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
Monday, June 30, 2008
Tuesday, June 24, 2008
Sunday, June 22, 2008
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.
www.drshoshany.com
Monday, June 16, 2008
Herniated disc nyc
www.drshoshany.com
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.”
Friday, May 30, 2008
DRX 9000 NYC
Case Study reveals an increase in Disc Height and a decrease in size of Disc Herniation after treatment with the DRX9000
New, 2008: 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.”
www.drshoshany.com
New, 2008: 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.”
www.drshoshany.com
Monday, May 26, 2008
Spinal decompression NYC, Herniated disc specialist
www.drshoshany.com
Spinal decompression NYC, Herniated disc NYC, Sciatica NYC
So many choices in Spinal decompression systems which one to go with?
I will make it easy for you, Last time I counted there where about 21 different spinal decompression systems currently available all different price points.
I still think that the DRX 9000 is the best system on the market, No I don't work for them. The reason being first and foremost, "the studies" all the major studies coming out on spinal decompression are done on the DRX 9000 system. Visit their website at DRX 9000.
It is also the most comfortable to the patient and it is user friendly to the doctor.
I remember when I first started with my 3D active trac, by the end of the day I needed Spinal decompression! The DRX is easy on the doctor and it is a sturdy machine that is built to last.
I have colleagues that bought knockoff's and are complaining to me everyday.
Why by a knockoff watch or a cheaper pair of sunglasses? I always invest in the best so I know I offer the best.
www.drshoshany.com
I combine Cox flexion distraction decompression with DRX 9000 and SpineForce 3D rehab along with Cold laser, this works great for my patients.
Any questions please feel free to email me at info@drshoshany.com
If you are in SOHO feel free to visit the new office
Spinal decompression NYC, Herniated disc NYC, Sciatica NYC
So many choices in Spinal decompression systems which one to go with?
I will make it easy for you, Last time I counted there where about 21 different spinal decompression systems currently available all different price points.
I still think that the DRX 9000 is the best system on the market, No I don't work for them. The reason being first and foremost, "the studies" all the major studies coming out on spinal decompression are done on the DRX 9000 system. Visit their website at DRX 9000.
It is also the most comfortable to the patient and it is user friendly to the doctor.
I remember when I first started with my 3D active trac, by the end of the day I needed Spinal decompression! The DRX is easy on the doctor and it is a sturdy machine that is built to last.
I have colleagues that bought knockoff's and are complaining to me everyday.
Why by a knockoff watch or a cheaper pair of sunglasses? I always invest in the best so I know I offer the best.
www.drshoshany.com
I combine Cox flexion distraction decompression with DRX 9000 and SpineForce 3D rehab along with Cold laser, this works great for my patients.
Any questions please feel free to email me at info@drshoshany.com
If you are in SOHO feel free to visit the new office
Monday, May 12, 2008
Spinal Decompression NYC
Study published in Pain Practice, indicates that chronic low back pain may improve 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,” indicates 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 randomly chosen 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.”
The reason i posted this recent study is because I applaud Axiomworldwide for connecting with the mayo Clinic, Stanford Universty and John Hopkins university.
The only thing needed now is double blind clinical studies to confirm that Spinal Decompression on the DRX 9000 is effective enough to become the standard of care for treatment of the Herniated Disc.
www.drshoshany.com
The study titled, “Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review,” indicates 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 randomly chosen 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.”
The reason i posted this recent study is because I applaud Axiomworldwide for connecting with the mayo Clinic, Stanford Universty and John Hopkins university.
The only thing needed now is double blind clinical studies to confirm that Spinal Decompression on the DRX 9000 is effective enough to become the standard of care for treatment of the Herniated Disc.
www.drshoshany.com
Sunday, April 27, 2008
Spinal Decompression Therapy
Spinal decompression therapy in Manhattan
Why the DRX 9000?
The DRX 9000 spinal decompression therapy is the most comfortable table for the patient. More studies have been done on this table than any other table combined.
When this form of spinal decompression is combined with a core strengthening program like the Huber Spine Force the results are impressive.
I have spent some time researching combining multi discipline approaches to achieve optimal results.
I currently offer Chiropractic Cox flexion distraction decompression which offer decompression in a multi- directional approach.
Why the DRX 9000?
The DRX 9000 spinal decompression therapy is the most comfortable table for the patient. More studies have been done on this table than any other table combined.
When this form of spinal decompression is combined with a core strengthening program like the Huber Spine Force the results are impressive.
I have spent some time researching combining multi discipline approaches to achieve optimal results.
I currently offer Chiropractic Cox flexion distraction decompression which offer decompression in a multi- directional approach.
Monday, April 14, 2008
Spine Force and Spinal Decompression for Herniated disc
NYC ChiropractorSpine Force™ - Treating Spinal Injuries And Strengthening "Core" Spinal Muscles.
Why is there a Need for Core Spinal Stability?
The core of the body is the foundation of all bodily movements. As the nerve center of the body, it is where the power is derived from. For maximum health and wellness, the spine must be strong, flexible and unimpeded in its movements. The core spinal muscles connect to the spine, pelvis, and shoulders to create a solid foundation of support.
What is SpineForce™?
Spine Force is a groundbreaking technology developed in France by LPG that works on the Spine from the inside-out (CORE), analyzing, treating, and helping to prevent musculoskeletal diseases while promoting overall health and well-being. SpineForce™ is the only machine in the world capable of stimulating the deep muscles of the spine.
How Does SpineForce™ work?
Spine Force is the only machine in the world to strengthen the core spinal muscles. The oscillating platform identifies weaknesses and/or imbalances in the spine, creating personalized exercise protocols for patients’ specific needs. The protocols work in conjunction with most physician recommendations to strengthen core spinal muscles. This helps the CORE spinal muscles hold the vertebrae in the proper alignment relieving disc and nerve pressure. This can provide immediate, lasting and measurable results. SpineForce™ works up to 180 muscles at once, strengthening the muscle chains, optimizing coordination and stimulating balance and improving posture. It can be applied to almost anyone, regardless of age or physical shape; empowering them to reclaim and maintain their complete bodily homeostasis and achieve optimum health. Spine Force is the perfect partner for spinal manipulation and decompression therapy.
What are the Core Spinal Muscles?
The spine is held together by ligaments and muscles. The core spinal muscles are sometimes referred to as intrinsic stabilizer muscles; they protect the degree and angle of all spinal movements, acting as holders, receptors, and monitoring position. Up until now these muscles were almost impossible to analyze and strengthen.
Why is there a Need for Core Spinal Stability?
The core of the body is the foundation of all bodily movements. As the nerve center of the body, it is where the power is derived from. For maximum health and wellness, the spine must be strong, flexible and unimpeded in its movements. The core spinal muscles connect to the spine, pelvis, and shoulders to create a solid foundation of support.
What is SpineForce™?
Spine Force is a groundbreaking technology developed in France by LPG that works on the Spine from the inside-out (CORE), analyzing, treating, and helping to prevent musculoskeletal diseases while promoting overall health and well-being. SpineForce™ is the only machine in the world capable of stimulating the deep muscles of the spine.
How Does SpineForce™ work?
Spine Force is the only machine in the world to strengthen the core spinal muscles. The oscillating platform identifies weaknesses and/or imbalances in the spine, creating personalized exercise protocols for patients’ specific needs. The protocols work in conjunction with most physician recommendations to strengthen core spinal muscles. This helps the CORE spinal muscles hold the vertebrae in the proper alignment relieving disc and nerve pressure. This can provide immediate, lasting and measurable results. SpineForce™ works up to 180 muscles at once, strengthening the muscle chains, optimizing coordination and stimulating balance and improving posture. It can be applied to almost anyone, regardless of age or physical shape; empowering them to reclaim and maintain their complete bodily homeostasis and achieve optimum health. Spine Force is the perfect partner for spinal manipulation and decompression therapy.
What are the Core Spinal Muscles?
The spine is held together by ligaments and muscles. The core spinal muscles are sometimes referred to as intrinsic stabilizer muscles; they protect the degree and angle of all spinal movements, acting as holders, receptors, and monitoring position. Up until now these muscles were almost impossible to analyze and strengthen.
Wednesday, April 02, 2008
Herniated disc treatment NYC using the DRX 9000
www.drshoshany.com
I am not sure if everyone saw the article in Chiropractic Products if not I posted it below.
http://www.chiropub.com/issues/articles/2008-03_02.asp
Issue: March 2008
Normal Version
New York DC Pioneers Nonsurgical Treatment
by Alan Ruskin
Steve Shoshany, DC, patents NYCDisc technique and turns decompression treatment into a practice success.
Steve Shoshany, DC, was concerned. After practicing for a while in the Greenwich Village area of New York City, he began losing patients, specifically those with the painful problem of herniated lumbar disks. "I wasn't able to help them using traditional chiropractic methods, so they were leaving for pain control specialists or surgery. didn't want to lose patients, and I wanted to help them."
Steve Shoshany, DC, explains that, in order for a lumbar disk to heal, it needs to open and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it.
Shoshany, who opened his practice in 1999 after graduating from Life University in Atlanta in 1996, responded by exhaustively researching the problem, determined to come up with a solution. One of the most important results of his investigation was learning about the Axiom Worldwide DRX 9000, a table designed for spinal decompression. Shoshany calls the table "a benchmark, what other tables are compared to," and adds, "I only work with top-of-the-line equipment."
He noted that other chiropractors who were using less costly and what he considers inferior equipment were charging fees equal to his, but not getting the same good results. So Shoshany made use of the DRX 9000 a mandatory part of his treatment protocol. He also emphasizes correct analysis of the patient's MRI, a practice in which he is well skilled, having worked as an MRI technician for 6 years prior to beginning his chiropractic practice.
Steve Shoshany, DC, shown bracing a patient, has built a successful practice based around comprehensive decompression techniques.
Other key aspects in his treatment regimen are nutrition, neuromuscular reeducation (core stabilization and core strengthening), bracing, and follow-up with physical therapy. Another chiropractic table, the Cox Flexion Distraction, is also utilized.
Additionally, Shoshany is careful about which patients he selects to undergo treatment. "A key to getting excellent results is being picky with patients," he unabashedly declares. "If a patient has metal implants in their spine, or is morbidly obese, I don't take them. Instead I refer them to pain-management specialists, where they might get epidural injections or selective nerve blocks. In some extreme cases, when they have extruded or fragmented disks, I advise them to consider surgery. Being able to recognize whether patients should or should not have surgery is what makes a better clinician."
The Key Modality for Pain Relief
When treating patients, Shoshany makes frequent use of the H-Wave, a high-voltage patented wavelength that aids in fluid exchange. He also utilizes interferential therapy and the cold laser. But the central modality in his treatment plan is definitely the DMX 9000 table, which works by decompressing and unloading the lumbar spine, creating a vacuum that allows the disk to open up and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it, thus allowing the disk to heal on its own.
Looking for a Pain-Treatment Niche?
Electrical stim, iontophoresis, and ultrasound, from manufacturers such as Amrex Electrotherapy Equipment, EMPI, and the Chattanooga Group, help activate patients’ bodies to relieve pain and promote healing, while giving chiropractors several methods to combine or use separately to build their practice niche.
"A lumbar disk," Shoshany explains, "is an avascular structure, meaning it doesn't have a good blood supply. So if the disk is injured, it will get progressively worse. Blood supply to the disks generally stops when the individual is about 19 to 20 years old. After that, it has to be rejuvenated, which stimulates the collagen to strengthen the fibers that contain the lesion. In time, with decompression, proper exercise, and nutrition, the disk will heal."
Citing one of his cases, Shoshany relates the testimonial of a female patient who was injured while performing duties on her job as a police officer. "Loretta" was thrown to the ground while making an arrest and suffered a severely herniated L5 disk, which put pressure on her S1 nerve root. "For 8 months she had shooting pain down both legs, couldn't sleep, could barely walk, and was taking Vicodin and Percocet like crazy, as well as epidural injections. She couldn't work and was on disability. She went to three different surgeons and all said they wanted to operate, recommending microdisectomy of the disk."
Steve Shoshany, DC, stands beside the DRX 9000 system, which works by decompressing and unloading the lumbar spine.
But Loretta, a mother to four children, didn't want to be further incapacitated by surgery, so she searched online and came across Shoshany's Web site at www.DrShoshany.com. After consulting with him, she decided to make the 250-mile round trip drive from Cold Springs, NY, three times per week. After just a few sessions, "I was able to straighten up and walk, sometimes with no pain at all." A month later she was sleeping through the night, and now, 4 months later, she is working again, walking 3 miles several times per week, and is totally off pain medication. She credits Shoshany with "quite literally restoring the quality of my life." Shoshany says that a post-treatment MRI showed a "dramatic 50% increase in the height of the disk."
Nutrition for Recovery
Shoshany believes nutrition is very important to recovery, but he doesn't make any stipulations regarding diet. Instead, he advises his decompression patients to drink 10 to 12 glasses of water per day and take supplements, especially Omega 3, as well as MSM, glucosamine chondroitin, calcium, and magnesium. The herbs Devil's Claw and Boswellia are also recommended for their anti-inflammatory effects.
Exercise is also an important part of Shoshany's rehabilitation regimen. Core stabilization is the key, and devices like the Powerplate (www.powerplate.com) and the "wobble chair" are excellent for helping to strengthen and stabilize the lumbar region. Shoshany describes the modality of the wobble chair as "similar to a physio ball, but with vibrations. The idea is to rehydrate the disk." Yoga-type exercises also are strongly recommended.
The Secret of Success
Interested in marketing decompression? Visit the August 2007 Archive.
When it comes to "turning lemons into lemonade," Shoshany must be regarded as a master. From being dismayed over being unable to help and subsequently losing patients with herniated disks, he has created a thriving practice, 50% of which is devoted exclusively to spinal decompression. He now heads a team of five chiropractors and in 2006 had his technique patented under the name "NYCDisc." His practice has become so busy that he recently added 4,000 square feet by acquiring the former New York University Outpatient Rehabilitation Clinic, which he is in the process of remodeling and plans to open later in 2008.
Shoshany's stated goal is "to become the leader in spinal decompression in New York City." To judge not only by his practice, which has a "92% success rate," but also by the calls and inquiries he gets from other doctors, orthopedists as well as chiropractors, including those in foreign countries who visit his office to learn about his technique, he is already well on his way.
--------------------------------------------------------------------------------
I am not sure if everyone saw the article in Chiropractic Products if not I posted it below.
http://www.chiropub.com/issues/articles/2008-03_02.asp
Issue: March 2008
Normal Version
New York DC Pioneers Nonsurgical Treatment
by Alan Ruskin
Steve Shoshany, DC, patents NYCDisc technique and turns decompression treatment into a practice success.
Steve Shoshany, DC, was concerned. After practicing for a while in the Greenwich Village area of New York City, he began losing patients, specifically those with the painful problem of herniated lumbar disks. "I wasn't able to help them using traditional chiropractic methods, so they were leaving for pain control specialists or surgery. didn't want to lose patients, and I wanted to help them."
Steve Shoshany, DC, explains that, in order for a lumbar disk to heal, it needs to open and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it.
Shoshany, who opened his practice in 1999 after graduating from Life University in Atlanta in 1996, responded by exhaustively researching the problem, determined to come up with a solution. One of the most important results of his investigation was learning about the Axiom Worldwide DRX 9000, a table designed for spinal decompression. Shoshany calls the table "a benchmark, what other tables are compared to," and adds, "I only work with top-of-the-line equipment."
He noted that other chiropractors who were using less costly and what he considers inferior equipment were charging fees equal to his, but not getting the same good results. So Shoshany made use of the DRX 9000 a mandatory part of his treatment protocol. He also emphasizes correct analysis of the patient's MRI, a practice in which he is well skilled, having worked as an MRI technician for 6 years prior to beginning his chiropractic practice.
Steve Shoshany, DC, shown bracing a patient, has built a successful practice based around comprehensive decompression techniques.
Other key aspects in his treatment regimen are nutrition, neuromuscular reeducation (core stabilization and core strengthening), bracing, and follow-up with physical therapy. Another chiropractic table, the Cox Flexion Distraction, is also utilized.
Additionally, Shoshany is careful about which patients he selects to undergo treatment. "A key to getting excellent results is being picky with patients," he unabashedly declares. "If a patient has metal implants in their spine, or is morbidly obese, I don't take them. Instead I refer them to pain-management specialists, where they might get epidural injections or selective nerve blocks. In some extreme cases, when they have extruded or fragmented disks, I advise them to consider surgery. Being able to recognize whether patients should or should not have surgery is what makes a better clinician."
The Key Modality for Pain Relief
When treating patients, Shoshany makes frequent use of the H-Wave, a high-voltage patented wavelength that aids in fluid exchange. He also utilizes interferential therapy and the cold laser. But the central modality in his treatment plan is definitely the DMX 9000 table, which works by decompressing and unloading the lumbar spine, creating a vacuum that allows the disk to open up and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it, thus allowing the disk to heal on its own.
Looking for a Pain-Treatment Niche?
Electrical stim, iontophoresis, and ultrasound, from manufacturers such as Amrex Electrotherapy Equipment, EMPI, and the Chattanooga Group, help activate patients’ bodies to relieve pain and promote healing, while giving chiropractors several methods to combine or use separately to build their practice niche.
"A lumbar disk," Shoshany explains, "is an avascular structure, meaning it doesn't have a good blood supply. So if the disk is injured, it will get progressively worse. Blood supply to the disks generally stops when the individual is about 19 to 20 years old. After that, it has to be rejuvenated, which stimulates the collagen to strengthen the fibers that contain the lesion. In time, with decompression, proper exercise, and nutrition, the disk will heal."
Citing one of his cases, Shoshany relates the testimonial of a female patient who was injured while performing duties on her job as a police officer. "Loretta" was thrown to the ground while making an arrest and suffered a severely herniated L5 disk, which put pressure on her S1 nerve root. "For 8 months she had shooting pain down both legs, couldn't sleep, could barely walk, and was taking Vicodin and Percocet like crazy, as well as epidural injections. She couldn't work and was on disability. She went to three different surgeons and all said they wanted to operate, recommending microdisectomy of the disk."
Steve Shoshany, DC, stands beside the DRX 9000 system, which works by decompressing and unloading the lumbar spine.
But Loretta, a mother to four children, didn't want to be further incapacitated by surgery, so she searched online and came across Shoshany's Web site at www.DrShoshany.com. After consulting with him, she decided to make the 250-mile round trip drive from Cold Springs, NY, three times per week. After just a few sessions, "I was able to straighten up and walk, sometimes with no pain at all." A month later she was sleeping through the night, and now, 4 months later, she is working again, walking 3 miles several times per week, and is totally off pain medication. She credits Shoshany with "quite literally restoring the quality of my life." Shoshany says that a post-treatment MRI showed a "dramatic 50% increase in the height of the disk."
Nutrition for Recovery
Shoshany believes nutrition is very important to recovery, but he doesn't make any stipulations regarding diet. Instead, he advises his decompression patients to drink 10 to 12 glasses of water per day and take supplements, especially Omega 3, as well as MSM, glucosamine chondroitin, calcium, and magnesium. The herbs Devil's Claw and Boswellia are also recommended for their anti-inflammatory effects.
Exercise is also an important part of Shoshany's rehabilitation regimen. Core stabilization is the key, and devices like the Powerplate (www.powerplate.com) and the "wobble chair" are excellent for helping to strengthen and stabilize the lumbar region. Shoshany describes the modality of the wobble chair as "similar to a physio ball, but with vibrations. The idea is to rehydrate the disk." Yoga-type exercises also are strongly recommended.
The Secret of Success
Interested in marketing decompression? Visit the August 2007 Archive.
When it comes to "turning lemons into lemonade," Shoshany must be regarded as a master. From being dismayed over being unable to help and subsequently losing patients with herniated disks, he has created a thriving practice, 50% of which is devoted exclusively to spinal decompression. He now heads a team of five chiropractors and in 2006 had his technique patented under the name "NYCDisc." His practice has become so busy that he recently added 4,000 square feet by acquiring the former New York University Outpatient Rehabilitation Clinic, which he is in the process of remodeling and plans to open later in 2008.
Shoshany's stated goal is "to become the leader in spinal decompression in New York City." To judge not only by his practice, which has a "92% success rate," but also by the calls and inquiries he gets from other doctors, orthopedists as well as chiropractors, including those in foreign countries who visit his office to learn about his technique, he is already well on his way.
--------------------------------------------------------------------------------
Friday, March 28, 2008
New York Chiropractor, DRX 9000 Manhattan,Graston Technique,Active Release technique
What is Active Release Technique?
ART is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.
This Technique really helped me with my left shoulder problem.
As a Chiropractor in NYC I continually re injure my shoulder adjusting patients.
www.drshoshany.com
The ART technique helped me so since then I began to study on how it can help my patients that suffer with shoulder, knee and other difficult to treat areas.
If you are seeking out ART treatment in NYC, Manhattan call (212) 645-8151.
www.drshoshany.com
ART is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.
This Technique really helped me with my left shoulder problem.
As a Chiropractor in NYC I continually re injure my shoulder adjusting patients.
www.drshoshany.com
The ART technique helped me so since then I began to study on how it can help my patients that suffer with shoulder, knee and other difficult to treat areas.
If you are seeking out ART treatment in NYC, Manhattan call (212) 645-8151.
www.drshoshany.com
Monday, March 10, 2008
DRX 9000 NYC
New York Chiropractor Pioneers Nonsurgical Treatment
by Alan Ruskin
www.drshoshany.com
Steve Shoshany, DC, patents NYCDisc technique and turns decompression treatment into a practice success.
Steve Shoshany, DC, was concerned. After practicing for a while in the Greenwich Village area of New York City, he began losing patients, specifically those with the painful problem of herniated lumbar disks. "I wasn't able to help them using traditional chiropractic methods, so they were leaving for pain control specialists or surgery. didn't want to lose patients, and I wanted to help them."
Steve Shoshany, DC, explains that, in order for a lumbar disk to heal, it needs to open and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it.
Shoshany, who opened his practice in 1999 after graduating from Life University in Atlanta in 1996, responded by exhaustively researching the problem, determined to come up with a solution. One of the most important results of his investigation was learning about the Axiom Worldwide DRX 9000, a table designed for spinal decompression. Shoshany calls the table "a benchmark, what other tables are compared to," and adds, "I only work with top-of-the-line equipment."
He noted that other chiropractors who were using less costly and what he considers inferior equipment were charging fees equal to his, but not getting the same good results. So Shoshany made use of the DRX 9000 a mandatory part of his treatment protocol. He also emphasizes correct analysis of the patient's MRI, a practice in which he is well skilled, having worked as an MRI technician for 6 years prior to beginning his chiropractic practice.
Steve Shoshany, DC, shown bracing a patient, has built a successful practice based around comprehensive decompression techniques.
Other key aspects in his treatment regimen are nutrition, neuromuscular reeducation (core stabilization and core strengthening), bracing, and follow-up with physical therapy. Another chiropractic table, the Cox Flexion Distraction, is also utilized.
Additionally, Shoshany is careful about which patients he selects to undergo treatment. "A key to getting excellent results is being picky with patients," he unabashedly declares. "If a patient has metal implants in their spine, or is morbidly obese, I don't take them. Instead I refer them to pain-management specialists, where they might get epidural injections or selective nerve blocks. In some extreme cases, when they have extruded or fragmented disks, I advise them to consider surgery. Being able to recognize whether patients should or should not have surgery is what makes a better clinician."
The Key Modality for Pain Relief
When treating patients, Shoshany makes frequent use of the H-Wave, a high-voltage patented wavelength that aids in fluid exchange. He also utilizes interferential therapy and the cold laser. But the central modality in his treatment plan is definitely the DMX 9000 table, which works by decompressing and unloading the lumbar spine, creating a vacuum that allows the disk to open up and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it, thus allowing the disk to heal on its own.
Looking for a Pain-Treatment Niche?
Electrical stim, iontophoresis, and ultrasound, from manufacturers such as Amrex Electrotherapy Equipment, EMPI, and the Chattanooga Group, help activate patients’ bodies to relieve pain and promote healing, while giving chiropractors several methods to combine or use separately to build their practice niche.
"A lumbar disk," Shoshany explains, "is an avascular structure, meaning it doesn't have a good blood supply. So if the disk is injured, it will get progressively worse. Blood supply to the disks generally stops when the individual is about 19 to 20 years old. After that, it has to be rejuvenated, which stimulates the collagen to strengthen the fibers that contain the lesion. In time, with decompression, proper exercise, and nutrition, the disk will heal."
Citing one of his cases, Shoshany relates the testimonial of a female patient who was injured while performing duties on her job as a police officer. "Loretta" was thrown to the ground while making an arrest and suffered a severely herniated L5 disk, which put pressure on her S1 nerve root. "For 8 months she had shooting pain down both legs, couldn't sleep, could barely walk, and was taking Vicodin and Percocet like crazy, as well as epidural injections. She couldn't work and was on disability. She went to three different surgeons and all said they wanted to operate, recommending microdisectomy of the disk."
Steve Shoshany, DC, stands beside the DRX 9000 system, which works by decompressing and unloading the lumbar spine.
But Loretta, a mother to four children, didn't want to be further incapacitated by surgery, so she searched online and came across Shoshany's Web site at www.DrShoshany.com. After consulting with him, she decided to make the 250-mile round trip drive from Cold Springs, NY, three times per week. After just a few sessions, "I was able to straighten up and walk, sometimes with no pain at all." A month later she was sleeping through the night, and now, 4 months later, she is working again, walking 3 miles several times per week, and is totally off pain medication. She credits Shoshany with "quite literally restoring the quality of my life." Shoshany says that a post-treatment MRI showed a "dramatic 50% increase in the height of the disk."
Nutrition for Recovery
Shoshany believes nutrition is very important to recovery, but he doesn't make any stipulations regarding diet. Instead, he advises his decompression patients to drink 10 to 12 glasses of water per day and take supplements, especially Omega 3, as well as MSM, glucosamine chondroitin, calcium, and magnesium. The herbs Devil's Claw and Boswellia are also recommended for their anti-inflammatory effects.
Exercise is also an important part of Shoshany's rehabilitation regimen. Core stabilization is the key, and devices like the Powerplate (www.powerplate.com) and the "wobble chair" are excellent for helping to strengthen and stabilize the lumbar region. Shoshany describes the modality of the wobble chair as "similar to a physio ball, but with vibrations. The idea is to rehydrate the disk." Yoga-type exercises also are strongly recommended.
The Secret of Success
Interested in marketing decompression? Visit the August 2007 Archive.
When it comes to "turning lemons into lemonade," Shoshany must be regarded as a master. From being dismayed over being unable to help and subsequently losing patients with herniated disks, he has created a thriving practice, 50% of which is devoted exclusively to spinal decompression. He now heads a team of five chiropractors and in 2006 had his technique patented under the name "NYCDisc." His practice has become so busy that he recently added 4,000 square feet by acquiring the former New York University Outpatient Rehabilitation Clinic, which he is in the process of remodeling and plans to open later in 2008.
Shoshany's stated goal is "to become the leader in spinal decompression in New York City." To judge not only by his practice, which has a "92% success rate," but also by the calls and inquiries he gets from other doctors, orthopedists as well as chiropractors, including those in foreign countries who visit his office to learn about his technique, he is already well on his way.
www.drshoshany.com
by Alan Ruskin
www.drshoshany.com
Steve Shoshany, DC, patents NYCDisc technique and turns decompression treatment into a practice success.
Steve Shoshany, DC, was concerned. After practicing for a while in the Greenwich Village area of New York City, he began losing patients, specifically those with the painful problem of herniated lumbar disks. "I wasn't able to help them using traditional chiropractic methods, so they were leaving for pain control specialists or surgery. didn't want to lose patients, and I wanted to help them."
Steve Shoshany, DC, explains that, in order for a lumbar disk to heal, it needs to open and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it.
Shoshany, who opened his practice in 1999 after graduating from Life University in Atlanta in 1996, responded by exhaustively researching the problem, determined to come up with a solution. One of the most important results of his investigation was learning about the Axiom Worldwide DRX 9000, a table designed for spinal decompression. Shoshany calls the table "a benchmark, what other tables are compared to," and adds, "I only work with top-of-the-line equipment."
He noted that other chiropractors who were using less costly and what he considers inferior equipment were charging fees equal to his, but not getting the same good results. So Shoshany made use of the DRX 9000 a mandatory part of his treatment protocol. He also emphasizes correct analysis of the patient's MRI, a practice in which he is well skilled, having worked as an MRI technician for 6 years prior to beginning his chiropractic practice.
Steve Shoshany, DC, shown bracing a patient, has built a successful practice based around comprehensive decompression techniques.
Other key aspects in his treatment regimen are nutrition, neuromuscular reeducation (core stabilization and core strengthening), bracing, and follow-up with physical therapy. Another chiropractic table, the Cox Flexion Distraction, is also utilized.
Additionally, Shoshany is careful about which patients he selects to undergo treatment. "A key to getting excellent results is being picky with patients," he unabashedly declares. "If a patient has metal implants in their spine, or is morbidly obese, I don't take them. Instead I refer them to pain-management specialists, where they might get epidural injections or selective nerve blocks. In some extreme cases, when they have extruded or fragmented disks, I advise them to consider surgery. Being able to recognize whether patients should or should not have surgery is what makes a better clinician."
The Key Modality for Pain Relief
When treating patients, Shoshany makes frequent use of the H-Wave, a high-voltage patented wavelength that aids in fluid exchange. He also utilizes interferential therapy and the cold laser. But the central modality in his treatment plan is definitely the DMX 9000 table, which works by decompressing and unloading the lumbar spine, creating a vacuum that allows the disk to open up and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it, thus allowing the disk to heal on its own.
Looking for a Pain-Treatment Niche?
Electrical stim, iontophoresis, and ultrasound, from manufacturers such as Amrex Electrotherapy Equipment, EMPI, and the Chattanooga Group, help activate patients’ bodies to relieve pain and promote healing, while giving chiropractors several methods to combine or use separately to build their practice niche.
"A lumbar disk," Shoshany explains, "is an avascular structure, meaning it doesn't have a good blood supply. So if the disk is injured, it will get progressively worse. Blood supply to the disks generally stops when the individual is about 19 to 20 years old. After that, it has to be rejuvenated, which stimulates the collagen to strengthen the fibers that contain the lesion. In time, with decompression, proper exercise, and nutrition, the disk will heal."
Citing one of his cases, Shoshany relates the testimonial of a female patient who was injured while performing duties on her job as a police officer. "Loretta" was thrown to the ground while making an arrest and suffered a severely herniated L5 disk, which put pressure on her S1 nerve root. "For 8 months she had shooting pain down both legs, couldn't sleep, could barely walk, and was taking Vicodin and Percocet like crazy, as well as epidural injections. She couldn't work and was on disability. She went to three different surgeons and all said they wanted to operate, recommending microdisectomy of the disk."
Steve Shoshany, DC, stands beside the DRX 9000 system, which works by decompressing and unloading the lumbar spine.
But Loretta, a mother to four children, didn't want to be further incapacitated by surgery, so she searched online and came across Shoshany's Web site at www.DrShoshany.com. After consulting with him, she decided to make the 250-mile round trip drive from Cold Springs, NY, three times per week. After just a few sessions, "I was able to straighten up and walk, sometimes with no pain at all." A month later she was sleeping through the night, and now, 4 months later, she is working again, walking 3 miles several times per week, and is totally off pain medication. She credits Shoshany with "quite literally restoring the quality of my life." Shoshany says that a post-treatment MRI showed a "dramatic 50% increase in the height of the disk."
Nutrition for Recovery
Shoshany believes nutrition is very important to recovery, but he doesn't make any stipulations regarding diet. Instead, he advises his decompression patients to drink 10 to 12 glasses of water per day and take supplements, especially Omega 3, as well as MSM, glucosamine chondroitin, calcium, and magnesium. The herbs Devil's Claw and Boswellia are also recommended for their anti-inflammatory effects.
Exercise is also an important part of Shoshany's rehabilitation regimen. Core stabilization is the key, and devices like the Powerplate (www.powerplate.com) and the "wobble chair" are excellent for helping to strengthen and stabilize the lumbar region. Shoshany describes the modality of the wobble chair as "similar to a physio ball, but with vibrations. The idea is to rehydrate the disk." Yoga-type exercises also are strongly recommended.
The Secret of Success
Interested in marketing decompression? Visit the August 2007 Archive.
When it comes to "turning lemons into lemonade," Shoshany must be regarded as a master. From being dismayed over being unable to help and subsequently losing patients with herniated disks, he has created a thriving practice, 50% of which is devoted exclusively to spinal decompression. He now heads a team of five chiropractors and in 2006 had his technique patented under the name "NYCDisc." His practice has become so busy that he recently added 4,000 square feet by acquiring the former New York University Outpatient Rehabilitation Clinic, which he is in the process of remodeling and plans to open later in 2008.
Shoshany's stated goal is "to become the leader in spinal decompression in New York City." To judge not only by his practice, which has a "92% success rate," but also by the calls and inquiries he gets from other doctors, orthopedists as well as chiropractors, including those in foreign countries who visit his office to learn about his technique, he is already well on his way.
www.drshoshany.com
Friday, February 29, 2008
What is Degerative Disc Disease?
www.drshoshany.com
Degenerative Disc Disease (DDD) occurs when the spinal disc...the shock absorber like pad in between the vertebrae...wear abnormally. This usually happens when the spine is out of alignment (degenerative disc disease video).
The same thing can happen to the tread on your tire when the front end of your car is out of alignment. Both a tire and a spinal disc require proper positioning in order to function at optimum levels.
However...unlike the tire on your car...the spinal disc is living tissue and is capable of healing and repairing itself to a certain extent. In fact, this is why spinal harnessing technology such as the DRX9000 lumbar decompression system was created.
With your car...you can align the front end and rotate or replace the tires. You can't do that with your spinal disc...you only have one set to work with. However, in many cases you can re-align the spine and re-position the disc. Once a degenerating cervical or lumbar disc is repositioned, it is better able to function as intended, often times regaining lost height and water content. We can certainly slow down the degenerative process.
The DRX9000 lumbar decompression and the DRX9000c cervical decompression systems were designed and built to do this. This type of nonsurgical treatment for chronic back and neck pain has become very popular lately...even within the medical community.
WARNING: This will not work for everyone. It just depends how bad the disc degeneration is. Other factors, such as multiple levels of involvement, disc herniations, spondylolisthesis, and osteoporosis, may actually disqualify a patient from spinal decompression therapy.
Each case needs to be looked at individually. Often times the patient and doctor will manage the expectations together so that even a little bit of improvement is considered a successful outcome in severe cases.
The age and overall physical condition of the patient plays a big roll as well.
Recently, there has been some exciting research that has come out. It is available in the new Spinal Decompression Special Report. This report highlights the benefits of spinal decompression with the DRX9000, and paves the way for double blind studies. The future looks bright for nonsurgical spinal decompression with the DRX9000.
If you are in New York City and have DJD and are interested in DRX 9000 visit www.drshoshany.com
DRX 9000 nyc
www.drshoshany.com
Call (212) 645-8151 for Chiropractic, Massage, Physical therapy, Pain management in Manhattan NYC.I was interviewed by Chiropractic Products magazine for the March issue.The topic was of course Spinal decompression.
I have not read it but once I get it I will post the link to the Chiropractic Products website. This is such a hot topic for Chiropractors. NYC Chiropractors are starting to add this modality into their practice. I often refer patients that come to me to Chiropractors that are closer to them, I am in Greenwich Village in Manhattan. I do not like for patients to spend to much time traveling to me because sitting is the worst position for the Low Back.
If you live or work near Midtown Manhattan or Lower Manhattan and have back pain or sciatica consider treatment like Chiropractic, Medical Massage, Spinal Decompression.
Medical massage is covered by most major medical plans.
Treatment on The DRX 9000 may be partially paid my most major medical carriers.
Chiropractic NYC is covered by BC/BS, Cigna,Aetna, United and many more.
If you want to be seen today call our office at (212) 645-8151 and we can verify if your insurance will cover Massage, Chiropractic, Physical therapy.
Monday, February 25, 2008
DRX 9000 Manhattan New York Chiropractor, DRX 9000 Manhattan
www.drshoshany.com
Patients always ask if the big companies have proof that the table can change the disc herniation, well below is a recent press release put out by the makers of the DRX 9000
Case Study reveals visual evidence of the positive hydrating effect that DRX9000™ Non-Surgical Spinal Decompression treatment has on the inter-vertebral disc.
Tampa, FL, FEBRUARY 20, 2008: The DRX9000 aims to relieve pain by enlarging intra-discal spaces, reducing herniation, and decreasing intra-discal pressure during treatment. A case report underwritten with a grant from Axiom Worldwide is now featured in issue 2 of US Musculoskeletal Review 2007. The case study titled, Magnetic Resonance Imaging Findings after Treatment with a Non-surgical Spinal Decompression System (DRX9000™)-Case Report reveals the pre- and post-MRI findings of a 33-year old male with a six year history of low back pain. Prior to treatment with the DRX9000 an MRI of the lumbar spine revealed moderate degenerative disc disease of the lumbar spine with loss of disc signal at most levels, as well as disc bulges at L3/L4, L4/L5, and L5/S1. The patient also reported an overall pain level of 6 on a 0-10 scale. The patient underwent DRX9000 treatment over a six-week period. At his final DRX9000 treatment, the patient reported a pain level of 0. Follow-up MRI showed an increase in intra-discal signal on T2-weighted sagittal images at L2/L3, L3/L4, L4/L5, and L5/S1, reflecting an improvement in disc morphology. The authors conclude, “Our case report demonstrates the positive hydrating effect that the DRX9000 treatment has on the inter-vertebral disc.”
If you have a herniated disc and work or live in NYC, Call my Manhattan Chiropractic office at (212) 645-8151
Axiom Worldwide manufactures and distributes its flagship products, the DRX9000 True Non-surgical Spinal Decompression System™, DRX9000C™, and DRX9500™ in medical markets around the globe. Axiom also manufactures a digital electroceutical device, the EPS8000™, for use in relieving pain and for use in muscular rehabilitation. Axiom prides itself on providing safe, non-surgical alternatives that patients should consider prior to undergoing surgery. For additional information or to receive a copy of the Case Report featured in Issue 2 of US Musculoskeletal
www.drshoshany.com
Patients always ask if the big companies have proof that the table can change the disc herniation, well below is a recent press release put out by the makers of the DRX 9000
Case Study reveals visual evidence of the positive hydrating effect that DRX9000™ Non-Surgical Spinal Decompression treatment has on the inter-vertebral disc.
Tampa, FL, FEBRUARY 20, 2008: The DRX9000 aims to relieve pain by enlarging intra-discal spaces, reducing herniation, and decreasing intra-discal pressure during treatment. A case report underwritten with a grant from Axiom Worldwide is now featured in issue 2 of US Musculoskeletal Review 2007. The case study titled, Magnetic Resonance Imaging Findings after Treatment with a Non-surgical Spinal Decompression System (DRX9000™)-Case Report reveals the pre- and post-MRI findings of a 33-year old male with a six year history of low back pain. Prior to treatment with the DRX9000 an MRI of the lumbar spine revealed moderate degenerative disc disease of the lumbar spine with loss of disc signal at most levels, as well as disc bulges at L3/L4, L4/L5, and L5/S1. The patient also reported an overall pain level of 6 on a 0-10 scale. The patient underwent DRX9000 treatment over a six-week period. At his final DRX9000 treatment, the patient reported a pain level of 0. Follow-up MRI showed an increase in intra-discal signal on T2-weighted sagittal images at L2/L3, L3/L4, L4/L5, and L5/S1, reflecting an improvement in disc morphology. The authors conclude, “Our case report demonstrates the positive hydrating effect that the DRX9000 treatment has on the inter-vertebral disc.”
If you have a herniated disc and work or live in NYC, Call my Manhattan Chiropractic office at (212) 645-8151
Axiom Worldwide manufactures and distributes its flagship products, the DRX9000 True Non-surgical Spinal Decompression System™, DRX9000C™, and DRX9500™ in medical markets around the globe. Axiom also manufactures a digital electroceutical device, the EPS8000™, for use in relieving pain and for use in muscular rehabilitation. Axiom prides itself on providing safe, non-surgical alternatives that patients should consider prior to undergoing surgery. For additional information or to receive a copy of the Case Report featured in Issue 2 of US Musculoskeletal
www.drshoshany.com
Monday, February 11, 2008
DRX 9000 Manhattan New York Chiropractor, DRX 9000 Manhattan
Medicare Provider partially funds study on back pain device, yet Still Calls treatment investigational and experimental! Why?
DRX 9000 NYC call (212) 645-8151 or visit or website www.drshoshany.com
A prospective study of 296 patients recruited between 2002 and 2005, and supported in part by a grant from Independence Blue Cross, a Medicare provider, was recently published in the February 2008 issue of Archives of Physical Medicine and Rehabilitation. The authors of the study titled, “Outcomes after a Prone Lumbar Traction Protocol for Patients with Activity-Limiting Low Back Pain: A Prospective Case Series Study” found that, “Patients reported significantly improved pain and RMDQ [Roland-Morris Disability Questionnaire] scores after 16 to 24 visits of prone traction at discharge, and at 30 days and 180 days discharge.” On average pain intensity decreased from a score of 5.8 at preintervention to a score of 3.7 at discharge. The authors go on to state that, “Arguments can be made that if outcomes after prone traction using the VAX-D are superior to those after conventional traction or other equivalent interventions, investing in and reimbursing for traction provided by the VAX-D system may be cost effective.” Although the pain reduction data in this study represents a lower percentage than recent data published on a competitive supine device, it does indicate, “…the likelihood that these measures reflected clinically detectable improvement.” Yet, regardless of this positive outcome, the study clearly states that, “Independence Blue Cross does not endorse any findings from this study.” In fact, per Independence Blue Cross’s current medical policy number 07.08.01b, they consider this treatment modality to be, “experimental/investigational.” To review this policy go to:
http://medpolicy.ibx.com/policies/mpi.nsf/e94faffabc7b0da68525695e0068df65/85256aa800623d7a8525725e006b0727!OpenDocument
This is not the first time that Blue Cross has demonstrated that its medical reimbursement polices are inconsistent. On September 3, 2007 Alice Dembner of the Boston Globe reported on the controversy surrounding the innovative surgical procedure vertebroplasty. In her article, Ms. Dembner writes,
“Although Medicare pays for the procedures in most of the country, Blue Cross Blue Shield, Massachusetts’ largest private insurer does not. The Blue Cross decision is based on a 2005 analysis that found there was not enough evidence to show that vertebroplasty was effective and beneficial. An expert committee convened by Medicare the same year also found evidence lacking, but committee members were convinced that both procedures would eventually be determined to work better than basic treatment for reducing pain and improving mobility. Last year, Medicare spent more than $600 million on the procedures. “If we stopped paying for everything that had no evidence of benefit, we would be a very unpopular organization, “said Dr. Steve Phurrough, director of Medicare’s coverage and analysis group. “Back pain is an increasing problem in our country and people … want something done.”
To view this article visit:
http://www.boston.com/news/globe/health_science/articles/2007/09/03/spine_tuning/
DRX 9000 NYC call (212) 645-8151 or visit or website www.drshoshany.com
A prospective study of 296 patients recruited between 2002 and 2005, and supported in part by a grant from Independence Blue Cross, a Medicare provider, was recently published in the February 2008 issue of Archives of Physical Medicine and Rehabilitation. The authors of the study titled, “Outcomes after a Prone Lumbar Traction Protocol for Patients with Activity-Limiting Low Back Pain: A Prospective Case Series Study” found that, “Patients reported significantly improved pain and RMDQ [Roland-Morris Disability Questionnaire] scores after 16 to 24 visits of prone traction at discharge, and at 30 days and 180 days discharge.” On average pain intensity decreased from a score of 5.8 at preintervention to a score of 3.7 at discharge. The authors go on to state that, “Arguments can be made that if outcomes after prone traction using the VAX-D are superior to those after conventional traction or other equivalent interventions, investing in and reimbursing for traction provided by the VAX-D system may be cost effective.” Although the pain reduction data in this study represents a lower percentage than recent data published on a competitive supine device, it does indicate, “…the likelihood that these measures reflected clinically detectable improvement.” Yet, regardless of this positive outcome, the study clearly states that, “Independence Blue Cross does not endorse any findings from this study.” In fact, per Independence Blue Cross’s current medical policy number 07.08.01b, they consider this treatment modality to be, “experimental/investigational.” To review this policy go to:
http://medpolicy.ibx.com/policies/mpi.nsf/e94faffabc7b0da68525695e0068df65/85256aa800623d7a8525725e006b0727!OpenDocument
This is not the first time that Blue Cross has demonstrated that its medical reimbursement polices are inconsistent. On September 3, 2007 Alice Dembner of the Boston Globe reported on the controversy surrounding the innovative surgical procedure vertebroplasty. In her article, Ms. Dembner writes,
“Although Medicare pays for the procedures in most of the country, Blue Cross Blue Shield, Massachusetts’ largest private insurer does not. The Blue Cross decision is based on a 2005 analysis that found there was not enough evidence to show that vertebroplasty was effective and beneficial. An expert committee convened by Medicare the same year also found evidence lacking, but committee members were convinced that both procedures would eventually be determined to work better than basic treatment for reducing pain and improving mobility. Last year, Medicare spent more than $600 million on the procedures. “If we stopped paying for everything that had no evidence of benefit, we would be a very unpopular organization, “said Dr. Steve Phurrough, director of Medicare’s coverage and analysis group. “Back pain is an increasing problem in our country and people … want something done.”
To view this article visit:
http://www.boston.com/news/globe/health_science/articles/2007/09/03/spine_tuning/
Wednesday, February 06, 2008
DRX 9000 Manhattan New York Chiropractor, DRX 9000 Manhattan
For Treatment of Chronic Low back pain call the Dr. Steven Shoshany at (212) 645-8151
or visit www.drshoshany.com
If you have a herniated disc and if you suffer from Sciatica and have been told you need a back surgery and are not sure, call or visit the website to learn more about this technique.
SPECIAL REPORT on Nonsurgical Spinal Decompression to treat chronic low back pain now in the January issue of Pain Medicine News.
In most industrialized countries, chronic low back pain is recognized as a widespread condition. However, a Special Report supported through a grant from Axiom Worldwide is now featured in the January issue of Pain Medicine News. The Special Report was first featured in the December 2007 issue of Anesthesiology News and was then presented on-line at: www.painmedicinenews.com in early January. The article has since become the most read article on this website. The Special Report highlights exciting research on a medical device that offers patients a non-surgical treatment option in treating chronic low back pain. The device is called the DRX9000™ and is manufactured by Axiom Worldwide of Tampa, FL. The authors of this Special Report are from the prestigious institutions of Duke University School of Medicine, Mayo Clinic, and Johns Hopkins University School of Medicine. They conclude their Special Report by stating, “The DRX9000™ computerized nonsurgical spinal decompression systems were designed to provide maximum patient benefits with the use of a noninvasive approach that may help minimize health care resources and offer a potentially optimal therapeutic approach to the treatment of LBP [low back pain].”
Manhattan's top Chiropractor has combined the DRX 9000 treatment with the Cox flexion distraction decompression table to provide the most comprehensive treatment for low back pain due to herniated disc's in NYC.
This protocol has provided the best non surgical treatment of the herniated disc.
Dr. Shoshany has combined Chiropractic, Physical therapy and Pain management to provide the best treatment options for patients in New York that are suffering with Chronic low back.
www.drshoshany.com
Tuesday, January 29, 2008
Spinal Decompression using the DRX 9000 and the Cox technic
www.drshoshany.com
I was recently contacted and asked about the safety of the DRX 9000 spinal decompression machine. In my NYC spinal decompression practice I carefully screen patients for contra-indications and if they are not a candidate for the procedure I do not put them on the machine. In addition to spinal decompression using the DRX 9000 I also combine use of the Cox technic. This technic has been proven to open the IVF or intervertebral foreamen by 28%.
Call (212)645-8151 for spinal decompression in NYC or visit www.drshoshany.com
This past weekend I attended a post graduate seminar on the Cox technic.
I recently added the seventh generation Cox table to my practice.
I wanted to add some information on my blog about what I learned and a description of why I think this techic will improve patient outcomes.
Cox® Technic (aka flexion-distraction or F/D) relieves back and leg pain and neck and arm pain. Disc herniation and/or stenosis may be the cause of pain. Or simple arthritis or a back sprain may be the culprit.
Cox® Technic is a gentle, non-surgical, chiropractic spinal manipulation adjustment procedure.
95% of back pain and neck pain patients DO NOT require surgery.
Cox® Technic is a safe alternative to back surgery. It is also appropriate for failed back surgery patients who still suffer after surgery.
Cox® Technic is a well-researched (with research studies completed and underway), well-referenced (with over 90+ articles in medical and chiropractic journals) chiropractic spinal adjusting manipulation
Cox® Technic drops intradiscal pressures to -192 mmHg and increases the foraminal area by 28%.
Cox® Technic stops pain, realigns the spine and restores ranges of motion inherent to the spine while reducing low back pain, especially in radiculopathy (extremity pain--leg pain or arm pain) patients, better than active exercise therapy.
Innovated by James M. Cox, DC, DACBR, in the 1960's, Cox® Technic is a marriage of osteopathic and chiropractic manipulation principles. It is an accepted and widely used form of spinal manipulation.
THE RESEARCH SAYS...
The Biomechanics Study
Federally Funded Research has thus far proven the following about Cox® Flexion Distraction:
Reduces intradiscal pressures (on nerve roots to relieve pain)
Increases intradiscal height
Increases foraminal size up to 28% (more room for nerve roots and spinal cord)
CLINICAL APPLICATION IS...
The following is presented as a general overview of the treatment.
Cox® Technic is DOCTOR-APPLIED, DOCTOR-CONTROLLED, HANDS-ON, SPECIFIC CONTACT, PATIENT-FOCUSED care. During a treatment on this instrument, the patient lies prone while the treating physician concentrates on one vertebral motion segment at a time. The goal is to reduce stenotic effects by dropping intradiscal pressure to allow disc reduction, increasing the size of the intervertebral foramen, and lowering pressure on the dorsal root ganglion and the exiting nerve roots. While concentrating on the low back, the doctor may use the instrument's caudal (the part the legs lie on) section to allow lateral and circular motion which returns normal motion to the spine with reduced pain. The cervical spine can be treated similarly using a specially designed table.
The Lumbar Spine Adjustment
After undergoing a thorough examination which leads the doctor to a diagnosis of the back condition to be treated, the patient lies on a table that is built to traction the spine and also to produce motions that are normal for the spine. To attain these motions, the table goes "up and down" (flexion and extension), goes "side to side" (lateral flexion), or moves in a circular motion (circumduction). All movements are slow.
The doctor will hold a spinous process (the back part of the vertebra that feels like a "bump" on your spine) to isolate a single segment for treatment. The distraction manipulation is applied manually by the doctor to the patient's low back at the levels of the spine to be treated or that are painful. Tolerance testing is performed prior to the application of distraction manipulation to be sure it causes no pain to the patient. This technic is designed to help patients with low back pain and leg pain.
The Cervical Spine Adjustment
The patient will lie prone (face down) on the table whose headpiece moves in motions that are normal for the cervical spine (Flexion, Extension, Rotation, Lateral flexion, and Circumduction). This headpiece also allows traction to be applied to the cervical or thoracic spines alone or while these motions are being administered. The doctor will hold the appropriate spinous process (back of the vertebra) of the cervical spine to isolate the level of pain or the level of vertebra to be adjusted.
This recent study was posted on the DRX 9000 site.
ORIGINAL ARTICLE
Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000:
A Retrospective Chart Review
Alex Macario, MD, MBA**Departments of Anesthesia and Health Research & Policy, Stanford University School of Medicine, Stanford, California; Alex Macario MD, MBA, Professor of Anesthesia and Health Research & Policy, Department of Anesthesia H3580, Stanford University School of Medicine, Stanford, CA 94305-5640, U.S.A. Tel: +1 650 498 6810; E-mail: amaca@stanford.edu. ; Charlotte Richmond, PhD††Biomedical Research & Education Foundation, LLC, Miami Beach, Florida; ; Martin Auster, MD, MBA‡‡Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, ; Joseph V. Pergolizzi, MD§§Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.*Departments of Anesthesia and Health Research & Policy, Stanford University School of Medicine, Stanford, California; †Biomedical Research & Education Foundation, LLC, Miami Beach, Florida; ‡Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, §Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.
Alex Macario MD, MBA, Professor of Anesthesia and Health Research & Policy, Department of Anesthesia H3580, Stanford University School of Medicine, Stanford, CA 94305-5640, U.S.A. Tel: +1 650 498 6810; E-mail: amaca@stanford.edu.
Reprints will not be available from authors.
■ Abstract
Background: This study's goal was a retrospective chart audit of 100 outpatients with discogenic low back pain (LBP) lasting more than 12 weeks treated with a 2-month course of motorized spinal decompression via the DRX9000 (Axiom Worldwide, Tampa, FL, U.S.A.).
Methods: Patients at a convenience sample of four clinics received 30-minute DRX9000 sessions daily for the first 2 weeks tapering to 1 session/week. Treatment protocol included lumbar stretching, myofascial release, or heat prior to treatment, with ice and/or muscle stimulation afterwards. Primary outcome was verbal numerical pain intensity rating (NRS) 0 to 10 before and after the 8-week treatment.
Results: Of the 100 initial subjects, three withdrew their protected health information, and three were excluded because their LBP duration was less than 12 weeks. The remaining 94 subjects (63% female, 95% white, age = 55 (SD 16) year, 52% employed, 41% retired, LBP median duration of 260 weeks) had diagnoses of herniated disc (73% of patients), degenerative disc disease (68%), or both (27%). Mean NRS equaled 6.05 (SD 2.3) at presentation and decreased significantly to 0.89 (SD 1.15) at end of 8-week treatment (P < 0.0001). Analgesic use also appeared to decrease (charts with data = 20) and Activities of Daily Living improved (charts with data = 38). Follow-up (mean 31 weeks) on 29/94 patients reported mean 83% LBP improvement, NRS of 1.7 (SD 1.15), and satisfaction of 8.55/10 (median 9).
Conclusions: This retrospective chart audit provides preliminary data that chronic LBP may improve with DRX9000 spinal decompression. Randomized double-blind trials are needed to measure the efficacy of such systems. ■
Users who read this article also read:
Intervertebral Disc: Anatomy-Physiology-Pathophysiology-Treatment
P. Prithvi Raj, MD, FIPP, ABIPP
Pain Practice, Volume 8, Issue 1, Page 18-44, Mar 2008, doi: 10.1111/j.1533-2500.2007.00171.x
Abstract| References| Full Text HTML| Full Text PDF (1300 KB)
Intra-articular Application of Pulsed Radiofrequency for Arthrogenic Pain—Report of Six Cases
Menno E. Sluijter, MD, PhD, FIPP; Alexandre Teixeira, MD, FIPP; Vicente Serra, MD; Susan Balogh, MD; Pietro Schianchi, MD, FIPP
Pain Practice, Volume 8, Issue 1, Page 57-61, Mar 2008, doi: 10.1111/j.1533-2500.2007.00172.x
Summary| References| Full Text HTML| Full Text PDF (229 KB)
The Prevalence of Facet Joint-Related Chronic Neck Pain in Postsurgical and Nonpostsurgical Patients: A Comparative Evaluation
Laxmaiah Manchikanti, MD; Kavita N. Manchikanti, BA; Vidyasagar Pampati, MSc; Doris E. Brandon, CST; James Giordano, PhD
Pain Practice, Volume 8, Issue 1, Page 5-10, Mar 2008, doi: 10.1111/j.1533-2500.2007.00169.x
Abstract| References| Full Text HTML| Full Text PDF (79 KB)
Late Whiplash Syndrome: A Clinical Science Approach to Evidence-Based Diagnosis and Management
Keith Poorbaugh, PT, ScD, CSCS, FAAOMPT; Jean-Michel Brismée, PT, ScD, OCS, FAAOMPT; Valerie Phelps, PT, OCS, FAAOMPT; Phillip S. Sizer Jr, PT, PhD, OCS, FAAOMPT
Pain Practice, Volume 8, Issue 1, Page 65-89, Mar 2008, doi: 10.1111/j.1533-2500.2007.00168.x
Abstract| References| Full Text HTML| Full Text PDF (267 KB)
A Review of the Epidemiology of Painful Diabetic Peripheral Neuropathy, Postherpetic Neuralgia, and Less Commonly Studied Neuropathic Pain Conditions
Alesia Sadosky, PhD; Anne M. McDermott, ScD; Nancy A. Brandenburg, PhD; Marcie Strauss, MPH
Pain Practice, Volume 8, Issue 1, Page 45-56, Mar 2008, doi: 10.1111/j.1533-2500.2007.00164.x
Abstract| References| Full Text HTML| Full Text PDF (114 KB)
www.drshoshany.com
So in conclusion I am confident in my ability to provide patients that have herniated discs, failed back surgery and chronic low back pain a effective means to end their pain and return them to a pain free lifestyle.
I was recently contacted and asked about the safety of the DRX 9000 spinal decompression machine. In my NYC spinal decompression practice I carefully screen patients for contra-indications and if they are not a candidate for the procedure I do not put them on the machine. In addition to spinal decompression using the DRX 9000 I also combine use of the Cox technic. This technic has been proven to open the IVF or intervertebral foreamen by 28%.
Call (212)645-8151 for spinal decompression in NYC or visit www.drshoshany.com
This past weekend I attended a post graduate seminar on the Cox technic.
I recently added the seventh generation Cox table to my practice.
I wanted to add some information on my blog about what I learned and a description of why I think this techic will improve patient outcomes.
Cox® Technic (aka flexion-distraction or F/D) relieves back and leg pain and neck and arm pain. Disc herniation and/or stenosis may be the cause of pain. Or simple arthritis or a back sprain may be the culprit.
Cox® Technic is a gentle, non-surgical, chiropractic spinal manipulation adjustment procedure.
95% of back pain and neck pain patients DO NOT require surgery.
Cox® Technic is a safe alternative to back surgery. It is also appropriate for failed back surgery patients who still suffer after surgery.
Cox® Technic is a well-researched (with research studies completed and underway), well-referenced (with over 90+ articles in medical and chiropractic journals) chiropractic spinal adjusting manipulation
Cox® Technic drops intradiscal pressures to -192 mmHg and increases the foraminal area by 28%.
Cox® Technic stops pain, realigns the spine and restores ranges of motion inherent to the spine while reducing low back pain, especially in radiculopathy (extremity pain--leg pain or arm pain) patients, better than active exercise therapy.
Innovated by James M. Cox, DC, DACBR, in the 1960's, Cox® Technic is a marriage of osteopathic and chiropractic manipulation principles. It is an accepted and widely used form of spinal manipulation.
THE RESEARCH SAYS...
The Biomechanics Study
Federally Funded Research has thus far proven the following about Cox® Flexion Distraction:
Reduces intradiscal pressures (on nerve roots to relieve pain)
Increases intradiscal height
Increases foraminal size up to 28% (more room for nerve roots and spinal cord)
CLINICAL APPLICATION IS...
The following is presented as a general overview of the treatment.
Cox® Technic is DOCTOR-APPLIED, DOCTOR-CONTROLLED, HANDS-ON, SPECIFIC CONTACT, PATIENT-FOCUSED care. During a treatment on this instrument, the patient lies prone while the treating physician concentrates on one vertebral motion segment at a time. The goal is to reduce stenotic effects by dropping intradiscal pressure to allow disc reduction, increasing the size of the intervertebral foramen, and lowering pressure on the dorsal root ganglion and the exiting nerve roots. While concentrating on the low back, the doctor may use the instrument's caudal (the part the legs lie on) section to allow lateral and circular motion which returns normal motion to the spine with reduced pain. The cervical spine can be treated similarly using a specially designed table.
The Lumbar Spine Adjustment
After undergoing a thorough examination which leads the doctor to a diagnosis of the back condition to be treated, the patient lies on a table that is built to traction the spine and also to produce motions that are normal for the spine. To attain these motions, the table goes "up and down" (flexion and extension), goes "side to side" (lateral flexion), or moves in a circular motion (circumduction). All movements are slow.
The doctor will hold a spinous process (the back part of the vertebra that feels like a "bump" on your spine) to isolate a single segment for treatment. The distraction manipulation is applied manually by the doctor to the patient's low back at the levels of the spine to be treated or that are painful. Tolerance testing is performed prior to the application of distraction manipulation to be sure it causes no pain to the patient. This technic is designed to help patients with low back pain and leg pain.
The Cervical Spine Adjustment
The patient will lie prone (face down) on the table whose headpiece moves in motions that are normal for the cervical spine (Flexion, Extension, Rotation, Lateral flexion, and Circumduction). This headpiece also allows traction to be applied to the cervical or thoracic spines alone or while these motions are being administered. The doctor will hold the appropriate spinous process (back of the vertebra) of the cervical spine to isolate the level of pain or the level of vertebra to be adjusted.
This recent study was posted on the DRX 9000 site.
ORIGINAL ARTICLE
Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000:
A Retrospective Chart Review
Alex Macario, MD, MBA**Departments of Anesthesia and Health Research & Policy, Stanford University School of Medicine, Stanford, California; Alex Macario MD, MBA, Professor of Anesthesia and Health Research & Policy, Department of Anesthesia H3580, Stanford University School of Medicine, Stanford, CA 94305-5640, U.S.A. Tel: +1 650 498 6810; E-mail: amaca@stanford.edu. ; Charlotte Richmond, PhD††Biomedical Research & Education Foundation, LLC, Miami Beach, Florida; ; Martin Auster, MD, MBA‡‡Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, ; Joseph V. Pergolizzi, MD§§Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.*Departments of Anesthesia and Health Research & Policy, Stanford University School of Medicine, Stanford, California; †Biomedical Research & Education Foundation, LLC, Miami Beach, Florida; ‡Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, §Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.
Alex Macario MD, MBA, Professor of Anesthesia and Health Research & Policy, Department of Anesthesia H3580, Stanford University School of Medicine, Stanford, CA 94305-5640, U.S.A. Tel: +1 650 498 6810; E-mail: amaca@stanford.edu.
Reprints will not be available from authors.
■ Abstract
Background: This study's goal was a retrospective chart audit of 100 outpatients with discogenic low back pain (LBP) lasting more than 12 weeks treated with a 2-month course of motorized spinal decompression via the DRX9000 (Axiom Worldwide, Tampa, FL, U.S.A.).
Methods: Patients at a convenience sample of four clinics received 30-minute DRX9000 sessions daily for the first 2 weeks tapering to 1 session/week. Treatment protocol included lumbar stretching, myofascial release, or heat prior to treatment, with ice and/or muscle stimulation afterwards. Primary outcome was verbal numerical pain intensity rating (NRS) 0 to 10 before and after the 8-week treatment.
Results: Of the 100 initial subjects, three withdrew their protected health information, and three were excluded because their LBP duration was less than 12 weeks. The remaining 94 subjects (63% female, 95% white, age = 55 (SD 16) year, 52% employed, 41% retired, LBP median duration of 260 weeks) had diagnoses of herniated disc (73% of patients), degenerative disc disease (68%), or both (27%). Mean NRS equaled 6.05 (SD 2.3) at presentation and decreased significantly to 0.89 (SD 1.15) at end of 8-week treatment (P < 0.0001). Analgesic use also appeared to decrease (charts with data = 20) and Activities of Daily Living improved (charts with data = 38). Follow-up (mean 31 weeks) on 29/94 patients reported mean 83% LBP improvement, NRS of 1.7 (SD 1.15), and satisfaction of 8.55/10 (median 9).
Conclusions: This retrospective chart audit provides preliminary data that chronic LBP may improve with DRX9000 spinal decompression. Randomized double-blind trials are needed to measure the efficacy of such systems. ■
Users who read this article also read:
Intervertebral Disc: Anatomy-Physiology-Pathophysiology-Treatment
P. Prithvi Raj, MD, FIPP, ABIPP
Pain Practice, Volume 8, Issue 1, Page 18-44, Mar 2008, doi: 10.1111/j.1533-2500.2007.00171.x
Abstract| References| Full Text HTML| Full Text PDF (1300 KB)
Intra-articular Application of Pulsed Radiofrequency for Arthrogenic Pain—Report of Six Cases
Menno E. Sluijter, MD, PhD, FIPP; Alexandre Teixeira, MD, FIPP; Vicente Serra, MD; Susan Balogh, MD; Pietro Schianchi, MD, FIPP
Pain Practice, Volume 8, Issue 1, Page 57-61, Mar 2008, doi: 10.1111/j.1533-2500.2007.00172.x
Summary| References| Full Text HTML| Full Text PDF (229 KB)
The Prevalence of Facet Joint-Related Chronic Neck Pain in Postsurgical and Nonpostsurgical Patients: A Comparative Evaluation
Laxmaiah Manchikanti, MD; Kavita N. Manchikanti, BA; Vidyasagar Pampati, MSc; Doris E. Brandon, CST; James Giordano, PhD
Pain Practice, Volume 8, Issue 1, Page 5-10, Mar 2008, doi: 10.1111/j.1533-2500.2007.00169.x
Abstract| References| Full Text HTML| Full Text PDF (79 KB)
Late Whiplash Syndrome: A Clinical Science Approach to Evidence-Based Diagnosis and Management
Keith Poorbaugh, PT, ScD, CSCS, FAAOMPT; Jean-Michel Brismée, PT, ScD, OCS, FAAOMPT; Valerie Phelps, PT, OCS, FAAOMPT; Phillip S. Sizer Jr, PT, PhD, OCS, FAAOMPT
Pain Practice, Volume 8, Issue 1, Page 65-89, Mar 2008, doi: 10.1111/j.1533-2500.2007.00168.x
Abstract| References| Full Text HTML| Full Text PDF (267 KB)
A Review of the Epidemiology of Painful Diabetic Peripheral Neuropathy, Postherpetic Neuralgia, and Less Commonly Studied Neuropathic Pain Conditions
Alesia Sadosky, PhD; Anne M. McDermott, ScD; Nancy A. Brandenburg, PhD; Marcie Strauss, MPH
Pain Practice, Volume 8, Issue 1, Page 45-56, Mar 2008, doi: 10.1111/j.1533-2500.2007.00164.x
Abstract| References| Full Text HTML| Full Text PDF (114 KB)
www.drshoshany.com
So in conclusion I am confident in my ability to provide patients that have herniated discs, failed back surgery and chronic low back pain a effective means to end their pain and return them to a pain free lifestyle.
Monday, January 21, 2008
Sciatica? DRX9000 Lumbar Spinal Decompression May Be The Answer
Sciatica? DRX9000 Lumbar Spinal Decompression May Be The Answer.
Sciatica treatment in NYC call (212) 645-8151 or visit www.drshoshany.com
The sciatic nerve is the largest nerve in the body. The nerve roots that exit the lumbar spine to form the sciatic nerve are very sensitive. Even the weight of a pencil erasure can irritate them and cause pain that travels down into the buttocks or leg.
In fact...sciatica is pain in the buttocks or leg (radicular pain) from irritation of the sciatic nerve.
So, how does the sciatic nerve become irritated?
Well, this can happen several different ways, here are most of them:
1. A Herniated Lumbar Disc (most common cause of sciatica).
2. Spinal Stenosis or Foraminal Stenosis.
3. Vertebral Subluxation.
4. Degenerative Disc Disease (DDD).
5. Piriformis Syndrome.
6. Sacroiliac Joint Dysfunction.
7. Spondylolisthesis.
8. Trauma (auto accident, skiing injury, sports, etc)
There are a few other causes...but this list covers most of them. The big question here is what can be done to get rid of the symptoms? In my NYC Chiropractic practice I utulize the DRX 9000 along with Cox flexion distaction and Cold laser therapy
Subscribe to:
Posts (Atom)