Spinal Decompression Traction Therapy
Do you suffer with low back pain, neck pain or carpal tunnel?
Have you been told you need neck or back surgery?
Decompression Traction Therapy is the hottest new therapeutic device for treatment of painful nerve compression and disc herniation syndromes!
The Decompression-Reduction-Stabilization therapy is an effective treatment for:
Do you have a herniated disc, multiple herniated discs, degenerative disc disease, facet syndrome, or any other type of spinal problem? Is your doctor suggesting surgery, Pain Management, or Physical Therapy? Have you tried Chiropractic and just could not get enough relief? Come to Hopkins Clinic for Physical Medicine and try out the Decompression Traction System (Triton DTS).
Research indicates the disc is responsible for a significant number of lumbar/leg pain and neck/arm pain syndromes. Compression increases intradiscal pressure leading to annular compromise and possible extrusion of nuclear material.
Since the disc is an avascular structure, it doesn't receive fresh blood and oxygen with every beat of the heart. It requires "diffusion" created by motion and 'Decompression' to restore nutrients and enhance healing.
Decompression is defined as reduction in pressure (intradiscal). Recumbent positions (both prone and supine) decrease intradiscal pressures in comparison to standing and sitting. However focused, axial mechanical+Y translation traction, (creating 'Decompression' i.e. unloading due to distraction and positioning) has been shown to reduce disc pressure and enhance the healing response even further.
There is some suggestion in the literature that extruded nuclear material may be "drawn in" by the reduction of intradiscal pressures. This concept however is not uniformly accepted since the length of time the material stays 'drawn in' has not been established in controlled studies. However, a temporary reduction in intradiscal pressure can still have a profound effect on the healing process via increased contact with the blood supply and fibroblast migration (so called phasic effects). This is in addition to the pain relief created neurologically by stretching soft tissue (e.g. stretch receptors, mechanoreceptors etc.) make Decompression Traction Therapy a logical and viable addition to a "passive" pain care regiment.
Clinically it is important to establish criteria both in the utilization of Decompression Traction Therapy and in defining its utility. (As with many therapies, hyperbole and overstatement are common.) Axial Decompression (both lumbar and cervical) is first and foremost a "passive" therapy and as such has definite limitations in "curing" a chronic musculoskeletal condition. Its value is most specific in helping referral pain not solely low back or acute low back pain (symptoms for which manipulation has proven beneficial).
Loss of local muscle control, abnormal posture and alterations in spinal curves are the probable underlying source of most spinal 'compression' and degeneration. Therefore a "passive" therapy has little effect in truly fixing the underlying problem.
However, that being said, Decompression Traction Therapy (done safely within established protocols and a clear understanding of it's limitations) can often effectively enhance the healing process and render quick, effective and often amazing pain relief in a properly selected patient population (many who have previously failed other treatments). Additionally it may also be very useful in determining the overall prognosis of passive care and expediting the phase-in of rehab protocols.
Spinal Decompression Therapy Fees
The fee for up to a 30 minute Decompression traction is $55. An examination fee is also required prior to initiation of Decompression traction for patients who are new to Hopkins Clinic. This is usually $185. No "treatment plans" or "treatment packages" are sold to the patient as each patient responds differently to treatment and it is impossible to determine how many treatments the patient may need. A trial of 6 visits at 3 times a week for 2 weeks is recommended to see how the patient responds. If the patient has not sustained notable improvement with this trial, continued Decompression traction is not further recommended. If the patient reports modest or significant improvement, continued therapy is indicated. Recommendations to include core exercise and strengthening instruction with our physical therapist is recommended but not required. Examination fees and physical therapy fees are often covered by private insurance companies. Additional physical therapy modalities are available on site to include electric muscle stimulation, moist heat, cryotherapy, ultrasound, etc.
Spinal Decompression Indications and Use
Any non-acute (>1 week) low back or neck pain syndrome not related to a disease process, canal stenosis or acute strain/sprain injury is theoretically treatable by Decompression. Disc and facet pain can often be relieved by early intervention with Decompression. The acute inflammation of injuries, however, should be reduced by other means, in most cases, prior to beginning Decompression. Contraindications are similar to manipulative therapy, however since mechanical stretch creates no impact, mild to moderate Osteoporosis may not be contraindicated. (This holds true overall for frail and elderly patients who could potentially be injured by manipulative thrusts. Disc fragmentation, calcification, severe arthritis and any surgical spinal appliances are all relative contraindications.
Our clinical findings suggest Decompression will create a relatively quick initial response. Patients who will do well tend to feel a sense of relief (which can be direct pain cessation or a centralization of pain and/or reduction to an ache or stiffness) within six sessions. Full relief, if attainable through this passive treatment will usually be in 8-12 sessions. (Occasionally a 'stubborn' pain syndrome may continue to improve slowly over 15+ sessions though this is not the norm). Often patients will be treated 4-6 sessions and notice enough relief to allow active rehab to begin. Their Decompression may continue (pre or post rehab depending on the methods chosen) for 4-6 further sessions before discontinuing or reducing the frequency.
Typical frequency is 3-5 times per week. The extent and seriousness of the symptoms will determine if more than three sessions per week should be utilized. Our experience suggests Decompression is also an excellent supportive or maintenance treatment for those cases where pain relief is marked but prone to exacerbations.
Spinal Disc Decompression, utilizing Decompression-Reduction-Stabilization, is a unique, non-surgical therapy developed for the treatment of chronic lower back pain, herniated discs and degenerative disc diseases.
The Decompression-Reduction-Stabilization therapy is an effective treatment for:
The Spinal Decompression Table in conjunction with additional modalities effectively relieves the pain and disability resulting from disc injury and degeneration, by repairing damaged discs and reversing dystrophic changes in nerves. Spinal Disc Decompression addresses the functional and mechanical aspects of discogenic pain and disease through non-surgical Decompression of lumbar intervertebral discs. Studies verify the significant reduction of intradiscal pressures into the negative range, to approximately minus 150 mm/HG, which result in the non-surgical Decompression of the disc and nerve root. Conventional traction has never demonstrated a reduction of intradiscal pressure to negative ranges; on the contrary - many traction devices actually increased intradiscal pressure, most likely due to reflex muscle spasm. The Decompression Table is designed to apply distraction tension to the patient’s lumbar spine without eliciting reflex paravertebral muscle contractions.
By significantly reducing intradiscal pressure, Spinal Disc Decompression promotes retraction of the herniation into the disc and facilitates influx of oxygen, proline and other substrates. The promotion of fibro elastic activity stimulates repair and inhibits leakage of irritant sulphates and carboxylates from the nucleus. The most recent trial sought to correlate clinical success with MRI evidence of disc repair in the annulus, nucleus, facetjoint and foramina as a result of treatment and found that reduction of disc herniation ranged between 10% and 90% depending on the number of sessions performed, while annulus patching and healing was evident in all cases.
Frequently Asked Questions
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