Wednesday, February 28, 2007
What is better the DRX 9000 or the Vax-D?
I get this question emailed to me at least once a week and I would like to addresses this.
The Vax-D has been around for over twenty years and was one of the first tables to be called Spinal Decompression. The Vax-D technology is over twenty years old. Would you want to use a computer from twenty years ago? Would you want the latest technological upgrades? Of course!
The DRX 9000 is newer and much more comfortable.
With the Vax-D you lie face down and hold on to bars with your hands, if you have a shoulder problem forget it.
The DRX 9000 you lie on your back and just RELAX! Much easier.
New York Spinal Decompression choose the DRX 9000 and the Spinal Decompression Specialist in Manhattan
Call us at (212) 645-8151
Monday, February 26, 2007
Thursday, February 22, 2007
I have not updated my blog in couple of days because I have been busy, but I wanted to share with my readers the great results my patients have had the past week,
I had a new patient yesterday that had a foot drop( this is when your tibilias anterior muscle doesn't get nerve flow due to a L-5 disc problem). After only one visit he was able to dorsi-flex his foot!
I had another patient that after 3 visits on the DRX 9000 to treat her severe central disc herniation experienced a 75% reduction in her pain! This patient had three epidural injections in her Lumbar spine in the last month and was scheduled for a micro disectomy in a month, she cancelled her surgery and has a smile on her face.
Manhattan DRX 9000 Call (212) 645-8151
Non Surgical Spinal Decompression in Manhattan Call Dr.Steven Shoshany
Before you go under the knife or get injections into your spine please call me to discuss DRX 9000 treatment for your herniated disc pain! or visit my NY Spinal Decompression site at www.drshoshany.com or www.nycdisc.com
Spinal Decompression in New York is helping patients get their life back!
Friday, February 16, 2007
Call 212 645-8151 to speak to a Spinal decompression specialist
Last night I saw a news special about a figure skater that had a back surgery to treat a herniated disc at Hospital for Special Surgery in Manhattan. This patient had a devastating outcome she was injured and is now in bed unable to walk and she can never skate again.
The doctor is obviously being sued. Back surgery should be your last resort.
I do not know the extent of her injury other than she had a Disc injury.
If you have been told you have a disc herniation and need a surgery to correct this I recommend that you find out the grade of herniation. On my website www.drshoshany.com
I point out the different types of Disc herniation. In my opinion if the disc is sequestered or has a free fragment pressing a nerve then a consult with a surgeon is a good idea.
I am selective with my patients if I feel I can help them with Spinal Decompression I will accept them, If I feel they need a referral to a surgeon I will refer to doctors that I have developed relationships with.
Patients need to be informed and do their homework when it comes to their health.
Make an informed choice.
Spinal Decompression in New York.
Manhattan Spinal Decompression, seek out Dr. Steven Shoshany.
If you have a herniated disc seek out a doctor that uses Spinal Decompression, I use the DRX 9000 because I feel it is the most comfortable for the patients, Most patients are snoring within the first 5 minutes because their leg pain is gone for the first time in years!
This technique is fantastic is should be the primary treatment for herniated discs.
Wednesday, February 14, 2007
Wow finally a great segment on how effective spinal decompression is in treating herniated disc.
If you where up last night on the CW 11 (which is a New York news channel) they interviewed a colleague Howard Goodman DC and his patients on how effective the spinal decompression treatment is. I am glad this is finally getting out, and eventually the insurance companies will start to pay, but I wouldn't hold my breath. Overall this was a great segment and should really inform the public that spinal decompression is a legitimate and effective procedure.
More and more patients are realizing that back surgery should be a last option, and turning to safe and proven Non Surgical Spinal Decompression.
I have seen only a handful of insurance companies recognize Spinal Decompression and actually pay for it.
I offer affordable interest free payment plans for my patients when there is no insurance coverage.
Call (212) 645-8151 if you have interest in Spinal decompression in Manhattan
Tuesday, February 13, 2007
I attached a picture of a L-3 disc herniation. I will start posting Pre- and Post MRI's on both my website www.drshoshany.com and this Blog.
If you have a MRI in a digital formatIwould be happy to review it.
Friday, February 09, 2007
Yesterday was an interesting day, I stopped by a Doctor of Osteopathy to discuss the benefits of Non Surgical Spinal Decompression.
The Doctor thought Spinal Decompression was traction. There is a difference I have explained the difference below.
What is the difference between decompression and traction?
Many clinicians specializing in lumbar spine pathology have criticized traditional traction. Traction fails in many cases because it causes muscular stretch receptors to fire, which then cause para-spinal muscles to contract. This muscular response actually causes an increase in intradiscal pressure. On the other hand, genuine decompression is achieved by gradual and calculated increases of distraction forces to spinal structures, utilizing various degrees of distraction forces.
A highly specialized computer must modulate the application of distraction forces in order to achieve the ideal effect. The system uses applies a gentle, curved angle pull which yields far greater treatment results that a less comfortable, sharp angle pull. Distraction must be offset by cycles of partial relaxation.
The system continuously monitors spinal resistance and adjusts distraction forces accordingly. A specific lumbar segment can be targeted for treatment by changing the angle of distraction. This patented technique of decompression may prevent muscle spasm and patient guarding. Constant activity monitoring takes place at a rate of 10,000 times per second, making adjustments not perceived by the eye as many as 20 times per second via its fractional metering and monitoring system.
Genuine decompression also involves the use of a special pelvic harness that supports the lumbar spine during therapy. Negative pressure within the disc is maintained throughout the treatment session. With genuine decompression, the pressure within the disc space can actually be lowered to about -150 mmHg. As a result, the damaged disc will be rehydrated with nutrients and oxygen.
Isn’t decompression just a fancy name for a traction machine?
No. There is a big different between traction, distraction and decompression. Traction has been around for hundreds, if not thousands of years. The problem with traction as it is known today is that it is not always beneficial. In 1998, the Scientific American rated traction to be of little or no value in the examination of efficacious therapies for lower back pain. This finding is consistent with many studies that report traction can often times signal a nociceptive splinting response and put a patient’s back muscles in spasm, resisting any attempts to effect a change on the disc proper.
Distraction, a term used to describe a flexion distraction technique, attempts to reposition the spine from the offending lesion. This technique has been shown to be very effective, even though potentially damaging to the person performing the technique and largely dependent on the skill of the technician. Like traction, distraction procedures are limited in the ability to reduce the intradiscal pressure, or produce a negative pressure within the disc imbibing fluid, nutrients and creating an environment for repair.
Decompression therefore is an event - a combination of restraint, angle position and equipment engineering. One can experience traction without decompression, but not decompression without traction. Traction is a machine - Decompression is an event.
Wednesday, February 07, 2007
I thought I would add to my blog an article I found that is geared towards the clinician.
I have had patients call me that had completed spinal decompression treatment and are upset with the outcome. I only accept patients that are excellent candidates for Spinal Decompression.
New York DRX 9000 Spinal Decompression treatment.
Many Case management begins with, and is facilitated by, proper patient selection. Patient selection is determined by following the established qualification guidelines.
Non-surgical spinal decompression is indicated for the treatment of single or multiple level discogenic conditions.
Primary indications for decompression treatment include patients with discopathies such as disc bulges, disc protrusions, disc extrusions, disc prolapse, disc herniations and degenerative disc disease.
Secondary indications for decompression treatment may include patients with sciatica and facet syndrome. Patients that have sciatica may improve with decompression if the condition is the result of a compressive neuropathy secondary to a disc pathology. In facet syndrome, secondary to discopathies, clinical improvement may occur due to the physical effects of simultaneous intradiscal decompression and facet distraction.
All selected candidates for decompression should be at least 18 years of age. Superior outcomes are most frequently seen with the 30-60 year age group. This is the patient population cluster that generally has the highest incidence of discopathies in the presence of less than severe degenerative changes or stenosis. Treatment of patients with multiple co-morbidities, risk factors or repetitive activity occupations may result in less than optimum outcomes.
The physicians initial patient work-up should include; (1) A comprehensive history and physical examination with special attention to red flag and yellow flag issues.
(2) Review and interpretation of recent X-Rays, MRI and other appropriate or necessary studies. (3) Absolute compliance with the inclusjion and exclusion criteria for decompression.
Red flags identify those patients with emergent or serious underlying conditions such that a delay in recognition may result in death, permanent injury or disability. Yellow flags are psychosocial barriers to patient recovery and markers of known risk factors for the development of long term disability, chronic pain or persistent pain disorders.
Spinal decompression treatment is not currently indicated or recommended without the presence of clinically significant and treatable disc pathology. The presence of a disc lesion on an imaging study is not the sole criteria on which to base the patient’s necessity for decompression treatment. Keep in mind, structural damage and injury noted on imaging studies do not necessarily bear a relationship to the patients pain.
The initial patient workup will help establish the clinical justification and medical necessity for treatment prior to initiating any medical services. Medical necessity for decompression treatment is established by correlating the patient symptoms, physical examination and other relevant information with the imaging findings. This is established by confirming a discogenic origin to the source of the patient’s pain or symptoms.
Decompression treatment has several different contra-indications including patient’s with sequestered disc fragments and patients with findings consistent with compression of the spinal cord or nerves.
Imaging interpretations suggesting osseous conditions (ex. facet hypertrophy, osteophyte complex) causing mass effects, indentations, displacement, compression and impingement of the spinal cord or nerves are absolute contraindications to spinal decompression will not affect calcified arthritic conditions, therefore patient treatment is reserved for those candidates with soft-tissue (disc) lesions that may be causing indirect pressure to the nervous tissues.
Discopathies causing mass effects, indentations, displacement, compression and impingement of the nerves without signs or symptoms of neurological deficit, progression or impairment may be suitable lesions for decompression. When affecting the spinal cord, these conditions would contraindicate treatment. Effacement of nerves or findings of spinal cord effacement secondary to a disc lesion without myelopathy can be suitable conditions for decompression at the discretion of the treating physician.
It is the responsibility of each clinician to determine the probability of a successful treatment outcome for each individual patient. This determination can be reasonably assessed by considering several specific diagnostic factors.
Successful treatment outcomes are based on the residual capacity of the disc to respond when placed under ideal conditions. This is called “disc viability.” The recognized and established indicators of advance disc degeneration may result in less than optimal outcomes.
The presence of such markers of moderate to severe degenerative disc disease may diminish results. “Modic type” end plate changes, moderate to severe dessication or loss of disc height and vacuum phenomenon are commonly observed findings associated with discs that have a reduced capacity to respond to decompression.
Patients with contained discs disorders and subligamentous lesions normally have a faster response and superior outcome in comparison to those patients with non-contained disc disorders, such as transligamentous or vertically displaced extrusions.
As a rule in medicine, improper selection and qualification of patients will result in poor patient response and poor patient outcomes. The same holds true for decompressions therapy, making it essential to properly select and qualify patients accurately for decompression to assure success.
Be thorough in the evaluation and treatment of your patients. Collect pertinent patient data by completing a comprehensive history and physical. Rule out the presence of important red flag and yellow flag issues. Review, interpret and analyze all imaging and laboratory studies prior to evaluating the written diagnostic reports. Assure that all inclusion and exclusion criteria for decompression have been met as part of your quality assurance process.
Be sure to establish the clinical justification for treatment. The services rendered should have a reasonable expectation of success and a good prognosis. Use your clinical judgment and expertise in affirming the type of treatment necessary and level of clinical significance. Weigh the potential patient risk against the potential benefit and always err on the side of the patient’s health, safety and welfare.
Sunday, February 04, 2007
I have had several difficult patients that came in this past week.
When someone has a symptomatic herniated disc they can really suffer and take tons of pain pills and not get any relief.
When someone learns about Spinal Decompression or learns how successful the DRX 9000 is in helping patients get out of pain, they want to know why no one told them sooner!
If you suffer with back pain and you live or work in New York City please consider a consult with a Spinal Decompression expert.
Call (212) 645-8151 to discuss.