a patent and to date, Axiom’s patent applications remain pending.

Herniated disc treatment in Manhattan,NYC contact spinal decompression specialist
Dr. Steven Shoshany at www.drshoshany.com

Chiropractic NYC

Cervical Herniated disc can create a "double crush syndrome"

Spinal decompression Manhattan NYC-Herniated disc Center

Sciatica and Manhattan Spinal Decompression

The sciatic nerve is the largest nerve in the body. Inflammation of the sciatic nerve is called sciatica...which means you have pain that travels down the leg. The sciatic nerve originates in the lumbar (lower) spine. It is created by branches of lumbar nerve roots.

Here is an excerpt from the great www.spine-health.com website entitled What You Need To Know About Sciatica:

The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg. The vast majority of people who experience sciatica get better with time (usually a few weeks or months) and find pain relief with non-surgical sciatica treatment. For others, however, sciatica can be severe and debilitating

Anyway...it is universally accepted that sciatica is usually the result of a bulging disc, herniated disc, or spinal stenosis. There are other causes also, such as piriformis syndrome, degenerative disc disease, facet syndromes, and vertebral subluxation. Sciatica is just a symptom...not the actual problem.

So, when it come to the treatment of sciatica, we need to look at correcting the problem...removing the mechanical pressure off of the sciatic nerve. Sometimes chiropractic adjustments can do this. Surgery obviously can...but what about the risks?

Well...this is where nonsurgical spinal decompression comes into play. Spinal decompression systems such as the Axiom Worldwide DRX9000 were designed and built specifically to treat neurovasclar compression syndromes such as bulging and herniated lumbar discs...a primary cause of sciatica. Sure the DRX9000
(watch DRX video) wont help every single person that does it...but nothing will.

Spinal decompression therapy has proven to be very safe and effective...and is gaining popularity every day...even amongst the medical profession.

There are very favorable preliminary research findings from spinal decompression studies currently underway at John Hopkins University, Duke University, and The Mayo Clinic (DRX9000 Special Report).

Herniated Lumbar Disc...Now What?




NYC Chiropractor and Herniated Disc Doctor Comments:

How do you know if you have a herniated disc in the low back? Well, you don't, unless you have the right tests done. Sure, you may have a lot of pain in your low back...it may be shooting down your leg...but you still may not have a disc herniation.

Here's another thing...you may have a lumbar disc herniation and have no symptoms at all. In fact, some people live and die with disc herniations and never even knew they had them.

But...for the purpose of this article...we will be concerned about low back pain patients that DO have signs and symptoms of herniated lumbar discs, and want to know if they have one. Here are the most common signs and symptoms:

Low Back Pain (can be severe)
Sciatica (leg pain)
Antalgia (listing to one side from muscle spasms)
Numbness & Tingling in the lower extremities
Night Pain
Abnormal Gait (can be painful to walk)
Hot or Cold sensations on the skin of lower extremities
Weakness of the Lower Extremities (leg, feet, or toes)
Loss of bladder or bowel function (this is a medical emergency)
Loss of balance
There are more...but I think I covered most of them. And these are what we call subjective complaints...things that you feel and that are happening to you.

There are orthopedic tests that your doctor will do to help determine if you have a herniated disc. If these tests are positive (objective findings) she may order an x-ray or an MRI. Really, it just depends on the severity of your condition and how many subjective and objective findings point to a herniated lumbar disc. An MRI is considered the gold standard for diagnosing a disc herniation.



So, you go to your doctor, they order an MRI, the MRI comes back positive for a disc herniation...say at L5, which is the most common disc to herniate..now what?

Well, this is when is gets interesting. There are so many factor to consider and so many opinions. If this is your first bout of back pain...it may just go away on it's own and never come back. But if you have been experiencing your low back pain for a long period of time, you will most likely need some form of treatment.

Personally, I would not rush to have back surgery. I would try the conservative approach first. I would visit a chiropractor. The body is an incredible machine and often times it can heal itself with a little help. Your spine may be out of alignment and some chiropractic adjustments is all you need.

Maybe you need some exercise as well...your chiropractor can help you with this...so can a physical therapist, or personal trainer.

Even very severe cases of lumbar disc herniation and spinal degeneration will often times respond to nonsurgical spinal decompression...a high tech disc herniation treatment that really works.

Sure, some disc pain patients don't respond to anything, even spinal decompression. For these very difficult cases surgery must be considered...but in my biased opinion...only as a last resort.
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Herniated disc nyc

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Herniated Disk NY, Herniated Disc NYC
A spinal disc herniation, incorrectly called a "slipped disc", is a medical condition affecting the spine, in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out.

It is normally a further development of a previously existing disc protrusion, a condition in which the outermost layers of the fibrous ring are still intact, but can bulge when the disc is under pressure.

Some of the terms commonly used to describe the condition include herniated disc, prolapsed disc, ruptured disc, and the misleading expression "slipped disc." Other terms that are closely related include disc protrusion, bulging disc, pinched nerve, sciatica, disc disease, disc degeneration, degenerative disc disease, and black disc. The popular term "slipped disc" is quite misleading, as an intervertebral disc, being tightly sandwiched between two vertebrae to which the disc is attached, cannot actually "slip," "slide," or even get "out of place." The disc is actually grown together with the adjacent vertebrae and can be squeezed, stretched, and twisted, all in small degrees. It can also be torn, ripped, herniated, and degenerated, but it cannot "slip".

Causes of a disc herniation can include general wear and tear on the disc over time, repetitive movements, stress on the disc that occurs while twisting and lifting, or other injuries.

While the chief complaint for spinal disc herniation is lower back pain, symptoms of a herniated disc can vary depending on the location of the herniation and the types of soft tissue that become involved. They can range from little or no pain if the disc is the only tissue injured to severe and unrelenting neck or low back pain that will radiate into the regions served by an affected nerve root when it is irritated or impinged by the herniated material. Other symptoms may include sensory changes such as numbness, tingling, muscular weakness, paralysis, paresthesia, and affection of reflexes. If the herniated disk is of the Lumbar region the patient may also experience sciatica due to irritation of the sciatic nerve. Unlike a pulsating pain or pain that comes and goes, which can be caused by muscle spasm, pain from a herniated disc is usually continuous.

It is possible to have a herniated disc without any pain or noticeable symptoms, depending on its location. If the extruded nucleus pulposus material doesn't press on soft tissues or nerves, it may not cause any symptoms. It has been estimated that as many as 50% of the population have focal herniated discs in their cervical region that do not cause noticeable symptoms.

Typically, symptoms are experienced only on one side of the body. If the prolapse is very large and presses on the spinal cord or the cauda equina in the lumbar region, affection of both sides of the body may occur, often with serious consequences.


The presence of cauda equina syndrome (in which there is incontinence, weakness and genital numbness) is considered a medical emergency requiring immediate attention and possibly surgical decompression.

There are a variety of non-surgical care alternatives to treat the pain, including:
Spinal Decompression
Physical therapy
Osteopathic/chiropractic manipulations
Massage therapy
Non-steroidal anti-inflammatory drugs (NSAIDs)
Oral steroids (e.g. prednisone or methyprednisolone)
Epidural (cortisone) injection
Intravenous sedation, analgesia-assisted traction therapy (IVSAAT)
If pain is severe and continuous, or if there are neurological deficits, surgery may be recommended. Surgical goals include relief of nerve compression, allowing the nerve to recover, as well as the relief of associated back pain and restoration of normal function. Classical surgery for lumbar disc herniation is carried out by using a vertical median incision over the level which has an herniation. The dorsolumbar fascia is incised about 0.5 cm laterally on the affected side. The paravertebral muscles are dissected free from underlying bony structures, namely the spinous process and laminae, and retracted laterally. The level of disc herniation is identified using C-arm fluoroscopy or palpating the sacrum. The lamina is then fenestrated with bone rongeurs after which the exposed ligamentum flavum (the yellow ligament) is excised. The epidural soft tissue and venous plexus is gently explored to find the nerve root exiting from the associated neural foramina. The herniated disc is usually found beneath the nerve root. The nerve root is protected using root retractors. The posterior longitudinal ligament is incised with a fine blade and herniated disc material and degenerated nucleus pulposus are evacuated using different kinds of disc forcepses. Meticulous control of haemostasis is employed and irrigation with warm saline is essential. The muscle layers and the fascia are repaired, generally, without using a drain. The skin wound is closed. Surgical options include:

Microdiscectomy[12]
Lumbar fusion (lumbar fusion is only indicated for recurrent lumbar disc herniations, not primary herniations)
Anterior cervical discectomy and fusion (for cervical disc herniation)
Disc arthroplasty (experimental for cases of cervical disc herniation)
Dynamic stabilization (dynamic stabilization is an experimental procedure with no data supporting its use for primary disc herniations)
However treatment with the DRX 9000 spinal decompression unit is non-invasive and has a published success rate.
www.drshoshany.com
The DRX9000 True Non-surgical Spinal Decompression System™ was developed to provide a non-invasive option for discogenic low back pain. Researchers of a case report published in Volume 2 Issue 1 of the European Musculoskeletal Review state, “Evidence-based data that show the promising effects of DRX9000 on the safe and effective treatment of LBP [low back pain] continue to accumulate.” The report titled, “Management of Low-Back Pain with a Non-surgical Decompression System (DRX9000™) – Case Report” reveals the pre- and post-treatment MRI findings of a 69-year old male with low back pain. Prior to treatment with the DRX9000, the patient reported experiencing low back pain radiating into both legs. When asked to describe his pain intensity on a scale of 0-10, the patient rated his pain intensity at 10. The patient underwent 22 treatments over a seven-week period. Utilizing the same pain intensity scale the patient reported a pain level of 1 post-treatment. Four months after the initial visit a follow up MRI revealed decreased herniation size and increased disc height at multiple lumbar levels. The authors conclude, “This case report further builds on previous findings that have demonstrated improvements in disc morphology after treatment with the DRX9000.”