Wednesday, May 26, 2010

Cervical herniated disc causing arm pain and numbness in arms-treatment in NYC



Cervical herniated disc causing arm pain and numbness in arms-treatment in NYC

From time to time I like to put up patient testimonials that patients email to me.
I just got this the other day and there are some spelling errors but I decided to leave them.

Recent patient testimonial
I had the amazing good fortune of finding Dr. Steve Shoshany through this website while in NYC. I was injured in a bad car accident 5 months prior to meeting with Dr. Shoshany. I was experiencing pain and stiffness in my neck and sharp, shooting, and throbbing pain and numbness in both arms and hands. I was diagnosed via MRI with a herniated cervical spine disk that was causing strain on the nerve roots that run down my arms. Dr. Steve acknowledged my problem right away. He was able to treat me immediately after my first consultation with him. His treatments included chiropractic spinal adjustments, the cervical spine decompression machine (3D Active Track) for 30 minutes, and then ice and electrostem. I saw Dr. Steve every day for 6 days and the pain relief was immediate. My pain was 70% less in just 6 days! Before seeing Dr. Steve, I spent 5 months in physical therapy and sought treatment with my usual chiropractor, acupuncturist, and an orthopedic acupuncturist. I was undergoing neck traction at my local physcial therapy center in Los Angeles, but it did not compare to the immediate results of the 3D Active Track. Dr. Steve gave me individual attention during each session. His on-staff physical therapists were very friendly and attentive. His practice offered all the latest technology machines. Dr. Steve was able to refer me to a chiropractic office in Los Angeles and even offered to speak to any doctors necessary who would then take up my care. I've been to several other chiropractic centers and no other practice compares!

Jess Carpenter
Los Angeles


If you are suffering with Chronic neck pain or know you have a herniated disc in your cervical spine consider Non-surgical spinal decompression, It is a safe and effective way to treat Cervical herniated or bulging discs.

If you are not sure what is going on, We have a facility that offers state of the art high speed digital x-rays and diagnostic ultrasound that can easily identify the source of your pain.
Neck pain treatment NYC

Tuesday, May 18, 2010

A great article from Bottom Line Secrets-Why doctors hate chiropractors






I found this great article in Bottom line secrets, it deals with health care spending and how chiropractic works as well as or better than conventional modalities, including exercise programs, drug regimens and surgical intervention, for treating many forms of low back and neck pain, two of the most common medical complaints.


Chiropractor NYC

Living Well New York a integrated care facility in Manhattan that offers
Chiropractic care,Spinal Decompression, Medical care and Pain Management,Physical therapy,Medical massage,Acupuncture

Why Doctors Hate Chiropractors

If you’ve ever complained of a terrifically sore neck or lingering back pain, I’ll bet someone suggested that you see a chiropractor. I visit my chiropractor when my recurrent neck pain flares up (as in, when I spend too many hours in front of my computer for too many days in a row), and I know lots of other people who see chiropractors, too. Now research is affirming the efficacy of chiropractic care for a number of conditions, and this trend may be further stoked by changes brought about by health-care reform.

For many complaints, including such varied and seemingly unrelated ones as headaches and digestive distress as well as back and neck problems, chiropractic care can often provide safe, effective and fast-working treatment -- and (unusual for natural therapies) most insurance plans cover it. However, many mainstream medical doctors aren’t fans. Their reasons aren’t always clear but seem to lie somewhere on the spectrum between being worried that chiropractic care is not safe and feeling threatened that good chiropractors may take away many of their patients.

The Time is Right

In a glass-is-half-full kind of way, today’s troubled health-care environment actually presents an opportunity for chiropractors to gain some long overdue respect -- at least that’s a hope that’s currently afloat in the chiropractic community, I heard from Robert A. Hayden, DC, PhD, spokesperson for the American Chiropractic Association. A critical-care nurse for 20 years before becoming a chiropractor himself, Dr. Hayden explained that the nation’s ongoing and pressing concern about health-care costs and treatment efficacy is a good backdrop against which to understand the many ways chiropractic care can help patients.

Why are doctors skeptical? Dr. Hayden told me that one of his regular patients is an orthopedic surgeon -- but another orthopedist in his community won’t accept patient referrals from Dr. Hayden, and a nearby hospital won’t perform MRI scans for his patients. He believes this lack of acceptance is fueled by the very fact that chiropractic does not involve drugs and can be an effective alternative to hospitalization and surgery, which makes it attractive to both patients and the bean counters of health-care costs. The fact that Medicare now covers some chiropractic services enhances its credibility but also adds weight to worries that this natural, less invasive and less expensive alternative will divert health-care dollars away from medical doctors and hospitals.

What Will It Take?

Key to the growing acceptance of chiropractic care is evidence-based research demonstrating that it is safe, clinically effective and cost-efficient. In the latest such effort, funded by Mercer Health and Benefits in San Francisco, Dr. Niteesh Choudry and colleagues reviewed existing literature on the efficacy of chiropractic. Their conclusion is that it works as well as or better than conventional modalities, including exercise programs, drug regimens and surgical intervention, for treating many forms of low back and neck pain, two of the most common medical complaints. Numerous other studies also support the effectiveness of chiropractic treatment for spine and neck issues in particular. For instance, a 2002 study of patients with nonspecific neck pain found that pain was reduced and function improved for 68.3% after seven weeks of chiropractic care, while the success rate for those in the care of general practitioners was only 36%. The patients of chiropractors missed work less frequently and needed less pain medication.

Can It Cause Stroke?

One very specific concern voiced by many medical doctors is that chiropractic neck manipulation has the potential to cause stroke, or -- if done improperly -- even death. The basis for this is a fairly rare and often undiagnosed condition in which the vertebral arteries in the neck are weakened, possibly by high levels of homocysteine. The fear is that in a vulnerable patient, twisting or stretching those arteries during a chiropractic manipulation could cause them to rupture.

To investigate whether this is a real danger, researchers at the University of Calgary (Alberta, Canada) studied vertebral arteries from several recently deceased people and found that it would take nine times the force of a typical chiropractic adjustment to damage these arteries and mobilize plaque. In fact, according to Dr. Hayden, normal head and neck movement present a greater risk than chiropractic manipulation for the kind of weak arteries that are of concern. By that measure, it’s risky to have your hair washed in one of those beauty parlor sinks where you have to lean way back (there’s even a name for this one, "the beauty parlor stroke"), play sports or even to turn your head to complete a turn while driving.

The condition that puts people at risk for this problem is very rare, Dr. Hayden said, noting that the statistics don’t support the level of concern being expressed. He pointed out that chiropractic is so low-risk that practitioners’ malpractice insurance costs only about one-tenth what an MD has to pay -- around $1,300, on average, compared with $10,000 to $20,000 for general physicians.

The Trend Is Good...

Meanwhile though, patients are voting with their feet -- so maybe doctors should try to learn more about chiropractic care rather than stand in the way of progress. The number of chiropractic patients in this country doubled in the two decades from 1982 to 2002, and an estimated 10% of Americans have seen a chiropractor in the past year.

As for me, well, when my neck hurts, I visit my chiropractor... and I feel better. If you’re interested in exploring this form of alternative medical care, you can go to http://www.acatoday.org/search/memsearch.cfm to find an experienced, licensed practitioner in your area.


Source(s):

Robert A. Hayden, DC, PhD, founder and director of Iris City Chiropractic Center, PC, Griffin, Georgia, and spokesperson for the American Chiropractic Association.

Wednesday, May 12, 2010

Damaging Effect of Forward Head Posture-Neck pain treatment NYC



Damaging Effect of Forward Head Posture

The effects of posture on health is becoming more evident. “Spinal pain, headache, mood, blood pressure, pulse, and lung capacity are among the functions most easily influenced by posture. The corollary of these observations is that many symptoms, including pain, ay be moderated or eliminated by improved posture”. [1]


One of the most common postural problems is the forward head posture (FHP). Since we live in a forward facing world, the repetitive use of computers, TV, video games, trauma, and even backpacks have forced the body to adapt to a forward head posture. Repetitive movements in a certain direction will strengthen nerve and muscle pathways to move that way more readily. [2],[3] An example would be the adaptation of the body to do gymnastics easily after repetitive practice. It is the repetition of forward head movements combined with poor ergonomic postures and/or trauma that causes the body to adapt to a forward head posture.


Ideally, the head should sit directly on the neck and shoulders, like a golf ball sits on a tee. The weight of the head is more like a bowling ball than a golf ball, so holding it forward, out of alignment, puts a strain on your neck and upper back muscles. The result can be muscle fatigue and, all too often, an aching neck. [4] Because the neck and shoulders have to carry this weight all day in an isometric contraction, this causes neck muscles to lose blood, get damaged, fatigue, strain, cause pain, burning and fibromyalgia. When spinal tissues are subject to a significant load for a sustained period of time, they deform and undergo remodeling changes that could become permanent. This is why it takes time to correct FHP. In addition FHP has been shown to flatten the norman neck curve, resulting ins disc compression, damage, and early arthritis. [5] This abnormal position is also responsible for many tension headaches, often termed cervicogenic headaches.


FHP also causes tension in the TMJ (temperomandibular joint) or jaw jaoint, leading to pain, headaches and bite problems. Some evidence exists that postural positions can effect the nerve tissue by altering blood flow to the spinal cord. [6] People with uncorrected FHP can potentially suffer chronic or unpleasant conditions, such as pinched nerves and blood vessels, like thoracic outlet syndrome, muscle and tissue pain, syndromes like fibromyalgia, chronic strains, and early degeneration and arthritis.

FHP is relatively easy to detect. Have the person you are checking look up at the ceiling, down at the flow, and then straight ahead. Find the center of the shoulder and draw an imaginary line up. It should land through the middle of the ear’s hole (external auditory meatus). Any forward head posture should be immediately checked by a chiropractor. Medical doctors do not fix these types of problems. “Despite considerable evidence that posture affects physiology and function, the significant influence of posture on health is not addressed by most physicians”. [1] Remember, long standing postural problems like FHP will cause spine and nerve damage, and symptoms are rarely present early on.

SOLUTIONS

The first step in correction is to be examined and x-rayed by a chiropractor, to identify the exact measurements of the FHP. Once that is established, a specific corrective care program for FHP is given, including adjustments and specific exercises The chiropractor will point out poor ergonomics and situations that pre[dispose you to FHP and give you practical solutions.
For office use and video game play, place your computer monitor height so the top third of the screen is 18”-24” from your face. Support the lower back, and if children sit on the floor looking upward, have them use a floor pillow armchair and sit up straight.
Every 20-30 minutes, sit up straight and pull the neck and head back over the shoulders. Hod for a count of 3 and do 15-20 reps. Alternatively, stand against a wall with a small pillow at your mid-back. Move your head back to touch the wall. How for a count of 3, and do 20-25 reps.
always use a back support pillow when sitting or driving. By supporting the low back, the head and neck will move back over the shoulders.
At home, lay face down on the floor and extend your head and shoulders up, while pinching your shoulder blades together. Hold for a count of 3 and do 15-20 reps.
Backpacks - maximum backpack weight should be 15% of a child’s weight. Never wear backpacks over one shoulder. Always use a waist belt, and if available, a chest belt to neutralize the load. Without these belts, the head will move forward to compensate for the load. A new type of backpack with an air bladder had been shown to significantly reduce weight without a strap.

Monitoring good posture is a lifetime commitment. With a little effort and a chiropractor on your health care team, you can be assured a future doing things you love to do, rather than suffering from damage and degeneration poor posture can bring.

COMMON CAUSES

Backpacks - Children are now using backpacks to carry school books weighing up to an alarming 30-40 lbs! This forces the head forward to counter balance the weight resulting in abnormal stress to the discs, joints and nerves of the neck, shoulders, and lower back.
Computer Ergonomics - Positioning computer screens too low, coupled with the repetitive motion of moving the head forward to read the screen is a primary factor to FHP.
Video Games/ TV - Most kids use poor posture when playing video games and watching TV. Repetitively sitting in one position for long periods of time causes the body to adapt to this bad posture.
Trauma - Falls and traumas can cause whiplash resulting in muscle imbalance. This pulls the spine out of alignment forcing the head forward.



According to Renee Calliet, M.D., if the head weighs 10 lbs and the center of the ear sits directly over the center of the shoulders, the load on the spine and its tissue is only 10 lbs. However, if the head is translated forward, its weight will increase by 10 lbs. for every inch forward it is. In effect, if the center of the ear is three inches forward from the center of the shoulders, the weight of the head on the spine and its discs, joints, and nerves is 30 lbs.! [10]

Forward head posture treatment in NYC
www.livingwellnewyork.com

Sunday, May 02, 2010

Back pain treatment NYC-Herniated disc NYC


Back Pain treatment NYC

Contact the NYC Back pain specialists at www.nycdisc.com
or call us for an
immediate appointment at 212-645-8151

What Is Spinal Decompression Therapy? and how can it help my Back pain NYC.


Proven Non - Surgical Treatment for Back Pain NYC

Spinal Decompression Therapy (also known simply as Spinal Decompression or SD), is a non-surgical therapy proven to treat back pain and sciatica caused by bulging, herniated, and degenerative discs or facet syndrome. Even post-surgical patients and those suffering from stenosis (a narrowing of the spinal canal) have reported significant pain relief from SD treatments. Over a series of relaxing treatment sessions, patients experience powerful pain reduction and healing. Some patients even notice an improvement in their symptoms after the first few treatments!
Spinal Decompression, not to be confused with traction, gently lengthens and decompresses the spines, creating negative pressures within the discs. This reversal of pressure creates an intradiscal vacuum that not only takes pressures off of pinched nerves, but helps to reposition bulging discs and pull extruded disc material back into place.

Simultaneously, spinal experts believe nutrients, oxygen and fluids are drawn into the disc to create a revitalized environment conducive to healing. By bringing disc pressures to negative levels, many experts surmise that SD stimulates the body’s repair mechanism, providing the building blocks needed to mend injured and degenerated discs.

“I served on the police force for 18 years. I injured a disc in my back while on duty. I got treatment from the work comp doctor and a physical therapist. I tried to go back to work, but the crippling back and leg pain wouldn’t stop. Eventually, the city forced me to take a medical retirement. I was 39 years old! I continued to live on pain medication and struggle just to sleep at night. Simple everyday became painful tasks. Finally, I heard about Spinal Decompression Therapy, and shortly thereafter found out that I was a candidate. I got my life back! No more pain and no more sleepless nights.”- Joe M.

Chronic low back pain was a regular part of my everyday experience for almost three years, but I tried not to let it take over my life. I continued to work as an RN and stayed in shape at the health club. Then my back pain took a turn for the worst. I had trouble getting out of bed, getting dressed, and I couldn’t bend over to brush my teeth. I got an MRI and went to a board certified anesthesiologist. He gave me an epidural and a nerve block. Neither was effective. My pain began to rapidly worsen and I ended up at the emergency room. They gave me more shots and pain medication.
Finally, I heard about Spinal Decompression Therapy and decided to give it a try. I was skeptical, but to my surprise I started feeling relief after my first treatment. Now after two weeks of treatment my pain is almost completely gone.”—Bobbie
Invention Born of Necessity - How one doctor’s injury led to his invention of Spinal Decompression Therapy.

Allan Dyer, MD, PHD, is the inventor and founder of the founder of the revolutionary technology behind Spinal Decompression. As former Deputy Minister of Health in Ontario, Canada, Dr. Dyer’s many contributions to health sciences include, among others his extensive research that led to the development of the heart defibrillator.
Dr. Dyer’s own experience with back pain began when he was debilitated by a herniated disc. After conventional treatments failed, his creative intelligence went into high gear. He developed a method of exerting pull o n the spine that is far more sophisticated than traditional traction. He discovered that by slowly increasing pull-tension on the spine, followed by a hold then partial release, and repeating these steps over a 30-45 minute time period, a vacuum could be created within injured discs. This vacuum was found to assist in repositioning extruded disc material back into place, and has been credited with creating an environment within injured discs conducive to healing.

Dr. Dyer set about designing a device to implement this method. After more than six years in research and development with a team of physicians, engineers, and technicians at major teaching hospitals, Dr. Dyer introduced the VAX-D unit in 1991. VAX-D, short for Vertebral Axial Decompression, is the predicate device after which all Spinal Decompression Therapy units are modeled.
Happily, Dr. Dyer used his invention to cure his own injured disc. Soon he was able to walk pain-free and has been doing so for more than 15 years. Today thousands of Spinal Decompression units operate throughout the world, treating thousands of patients a day.
What Is Causing My Back Pain?
While only a trained medical professional can accurately diagnose your condition and prescribe appropriate treatment, a basic understanding of common causes of back pain and how Spinal Decompression works to alleviate them can help you make a more informed decision concerning your treatment options.


Understanding How The Spine Works
Your spine is composed of 24 bones called vertebrae. In between each vetebra is a fibrous disc (annulus fibrosus) filled with a jelly-like substance (nucleus pulposus), which provides flexibility and cushioning to the spine. The vertebrae protect the spinal cord, which runs through a tube at the back of the spine called the spinal canal. In the lower portion of the back, spinal nerves exit the spinal canal between the vertebrae and unite as they move down through the pelvis. Some of these spinal nerves join to become the sciatic nerves, which travel down through the buttocks, along the back and sides of the thighs and calves, and into the feet.

With such a dense network of nerves traveling throughout the back, it is easy to see how a slight upset in the delicate architecture of the spine may cause great discomfort. Accidents and injury may damage discs and vertebrae, putting pressure on nerves. This results in tingling, numbness, muscle weakness, or even sharp shooting pain.
Consider These Facts on Back Pain:
• On any given day, 6.5 million people are in bed because of back pain.
• Approximately 5.4 million Americans are disabled annually due to back pain.
• Back pain is the # 2 reason for hospitalization.
• Up to 85% of the U.S. population will have back pain at some time in their life.
• After cold and flu, back pain is the number one cause of work absence.
• Spine surgery is the second leading surgical procedure in America, with the total number in the U.S approaching 500,000 per year.
• An estimated 93 million workdays are lost each year due to back pain.

Lift with Your Legs, Not with your Back!
Many bulging and herniated discs can be attributed to lifting objects incorrectly. When picking up an object from the floor, bend at the knees, keeping the spine as erect as possible. Rise using the strength of your legs, as their study, more simplistic architecture is designed for such exertions. Putting great amounts of pull or pressure on the spine, when bent forward or backward, can compromise its delicate alignment.
Of course, there is no right way it lift an object that is simply too heavy. Listen to your body, and if you feel any discomfort while doing heavy lifting, back off and save your back!

“For three very long years I had severe lower back pain. Doctors tried epidural, to no avail, and said I would have to learn to live with it. I’d been using a walker to get around and could not stand more than five to ten minutes without excruciating pain. My activities were very limited; I was unable to sleep in a bed for three years. After reading an article on Spinal Decompression Therapy, I decided to try it out.
After 12 visits, I am now sleeping in a bed, and my walker is put away. I’m able to go shopping for over an hour without any increased pain. I’m cooking meals and cleaning without having to sit down every five minutes because of the pain. My family cannot believe the changes. I thought I would have to live with this for the rest of my life. I am so thankful that I tried this and would encourage you to do the same.”—Mariella S


Bulging and Herniated Discs NYC

Bulging and Herniated Discs:

Discs are located between each vertebra and provide flexibility and shock absorption for the spine. The thick, fibrous outer disc wall, known as the annulus fibrosus, surrounds a jelly-like center, called the nucleus pulposus. Discs undergo tremendous amounts of stress, which can sometimes lead to a bulging disc, a weakening of the disc wall that causes the disc to bulge out and press painfully on surrounding nerves. A herniated disc occurs when the pressure within a disc becomes too great, tearing through the disc wall (annulus fibrosus), allowing a portion of the nucleus pulposus to protrude. The escaped nucleus pulposus may then impinge painfully on the nerve roots, leading also to numbness, tingling, and/or muscle weakness associated with the condition of sciatic pain. The illustration below gives a bird’s eye view of what exactly is going on when a disc bulges or herniates.

The Jelly Donut Analogy:

Comparing the disc in your back to jelly donuts gives you a good idea of what happens when a disc hernaites. Picture in your mind a jelly donut, plump with the strawberry filling. Have you ever set a box of donuts on your office chair, only to absent-mindedly plop down on them a few moments later? What happens? The jelly oozes out under the
pressure. When a disc ruptures or hernaites, the same thing happens, except, unlike the jelly donut, a herniated disc can be repaired! That’s where Spinal Decompression comes in.
Sciatic, Spinal Stenosis
 What is Sciatica?
Sciatica is the sensation of pain, tingling, or numbness in the buttocks, and/or legs produced by an irritation of the sciatic nerve. Multiple nerve roots extend from the spinal cord between the vertebrae and join to form the sciatic nerve, which branches as it descends into the buttocks, down each leg to the ankles and feet. The primary causes of sciatica and herniated, bulging, or degenerated discs, which induce pressure on the spinal nerve roots.
Other causes include small, bony growths on the spine (bone spurs) or compression of the nerves through injury. In rare cases, the sciatic nerve may be irritated by conditions such as piriformis syndrome, tumors, or pregnancy.
 Where Does it Hurt?
The letters L1-L5 refer to the lumbar (lower) portion of the spine and s1 refers to the first segment of the sacral vertebrae. Over 90% of herniated discs occur in the lowest two levels of the lumbar spine, between L4-L5 and L5 – S1. The colors reflect the regions of the lower body potentially affected by compression of each given lumbar and sacral nerve root. Do you experience pain, tingling, or numbness in any of these regions?
 What Is Spinal Stenosis?
Stenosis is a narrowing of the spinal canal due to the encroachment of disc material or bony growths that squeeze and irritate the spinal cord and/or extending nerve roots. This can lead to pain, numbness, tingling or weakness in the legs ,feet or buttocks. The benefits that may stenosis patients derive from the
Spinal Decompression may be due to it’s positive repositioning and rejuvenating effect on the herniated and degenerative discs that often accompany stenosis. Spinal stenosis, which may be found in conjuction with any of the above conditions, is commonly a contributing cause for sciatic symptoms.
Degenerated Disc Disease
 What Is Degenerative Disc Disease?
Degenerated disc disease is not technically a disease, but rather a state of disc
Dehydration and deterioration due to a combination of cumulative trauma, poor dietary and exercise habits, and aging. As discs degenerate they become more prone to failure from physical stress, which may tear disc fibers and result in more complications, such as osteoarthritis, disc bulging, disc hernaition and stenosis.
Many spine experts surmise that the vacuum of negative pressure created in the discs by Spinal Decompression can actually help attract moisture from surrounding tissues, rehydrating and revitalizing thinning and torn degenerating
discs.
If You Don’t Use It, You’ll Lose It
Traumatic spinal injuries may cause patients to avoid their normal daily activities. Without proper treatment, pain will progressively worsen, resulting in decreased physical activity and gradual weakening of the supportive spinal muscles, leading to accelerated disc degeneration.

Going, Going …and Finally Gone.
Phase One: Dysfunctional – Phase one of degenerated disc disease, is categorized by tears around the outer surface of the annulus. Further damage to the disc and surrounding tissue is exacerbated by the less effective disc.
Phase Two: Unstable- In Phase two, the joint progressively loses strength. Disc changes include further tearing along the horizontal axis of the disc, greater loss of the disc height, and cartilage degeneration.

Phase Three: Stabilization-Further loss of disc height, disc space narrowing, moderate to severe endplate damage, disc fibrosis and the formation of osteophytes can eventually cause surrounding vertebrae to fuse together.
What is Facet Syndrome?
Facet syndrome, an inflammation of the facet joints, is one of the lesser-known causes of back pain. Facets are the bony wing-like protrusions extending form the back of the vertebrae that align with the facets on the vertebrae and discs. At the point where the facets of two vertebrae meet are small ligaments that join corresponding facets together.
Bearing the Brunt of Unhealthy Discs
As a result of lost disc height for one reason or another, the spine may shift its weight, adding pressure to facet joints. Bearing the brunt of all that weight can lead to tearing or degeneration of the ligaments, as well as inflammation of surrounding tissues. Adhesions over the joint surface usually form over time, leading to loss of mobility and breakdown of facet cartilage. Symptoms are usually characterized as a deep ache in the lower back that may extend to the buttocks, hip, and even below the knee. Facet syndrome is often associated with degenerative disc disease and soft tissue damage in the lumbar spine.

Contributing factors to Spinal Injury and Disease
Age: As we grow older, discs may dry and crack, losing flexibility and the ability to cushion the vertebrae. Good diet, plenty of exercise, and water intake can help slow the process.
Exercise: Exercise keeps the muscles surrounding the spine strong, decreasing injury susceptibility. Exercise also helps to maintain healthy blood flow to discs and surrounding tissues.
Diet: A healthy diet with appropriate supplementation will help ensure that your bones and tissues are receiving proper nutrients.
Activities: Maintain an awareness of what your body can handle. Falls or reckless exertions on the body, such as lifting heavy objects, can lead to severe spinal injuries. Be smart!

How Spinal Decompression Works
High intradiscal pressures cause discs to bulge out and press painfully on nerve roots. They also make for a compressed, anaerobic environment unsuitable for healing. Spinal Decompression produces negative pressures within the disc, creating a vacuum effect which many doctors believe helps the disc draw in nutrients and fluids to promote the repair of injured discs and surrounding tissues. This vacuum has also been shown to aid in the retraction of escaped cushioning gel from herniated discs.
When Negative Is a Positive
Much like gauging the air pressure in a car tire, scientists have been able to use pressure sensors to measure the various pressures put on spinal discs while lifting, standing, sitting lying down, undergoing traction, and during SD therapy. Like other pressures found in the body such as blood pressure, intradiscal pressure is measured in millimeters of mercury (mmHg). While traction, physical therapy, and manipulation may reduce disc pressures to as low 40 mmHg, only SD has been shown to achieve negative pressures within the spine. It has been clinically proven that SD creates negative pressures as low as -160 mmHg with in the injured disc during the treatment session!

Traction Is not Decompression
With traction, weights are added one by one to the end of the traction bed, which, in turn, adds tension to a harness secured around the patient’s pelvis lengthening the spine. The intention is to relieve pressure but the linear force of this traction can produce spasming which may lead to greater injury. Studies confirm that the benefits of traction come from simply immobilizing the spine. In fact, the Quebec Task Force ruled in 1996 that traction was not an effective treatment for chronic herniated discs; the results are not long-lasting and cannot produce negative pressures in the disc. Like traction, SD also lengthens and exerts tension upon the spine. However, the approach is far different, producing vastly superior results.

Fooling the Back Into Relaxing
Normally, pulls exerted on the spine trigger sensory receptors in the back to tighten the muscles surrounding the vertebrae and discs in an effort to protect them from injury- a mechanism in the body known as the proprioceptor response. SD bypasses this response by gently pulling on the spine and relaxing the back over an extended period of time, allowing the spine to be repositioned without tension and without setting off the “lock down” proprioceptor response.

 The Key to Decompression

Formula for Relief
Each automated session of Spinal Decompression (SD) cycles the patient through a series of gentle pulls, holds, and releases. Super-smooth transitions between each phase of Spinal Decompression can make for an experience so relaxing during which patients often fall asleep. As a session of Spinal Decompression commences, tension slowly mounts, lengthening the spine. Up to one- half of the patient’s body weight, plus as much as 25 pounds of tension, can be exerted directly on the injured discs--- all without triggering the “guarding” proprioceptor response. This is where spinal pressures drop and decompression actually occurs.
The differing amounts of tensions administered throughout the session, when graphed on a chart, produce a logarithmic curve similar to the one shown above. After a holding period, tension is slowly decreased and the spine is retracted slowly. This cycle is repeated several times throughout a treatment session.

Is Spinal Decompression Right for Me?
You Are a Candidate for SD If:

 You have chronic or severe back pain caused by bilging or herniated discs, degenerated disc disease, sciatica, and/or facet syndrome.
 You have been diagnosed with a clinically unstable low back.
 You have failed back surgery syndrome.
 You have been told to consider surgery.

You Are Not a Candidate for SD If:

 You are pregnant.
 You have sustained a recent vertebral fracture.
 You have any retained surgical hardware (titanium rods or fusion cages).
 You suffer from severe osteoporosis.
 You have any rare conditions such as certain spinal infections and pelvic abdominal cancer.


When Can I Expect Results?
Many patients report a reduction in pain after their first few SD treatments sessions and happily feel they have had all the treatments. They need. This is a wonderful sign that SD is working, but the scientific reality is that the healing process is not finished! Quitting the treatment regimen early usually results in a relapse of symptoms, as well as wasted time and money. On the other hand, it may take several sessions before patients experience a noticeable remission of symptoms. Why is this? Bulging and herniated discs may need several sessions to fully reposition themselves depending on your physiology. You can be sure that your spine is responding to SD’s vacuum effect, but results are not always immediate. Using time-tested protocols, SD
Can be tremendously effective at the eliminating back pain!

SD Works, Given the Chance
Many patients report more than a 50% reduction in pain after their first treatment! For those suffering form the herniated and degenerated discs, the escaped nucleus pulpous may be partially or completely retracted back into the disc after just the first session (though usually it takes longer),relieving a great deal of pain. However pain reduction does not indicate full recovery and a full recovery is essential to preventing reinjury. This may mean completing as many as 20 to 25 treatment sessions. Some patients require even more sessions. This may seem like a lot of treatments, but SD is working with your back as it heals, and that is a process that cannot be rushed. Why is this?
Much like a scab heals, tears in the disc wall need time to heal. The absence of pain does not mean the tears have had time to seal up, which is crucial to preventing the newly retracted nucleus pulpous from escaping and putting pressure back on the nerves. Completing your course of Spinal Decompression, as determined by your doctor and according to the severity of your condition, takes time. Each session prescribed is needed to maintain a fully hydrated and oxygen-rich environment for the damaged disc. The same principles apply for those with the degenerated disc disease.

Visible Progress!
After as little as nine treatments, the disc wall may have almost completely healed. However, a small fissure remains. Continuing wit the SD protocol will allow for an enriched disc environment speed the body’s natural healing mechanism. The last remaining SD sessions will enable the disc to heal completely.
What Can I Expect?
Getting Started
At your first visit, your doctor will recommend an x-ray or MRI to pinpoint the specific areas of damage and discomfort. Using this information, your doctor will determine your course of therapy and whether you are a candidate for Spinal Decompression (SD).
The Pressure Is Off!
At the beginning of each session, you will be comfortably fitted with a pelvic harness designed to achieve optimal decompression of the lumbar spine. As a session of SD commences, you will notice a slow, gentle lengthening in your spine as your discs are gradually decompressed and relieved of pressure. This process is safe and relaxing. While some patients with extensively injured discs have reported mild discomfort during the first few treatments sessions, their discomfort subsides upon subsequent visits. A patient safety switch, or quick release clasps on the upper-body harness, provide an extra safety feature, allowing you to stop at any point should you feel discomfort. Each treatment session lasts approximately 30-45 minutes.
Typical Treatment Plan
A typical SD treatment regimen consists of about 20 daily sessions over four to six weeks. Some conditions require fewer visits; some require more. Many patients report their pain and other symptoms during the first few treatment sessions, and most experience dramatic pain relief after completion of their prescribed SD program.
As a session of Spinal Decompression progresses, the discs are relieved of pressure, or decompressed, creating a vacuum, many experts believe this decompressed state aids in pulling nutrients, oxygen and moisture back into the discs.

Before Surgery, Consider This!
While back surgery may be the only solution to some existing back problems, many medical professionals and surgeons themselves feel strongly that every non –invasive option should be explored before turning to surgery. Although advances in surgery have been made many procedures less invasive and more effective, surgery does come with the inherent risks. With high costs and lengthy recovery time, it only makes sense to consider all of your options before making a decision about surgery.
Failed Back Surgery Syndrome

Failed Back Syndrome is a real term used when a patient continues to suffer
from pain and loss of mobility long after surgery. According to the American Academy of Orthopedic Surgeons, there are approximately 200,000 laminectomies performed every year with an estimated 20-30 % of these operations reported to be unsuccessful. A laminectomy removes bone and thickened tissue that is narrowing the spinal canal and squeezing the spinal cord and nerve roots.

Great News for Post-Surgical Patients

If you still suffer form pain after surgery, we have great news for you! Post-surgical patients have experienced fantastic therapeutic results form Spinal Decompression. While those with surgical hardware, such as brackets, plates, and screws, are not candidates for SD, many post-operative patients are. If you have had surgery with unsatisfactory results or have suffered a relapse, consult your doctor about the possible benefits of Spinal Decompression Therapy.

Dramatic Results Without Surgery
Case Study: Severe Herniated Disc
Almost two years ago, Terence M. ruptured a disc while lifting a box out of the trunk of his car. As a result, he lost the use his right leg and suffered relentless excruciating pain. Desperate for relief, he went to Bala Spine & Wellness Center of Bala Cynwyd, PA to see Harvey Kleinberg, DO , a Physical Medicine and Rehabilitation Specialist for over 35 years. Dr. Kleinberg used Spinal Decompression Therapy to alleviate Terence’s pain and restore his lost function.
“When patients have injuries, you want to make them feel better as quickly as possible and that is what Spinal Decompression Therapy is capable of doing for many patients,” Dr. Kleinberg said.
Dr. Kleinberg prescribed a treatment plan of three 30 minute sessions a week, which eventually tapered off as the pain began to subside. Patients usually undergo about 20 to 25 treatments, and easy maintenance can keep people from ever having a repeat injury again.
“My pain was excruciatingly horrible,” Terrance said. “I thought I’d never be able to be up and about again. My pain was gone in two weeks. I was feeling so good I couldn’t wait to go back to work.”

“I Was a Pain Doctor In Pain!”
Dr. Kleinberg knows first-hand how unbearable back pain can be- he suffered from herniated discs three years ago. “I had undergone three laminectomies, but continued to suffer form severe sciatica of my problem, it took 29 treatments for a total elimination of pain. It’s been three years now and I’m still pain-free!” Because Spinal Decompression Therapy alleviated his back pain, he is determined to inform people about this non-surgical treatment for herniated or degenerative discs.
“No one should have to suffer form pain for the rest of their lives if there is a treatment outside of surgery that can offer them relief with no risk involved,” Dr. Kleinberg said.

To learn more about Spinal Decompression treatment for Back pain in NYC visit
www.livingwellnewyork.com
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