Spinal decompression


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Educational information about Spinal Decompression Traction and how low back pain patients can benefit from it.

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Spinal decompression

  1. 1. Presented by: Life in Motion Chiropractic & Wellness www.lifeinmotionchiro.com
  2. 2. • • • • • • Back Pain Overview Back Anatomy Back Injury Risk Factors When to Seek Help for Back Pain Treatment Options Spinal Decompression Therapy
  3. 3. Back Facts… • About 85% of Americans experience back trouble by age 50. • Back problems are the most frequent cause of activity limitations in working-age adults.
  4. 4. The Spinal Column • The human spinal column is the center of postural control. • It is built to provide stability and at the same time allow flexibility. • These two seemingly incompatible functions of support (inflexibility) and movement (flexibility) are at opposite ends of a spectrum of movement, and this fact is one reason the spine is so vulnerable to injury.
  5. 5. The Spine - Disc Nutrition • Located between the vertebrae in our backs are discs which act as the shock absorbers for the spine. • Discs begin losing blood supply by age 20. • We feed our disks by moving fluids into and out of them through mechanical compression and decompression (one reason to move about while at work).
  6. 6. The Spinal Column 7 cervical (neck) vertebrae 12 thoracic (middle back) vertebrae 5 lumbar (low back) vertebrae Sacrum (fused vertebrae) Coccyx (tailbone)
  7. 7. Spinal Components Spinal Cord Facet Joint Vertebra Herniated disc material pressing on nerve Disc Nerves
  8. 8. Back Injury Risk Factors • Acute (traumatic) back injury may occur due to: • slips, trips and falls • auto accidents • sedentary lifestyle (with occasional lifting) • heavy and/or awkward loads • improper lifting technique
  9. 9. Where is the Stress? • Facet Joints: bear 20% of weight • Discs bear 80% of weight • Neural Foramen • Anterior Longitudinal Ligament • Posterior Longitudinal Ligament
  10. 10. Back Injury Risk Factors • Chronic back injury may result from poor posture and/or improper lifting technique combined with repetitive lifting. • Additionally, genetics and overall physical fitness may affect spinal health.
  11. 11. Back Pain - When to Seek Help • For common back strain, give home remedies a try for 72 hours. • In rare cases, back pain can indicate a serious problem - seek medical attention if: – – – – – you have weakness or numbness in either leg; you have a fever along with back pain; you notice new bladder or bowel control problems; your pain increases with lying down; or you have a history of significant chronic disease, such as osteoporosis, cancer or diabetes.
  12. 12. • LBP may radiate into Radiation of Back Pain – groin – buttocks – upper thigh areas that share an interconnecting nerve supply • • Source of somatic referred pain is a skeletal or myofascial structure of the lumbar spine Source of visceral referred pain is within a body organ – ovarian cysts may refer pain to low back – cancer of head of pancreas can present as low back pain becoming excruciating at night Damage to specific nerve root – pain may radiate along the nerve down the lower extremity • Lumbosacral radiculopathy often manifests as sciatica
  13. 13. Medical Interventions • Less than 5% of back pain is caused by serious diseases (e.g., cancer or infection) or by anatomical problems that require surgery. • Surgery is almost always elective, possibly providing faster relief of symptoms but may have little effect on long term outcomes. • Non-specific pain could originate with the muscles, ligaments, facet joints or discs and it is generally impossible to be certain of the exact cause. From: Cherkin, Dan. Measuring Health Care Quality: Low Back Pain and Associated Treatment Outcomes. Center for Health Studies, Group Health Cooperative of Puget Sound.
  14. 14. Medical Intervention • In a small fraction of cases, the pain will move down the leg into the foot, usually as a result of a disc herniation; however, only about 2% of persons with back pain undergo surgery. • Most herniated disc symptoms abate without surgery and have been found to be surprisingly common even in nonsymptomatic adults. From: Cherkin, Dan. Measuring Health Care Quality: Low Back Pain and Associated Treatment Outcomes. Center for Health Studies, Group Health Cooperative of Puget Sound.
  15. 15. Lumbar Structural Pathology and Degenerative Cascade • • • In all individuals, there is natural, progressive degeneration of the motion segments over time This results in anatomic, biochemical, and clinical sequelae Although lumbar motion segment degeneration is not a normal process, it may not be painful Three phases of degeneration Dysfunction Instability Stabilization
  16. 16. Sources of LBP • Damage to several structures in the low back can result in severe pain – – – – vertebrae thoracolumbar fascia ligaments joints specifically the sacroiliac joint – discs – muscle Deyo RA, Weinstein JN. N Engl J Med. 2001;344:363-370.
  17. 17. Conservative Treatment Options • Exercise (stabilization training) • Soft tissue mobilization • Complementary measures (physical therapy modalities, acupuncture, CogB Therapy, massage or biofeedback therapy) • Spinal manipulative therapy • Spinal Decompressive Therapy
  18. 18. The Diagnosis • A diagnosis is made by matching your back and leg pain symptoms with a good clinical history and data from the; – – – – – – – – General Physical Examination Range of Motion Evaluation Orthopedic Examination Muscle Strength Testing Postural Evaluation X-rays, Labs, Advanced Diagnostics (MRI, CT, NCV, etc)
  19. 19. Non Surgical Spinal Decompression • Safe, Effective and Affordable • Based on more than 15 years of medical research • Effective for treatment of Disc Herniations, Degenerative Disc Disease, Lumbar Facet Syndrome and Sciatica • Several studies suggest upwards of an 86% success rate • Decompression produces a negative intradiscal pressure of up to -200mm Hg to pull the extruded material back towards the center of the disc • Reoxygenates, rejuvenates, rehydrates and provides nutrition to the damaged discs • Reduces local scar tissue and adhesions
  20. 20. Decompression, Reduction and Stabilization Science • Decompression relieves pressure placed on the nerves from herniated discs or compressive forces. • Decompression relieves pain by drawing areas of disc herniation back into the center of the disc where it belongs. • Decompression creates a vacuum that draws the bulging and herniated disc material back into the disc space to relieve nerve pressure. • Decompression can help stabilize the ligaments that hold the disc in a normal position to reduce the likelihood of future problems.
  21. 21. Treatment Protocols • • • • • A hot pack will be applied and myofascial release performed on the paraspinal muscles prior to commencing decompression. Treatment parameters are determined based upon exam and MRI findings to target the damaged lumbar disc. Initial treatment of two weeks of daily treatment, followed by three sessions a week for two weeks, concluding with two sessions a week until condition is resolved or maximum improvement has been made. Interferential therapy with cold packs are applied after decompression to consolidate paravertebral muscles and prevent inflammation. Patients are examined every 10 visits to monitor progress.
  22. 22. Treatment Protocols – Cont. • • • • • If the patient has not improved by 50% after 10 treatments then a comprehensive evaluation is performed so that appropriate changes in the care plan can be made. If the patient has not improved 50% after ten treatments consideration will be made for the appropriateness of: Facet nerve block injections Trigger point injections Refer for surgery A strengthening and rehabilitation program lasting between 4-6 weeks will begin when the patient has seen a 75% improvement in pain and function to help strengthen the paravertebral and lumbar core musculature. Some patients will require an ongoing care program that may include the use of tens, cold packs, exercise, relaxation training, walking techniques, and posture techniques. 6 weeks after the end of treatment the patient is seen for evaluation and follow-up
  23. 23. You are ultimately in control of your destiny • • • • Large disc herniation does NOT always need surgery Neurologic loss is NOT an absolute indication for surgery Small disc bulge is NOT always normal Interventional pain management works but not 90% of the time • Surgery does not have an 80% success rate • Conservative treatment is reversible. Surgery is not.
  24. 24. Back Pain Summary • Chronic LBP is something that can be overcome with proper guidance • Progress is focused on targeting treatment at the mechanisms that produce pain rather than ameliorating the symptoms • Biopsychosocial approach is critical for the successful management of chronic LBP • Spinal Decompressive Therapy is a promising new treatment for chronic back pain and should be considered before surgery.
  25. 25. Life in Motion Chiropractic & Wellness 6139 Route 96 – Suite 1 Farmington, New York 14425 (585) 953-0200 3111 Winton Rd. South Rochester, NY 14623 www.LifeInMotionChiro.com (585) 953-0200 Follow Us On: