Friday, January 3, 2014

Chiropractic and Spinal Decompression



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Chiropractic and Spinal Decompression
     Experiencing lower back pain (LBP) is an extremely common occurrence and accounts for much lost time from work and family obligation. There is nothing worse than doing a simple action only to feel that sharp piercing pain in your lower back that forces you to stop your life for a moment.  Science now understands that this pain is likely caused by spinal compression. While most LBP does resolve itself within 1-2 weeks[1], the odds are high that patients will have another episode of LBP in the future.  LBP can be treated successfully with chiropractic and spinal decompression.
     For years, the most common treatment options for lower back injuries have been yoga, abdominal exercises, heat therapy, cognitive behavioral therapy, topical analgesics and prescription muscle relaxants[2]. Sometimes doctors will provide a shot of cortisone. Only in rare circumstances will legitimate doctors recommend surgery. Surgery is risky and its results are not consistently useful, although surgical techniques are getting better.
     What is known for a fact is that most LBP is caused by compression of discs in the lumbar region of the back. Further, LBP can also be accompanied by sciatic nerve pain in the lower back area and legs. Discs in the spine, usually L4-L5 are compressed or “herniated”. This constant pressure is the source of pain. Often, an episode of LBP resolves itself as the spine is able to release a minute amount of pressure on its own. The problem is that this release of pressure is not enough to fully solve the problem of LBP. This is why most people have another bout of back pain again and again.






Traction:    
When you have a herniated disc, it means that at least two discs are painfully pressed together.  The “obvious” treatment is to pull the discs back to where they are supposed to be so that there is the right amount of space or “separation” between the discs. This process is called “traction”. It is a non-surgical option that has been around for decades. What is called “spinal traction” refers to the separation of the discs, bones and joints in the spinal area. The idea is that doing this will relieve pain and restore function.  Although this treatment is not proven to be based on a one to one relationship between disc compression and pain, the literature shows that most patients experience dramatic relief from lumbar pain and regain function and range of motion.[1][2] Spinal decompression traction devices come in many forms from at home “hanging upside down” to the new and elaborate DRX-9000 Systems.  When decompression is provided by a health care professional, the patient will be asked to lie on their back or stomach, depending on the machine used. Treatment sessions range from about 10 to 30 minutes, depending on the patient. The average amount of force administered is about 45 kg.[3]
     Today, most chiropractors or back doctors will use a traction device that is regulated by a computer so that the amount of traction force is documented and regulated accurately. The computer will determine what angle the force is coming from and keep track of the amount of time the force is administered. Most patients undergo spinal decompression treatment for several sessions spanning weeks or even months. After each treatment, time is allowed for the body to adapt and heal itself.
     The bottom line is that should the usual treatments of exercise and topic therapies fail, spinal decompression has become accurate and reliable enough to be your next treatment option. For now, spinal decompression allows for most people to avoid back surgery.



Useful links



[3] http://www.udel.edu/PT/PT%20Clinical%20Services/journalclub/caserounds/06_07/oct06/pellecchialumbartractionrevoflit.pd

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