This power point has both decompression and itrac for Morocco

1. Simply a Better Way to Treat Neck and Back
Pain

2. Our Purpose
Present permanent, affordable options
to help Moroccan patients suffering
from neck and back pain that are
• Non-surgical
• Non-invasive
• No side effects

3. Meet Dr. Samir Haddad
• Father of 2
• Licensed Neurologist
• 25+ Years Clinical Experience

4. Meet Dr. Brian Self
• Father of 2
• Licensed Chiropractor
• 10 years Spinal
Decompression consultant
• Nutrition Degree
• Spinal Mechanics Specialist

5. Back Pain Statistics
• "Eighty percent of the population of the United
States, at some point in their life, is going to have
back pain," says Ronald J. Wisneski, MD.
(Orthopedic surgeon and specialist in spinal disorders and spine surgery, and associate in the
Department of Orthopedic Surgery at Geisinger Medical Center in Danville, Pennsylvania)
• Billions spent trying to treat back pain
• Billions spent on drugs and surgery that don’t
provide effective, long-term solution
• Studies suggest up to 60% of patients
have pain originating from spinal discs

6. Middle East and Back Pain
"The incidence of lower back pain in the
Arab world is definitely on the rise," says
Issam Ayache, a chiropractor with three
decades of experience practicing in Lebanon
and Abu Dhabi.

7. “Back and Neck Pain is Becoming an Epidemic”
• Why Do You Think Back and Neck Pain
Is Increasing World Wide?

8. • Work
• Kids
• Spouse
• Economy
• Aging
Causes – Stress

9. Too Much Weight
• 2/3 of population is overweight
• 1/3 is obese
• Every extra pound of weight
can add up to 8 extra pounds
of force on the joints

10. Sitting
• Poor Posture
• Sitting at Computer
• Sitting all day long
• Sitting at dinner
• Sitting in the car

11. Back Pain and 18-34 Year Olds
“The lifestyles of young people in the UAE could lead to years of
back pain and medical problems, according to new research. A
recent study from the UK indicates that two-thirds of people
between 18 and 34 years old regularly suffer from spine and back-
muscle complaints. Now, experts in the UAE fear that the severity
of this problem could mean thousands of young men and women
are destined to spend the rest of their lives with chronic back
pain.”
http://www.thenational.ae/lifestyle/well-being/victims-of-lower-back-pain-are-get
Bob Kemp

12. Forward Head Posture
It is currently estimated that
Forward Head Posture (FHP)
occurs in 90% of the U.S. adult
population


13. Tech-Neck
Main Entry: 1
tech-neck
Pronunciation: /tek-nek/
Function: noun
1 : Overuse syndrome of the head, neck and shoulders from maintaining a
flexed head position while viewing any hand held mobile device or laptop
technology that causes progressive detrimental changes in the structural
integrity of the cervical spine.

14. Forward Head PostureForward Head Posture
(FHP)(FHP)
CervicalCervical
Kyphosis/HypolordosisKyphosis/Hypolordosis
1) The Structure Underlying Tech-Neck

15. Estimated that 90% of U.S. Adults Exhibit
These Signs of Deteriorating Spinal Health
· In 1992 the estimate was 66%!

16. Our Kids
• With our increasing
use of hand-held
digital devices FHP
is beginning to
affect children at
an alarming rate.

17. The Onset of Deteriorating Spinal Health is
Occurring Earlier than Ever

18. This is the Future of Your Business!

21. So, What Are We Doing Well?
 Identifying Forward Head Posture
 Diagnosing cervical curve loss
 Educating patients about proper ergonomics

22. So, What Are We Doing Poorly?
 Restoring the cervical curve
 Reducing FHP
 Providing sustainable structural correction to our patients
Pre X-rayPre X-rayPre X-rayPre X-ray Post X-rayPost X-rayPre PosturePre PosturePre PosturePre Posture Post PosturePost Posture

23. Current Protocol

24. Kenneth Hansraj, MD (Spine Surgeon)
– Good posture is defined as ears aligned with the
shoulders and the shoulder blades, retracted.
– In proper alignment, spinal stress is diminished. It is
the most efficient position for the spine.
– The weight seen by the spine dramatically increases
when flexing the head forward at varying degrees.
Why Spine Structure Is Relevant

25. • Kenneth Hansraj, MD
Why Spine Structure Is Relevant

26. Why Spine Structure Is Relevant

27. I.A. Kapandji, MD
– For every inch of forward head posture, it
can increase the weight of the head on the
spine by an additional 10 pounds.
Mayo Clinic
– Long-term forward head posture leads
to long-term muscle strain, disc
herniations and pinched nerves.
 Alf Breig, MD -Neurosurgeon
Loss of the cervical curve stretches the
spinal cord 5-7 cm and causes disease
Why Spine Structure Is Relevant

28. Bruce Cailliet M.D. Found FHP Causes
Former Director of the Department of Physical
Medicine and Rehabilitation at USC
–results in loss of vital lung
capacity. In fact, lung capacity is
depleted by as much as 30
percent. Loss of lung capacity
leads to heart and blood vascular
problems.

29. Bruce Cailliet M.D. Found FHP Causes
 Former Director of the Department of Physical Medicine and Rehabilitation at
USC
The entire gastrointestinal system

increase in discomfort and pain. Freedom of
motion in the first four cervical vertebrae is a major
source of stimuli that causes production of
endorphins. With forward head syndrome many
otherwise non-painful sensations are experienced
as pain.
loss of healthy spine-body motion. The entire body
becomes rigid as the range of motion lessens. Soon,
one becomes hunched.

30. Attributed to FHP ………….
 Many of the most
common symptoms
in your practice
today can be
attributed to
FHP
Loss of Cervical
Curve

31. Attributed To FHP………………..

32. Tension Headaches and FHP
• The Department of Neurology, Nagoya University
School of Medicine in Japan conducted studies of 372
patients with tension headaches in comparison to 225
normal control subjects.
• The studies were published in 1992 and state in part: “A
great majority of the patients with tension-type headache
were found also to have straightened cervical spine.” [25]

33. What about Forward Head Posture and Low Back Pain?
• Objective: The purpose of this study was to determine the
immediate and long-term effects of a multimodal program, with
the addition of forward head posture correction, in patients with
chronic discogenic lumbosacral radiculopathy.
• Conclusion: The addition of forward head posture correction to a
functional restoration program seemed to positively affect
disability, 3-dimensional spinal posture parameters, back and leg
pain, and S1 nerve root function of patients with chronic
discogenic lumbosacral radiculopathy.
Ibrahim M. Moustafa, PT, PhD, Aliaa A. Diab, PT, PhD, Assistant Professor, Basic Science Department, Faculty of
Physical Therapy, Cairo University, Giza, Egypt. Received: May 3, 2013; Received in revised form: October 6,
2014; Accepted: November 1, 2014; Published Online: February 20, 2015

34. 2) The Function of Discs
Many specialists think 75%-
80% of back and neck pain
come from the discs

35. 2) Function: Imbibition - Nutrients In, Waste Out
 No direct blood supply into the disc
 Pressure squeezes out water and waste
 Grabs Oxygen, nutrients
 Discs maintain health, hydration

36. Did You Know?
• No direct circulation
• Blood supply outside the disc
• Force inside through specific movements to
maintain its health

37. After Injury or With Age
• Patients stop moving
• No imbibition occurs
• Waste products build up
• Discs dry out
• Discs thin and degenerate

38. Disc Related Causes #1 Reason for Back Pain
2 Main Causes of Disc Problems
• Disc Degeneration
• Disc Herniations , Disc Bulging, Slipped Discs

39. 1) Degenerated Discs

40. 1) Degenerated Discs/Arthritis
• Disc degenerates - no shock absorption
• Transfers 75% of weight bearing off the
discs and onto facet joints
• Causes bone spurs around facet joints and
in the spinal cord canal
• Nerve and Cord compression

41. 2) Disc Herniations – (Bulging/Slipped Discs)
Disc is like a Jelly Doughnut – Overload
and jelly squirts out
• Chronic poor posture
• Long periods of sitting
• Improper lifting (same as up to 4x force)
*** Most Common ***
Lifting with twisting (pick up a golf ball,
child, suitcase etc.)

42. Are We On the Right Track?
• Why are incidents increasing
despite new drug and surgery
options?
• Is it possible we are not doing
the right thing?

43. Are Back Surgeries
the Answer?

44. “Alarming Rate of Failed Back Surgeries”
• "The world of spinal medicine, unfortunately, is
producing patients with failed back surgery
syndrome at an alarming rate…Despite a steady
stream of technological innovations over the past
15 years—from pedical screws to fusion cages to
artificial discs—there is little evidence that
patient outcomes have improved.”
(The BackLetter, vol.12, no. 7, pp.79 July, 2004.
The BackPage Editorial, The BackLetter, pp. 84, vol. 20, No. 7, 2005.)

45. “On average about 53% of L5-S1 surgeries
fail to produce relief of symptoms.”
(Radin, E.L. "Reasons for failure of L5-S1 intervertebral disc excisions."
International Orthop 1987; 11:255-259.)

46. Patient Dissatisfaction with Surgery
Among spinal surgery patients, 1 out
of every 4 patients is dissatisfied with
their surgery two years post-op.
(Surg Neuol 1998 Mar; 49(3): 263-7)

47. Surgery Success Rates
Eugene Carragee MD, of Stanford University performs
spinal surgery on only a select group who he
carefully screens.
His conclusions:
 Less than 25% will be completely successful (even after
careful screening)
 For the majority of the patients, the surgery does not have
a dramatic impact on their pain or mobility
 A patient’s prospect for a future free from back pain is
“fairly poor”

48. Post Surgery - Less Likely to Return to Work
• After two years, just 26 percent of those who had
surgery returned to work. That’s compared to 67
percent of patients who didn’t have surgery.
• 41% increase in the use of painkillers, specifically
opiates, in those who had surgery.
(University of Cincinnati College of Medicine)
(Failed Back Syndrome: The Disturbing Statistics
By Lisette Hilton : Special To DG News)

49. Surgery Leads to More Surgery
• Dr. Belanger, a skilled surgeon, recognizes that
even “successful” surgeries might require
follow-up surgery in the future. “Revision
surgery,” as it is called, is according to him also
“highly likely to be ‘successful.’”
• 72% of patients may need further
surgery (April 8, 2002. New Yorker online)

50. Treatments Specific to the Discs
• Physical therapy – No
• Chiropractic – No
• Exercise – No
• Drugs – No
• Acupuncture – No
• Massage – No
• Surgery – Yes, can
cut out part of the
disc (risks, side
effects, scar tissue,
invasive)

51. How Are We Going to Fix this
1) Fix the Structure
2) Fix the Function

52. Why Is Spine Structure Relevant?

53. Always Start With the Head
Calliet also states: “Most attempts to correct
posture are directed toward the spine shoulders
and pelvis. All are important, but, the position
of the head is the most important. The body
follows the head. The entire body can be
aligned by first aligning the head.”

54. How We Now Treat Forward Head Posture
• Introducing the
Itrac

55. Introducing the Revolutionary, New Itrac

56. Cervical Extension Traction Therapy
• Controlled application of counter-
balancing traction forces while the
patient is positioned in cervical
extension
• Produces a stretch in the anterior
cervical spine soft tissues, most
importantly the anterior longitudinal
ligament (Davis’ Law)
• Results in an increase in the length and
flexibility of the anterior cervical soft-
tissues

57. Cervical Extension Traction Therapy
 When applied repeatedly, these
structural corrective forces allow:
1) The cervical spine to regain
it’s lordotic curve
2) The head to return to it’s
healthy position directly
above the shoulders

58. Restore the Curve then Maintain
Restore the Curve
12-30 Treatments
Maintain the Curve
1-2 treatments per month
Even with ongoing exposure to
detrimental postural positions in daily life.
•Similar to wearing a retainer

59. Until Now………

60. Case Study 1
 20 y.o. female, chronic daily headaches
 Note – she had been a chiropractic patient since childhood when she
arrived at my office for her initial exam.
Pre X-rayPre X-rayPre X-rayPre X-ray Post X-rayPost X-ray• Initial Exam Findings:
• FHP, Kyphotic C-spine
• Reduced Cervical ROMs
• Active Trigger Points - Cervical and Upper Thoracic
Spine
• Initial Treatment Plan
• 3 treatments/week – 4 weeks
• CMT
• Myofascial Release
• Exercise Therapy (Neck)
• Cervical Extension Traction Therapy
• Post-Treatment Exam Results (visit 13)
• 100% symptom resolution by visit 6
• Near normal cervical curve and posture
• ROMs normal, No Trigger Points
• Patient currently continues a monthly care plan (since
2013) to maintain her curve, posture and symptomatic
improvements

61. Case Study 2
 28 y.o. female, chronic daily headaches
 Note – she had been a chiropractic patient since childhood when she
arrived at my office for her initial exam.
Pre X-rayPre X-rayPre X-rayPre X-ray Post X-rayPost X-ray• Initial Exam Findings:
• FHP, Hypolordotic C-spine
• Reduced Cervical ROMs
• Active Trigger Points - Cervical and Upper Thoracic
Spine
• Initial Treatment Plan
• 3 treatments/week – 4 weeks
• CMT
• Myofascial Release
• Exercise Therapy (Neck)
• Cervical Extension Traction Therapy
• Post-Treatment Exam Results (visit 13)
• 100% symptom resolution by visit 8
• Normal cervical curve and posture
• ROMs normal, No Trigger Points
• Patient currently continues a biweekly care plan (since
2007) to maintain her curve, posture and symptomatic
improvements

62. Case Study 3
 37 y.o. female, chronic TMJ pain, chronic headaches
Note – referred to me by her orthodontist
Pre X-rayPre X-rayPre X-rayPre X-ray Post X-rayPost X-ray• Initial Exam Findings:
• FHP, Kyphotic C-spine
• Reduced Cervical ROMs
• Active Trigger Points - Cervical and Upper Thoracic
Spine, Bilateral TMJ
• Initial Treatment Plan
• 2 treatments/week – 6 weeks
• CMT
• Myofascial Release
• Exercise Therapy (Neck)
• Cervical Extension Traction Therapy
• Post-Treatment Exam Results (visit 13)
• 100% symptom resolution by visit 10
• Near normal cervical curve and posture
• ROMs normal, No Trigger Points
• Patient currently continues a monthly care plan to
maintain her curve, posture and symptomatic
improvements

63. Case Study 4
• 60 y.o. male, headaches, neck & upper back pain
• Note – referred to me by his previous chiropractor
Pre X-rayPre X-rayPre X-rayPre X-ray Post X-rayPost X-ray• Initial Exam Findings:
• FHP, Slightly Hypolordotic C-spine
• Reduced Cervical ROMs
• Muscle Tension – Cervical and Upper Thoracic
Spine
• Initial Treatment Plan
• 2 treatments/week – 12 weeks
• CMT
• Myofascial Release
• Exercise Therapy (Neck)
• Cervical Extension Traction Therapy
• Post-Treatment Exam Results (visit 25)
• 100% symptom resolution by visit 16
• Near normal cervical curve and posture
• ROMs normal, Reduced Muscle Tension
• Patient currently continues a monthly care plan (since
2010) to maintain his curve, posture and symptomatic
improvements

64. Case Study 5
• 61 y.o. female, headaches, TMJ pain, neck pain
• Note – referred to me by her orthodontist
Pre X-rayPre X-rayPre X-rayPre X-ray Post X-rayPost X-ray• Initial Exam Findings:
• FHP, Kyphotic C-spine
• Reduced Cervical ROMs
• Active Trigger Points - Cervical and Upper Thoracic
Spine, Bilateral TMJ
• Initial Treatment Plan
• 2 treatments/week – 12 weeks
• CMT
• Myofascial Release
• Exercise Therapy (Neck)
• Cervical Extension Traction Therapy
• Post-Treatment Exam Results (visit 25)
• 100% symptom resolution by visit 13
• Near normal cervical curve and posture
• ROMs normal, No Trigger Points
• Patient currently continues a monthly care plan (since
2011) to maintain her curve, posture and symptomatic
improvements

65. Cervical Extension Traction Therapy

66. 2) Address the Function- Spinal Decompression

67. Current Spinal Decompression Model
• 8000+ spinal decompression tables in the
USA and Canada
• 1,000,000 + patients successfully treated
• Recently added into Russia, Singapore,
England, Kuwait and more
• 10 + Research articles

68. Decompression Produces a Negative Pressure
In a Study Published by The Journal of
Neurosurgery, Researchers Placed a
Pressure-Sensor in a Disc While
undergoing Decompression and Found
that the Disc Pressure Dropped to
-150 mm hg

69. How It Works – Disc Herniations
Specialized traction forces are used at a specific:
• force
• angle
• time
• frequency
This creates negative pressure inside discs
• Negative pressure acts like a “vacuum”
• It sucks in herniations and bulges

70. What Decompression Treats
• Herniated Discs
• Degenerated Discs
• Facet Syndrome
• Sciatica
• Chronic Neck and Back Pain

71. Typical Treatment Protocol
• Treatment takes 12 minutes
• Comfortable and safe
• Safe for Patients into their 80s
• Up to 350lbs
• Begin Everyday for 2 weeks
• Then 3X week for 2 weeks

72. Safe For Older Patients
• Safe for patients into their 90s
• Comfortable
• Gentle
• No exercises

73. A Pain Management Doctor in Pain
“I was amazed at the results. I was
astounded. I have now treated hundreds
of patients including myself and am
continually impressed with the results.”
Dr. Donald Bailey, M.D., Pain Management,
Savannah, GA

74. An Orthopedic Surgeon Talks…
“As an orthopedic surgeon and peer reviewer, I
see many patients who are significantly
worse after back surgery. In many cases I
believe that if they had been treated with
spinal decompression before surgery they
would have resolved completely.”
Dr. Howard Berkowitz, M.D., Orthopedist, Atlanta, GA

75. “Before Surgery…”
“Manipulation, acupuncture, steroid injections,
anti-inflammatory agents and muscle relaxants
all fall short of addressing the underlying
problems associated with intervertebral disc
lesions. “Spinal” Decompression should be
utilized in all patients who are poor surgical
candidates and before surgery is undertaken
except in the emergent conditions.”
Dr. Gustavo Ramos, M.D., Neurosurgery, McAllen, TX

76. “More Effective Than Surgery…”
“Spinal decompression is a more effective
treatment than surgery, is a safer
treatment than surgery, has fewer side
effects than surgery and may have
beneficial side effects.”
Dr. David Duncan, M.D., Anesthesiology, Tulsa, OK

77. • 71% to 89% success rates
• Rehydrates discs 20% to 40%
• Reduces Disc Herniation Size up to 90%
In many Patients
• Decreases pain levels from 9/10 to a 1-
3/10 on average in most patients
• Good long term results
Success Rates 71% to 89%

78. “The Most Effective Tool…”
“I have found Spinal Decompression to be
my most effective tool in the treatment of
low back pain due to discogenic causes,
facet syndrome and failed back surgery
syndrome.”
Robert Odell, M.D., Anesthesiology, Las Vegas, NV

79. Reduction In Disc Herniation Size
Journal of Neuro Imaging 1998 Volume 8 Number 2
Subjects Condition
• Herniated Discs, Degenerated Discs, Torn Annulus
Prior to Treatment
• Pain in back and down the leg
• Numbness in legs, weakness
• 5 week protocol
• 20 treatments

80. Reduction In Disc Herniation Size
Journal of Neuro Imaging 1998 Volume 8 Number 2
• Up to 90% reduction of nucleus herniation in 71% of patients
• Torn annulus repair is seen in all
• Virtually all subjects have sufficient relief of pain to return to work.
• 71% had significant pain relief and complete relief of weakness
• 90%+ had numbness in the leg disappear
• 86% had “good” to “excellent” relief of Sciatic and back pain
• 28% had rapid relief in as few as 3 treatments
• 85% improved clinically
• Only 6% recurrence rate at 1 year

81. Reduction In Disc Herniation Size- Case Report
European Musculoskeletal Review: Management of Low-back Pain with a Non-surgical Decompression System (DRX9000™) – .
Post Treatment
• Pain went from a 10 on a scale of 1-10 down to a 1
• No longer felt the burning sensation in the buttocks or legs
• Improvement in muscular strength
MRI revealed
• Decreased herniation size
• Increased disc height at multiple disc levels

82. Reduction In Disc Herniation Size – Case Report
Size of Herniated Disc
Pre-Tx MRI Post-Tx MRI
4 Oct 2007
28 Jan 2008
L5–S1 2.5 (left) 2.0 (left)
5.1 (centre) 2.2 (centre)
2.5 (right) 1.6 (right)
L4–5 4.5 (left) 3.3 (left)
5.1 (centre) 4.1 (centre)
4.8 (right) 3.5 (right)
L3–4 5.0 (left) 3.2 (left)

83. How It Works – Disc Degeneration
Specialized traction forces
• Create negative pressure inside discs
• Draw in Blood, Oxygen, Nutrients
• Rehydrate and promote repair
Causing
• Discs to become taller
• Pressure to be taken off nerves

84. Research Shows Increase in Disc Height- Case Report
Management of Low-back Pain with a Non-surgical Decompression System (DRX9000™)
Pre- and Post-treatment MRI Measurements
Pre-Tx MRI Post-Tx MRI
4 Oct 2007 28 Jan 2008
L5/S1 10.2 mm 11.9 mm
L4/L5 3.3 mm 5.1 mm
L3/L4 6.4 mm 8.4 mm
L2/L3 6.1 mm 8.1 mm

85. Mayo Clinic Study
PRESENTED AT : American Academy of Pain Management AAPM 18th Annual Clinical Meeting
Prior to Treatment:
• Average pain score was 6.4 out of 10
• Pain for more than 6 months
• 20 Treatments were given over 6 weeks
Sept 27-30, 2007 | Las Vegas, Nevada and New York State Society of Anesthesiologists - 61st Post Graduate Assembly in
Anesthesiology December 7-11, 2007 | New York, NY

86. Mayo Clinic Study – Post Treatment
• Significant pain relief in 88.9% of patients
• Average pain decreased from 6.4 to .8 Out of 10
• Required fewer analgesics after treatment
• No Safety Issues
• No Adverse Effects

87. Non-Surgical Spinal Decompression for
Chronic Discogenic Low Back Pain
As Reported at the American Academy of Pain Management Sept 7-10, 2006 Orlando, FL. .
• Patients reported a mean 90% improvement in back pain, and
better function as measured by activities of daily living.
• On a 0 to 10 scale patients rated Decompression an 8.98.
• No patient required more invasive therapies (e.g. surgery)
• 100% would Recommend Decompression to someone else
• Require fewer analgesics after treatment
• Achieve better function after treatment
• No patients contacted required surgery

88. Non-Surgical Spinal Decompression for
Chronic Discogenic Low Back Pain
As Reported at the American Academy of Pain Management Sept 7-10, 2006 Orlando, FL.
Subjects had a mean pain
score 5.99 on a 0 to 10 scale
(0= no pain 10=worst pain)
at time of initial presentation
that decreased to 0.87 after
last treatment

89. The Journal of Neurological Research (April 1998) Showed:
• 778 Patient Cases
• 40 Month Avg. Time of Symptoms
• Avg. Pain was 4.2 out of 5
• Success Was Considered a 0-1 out of 5
(little or no pain whatsoever).
• Overall, Treatment was Successful with 71%
of the Patients

90. A Study in The Orthopedic Technology Review (Nov 2003) Showed:
• 219 Patients with Herniated and
Degenerated Discs
• 86% Showed Immediate Improvement
• 92% Improved Overall
• Only 2% relapsed within 90 Days

91. But Will The Results
Last?

92. Long Term Results – 4 Years Later
• 91% resumed Normal, Daily Activities
• Over 80% showed 50% or Better Pain
Reduction at the End of the 4 Year study.
• Greater than 50% Still Had a Pain Level of Zero!
The Anesthesiology News (2003)

93. Long Term Results- 4 years later
More than 50% of Patients
Still Had a Pain Level of
Zero!

94. More Studies Prove Effectiveness
• Practical Pain Management: Outcome: The treatment leads to satisfactory pain relief and
improved quality of life in up to 88% of patients–many of whom have failed
"conventional" approaches.
(Technology Review: Decompression Therapy. April 2005. Vol. 5, Issue 3. C. Norman Shealy,
MD, PhD.)
• American Journal of Pain Management: Outcome: The Decompression system gave
''good'' to "excellent" relief in 86% of patients with ruptured discs and 75% of those with
facet arthrosis.
(Decompression, Reduction, and Stabilization of the Lumbar Spine: A Cost Effective
Treatment for Lumbosacral Pain. April 7997. Vol. 7, NO.2. C. Norman Shealy, MD, PhD; Vera
Borgmeyer, RN, MA).

95. Spreading to other countries
“The implementation of vertebral axial
decompression in Mexico has revolutionized
the therapeutic approach to patients with
lumbar spine pathology.”
Dr. Jose Antonio Alcala, M.D., Orthopedist,
Monterrey, Mexico

96. Does Not Increase Doctor’s Time
• A technician can do all the work
• Unattended therapy
• Doesn’t require a lot of
space, consumables
• Little ongoing expenses

97. Gives You a Distinct Marketing Advantage
• Technology
• Computerized
• “Wow” factor
• Safe, comfortable
• Research proving its effectiveness
• 1000s of patient and doctor testimonials

98. “Neurologists Like Myself…”
“Neurologists like myself have long known that we should
do everything possible to help our patients avoid back
surgery. Now with Non-Surgical Spinal Decompression,
we finally have a very effective way to treat back pain
without surgery. The vast majority of even our worst
cases experience significant, long-lasting relief if they
complete the entire treatment regimen.”
Dr. Orlando Maldonado, MD

99. Allows You To Treat Lots of Patients
1 Table Treats
• 4 patients per hour
• 32 patients per day
Some clinics have
10-12 tables

100. “Treats Not Just the Symptoms…”
“The addition of spinal decompression to my practice
has been a most impressive and rewarding
experience…..treats the underlying etiology of
common causes of acute/chronic low back pain,
and not just the symptoms … should be tried prior
to undergoing surgery in all chronic low back pain
patients who meet the inclusion/exclusion criteria.”
Dr. Gerald Weiss, M.D., Neurologist, Norwalk, CT.

101. Saves Doctor’s Hands, Neck & Back
• No “hands on” work
• No bending, twisting, lifting
• Table does all the work
• Many physical therapists and
chiropractors are physically “burned out”
• Saves the doctor’s hands, neck, back and
shoulders

102. “We Have Treated Thousands…….”
“We have treated thousands of patients who have
experienced long-term, pain-free healing because of
decompression therapy. With Non-Surgical Spinal
Decompression we offer real modification of the
patient’s disc disease processes and rehabilitation of
the neuropathic and mechanical symptoms, rather
than just offering palliative care. I use it for myself,
and it is worth its weight in gold.”
Dr. Phil Fisher, DO, PhD Osteopathic Physician