No long term benefit of lumbar surgery (Discectomy)
30/11/24
While lumbar surgery, specifically discectomy, may offer quicker pain relief in the short term, research indicates that these advantages diminish over time, typically disappearing after one to two years. Additionally, surgery carries inherent risks, as detailed in the provided article.
https://journals.lww.com/jbjsjournal/fulltext/2021/12010/treatment_for_chronic_sciatica__do_we_have_new.15.aspx
https://journals.lww.com/jbjsjournal/fulltext/2021/12010/treatment_for_chronic_sciatica__do_we_have_new.15.aspx
Correlation between clinical and MRI findings in disc herniation in the lumbosacral region
22/09/24
It is important to select the right clinician. A skilled clinician will accurately diagnose a medical condition before using diagnostic imaging to confirm it. This article explores the relationship between clinical symptoms and MRI findings in disc herniation within the lumbosacral region.
https://pubmed.ncbi.nlm.nih.gov/39300046/
https://pubmed.ncbi.nlm.nih.gov/39300046/
The Effects of Spinal Decompression Therapy on Pain and Disability in Patients with Chronic Low Back Pain
13/07/24
Not only in the acute phase of back pain and disc disorder but also: Non-Surgical Spinal Decompression therapy improves pain and disability in patients with chronic low back pain.
http://www.kptjournal.org/journal/view.html?uid=1347&page=&sort=&scale=10&all_k=SPINAL+DECOMPRESSION&s_t=&s_a=&s_k=&s_v=&s_n=&spage=&pn=search&year=&vmd=Full
http://www.kptjournal.org/journal/view.html?uid=1347&page=&sort=&scale=10&all_k=SPINAL+DECOMPRESSION&s_t=&s_a=&s_k=&s_v=&s_n=&spage=&pn=search&year=&vmd=Full
Depression After Spinal Surgery
13/07/24
Try to prevent back surgery because: Patients who undergo spinal surgery have a higher risk for postoperative depression than patients treated for other surgical or medical conditions known to be associated with depression.
https://pubmed.ncbi.nlm.nih.gov/27836112/#:~:text=Conclusion%3A%20Patients%20who%20undergo%20spinal,to%20be%20associated%20with%20depression.
https://pubmed.ncbi.nlm.nih.gov/27836112/#:~:text=Conclusion%3A%20Patients%20who%20undergo%20spinal,to%20be%20associated%20with%20depression.
Significant impact of non-surgical spinal decompression therapy on pain and disability
11/02/24
This pilot study confirmed the expected significant impact of non-surgical spinal decompression therapy on pain and disability levels in patients with lumbar and cervical disc herniation. There was no significant association between age and magnitude of therapy outcomes. Spinal decompression therapy yields the same effect on patients among all age groups.
https://files.btlnet.com/corp/documents/06250d96-4ae8-4985-9941-c01c4fb07aa5/SD_CLIN_JOPS_Age-groups_Kasimovich_EN100.pdf_1684912621_original.pdf
https://files.btlnet.com/corp/documents/06250d96-4ae8-4985-9941-c01c4fb07aa5/SD_CLIN_JOPS_Age-groups_Kasimovich_EN100.pdf_1684912621_original.pdf
Success in spinal decompression therapy for low back pain and radicular pain caused by lumbar disc herniation or protrusion.
31/12/23
This study concluded that nonsurgical spinal decompression was associated with a reduction in back pain and radicular pain and with an increase in disc height.
Methods
In this research group 1 patients underwent a 6-week treatment protocol of motorised nonsurgical spinal decompression, and in group 2 they underwent a 6-week physiotherapy with deep heat modalities and ordinary traction.
Results
Radicular pain and disc height using MRI were significantly improved in group 1 compared with group 2.
https://link.springer.com/content/pdf/10.4103/err.err_34_18.pdf?fbclid=IwAR0PzlxGEjw3PZUZMTDP7-HnXboiDhVxnNGv6qEr4vpZNArMRHx1s5KA5YA
Methods
In this research group 1 patients underwent a 6-week treatment protocol of motorised nonsurgical spinal decompression, and in group 2 they underwent a 6-week physiotherapy with deep heat modalities and ordinary traction.
Results
Radicular pain and disc height using MRI were significantly improved in group 1 compared with group 2.
https://link.springer.com/content/pdf/10.4103/err.err_34_18.pdf?fbclid=IwAR0PzlxGEjw3PZUZMTDP7-HnXboiDhVxnNGv6qEr4vpZNArMRHx1s5KA5YA
Is lumbar fusion the solution for a lumbar disc problem?
17/07/23
Is lumbar fusion the solution for a lumbar disc problem?
According to this research, the overall occurrence rate of adjacent segment degeneration (ASD) increases to 50% !!!!
A solution in one area creates a problem in another location (usually above or below).
Non-Surgical Spine Decompression might be the answer to avoid surgery.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2651551
According to this research, the overall occurrence rate of adjacent segment degeneration (ASD) increases to 50% !!!!
A solution in one area creates a problem in another location (usually above or below).
Non-Surgical Spine Decompression might be the answer to avoid surgery.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2651551
Is “Spinal Cord Stimulators” safe?
30/05/23
“Five hundred twenty adverse events were reported for spinal cord stimulators. Most events were rated as severe (79%) or life-threatening (13%). Device malfunction was the most common event (56.5%). The most common action taken in response to an adverse event was surgical intervention with or without antibiotics (80%). The ratio of removals to implants was 4 per every 10 implanted” !!!
https://journals.lww.com/journalpatientsafety/fulltext/2022/08000/spinal_cord_stimulators__an_analysis_of_the.20.aspx
https://journals.lww.com/journalpatientsafety/fulltext/2022/08000/spinal_cord_stimulators__an_analysis_of_the.20.aspx
Reasonable and safe to continue nonoperative treatment for lumbar disc herniation
28/05/23
This randomised, clinical, controlled trial showed that it is reasonable and safe to encourage patients with radiation down the leg due to a lumbar disc herniation to continue nonoperative treatment. The length of time for having the neurological symptoms was also not significant.
https://dynamicchiropractic.com/article/59318-best-practice-disc-herniations-with-serious-neurological-defects
https://dynamicchiropractic.com/article/59318-best-practice-disc-herniations-with-serious-neurological-defects
Effects of gravity (G) on lumbar spine
02/04/23
Validating our work of "No-Surgical Spinal Decompression" is this research from February 2023: "At 1G and 0G gravity, the following happened to the discs: the compressive forces on lumbar discs decreased 62-70%, the muscle forces decreased 55.7-92.9%, while disc water content increased 7.0-10.2%, disc height increased 2.1-3.0%, disc volume increased 6.4-9.3%, and ligament forces increased 59.5-271.3%
https://pubmed.ncbi.nlm.nih.gov/36792893/
https://pubmed.ncbi.nlm.nih.gov/36792893/
Non-Surgical Spinal Decompression creates the following:
16/02/23
Non-Surgical Spinal Decompression creates the following:
(-)The posterior disc space increases in height.
(-) Decompression decreases disc protrusion and reduces stenosis.
(-) Intradiscal pressure drops under distraction up to negative -192 mm Hg.
(-) Intervertebral foraminal openings enlarge, giving potency to the nerve
(-) Decompression stretches the ligamentum flavum to reduce stenosis.
(-) Decompression increases metabolite transport into the disc.
(-) Decompression opens the facet joints and reduces posterior disc stress.
(-)The posterior disc space increases in height.
(-) Decompression decreases disc protrusion and reduces stenosis.
(-) Intradiscal pressure drops under distraction up to negative -192 mm Hg.
(-) Intervertebral foraminal openings enlarge, giving potency to the nerve
(-) Decompression stretches the ligamentum flavum to reduce stenosis.
(-) Decompression increases metabolite transport into the disc.
(-) Decompression opens the facet joints and reduces posterior disc stress.
Lumbar disc herniation (LDH) can be spontaneously absorbed without surgical treatment
12/02/23
Lumbar disc herniation (LDH) can be spontaneously absorbed without surgical treatment. However, the pathogenesis and physiological indications for predicting protrusion reabsorption are still unclear, which prevents clinicians from preferentially choosing conservative treatment options for LDH patients with reabsorption effects.
https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-022-02894-8
https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-022-02894-8
Draw the protruded disc, back toward the intervertebral discs center in Flexion-Distraction
28/11/22
Intradiscal pressure was found to decrease during the flexion-distraction procedure, which is consistent with the hypothesis that this procedure may be able to draw a protruded nucleus pulposus back toward the intervertebral disc's center and allow for the nutrients flow into the disc.
https://www.liebertpub.com/doi/10.1089/imr.2022.0002
https://www.liebertpub.com/doi/10.1089/imr.2022.0002
Lumbar disc herniation can be spontaneously absorbed without surgical treatment
25/09/22
The biological mechanisms involved in the phenomenon of lumbar disc herniation reabsorption, including macrophage infiltration, inflammatory responses, matrix remodelling, and neovascularization. Therefore the basis of the clinical application for promoting reabsorption with technics like non-surgical spinal decompression might be the future preferred option.
https://pubmed.ncbi.nlm.nih.gov/35999644/
https://pubmed.ncbi.nlm.nih.gov/35999644/
Does Lumbar Surgery (Discectomy) Has Any Long-Term Benefits Over Conservative Care?
14/07/22
NO!!! according to this research from "The Journal of Bone and Joint Surgery": December 1, 2021.
Surgery might provide faster pain relief, with improved scores, at earlier time points. However, in almost all studies, those differences decrease with time and vanish after 1 or 2 years. The choice to undertake surgery should not be taken lightly, because surgery entails risks.
https://journals.lww.com/jbjsjournal/fulltext/2021/12010/treatment_for_chronic_sciatica__do_we_have_new.15.aspx
Surgery might provide faster pain relief, with improved scores, at earlier time points. However, in almost all studies, those differences decrease with time and vanish after 1 or 2 years. The choice to undertake surgery should not be taken lightly, because surgery entails risks.
https://journals.lww.com/jbjsjournal/fulltext/2021/12010/treatment_for_chronic_sciatica__do_we_have_new.15.aspx
70–90% of people suffers from Low Back Pain at some point in their lives, the costs the Australian healthcare system AUD$4.8 billion annually
14/06/22
In this May 2022 research Low Back Pain (LBP) is highly prevalent, with 70–90% of people suffering from LBP at some point in their lives. As a result, LBP costs the Australian healthcare system AUD$4.8 billion annually. It is one of the most common reasons for visiting a general practitioner, and is the leading cause of lost productive years. With approximately 50% of people having disability beyond 3 months!!!
https://chiromt.biomedcentral.com/articles/10.1186/s12998-022-00434-4?fbclid=IwAR3Yy48Ambj-BsmdWbyUiob2CImgptGzecq9_iOtFtvvbLdUCzzp1MyeIFg
https://chiromt.biomedcentral.com/articles/10.1186/s12998-022-00434-4?fbclid=IwAR3Yy48Ambj-BsmdWbyUiob2CImgptGzecq9_iOtFtvvbLdUCzzp1MyeIFg
Disc distraction shows evidence of REGENERATIVE potential in degenerated intervertebral discs.
10/05/22
Disc distraction shows evidence of REGENERATIVE potential in degenerated intervertebral discs.
https://pubmed.ncbi.nlm.nih.gov/16816759/
https://pubmed.ncbi.nlm.nih.gov/16816759/
Does the size of the disc matter?
27/01/22
DOES SIZE MATTER?
According to this research; The size of the disc does NOT predict the failure outcome of conservative care.
That means that even large discs can be treated conservatively and do not necessarily need to be operated.
https://journals.sagepub.com/doi/10.1177/2192568219880822?fbclid=IwAR0aR5Dzx4C1RzS3oUfW-WzQke9QqtObO7DU9Hn8jX_b8zoaGCvHDxIkbSw&&__cf_chl_jschl_tk__=znYXFc5qiZL8JsGmnScNvNR5WlOfOIhc58OAFmRWug4-1643241018-0-gaNycGzNB5E
According to this research; The size of the disc does NOT predict the failure outcome of conservative care.
That means that even large discs can be treated conservatively and do not necessarily need to be operated.
https://journals.sagepub.com/doi/10.1177/2192568219880822?fbclid=IwAR0aR5Dzx4C1RzS3oUfW-WzQke9QqtObO7DU9Hn8jX_b8zoaGCvHDxIkbSw&&__cf_chl_jschl_tk__=znYXFc5qiZL8JsGmnScNvNR5WlOfOIhc58OAFmRWug4-1643241018-0-gaNycGzNB5E
Effect of Flexion-Distraction Spinal Manipulation
31/08/21
"Immediate Effect of Flexion-Distraction Spinal Manipulation on Intervertebral Height, Pain, and Spine Mobility in Patients with Lumbar Degenerative Disc Disease"
https://www.jptrs.org/journal/view.html?doi=10.14474%2Fptrs.2021.10.2.235&fbclid=IwAR0kjvj6H8Q0QAmm4xAe2B3hOtN21_KiKUMFRzoOj2V90L0mSzgCL_BymaI
https://www.jptrs.org/journal/view.html?doi=10.14474%2Fptrs.2021.10.2.235&fbclid=IwAR0kjvj6H8Q0QAmm4xAe2B3hOtN21_KiKUMFRzoOj2V90L0mSzgCL_BymaI
A Nonsurgical Approach of Patients With Lumbar Radiculopathy Secondary to Herniated Disk, a Follow-Up Study:
18/07/21
A Nonsurgical Approach of Patients With Lumbar Radiculopathy Secondary to Herniated Disk, a Follow-Up Study:
Improvement was described as "good" or "excellent" in nearly 90% of patients !!!
Improvement appeared to be maintained over the long term.
https://pubmed.ncbi.nlm.nih.gov/20004799/
Improvement was described as "good" or "excellent" in nearly 90% of patients !!!
Improvement appeared to be maintained over the long term.
https://pubmed.ncbi.nlm.nih.gov/20004799/
Repeat MRI in non-operative patients after conservative care, with a massive lumbar disc herniation, showed a dramatic resolution of the herniation.
13/05/21
Repeat MRI in non-operative patients after conservative care, with a massive lumbar disc herniation, showed a dramatic resolution of the herniation.
https://pubmed.ncbi.nlm.nih.gov/17613504/
https://pubmed.ncbi.nlm.nih.gov/17613504/
Recurrent lumbar disk herniation is the most common complication following primary lumbar surgery
24/04/21
Recurrent lumbar disk herniation is the most common complication following primary lumbar surgery.
https://pubmed.ncbi.nlm.nih.gov/20511438/
https://pubmed.ncbi.nlm.nih.gov/20511438/
CONSERVATIVE TREATMENT of a massive disc herniation, the long-term prognosis is very good (83%):
30/03/21
CONSERVATIVE TREATMENT of a massive disc herniation, the long-term prognosis is very good (83%):
- It is safe to adopt a ‘wait-and-watch’ policy for cases of massive disc herniation if there is any early sign of clinical improvement.
- Where clinical progress is evident, 83% of cases of massive disc herniation will have sustained improvement.
- Only 17% of cases will have recurring crises of back pain and sciatica.
- If there is evidence of clinical improvement, massive disc prolapses do not appear to carry a risk of major nerve damage or cauda equina syndrome.
- Massive disc herniations usually reduce in volume and by 6 months most are only a third of their original size.
In young patients early degeneration does not predic pain and disability in the future
03/03/21
In young low back patients, early degeneration in lumbar discs predicts progressive degenerative changes in the respective discs, but NOT pain, disability, or clinical symptoms
https://pubmed.ncbi.nlm.nih.gov/32453239/
https://pubmed.ncbi.nlm.nih.gov/32453239/
The increase in disc height and reduction in pain were significantly correlated.
26/11/20
Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: Low back pain decreased, and disc height increased. The increase in disc height and reduction in pain were significantly correlated.
https://www.ncbi.nlm.nih.gov/pubmed/20615252
https://www.ncbi.nlm.nih.gov/pubmed/20615252
Herniated lumbar disks: real-time MRI imaging during traction
26/11/20
Herniated lumbar disks: real-time MRI imaging during traction:
Traction on herniated lumbar disks resulted in change in disk shape, disk reduction with opening in the intervertebral disk, reduction of herniated disk volume, separation of the disk and adjoining nerve root, and widening of the facet joint.
https://pubmed.ncbi.nlm.nih.gov/25611735/
Traction on herniated lumbar disks resulted in change in disk shape, disk reduction with opening in the intervertebral disk, reduction of herniated disk volume, separation of the disk and adjoining nerve root, and widening of the facet joint.
https://pubmed.ncbi.nlm.nih.gov/25611735/
Five year follow-up study (5 years after treatment) on non-surgical treatment of ruptured lumbar disc herniation:
12/11/20
Five year follow-up study (5 years after treatment) on non-surgical treatment of ruptured lumbar disc herniation: (May 2020 research)
The volume of protrusion decreased by 45.65±2.83%. There is a positive correlation between the improvement rate and the protrusion absorption rate at 5 years after non surgical treatment. Out of 75 patients only two showed increased size of the disc after five years.
https://pubmed.ncbi.nlm.nih.gov/32452177/
The volume of protrusion decreased by 45.65±2.83%. There is a positive correlation between the improvement rate and the protrusion absorption rate at 5 years after non surgical treatment. Out of 75 patients only two showed increased size of the disc after five years.
https://pubmed.ncbi.nlm.nih.gov/32452177/
"Low-tension traction device is beneficial for the regeneration and repair of degenerated intervertebral discs"
01/11/20
"Low-tension traction device is beneficial for the regeneration and repair of degenerated intervertebral discs"
https://pubmed.ncbi.nlm.nih.gov/32305426/
https://pubmed.ncbi.nlm.nih.gov/32305426/
69% and 22% probability that two randomly selected spine surgeons would disagree on the surgical treatment
29/09/20
A completely different answer is given when you see two different spinal surgeons regarding surgery: 69% and 22% probability that two randomly selected spine surgeons would disagree on the surgical treatment. This is why we should try to avoid back surgery.
https://pubmed.ncbi.nlm.nih.gov/24462813/
https://pubmed.ncbi.nlm.nih.gov/24462813/
The better trained the surgeon the LESS spine surgery is performed. Most is done by private clinics and 4 times less in academic institutions
29/09/20
Interesting research about back surgery and why we should try to avoid it: "The better trained the surgeon the LESS spine surgery is performed. Most is done by private clinics and 4 times less in academic institutions".
https://pubmed.ncbi.nlm.nih.gov/26679881/
https://pubmed.ncbi.nlm.nih.gov/26679881/
Positional changes in lumbar disc herniation during standing
25/08/20
2020 Research: MRI: POSITIONAL CHANGES IN LUMBAR DISC HERNIATION DURING STANDING: Lumbar herniated discs increased in size during standing. Increased nerve root compression grades for paracentral herniated discs were found during standing. (If you have had an MRI done lying down, understand that the disc herniation increases while standing !!!)
https://pubmed.ncbi.nlm.nih.gov/32822052/
https://pubmed.ncbi.nlm.nih.gov/32822052/
Real-time mri imaging evaluation during traction
09/08/20
Real-time MRI imaging evaluation during traction
RESULTS: change in a disk shape, disk reduction with an opening in the intervertebral disk, reduction of a herniated disk volume, separation of the disk and adjoining nerve root, and widening of the facet joint.
https://pubmed.ncbi.nlm.nih.gov/25611735/
RESULTS: change in a disk shape, disk reduction with an opening in the intervertebral disk, reduction of a herniated disk volume, separation of the disk and adjoining nerve root, and widening of the facet joint.
https://pubmed.ncbi.nlm.nih.gov/25611735/
97% success rate in treating lumbar intervertebral disc herniations conservatively without surgery
19/07/20
97% success rate in treating lumbar intervertebral disc herniations conservatively without surgery.
https://pubmed.ncbi.nlm.nih.gov/32677528/
https://pubmed.ncbi.nlm.nih.gov/32677528/
5-Year follow-up of Lumbar Disc Herniation Resorption, with non-surgical treatment
08/06/20
In a 5-year follow-up study on non-surgical treatment of ruptured lumbar disc herniation.
The excellent and good rate was 73.24%. The TOTAL ABSORPTION of the disc rate was (45.65±2.83)% !!!
https://www.researchgate.net/publication/341680465_A_5_year_follow-up_study_on_non-surgical_treatment_of_ruptured_lumbar_disc_herniation
The excellent and good rate was 73.24%. The TOTAL ABSORPTION of the disc rate was (45.65±2.83)% !!!
https://www.researchgate.net/publication/341680465_A_5_year_follow-up_study_on_non-surgical_treatment_of_ruptured_lumbar_disc_herniation
Effective Treatment of Chronic Low Back Pain in Humans Reverses Abnormal Brain Anatomy and Function
10/05/20
Effective Treatment of Chronic Low Back Pain in Humans Reverses Abnormal Brain Anatomy and Function.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6622603/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6622603/
Pregabalin (LYRICA) is NOT effective for low back pain, sciatica, spinal stenosis.
01/05/20
Pregabalin (LYRICA) is NOT effective for low back pain, sciatica, spinal stenosis. Patients reports of side effects such as dizziness, sleepiness, and gait problems.
https://www.bmj.com/content/369/bmj.m1315
https://www.bmj.com/content/369/bmj.m1315
Biomechanics changes between Erect and Supine imaging in Spondylolisthesis
23/04/20
Biomechanics changes between Erect and Supine imaging in Spondylolisthesis
https://pubmed.ncbi.nlm.nih.gov/31381804/?from_term=Weight+bearing+mri&from_sort=pubdate&from_pos=4
https://pubmed.ncbi.nlm.nih.gov/31381804/?from_term=Weight+bearing+mri&from_sort=pubdate&from_pos=4
Three-Dimensional Lumbar Traction promoted a reduce pain Improve function
11/04/20
Three-Dimensional Lumbar Traction promoted a reduction in pain and improvement in functional disability among subjects with lumbar intervertebral disc prolapse.
https://pubmed.ncbi.nlm.nih.gov/32246656/?https://pubmed.ncbi.nlm.nih.gov/32246656/?from_term=intervertebral+disc&from_sort=pubdate&from_page=2&from_pos=4
https://pubmed.ncbi.nlm.nih.gov/32246656/?https://pubmed.ncbi.nlm.nih.gov/32246656/?from_term=intervertebral+disc&from_sort=pubdate&from_page=2&from_pos=4
Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain
15/03/20
PATIENTS WITH SPINAL PAIN WHO SAW A CHIROPRACTOR HAD HALF THE RISK OF FILLING AN OPIOID PRESCRIPTION. Among those who saw a chiropractor within 30 days of diagnosis, the reduction in risk was greater as compared with those with their first visit after the acute phase.
(Great research from Oxford Academic Pain Medicine published 06 March 2020.)
https://academic.oup.com/painmedicine/advance-article-abstract/doi/10.1093/pm/pnaa014/5788462?redirectedFrom=fulltext&fbclid=IwAR08o_HQiwyX3KopYfi-rDxD2edGcUl8ximx7bg8_7I24GEORP_Pau_skgM
(Great research from Oxford Academic Pain Medicine published 06 March 2020.)
https://academic.oup.com/painmedicine/advance-article-abstract/doi/10.1093/pm/pnaa014/5788462?redirectedFrom=fulltext&fbclid=IwAR08o_HQiwyX3KopYfi-rDxD2edGcUl8ximx7bg8_7I24GEORP_Pau_skgM
On CT - Patients with greater herniations tended to respond better to traction
22/02/20
Effect of continuous lumbar traction on the size of herniated disc material in lumbar disc herniation size of the herniated disc material in CT decreased significantly only in the traction group.
Patients with greater herniations tended to respond better to traction, in conclusion, lumbar traction is both effective in improving symptoms and clinical findings in patients with lumbar disc herniation and also in decreasing the size of the herniated disc material as measured by CT.
https://www.ncbi.nlm.nih.gov/pubmed/16249899
Patients with greater herniations tended to respond better to traction, in conclusion, lumbar traction is both effective in improving symptoms and clinical findings in patients with lumbar disc herniation and also in decreasing the size of the herniated disc material as measured by CT.
https://www.ncbi.nlm.nih.gov/pubmed/16249899
Real-time MRI imaging evaluation during continuous traction
16/02/20
HERNIATED LUMBAR DISKS: REAL-TIME MRI IMAGING EVALUATION DURING CONTINUOUS TRACTION:
RESULTS: change in disk shape, disk reduction with opening in the intervertebral disk, reduction of herniated disk volume, separation of the disk and adjoining nerve root, and widening of the facet joint.
https://www.ncbi.nlm.nih.gov/pubmed/25611735
RESULTS: change in disk shape, disk reduction with opening in the intervertebral disk, reduction of herniated disk volume, separation of the disk and adjoining nerve root, and widening of the facet joint.
https://www.ncbi.nlm.nih.gov/pubmed/25611735
Stop Spinal Fusion Surgery - by the Goverment
14/01/20
IN AUSTRALIA, THE GOVERNMENT TRIED TO STOP THIS SURGERY. THEN SURGEONS GOT INVOLVED
Last year, the government announced plans to stop surgeons billing Medicare for spinal fusions to treat uncomplicated chronic low back pain
https://apple.news/A_7jhMy8HRWmQNU390_YkQQ
Last year, the government announced plans to stop surgeons billing Medicare for spinal fusions to treat uncomplicated chronic low back pain
https://apple.news/A_7jhMy8HRWmQNU390_YkQQ
Avoid Opioid, Avoid Spinal Fusion
14/01/20
The five latest recommendations by the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists regarding Low Back Pain are:
1. Avoid prescribing opioids
2. Do not continue opioid prescription
3. Avoid prescribing pregabalin and gabapentin .
4. Do not prescribe benzodiazepines (ie: valium etc)
5. Do not refer for spinal fusion surgery.
http://www.choosingwisely.org.au/news-and-media/media-centre/benzodiazepines-will-not-help-lowback-pain
1. Avoid prescribing opioids
2. Do not continue opioid prescription
3. Avoid prescribing pregabalin and gabapentin .
4. Do not prescribe benzodiazepines (ie: valium etc)
5. Do not refer for spinal fusion surgery.
http://www.choosingwisely.org.au/news-and-media/media-centre/benzodiazepines-will-not-help-lowback-pain
Does Size Matter?
05/01/20
DOES SIZE MATTER?
According to the latest research; The size of the disc does NOT predict the failure outcome of conservative care.
That means that even large discs do not necessarily need to be operated and can be treated conservatively!!!
https://journals.sagepub.com/doi/10.1177/2192568219880822
According to the latest research; The size of the disc does NOT predict the failure outcome of conservative care.
That means that even large discs do not necessarily need to be operated and can be treated conservatively!!!
https://journals.sagepub.com/doi/10.1177/2192568219880822
Only 10.1% were referred to conservative care with increase in opioid prescriptions (medications)
11/12/19
Out of 170 million visits to the GP's in the USA, for LOW BACK PAIN COMPLAINTS, only 10.1% were referred to conservative care.
At the same time, there is a constant increase in opioid prescriptions (medications).
https://www.ncbi.nlm.nih.gov/pubmed/28441685
At the same time, there is a constant increase in opioid prescriptions (medications).
https://www.ncbi.nlm.nih.gov/pubmed/28441685
Calcium and vitamin D supplements not necessary for healthy adults, research finds !!!
05/12/19
Calcium and vitamin D supplements not necessary for healthy adults, research finds !!!
https://www.abc.net.au/…/calcium-vitamin-d-supplem…/11742866
https://www.ncbi.nlm.nih.gov/pubmed/31680267
https://www.abc.net.au/…/calcium-vitamin-d-supplem…/11742866
https://www.ncbi.nlm.nih.gov/pubmed/31680267
'PLACEBO SURGERY' is a thing. And research shows it works !!!!
17/11/19
'PLACEBO SURGERY' is a thing. And research shows it works !!!!
Research has shown that "in a surprising number of cases," the actual back and knee surgery isn't effective.
It showed "that there's something powerful about BELIEVING THAT YOU'RE HAVING surgery and that it will fix what ails you, and patients report improvements in their condition.
https://www.advisory.com/daily-briefing/2017/08/03/sham-surgery?fbclid=IwAR3o6Lkxp_TlRDO92Nxz-uQmNfdx598VE3KvZKXTVnmlaKH7CqQra45EIcc
https://www.oarsijournal.com/article/S1063-4584(09)00106-X/fulltext?fbclid=IwAR3XVObSsw8l2eIUruqwmp30r8Bp8W88o6i_f-dpsiv2mmUEAJ5mjWxwN8g
Research has shown that "in a surprising number of cases," the actual back and knee surgery isn't effective.
It showed "that there's something powerful about BELIEVING THAT YOU'RE HAVING surgery and that it will fix what ails you, and patients report improvements in their condition.
https://www.advisory.com/daily-briefing/2017/08/03/sham-surgery?fbclid=IwAR3o6Lkxp_TlRDO92Nxz-uQmNfdx598VE3KvZKXTVnmlaKH7CqQra45EIcc
https://www.oarsijournal.com/article/S1063-4584(09)00106-X/fulltext?fbclid=IwAR3XVObSsw8l2eIUruqwmp30r8Bp8W88o6i_f-dpsiv2mmUEAJ5mjWxwN8g
Resolution of symptoms and improvement of function in a patient with "Failed Back Surgery Syndrome"
14/09/19
This case study published in December 2018 (Published online: 2019 Jan 25), describes the resolution of symptoms and improvement of function, in a patient after lumbar surgery with "Failed Back Surgery Syndrome" using a multimodal approach.
After treatment and at 41-month post-treatment follow-up, the patient is pain-free.
Though this case is limited to a single case report, the approach being multimodal is similar to what we do in our office: (Flexion Distraction Decompression Tables, Vertetrac (Vertical Axial Distraction), Exercises, Nutritional Supplement, Electrical Muscles Stimulators, Low-Level Laser Therapy, and more).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391233/?report=classic
After treatment and at 41-month post-treatment follow-up, the patient is pain-free.
Though this case is limited to a single case report, the approach being multimodal is similar to what we do in our office: (Flexion Distraction Decompression Tables, Vertetrac (Vertical Axial Distraction), Exercises, Nutritional Supplement, Electrical Muscles Stimulators, Low-Level Laser Therapy, and more).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391233/?report=classic
Disc distraction shows evidence of regenerative potential
10/08/19
DISC DISTRACTION SHOWS EVIDENCE OF REGENERATIVE POTENTIAL in degenerated intervertebral discs as evaluated by protein expression, magnetic resonance imaging, and messenger ribonucleic acid expression analysis
https://www.ncbi.nlm.nih.gov/pubmed/16816759
https://www.ncbi.nlm.nih.gov/pubmed/16816759
On CT Lumbar traction is both effective in improving symptoms
04/08/19
Effect of continuous lumbar traction on the size of herniated disc material in lumbar disc herniation as seen on CT.
"Lumbar traction is both effective in improving symptoms and clinical findings in patients with lumbar disc herniation and also in decreasing the size of the herniated disc material as measured by CT."
https://link.springer.com/article/10.1007/s00296-005-0035-x?fbclid=IwAR3TumAidTCXHGK-N66cbY4VIfj0wKiTYIu5lO6lDblkmPQmFZrZ5LAtigQ
"Lumbar traction is both effective in improving symptoms and clinical findings in patients with lumbar disc herniation and also in decreasing the size of the herniated disc material as measured by CT."
https://link.springer.com/article/10.1007/s00296-005-0035-x?fbclid=IwAR3TumAidTCXHGK-N66cbY4VIfj0wKiTYIu5lO6lDblkmPQmFZrZ5LAtigQ
MRI Before and After Traction
04/07/19
Patients verified on pre-post MRI with signs and symptoms of herniation, underwent non-surgical intervention including pelvic traction. Changes in herniation and good- excellent symptomatic improvements were noted in over 82%. The authors draw the conclusion improving the discs contact with the blood supply accounts for healing of herniation.
https://www.ncbi.nlm.nih.gov/pubmed/8720408
https://www.ncbi.nlm.nih.gov/pubmed/8720408
High-Force Versus Low-Force Lumbar Traction for Disc Herniation
19/06/19
High-Force Versus Low-Force Lumbar Traction for the treatment of Disc Herniation:
Conclusion: Patients with acute lumbar sciatica secondary to disc herniation who received two weeks of lumbar traction reported REDUCED RADICULAR PAIN AND FUNCTIONAL IMPAIRMENT AND IMPROVED WELL-BEING REGARDLESS OF THE TRACTION FORCE group to which they were assigned. The effects of the traction treatment were independent of the initial level of medication and appeared to be maintained at the 2-week follow-up.
https://www.ncbi.nlm.nih.gov/pubmed/27838140
Conclusion: Patients with acute lumbar sciatica secondary to disc herniation who received two weeks of lumbar traction reported REDUCED RADICULAR PAIN AND FUNCTIONAL IMPAIRMENT AND IMPROVED WELL-BEING REGARDLESS OF THE TRACTION FORCE group to which they were assigned. The effects of the traction treatment were independent of the initial level of medication and appeared to be maintained at the 2-week follow-up.
https://www.ncbi.nlm.nih.gov/pubmed/27838140
Superior results when Decompression is Prone (on the stomach)
07/06/19
From the American Journal of Physical Medicine and Rehabilitation, comes this research that looks into the difference in decompression machines.
In our office, we decompress the spine creating an intersegmental decompression when the patient is prone (lying on the stomach) and the table “breaks” in a specific area. This research indicated that this is SUPERIOR.
Lying on the back with a harness around the waist is just creating regular traction, and the force is divided on all the vertebrae and not directed to a specific level. (I love the fact that the research supports our treatment).
https://journals.lww.com/ajpmr/Fulltext/2018/06000/Mechanical_Traction_for_Lumbar_Radicular_Pain_.8.aspx
In our office, we decompress the spine creating an intersegmental decompression when the patient is prone (lying on the stomach) and the table “breaks” in a specific area. This research indicated that this is SUPERIOR.
Lying on the back with a harness around the waist is just creating regular traction, and the force is divided on all the vertebrae and not directed to a specific level. (I love the fact that the research supports our treatment).
https://journals.lww.com/ajpmr/Fulltext/2018/06000/Mechanical_Traction_for_Lumbar_Radicular_Pain_.8.aspx
Spinal Decopmpression on Chronic Patients
31/05/19
Non-Surgical Spinal Decompression performed on patients suffering from herniated disc, degenerated discs or facet syndrome for over three years on the average, before starting decompression treatment.
Result: 71% of theses chronic patient reduced their pain to 0 or 1 !!!!
https://www.ncbi.nlm.nih.gov/pubmed/9583577
Result: 71% of theses chronic patient reduced their pain to 0 or 1 !!!!
https://www.ncbi.nlm.nih.gov/pubmed/9583577
Effects of Flexion-Distraction and drop techniques on disorders and Lumbar Lordotic angle
23/05/19
"The effects of flexion-distraction and drop techniques on disorders and Lumbar Lordotic angle (Ferguson’s angle) in female patients with lumbar intervertebral disc herniation."
The outcome: statistically significant reductions in the disorders and in the lumbar lordotic angle.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908997/?fbclid=IwAR02ZOISmib3r71Jwa2sZ8_I4bDAocflaIHU67NuKcobjxxID3rP1QecSGE
The outcome: statistically significant reductions in the disorders and in the lumbar lordotic angle.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908997/?fbclid=IwAR02ZOISmib3r71Jwa2sZ8_I4bDAocflaIHU67NuKcobjxxID3rP1QecSGE
Intensity of Treatments on Decompression table
14/05/19
This research from The "Journal of Neurology Research" compared the number of treatments on a decompression table.
Results: Patients with longer duration showed 76% remission of low back pain compared to 43% of the lower dosage group. https://www.ncbi.nlm.nih.gov/pubmed/15142327
Results: Patients with longer duration showed 76% remission of low back pain compared to 43% of the lower dosage group. https://www.ncbi.nlm.nih.gov/pubmed/15142327
Distraction Manipulation on Patients with L4-5 Herniated Disc
03/05/19
This article is from Korea:
"DISTRACTION MANIPULATION ON PATIENTS WITH L4-5 HERNIATED DISC"
This article shows a significant improvements in the outcome measures of muscle strengthening (MS), straight leg raise (SLR), and Oswestry disability index (ODI).
http://www.koreascience.or.kr/article/JAKO201225067514612.page
"DISTRACTION MANIPULATION ON PATIENTS WITH L4-5 HERNIATED DISC"
This article shows a significant improvements in the outcome measures of muscle strengthening (MS), straight leg raise (SLR), and Oswestry disability index (ODI).
http://www.koreascience.or.kr/article/JAKO201225067514612.page
Flexion Distraction Comparison with High-Velocity Vertebral Manipulation
16/04/19
FLEXION DISTRACTION (FD) COMPARISON WITH HIGH-VELOCITY VERTEBRAL MANIPULATION (HVLA_SM: regular chiropractic manipulation).
Conclusion: Patients allocated to the FD group experienced greater improvements in clinical and patient-reported outcomes of pain and functionality. The beneficial effects of the modified FD technique in comparison with HVLA-SM were clinically and statistically significant.
This 2019 research validate everything that we do !!!
(They even use a similar decompression table)
https://www.sciencedirect.com/science/article/pii/S0965229918310136?via%3Dihub
Conclusion: Patients allocated to the FD group experienced greater improvements in clinical and patient-reported outcomes of pain and functionality. The beneficial effects of the modified FD technique in comparison with HVLA-SM were clinically and statistically significant.
This 2019 research validate everything that we do !!!
(They even use a similar decompression table)
https://www.sciencedirect.com/science/article/pii/S0965229918310136?via%3Dihub
Spinal Degeneration in Asymptomatic Populations.
01/04/19
SPINAL DEGENERATION IN ASYMPTOMATIC POPULATIONS:
Disk degeneration in asymptomatic individuals increased from 37% of 20-year-old individuals to 96% of 80-year-old individuals.
Disk bulge increased from 30% of those 20 years of age to 84% of those 80 years of age.
Disk protrusion increased from 29% of those 20 years of age to 43% of those 80 years of age.
Disk annular fissure increased from 19% of those 20 years of age to 29% of those 80 years of age.
https://www.ncbi.nlm.nih.gov/pubmed/25430861?fbclid=IwAR3_gmT0KJ6p1N2q_mIORRvjg9XPTe0yA11ydjV5Qdxw7wfzIMQikke8dgQ
Disk degeneration in asymptomatic individuals increased from 37% of 20-year-old individuals to 96% of 80-year-old individuals.
Disk bulge increased from 30% of those 20 years of age to 84% of those 80 years of age.
Disk protrusion increased from 29% of those 20 years of age to 43% of those 80 years of age.
Disk annular fissure increased from 19% of those 20 years of age to 29% of those 80 years of age.
https://www.ncbi.nlm.nih.gov/pubmed/25430861?fbclid=IwAR3_gmT0KJ6p1N2q_mIORRvjg9XPTe0yA11ydjV5Qdxw7wfzIMQikke8dgQ
Surgical Versus Non-Surgical Treatment for Lumbar Spinal Stenosis
02/03/19
“SURGICAL VERSUS NON-SURGICAL TREATMENT FOR LUMBAR SPINAL STENOSIS"
This research from 2016 shows that there is NO clear benefits with surgery versus non-surgical treatment. The rate of side effects in the surgical cases ranged from 10% to 24%, and NO side effects were reported for any conservative treatment.
This is one of the reasons we should try to avoid surgery.
https://www.ncbi.nlm.nih.gov/pubmed/26824399
This research from 2016 shows that there is NO clear benefits with surgery versus non-surgical treatment. The rate of side effects in the surgical cases ranged from 10% to 24%, and NO side effects were reported for any conservative treatment.
This is one of the reasons we should try to avoid surgery.
https://www.ncbi.nlm.nih.gov/pubmed/26824399
Resolution of Lumbar Disk Herniation without Surgery
11/02/19
Published in the "New England Journal of Medicine" is this research of resolving disc herniation without surgery (MRI before and after).
Great work that we try to duplicate daily in our office by decompressing the discs.
https://www.nejm.org/doi/full/10.1056/NEJMicm1511194
Great work that we try to duplicate daily in our office by decompressing the discs.
https://www.nejm.org/doi/full/10.1056/NEJMicm1511194
Do disc herniations get worse overtime?
29/12/18
DO DISC HERNIATIONS GET WORSE OVERTIME?
In an 8 years follow up research from Denmark:
65% of discs got no worse or better !!!
17.5% of discs spontaneously resolve on their own!!!
only 12.5% got worse and 5% fluctuated"
Furthermore: "Larger herniation size predicts a REDUCTION in both dural sac area and disc height"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4714478/
In an 8 years follow up research from Denmark:
65% of discs got no worse or better !!!
17.5% of discs spontaneously resolve on their own!!!
only 12.5% got worse and 5% fluctuated"
Furthermore: "Larger herniation size predicts a REDUCTION in both dural sac area and disc height"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4714478/
Lyrica is linked to addiction and suicide
18/12/18
Lyrica is one of the most common drugs given by the GP for back pain and sciatic pain.
On December 18, 2018 in "The Age" newspaper, the following article indicated that Lyrica is linked to addiction and suicide.
https://www.theage.com.au/national/victoria/this-popular-drug-is-linked-to-addiction-and-suicide-why-do-doctors-keep-prescribing-it-20181129-p50j1x.html
On December 18, 2018 in "The Age" newspaper, the following article indicated that Lyrica is linked to addiction and suicide.
https://www.theage.com.au/national/victoria/this-popular-drug-is-linked-to-addiction-and-suicide-why-do-doctors-keep-prescribing-it-20181129-p50j1x.html
Lumbar disc herniation spontaneous reabsorption is now 66.66% !!!!
02/12/18
Dr. Ilan Sommer DC (USA)- Melbourne Australia: (research pearls):
Lumbar disc herniation spontaneous reabsorption is now 66.66% !!!! according to the research for the period from January 1990 to December 2015 using PubMed. Conservative treatment may become the first choice of treatment for disc herniation.
https://www.ncbi.nlm.nih.gov/pubmed/28072796
Lumbar disc herniation spontaneous reabsorption is now 66.66% !!!! according to the research for the period from January 1990 to December 2015 using PubMed. Conservative treatment may become the first choice of treatment for disc herniation.
https://www.ncbi.nlm.nih.gov/pubmed/28072796
Spinal Decompression uses the following concepts:
17/10/18
Non Surgical Spinal Decompression uses the following concepts:
(-)The posterior disc space increases in height.
(-) Decompression decreases disc protrusion and reduces stenosis.
(-) Intradiscal pressure drops under distraction up to negative -192 mm Hg.
(-) Intervertebral foraminal openings enlarge giving potency to the nerve
(-) Decompression stretches the ligamentum flavum to reduce stenosis.
(-) Decompression increases metabolite transport into the disc.
(-) Decompression opens the epiphysial joints and reduces posterior disc stress.
(-)The posterior disc space increases in height.
(-) Decompression decreases disc protrusion and reduces stenosis.
(-) Intradiscal pressure drops under distraction up to negative -192 mm Hg.
(-) Intervertebral foraminal openings enlarge giving potency to the nerve
(-) Decompression stretches the ligamentum flavum to reduce stenosis.
(-) Decompression increases metabolite transport into the disc.
(-) Decompression opens the epiphysial joints and reduces posterior disc stress.
Lyrica, Pregabalin, Neurontin or Gabapentin are INEFFECTIVE for back pain and leg pain
16/08/18
Dr. Ilan Sommer DC (USA)- Melbourne Australia: (research pearls):
Lyrica, Pregabalin, Neurontin or Gabapentin are INEFFECTIVE for back pain and leg pain (sciatica, radicular pain) according to a new research that just came out in the "Canadian Medical Association Journal" (CMAJ) - July 2018 !!!
(Lyrica is one of the most common prescribed medication in Australia for back pain - is it really working?).
http://www.cmaj.ca/content/190/26/E786
Lyrica, Pregabalin, Neurontin or Gabapentin are INEFFECTIVE for back pain and leg pain (sciatica, radicular pain) according to a new research that just came out in the "Canadian Medical Association Journal" (CMAJ) - July 2018 !!!
(Lyrica is one of the most common prescribed medication in Australia for back pain - is it really working?).
http://www.cmaj.ca/content/190/26/E786
This is why Spinal Decompression works
08/08/18
Dr. Ilan Sommer DC (USA)- Melbourne Australia: (research pearls):
THIS IS WHY SPINE DECOMPRESSION WORKS:
The title of the article is: "Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain”.
and the conclusion is: Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.
https://www.ncbi.nlm.nih.gov/pubmed/20615252
The title of the article is: "Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain”.
and the conclusion is: Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.
https://www.ncbi.nlm.nih.gov/pubmed/20615252
The difference between non-surgical spinal decompression, traction and inversion therapy
07/08/18
THE DIFFERENCE BETWEEN NON-SURGICAL SPINAL DECOMPRESSION, TRACTION AND INVERSION THERAPY?
Non-Surgical Spinal Decompression creates a specific force and changes the intradiscal pressure. The pressure within the disc drops down from (Plus) +100mmHg to (negative) -160 mmHg and (negative) -192 mmHg, creating the transfer of fluid from outside of the disc into the centre of the disc, vacuuming back in the protrusions or herniations as well.
Traction and Inversion therapy is a one dimensional, unilateral pull of the spine, not specific to any one segment. The downward intradiscal pressure drops from +100 mmHg of pressure to only +40 mmHg. This is not enough to create a transfer of fluid from outside of the disc back into the centre of the disc.
https://www.coxtechnic.com/…/flexion-distraction-reduces-in…
Non-Surgical Spinal Decompression creates a specific force and changes the intradiscal pressure. The pressure within the disc drops down from (Plus) +100mmHg to (negative) -160 mmHg and (negative) -192 mmHg, creating the transfer of fluid from outside of the disc into the centre of the disc, vacuuming back in the protrusions or herniations as well.
Traction and Inversion therapy is a one dimensional, unilateral pull of the spine, not specific to any one segment. The downward intradiscal pressure drops from +100 mmHg of pressure to only +40 mmHg. This is not enough to create a transfer of fluid from outside of the disc back into the centre of the disc.
https://www.coxtechnic.com/…/flexion-distraction-reduces-in…
NEW neurologic deficits are inherent potential complications of spine surgery
06/08/18
Dr Ilan Sommer DC (USA) Melbourne Australia - (research pearls):
Another reason why we should try to avoid surgery as much as we can:
A research published in Spine magazine indicated in its conclusion: "even among skilled spinal deformity surgeons, NEW neurologic deficits are inherent potential complications of spine surgery".
https://www.ncbi.nlm.nih.gov/pubmed/21217448
Another reason why we should try to avoid surgery as much as we can:
A research published in Spine magazine indicated in its conclusion: "even among skilled spinal deformity surgeons, NEW neurologic deficits are inherent potential complications of spine surgery".
https://www.ncbi.nlm.nih.gov/pubmed/21217448
Treating chronic low back pain can restore normal brain function in humans (fascinating)
05/08/18
Dr Ilan Sommer DC (USA) Melbourne Australia - (research pearls):
Once in a while, I come across some odd but interesting research. This one is from the Journal of Neuroscience (the link is below):
TREATING CHRONIC LOW BACK PAIN CAN RESTORE NORMAL BRAIN FUNCTION IN HUMANS !!!
The conclusion of the article was: “Data indicate that functional and structural brain abnormalities-specifically in the left dorsolateral prefrontal cortex (DLPFC) -are reversible, suggesting that TREATING CHRONIC PAIN CAN RESTORE NORMAL BRAIN FUNCTION IN HUMANS.
AMAZING !!!!
https://www.ncbi.nlm.nih.gov/pubmed/21593339
TREATING CHRONIC LOW BACK PAIN CAN RESTORE NORMAL BRAIN FUNCTION IN HUMANS !!!
The conclusion of the article was: “Data indicate that functional and structural brain abnormalities-specifically in the left dorsolateral prefrontal cortex (DLPFC) -are reversible, suggesting that TREATING CHRONIC PAIN CAN RESTORE NORMAL BRAIN FUNCTION IN HUMANS.
AMAZING !!!!
https://www.ncbi.nlm.nih.gov/pubmed/21593339
The relation between abdominal symptoms and a thoracic disc protrusion
27/06/18
Dr. Ilan Sommer DC (USA) Spine Institute , Melbourne, Australia (research pearls):
From the "Journal of Gastrointestinal Surgery" came the following paper: The relation between abdominal symptoms and a thoracic disc protrusion.
In the conclusion it states that thoracic disc protrusion, is often associated with a digestive-urologic clinical syndrome, and should be taken into account in all cases of chronic abdominal pain and other digestive-urologic symptoms when standard tests are negative !!!
If we can decompress the disc (Non-Surgical Spinal Decompression) it might effect the abdominal symptoms. (a food for thought).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449382/
From the "Journal of Gastrointestinal Surgery" came the following paper: The relation between abdominal symptoms and a thoracic disc protrusion.
In the conclusion it states that thoracic disc protrusion, is often associated with a digestive-urologic clinical syndrome, and should be taken into account in all cases of chronic abdominal pain and other digestive-urologic symptoms when standard tests are negative !!!
If we can decompress the disc (Non-Surgical Spinal Decompression) it might effect the abdominal symptoms. (a food for thought).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449382/
Danish, US, and UK clinical practice guidelines for low back pain in evidence-based practice
11/06/18
Written by Dr. Ilan Sommer DC (USA) Melbourne Australia Decompression Centre: (research pearls)
An Overview of interventions for non-specific low back pain in evidence-based clinical practice guidelines (Danish, US, and UK guidelines)
Non Pharmacological Treatment (as we have in our office) is considered Second-Line of treatment after Advice and Education while Surgery (at the bottom of the chart) has Insufficient evidence !!!
https://www.thelancet.com/action/showFullTableImage…
An Overview of interventions for non-specific low back pain in evidence-based clinical practice guidelines (Danish, US, and UK guidelines)
Non Pharmacological Treatment (as we have in our office) is considered Second-Line of treatment after Advice and Education while Surgery (at the bottom of the chart) has Insufficient evidence !!!
https://www.thelancet.com/action/showFullTableImage…
significant increase in disability, opiate use, prolonged work loss, and poor return to work status after Spinal Fusion Surgery
22/05/18
Written by Dr. Ilan Sommer DC (USA) Melbourne Australia Decompression Centre: (research pearls)
Outcome of Lumbar Spinal Fusion Surgery:
CONCLUSION: “Lumbar fusion for the diagnoses of disc degeneration, disc herniation, and/or radiculopathy in a Work Cover setting is associated with SIGNIFICANT INCREASE IN DISABILITY, OPIATE USE, PROLONGED WORK LOSS, AND POOR RETURN TO WORK STATUS”.
Then the question is: why is it recommended?
https://www.ncbi.nlm.nih.gov/pubmed/20736894
Outcome of Lumbar Spinal Fusion Surgery:
CONCLUSION: “Lumbar fusion for the diagnoses of disc degeneration, disc herniation, and/or radiculopathy in a Work Cover setting is associated with SIGNIFICANT INCREASE IN DISABILITY, OPIATE USE, PROLONGED WORK LOSS, AND POOR RETURN TO WORK STATUS”.
Then the question is: why is it recommended?
https://www.ncbi.nlm.nih.gov/pubmed/20736894
Spinal Decompression treatment successful on post surgical patients
21/05/18
Written by Dr. Ilan Sommer DC (USA) Melbourne Australia Decompression Centre: (research pearls)
SPINAL DECOMPRESSION ON POST SURGICAL PATIENTS:
Conclusion: Greater than 50% pain relief following non-surgical spinal decompression was seen in 81% of post-surgical patients who previously has had continuous symptoms post-surgically.
https://www.ncbi.nlm.nih.gov/pubmed/27330514
SPINAL DECOMPRESSION ON POST SURGICAL PATIENTS:
Conclusion: Greater than 50% pain relief following non-surgical spinal decompression was seen in 81% of post-surgical patients who previously has had continuous symptoms post-surgically.
https://www.ncbi.nlm.nih.gov/pubmed/27330514
The nerve can revive itself after compression
20/05/18
Written by Dr. Ilan Sommer DC (USA) Melbourne Australia Decompression Centre: (research pearls)
CAN THE NERVE REVIVE ITSELF AFTER COMPRESSION? The below research shows return of motor strength after damage of sciatic nerve. Patients regain 10% within six months, 30% by one year, 50% by two years and 75% by three years. Once we decompress the nerve it can regain its function.
https://www.ncbi.nlm.nih.gov/pubmed/7936294
CAN THE NERVE REVIVE ITSELF AFTER COMPRESSION? The below research shows return of motor strength after damage of sciatic nerve. Patients regain 10% within six months, 30% by one year, 50% by two years and 75% by three years. Once we decompress the nerve it can regain its function.
https://www.ncbi.nlm.nih.gov/pubmed/7936294
The best way to decompress the spine is Prone (on your stomach)
17/05/18
Written by Dr. Ilan Sommer DC (USA) Melbourne Australia Decompression Centre: (research pearls)
What is the best way to decompress the spine: Supine (on your back) or Prone (on your stomach)?
The American Journal of Physical Medicine & Rehabilitation: June 2018 - Volume 97 - Issue 6 - p 433–439 addresses the issue. It concludes that: “Addition of traction in the prone position to other modalities resulted in larger immediate improvements in terms of pain and disability, and the results suggest that when using traction, prone traction might be first choice (patient is lying on their stomach).
This further validate the equipment and technology that we have and use in our office :)
https://journals.lww.com/…/Mechanical_Traction_for_Lumbar_R…
What is the best way to decompress the spine: Supine (on your back) or Prone (on your stomach)?
The American Journal of Physical Medicine & Rehabilitation: June 2018 - Volume 97 - Issue 6 - p 433–439 addresses the issue. It concludes that: “Addition of traction in the prone position to other modalities resulted in larger immediate improvements in terms of pain and disability, and the results suggest that when using traction, prone traction might be first choice (patient is lying on their stomach).
This further validate the equipment and technology that we have and use in our office :)
https://journals.lww.com/…/Mechanical_Traction_for_Lumbar_R…
Nonsurgical Approach to the Management of Patients With Lumbar Radiculopathy Secondary to Herniated Disk
11/02/18
Dr Ilan Sommer DC (USA): Melbourne Office research pearls:
Another paper on the outcome of conservative treatment of disc patients titled: "A Nonsurgical Approach to the Management of Patients With Lumbar Radiculopathy Secondary to Herniated Disk: A Prospective Observational Cohort Study With Follow-Up"
The conclusion was:
Favourable outcomes in this cohort study. Improvement appeared to be maintained over the long term!!!!
http://www.jmptonline.org/ar…/S0161-4754(09)00271-1/abstract
Another paper on the outcome of conservative treatment of disc patients titled: "A Nonsurgical Approach to the Management of Patients With Lumbar Radiculopathy Secondary to Herniated Disk: A Prospective Observational Cohort Study With Follow-Up"
The conclusion was:
Favourable outcomes in this cohort study. Improvement appeared to be maintained over the long term!!!!
http://www.jmptonline.org/ar…/S0161-4754(09)00271-1/abstract
How can GP's define 30% improvement as a good outcome??
12/12/17
Dr. Ilan Sommer DC (USA): (research pearls):
How can you define 30% improvement as a good outcome??
The below research was published in the latest Spine Journal observing adults visiting their family doctor with back-related leg pain in the United Kingdom. The definition of a good out come for the treatment was 30% improvement for the primary care.
As a clinician I will never consider 30% improvement a good outcome.
http://www.thespinejournalonline.com/…/S1529-9430(…/fulltext
How can you define 30% improvement as a good outcome??
The below research was published in the latest Spine Journal observing adults visiting their family doctor with back-related leg pain in the United Kingdom. The definition of a good out come for the treatment was 30% improvement for the primary care.
As a clinician I will never consider 30% improvement a good outcome.
http://www.thespinejournalonline.com/…/S1529-9430(…/fulltext
Spinal Decompression Outcome clinical study
17/11/17
Dr Ilan Sommer DC (USA): (research pearls):
SPINAL DECOMPRESSION OUTCOME OF CLINICAL STUDY: "Nonsurgical spinal decompression provides a method for physicians to properly apply and direct the decompressive force necessary to effectively treat discogenic disease. With the biotechnological advances of spinal decompression, symptoms were restored by subjective report in 86% of patients previously thought to be surgical candidates and mechanical function was restored in 92% using objective data. Ninety days after treatment only 2% reported pain and 3% relapsed".
http://www.sosherniateddisc.com/spinal_decompression_outcom…
SPINAL DECOMPRESSION OUTCOME OF CLINICAL STUDY: "Nonsurgical spinal decompression provides a method for physicians to properly apply and direct the decompressive force necessary to effectively treat discogenic disease. With the biotechnological advances of spinal decompression, symptoms were restored by subjective report in 86% of patients previously thought to be surgical candidates and mechanical function was restored in 92% using objective data. Ninety days after treatment only 2% reported pain and 3% relapsed".
http://www.sosherniateddisc.com/spinal_decompression_outcom…
86% pain relieving results with sofisticated decompression equipment
11/11/17
Dr. Ilan Sommer DC (USA): (research pearls):
"EIGHTY-SIX PERCENT OF RUPTURED INTERVERTEBRAL DISC (RID) PATIENTS ACHIEVED 'GOOD' (50-89% IMPROVEMENT) TO 'EXCELLENT' (90-100% IMPROVEMENT) RESULTS WITH DECOMPRESSION. SCIATICA AND BACK PAIN WERE RELIEVED." Pain-relieving results of traditional mechanical traction compare with a more sophisticated device which decompresses the lumbar spine, unloading of the facets. The decompression system gave "good" to "excellent" relief in 86% of patients with RID and 75 % of those with facet arthroses. The traction yielded no "excellent" results in RID and only 50% "good" to "excellent" results in those with facet arthroses. "of the facet syndrome patients, 75% obtained 'good' to 'excellent' results with decompression."
C. Norman Shealy, MD, PhD, and Vera Borgmeyer, RN, MA. Decompression, Reduction, and Stabilisation of the Lumbar Spine: A Cost-Effective Treatment for Lumbosacral Pain.
https://www.myfamilychiro.net/storage/app/media/Synergy/Clinical_Study_Shealy.pdf
https://www.researchgate.net/publication/237628223_Decompression_reduction_and_stabilization_of_the_lumbar_spine_a_cost-effective_treatment_for_lumbosacral_pain?fbclid=IwAR0p54yfBDnY1duk2WiZ8f93UcoHpPwwSlx32NFiYgIuyOe240CyTPw1Kbc
"EIGHTY-SIX PERCENT OF RUPTURED INTERVERTEBRAL DISC (RID) PATIENTS ACHIEVED 'GOOD' (50-89% IMPROVEMENT) TO 'EXCELLENT' (90-100% IMPROVEMENT) RESULTS WITH DECOMPRESSION. SCIATICA AND BACK PAIN WERE RELIEVED." Pain-relieving results of traditional mechanical traction compare with a more sophisticated device which decompresses the lumbar spine, unloading of the facets. The decompression system gave "good" to "excellent" relief in 86% of patients with RID and 75 % of those with facet arthroses. The traction yielded no "excellent" results in RID and only 50% "good" to "excellent" results in those with facet arthroses. "of the facet syndrome patients, 75% obtained 'good' to 'excellent' results with decompression."
C. Norman Shealy, MD, PhD, and Vera Borgmeyer, RN, MA. Decompression, Reduction, and Stabilisation of the Lumbar Spine: A Cost-Effective Treatment for Lumbosacral Pain.
https://www.myfamilychiro.net/storage/app/media/Synergy/Clinical_Study_Shealy.pdf
https://www.researchgate.net/publication/237628223_Decompression_reduction_and_stabilization_of_the_lumbar_spine_a_cost-effective_treatment_for_lumbosacral_pain?fbclid=IwAR0p54yfBDnY1duk2WiZ8f93UcoHpPwwSlx32NFiYgIuyOe240CyTPw1Kbc
Distraction reverses disc degeneration
11/11/17
Dr. Ilan Sommer DC (USA): (research pearls):
(Great paper published in Spine magazine about reversing degeneration of the disc.)
DISTRACTION REVERSES DISC DEGENERATION:
28 days of compression in rabbit disc caused degeneration via MRI study. 28 days of distraction regenerated the disc. Distraction results in disc rehydration, stimulated extracellular matrix, gene expression, and increased numbers of cells.
Disc distraction enhances hydration in the degenerated disc and may also improve disc nutrition via the endplates. SPINE: VOLUME 31(15) 1 JULY 2006 PP 1658-1665
(Great paper published in Spine magazine about reversing degeneration of the disc.)
DISTRACTION REVERSES DISC DEGENERATION:
28 days of compression in rabbit disc caused degeneration via MRI study. 28 days of distraction regenerated the disc. Distraction results in disc rehydration, stimulated extracellular matrix, gene expression, and increased numbers of cells.
Disc distraction enhances hydration in the degenerated disc and may also improve disc nutrition via the endplates. SPINE: VOLUME 31(15) 1 JULY 2006 PP 1658-1665
Long Term Effect on Spinal Decompression
06/11/17
Dr Ilan Sommer DC (USA) : (research pearls) :
“Excellent” Long Term Effectiveness four Years Later with Non-Surgical Spine Decompression treatment: (4 Years After Treatment outcome): - 91% were able to resume their normal daily activities - 87% were working or retired without having back pain as the cause of retirement. - 52% had a pain level of zero
The researchers believe that the pain reduction probably resulted from the effects of negative intra-discal pressure, which allowed nutrients, oxygen and water to be brought into the disk.
http://ahlasersla.com/pdf/Long-Term-Effectiveness.pdf
“Excellent” Long Term Effectiveness four Years Later with Non-Surgical Spine Decompression treatment: (4 Years After Treatment outcome): - 91% were able to resume their normal daily activities - 87% were working or retired without having back pain as the cause of retirement. - 52% had a pain level of zero
The researchers believe that the pain reduction probably resulted from the effects of negative intra-discal pressure, which allowed nutrients, oxygen and water to be brought into the disk.
http://ahlasersla.com/pdf/Long-Term-Effectiveness.pdf
Spinal Decompression Decrease Discogenic pain
17/09/17
Dr. Ilan Sommer DC (USA): (research pearls):
(Great paper on Spinal Decompression).
"RESTORATION OF DISK HEIGHT THROUGH NON-SURGICAL SPINAL DECOMPRESSION IS ASSOCIATED WITH DECREASED DISCOGENIC LOW BACK PAIN"
RESULTS: Increase in disc height and reduction in pain were significantly correlated
CONCLUSIONS: Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.
https://www.ncbi.nlm.nih.gov/pubmed/20615252
(Great paper on Spinal Decompression).
"RESTORATION OF DISK HEIGHT THROUGH NON-SURGICAL SPINAL DECOMPRESSION IS ASSOCIATED WITH DECREASED DISCOGENIC LOW BACK PAIN"
RESULTS: Increase in disc height and reduction in pain were significantly correlated
CONCLUSIONS: Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.
https://www.ncbi.nlm.nih.gov/pubmed/20615252
Risk of Epidural Steroid
03/09/17
Dr Ilan Sommer DC (USA):
Over and over I am asked about steroid injections to the spine. This was in the newspaper today 03/09/2017.
Why do so many people opt to choose an invasive treatment with such a high risks when there are alternatives.
Every patient deserve a conservative approach first.
Non Surgical Spinal Decompression creates negative pressure within the disc to retract it, to try to reduce the pressure from the nerve.
http://www.couriermail.com.au/…/0f976b5f9d89a65026978cf8d0e…
http://www.couriermail.com.au/…/0f976b5f9d89a65026978cf8d0e…
Benefits of computerized nonsurgical spinal decompression systems
12/08/17
Dr Ilan Sommer DC (USA): (Research Pearls):
The below article has since become the most read article on its website. The Special Report highlights exciting research on a medical device that offers patients a non-surgical treatment option in treating chronic low back pain. THE AUTHORS OF THIS SPECIAL REPORT ARE FROM THE PRESTIGIOUS INSTITUTIONS OF DUKE UNIVERSITY SCHOOL OF MEDICINE, MAYO CLINIC, AND JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE.
They conclude their Special Report by stating, “COMPUTERIZED NONSURGICAL SPINAL DECOMPRESSION SYSTEMS WERE DESIGNED TO PROVIDE MAXIMUM PATIENT BENEFITS WITH THE USE OF A NONINVASIVE APPROACH THAT MAY HELP MINIMIZE HEALTH CARE RESOURCES AND OFFER A POTENTIALLY OPTIMAL THERAPEUTIC APPROACH TO THE TREATMENT OF LBP (LOW BACK PAIN).”
http://www.painmedicinenews.com/download/SR07047WM.pdf
The below article has since become the most read article on its website. The Special Report highlights exciting research on a medical device that offers patients a non-surgical treatment option in treating chronic low back pain. THE AUTHORS OF THIS SPECIAL REPORT ARE FROM THE PRESTIGIOUS INSTITUTIONS OF DUKE UNIVERSITY SCHOOL OF MEDICINE, MAYO CLINIC, AND JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE.
They conclude their Special Report by stating, “COMPUTERIZED NONSURGICAL SPINAL DECOMPRESSION SYSTEMS WERE DESIGNED TO PROVIDE MAXIMUM PATIENT BENEFITS WITH THE USE OF A NONINVASIVE APPROACH THAT MAY HELP MINIMIZE HEALTH CARE RESOURCES AND OFFER A POTENTIALLY OPTIMAL THERAPEUTIC APPROACH TO THE TREATMENT OF LBP (LOW BACK PAIN).”
http://www.painmedicinenews.com/download/SR07047WM.pdf
Disc REGENERATION after decompression
28/07/17
Dr Ilan Sommer DC (USA): (Research Pearls):
For years doctors looked at disc degeneration as a result of aging, trauma, wear and tear etc. The following research talks about disc REGENERATION after decompression. What a great study that validate what we do in the clinic!!!
SPINE. 2006 JUL 1;31(15):1658-65. DEPARTMENT OF ORTHOPAEDIC SURGERY, UNIVERSITY OF HEIDELBERG, GERMANY "Disc distraction shows evidence of regenerative potential in degenerated intervertebral discs as evaluated by protein expression, magnetic resonance imaging, and messenger ribonucleic acid expression analysis"
https://www.ncbi.nlm.nih.gov/pubmed/16816759
For years doctors looked at disc degeneration as a result of aging, trauma, wear and tear etc. The following research talks about disc REGENERATION after decompression. What a great study that validate what we do in the clinic!!!
SPINE. 2006 JUL 1;31(15):1658-65. DEPARTMENT OF ORTHOPAEDIC SURGERY, UNIVERSITY OF HEIDELBERG, GERMANY "Disc distraction shows evidence of regenerative potential in degenerated intervertebral discs as evaluated by protein expression, magnetic resonance imaging, and messenger ribonucleic acid expression analysis"
https://www.ncbi.nlm.nih.gov/pubmed/16816759
Difference between Traction and Decompression
22/07/17
Dr. Ilan Sommer DC (USA): (research pearls):
The below chart says it all: The different between Decompression and Traction published in the "American Journal of Pain Management Vol. 7 No. 2 April 1997"
86% of patient showed good to excellent results in Decompression treatment compare to 55% of good results in Traction.
The below chart says it all: The different between Decompression and Traction published in the "American Journal of Pain Management Vol. 7 No. 2 April 1997"
86% of patient showed good to excellent results in Decompression treatment compare to 55% of good results in Traction.
99 out of 100 Spinal Surgeons will “ABSOLUTELY NOT” have lumbar surgery in this pole
29/06/17
This article was today (29/06/17) in the news.com.au about back pain and surgery:
"There is “very little evidence” that shows spinal fusion surgery (the elective surgery patients in the US spend the most on) is more effective than intensive rehabilitation. You might as well skip the surgery and go straight to the rehab,”
While patients spend about $53 billion ($US40 billion) a year on spinal fusion, the success rate is just 35 per cent.
IN A POLL OF 100 SURGEONS, 99 SAID THEY WOULD “ABSOLUTELY NOT” HAVE LUMBAR FUSION SURGERY IF IT WAS RECOMMENDED TO THEM.
https://www.news.com.au/finance/business/other-industries/new-book-exposes-crooked-back-pain-industry/news-story/dba14c91dba63783acaf3f4e33efcd89
"There is “very little evidence” that shows spinal fusion surgery (the elective surgery patients in the US spend the most on) is more effective than intensive rehabilitation. You might as well skip the surgery and go straight to the rehab,”
While patients spend about $53 billion ($US40 billion) a year on spinal fusion, the success rate is just 35 per cent.
IN A POLL OF 100 SURGEONS, 99 SAID THEY WOULD “ABSOLUTELY NOT” HAVE LUMBAR FUSION SURGERY IF IT WAS RECOMMENDED TO THEM.
https://www.news.com.au/finance/business/other-industries/new-book-exposes-crooked-back-pain-industry/news-story/dba14c91dba63783acaf3f4e33efcd89
WHAT IS THE DIFFERENCE BETWEEN NON-SURGICAL SPINAL DECOMPRESSION, TRACTION AND INVERSION THERAPY?
21/05/17
Dr. Ilan Sommer DC (USA)
WHAT IS THE DIFFERENCE BETWEEN NON-SURGICAL SPINAL DECOMPRESSION, TRACTION AND INVERSION THERAPY?
Traction is a one dimensional, unilateral pull of the spine, not specifying any one segment. The downward intradiscal pressure when a person is standing is (positive) +100 mmHg of pressure and when sitting is (positive) +140 mmHg. When generalized traction or inversion therapy is performed, the intradiscal pressure drops down to 40 mmHg of positive downward pressure. This is the point that muscle spasms can be relieved, however not enough to create transfer of fluid from outside of the disc back into the nucleus palposus or the center of the disc. Inversion therapy is just another form of generalized traction, pulling the ankles, the knees, the hips, the low back, the mid back and the neck, never creating enough of a decrease in the intradiscal space to allow for the transfer of the fluid outside of the disc back into the center of the disc.
With Non-Surgical Spinal Decompression Therapy, the intradiscal pressure goes down to (negative) -160 mmHg and (negative) -192 mmHg creating the transfer of fluid from outside of the disc into the center of the disc, vacuuming back in the protrusions or herniations as well.
http://www.coxtechnic.com/…/flexion-distraction-reduces-int…
WHAT IS THE DIFFERENCE BETWEEN NON-SURGICAL SPINAL DECOMPRESSION, TRACTION AND INVERSION THERAPY?
Traction is a one dimensional, unilateral pull of the spine, not specifying any one segment. The downward intradiscal pressure when a person is standing is (positive) +100 mmHg of pressure and when sitting is (positive) +140 mmHg. When generalized traction or inversion therapy is performed, the intradiscal pressure drops down to 40 mmHg of positive downward pressure. This is the point that muscle spasms can be relieved, however not enough to create transfer of fluid from outside of the disc back into the nucleus palposus or the center of the disc. Inversion therapy is just another form of generalized traction, pulling the ankles, the knees, the hips, the low back, the mid back and the neck, never creating enough of a decrease in the intradiscal space to allow for the transfer of the fluid outside of the disc back into the center of the disc.
With Non-Surgical Spinal Decompression Therapy, the intradiscal pressure goes down to (negative) -160 mmHg and (negative) -192 mmHg creating the transfer of fluid from outside of the disc into the center of the disc, vacuuming back in the protrusions or herniations as well.
http://www.coxtechnic.com/…/flexion-distraction-reduces-int…
"HUETER-VOLKMANN LAW" apply to children accelerated growth plate with tension (decompression)
03/05/17
Dr. Ilan Sommer DC (USA):
Why Traction and Decompression is also effective in children:
"HUETER-VOLKMANN LAW"
According to Hueter-Volkmannn Law, bone growth in the period of skeletal immaturity is retarded by mechanical compression on the growth plate and accelerated by growth plate tension.
https://www.ncbi.nlm.nih.gov/pubmed/15758453
"HUETER-VOLKMANN LAW"
According to Hueter-Volkmannn Law, bone growth in the period of skeletal immaturity is retarded by mechanical compression on the growth plate and accelerated by growth plate tension.
https://www.ncbi.nlm.nih.gov/pubmed/15758453
The best position in which to sit at your desk is leaning back, at about 135 degrees
20/03/17
Dr Ilan Sommer DC (USA): (research pearls):
SITTING STRAIGHT 'BAD FOR BACKS'
Sitting up straight is not the best position for office workers, a study has suggested. Scottish and Canadian researchers used a new form of magnetic resonance imaging (MRI) to show it places an unnecessary strain on your back. They told the Radiological Society of North America that the best position in which to sit at your desk is leaning back, at about 135 degrees. Experts said sitting was known to contribute to lower back pain. Data from the British Chiropractic Association says 32% of the population spends more than 10 hours a day seated.
http://articles.chicagotribune.com/…/0611280110_1_upright-s…
SITTING STRAIGHT 'BAD FOR BACKS'
Sitting up straight is not the best position for office workers, a study has suggested. Scottish and Canadian researchers used a new form of magnetic resonance imaging (MRI) to show it places an unnecessary strain on your back. They told the Radiological Society of North America that the best position in which to sit at your desk is leaning back, at about 135 degrees. Experts said sitting was known to contribute to lower back pain. Data from the British Chiropractic Association says 32% of the population spends more than 10 hours a day seated.
http://articles.chicagotribune.com/…/0611280110_1_upright-s…
Injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events
18/03/17
Dr Ilan Sommer DC (USA): (research pearls):
Safety Announcement:
The U.S. Food and Drug Administration (FDA) is warning that injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death. The injections are given to treat neck and back pain, and radiating pain in the arms and legs. We are requiring the addition of a Warning to the drug labels of injectable corticosteroids to describe these risks. Patients should discuss the benefits and risks of epidural corticosteroid injections with their health care professionals, along with the benefits and risks associated with other possible treatments.
http://nationalpainreport.com/fda-warns-about-epidurals-882…
Safety Announcement:
The U.S. Food and Drug Administration (FDA) is warning that injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death. The injections are given to treat neck and back pain, and radiating pain in the arms and legs. We are requiring the addition of a Warning to the drug labels of injectable corticosteroids to describe these risks. Patients should discuss the benefits and risks of epidural corticosteroid injections with their health care professionals, along with the benefits and risks associated with other possible treatments.
http://nationalpainreport.com/fda-warns-about-epidurals-882…
Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain”
07/12/16
Dr. Ilan Sommer DC (USA): (research pearls):
(Great paper on Spinal Decompression).
"Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain”. Low back pain decreased from 6.2 (sd 2.2) to 1.6 (2.3, p < 0.001) and disc height increased from 7.5 (1.7) mm to 8.8 (1.7) mm (p < 0.001). INCREASE IN DISC HEIGHT AND REDUCTION IN PAIN WERE SIGNIFICANTLY CORRELATED (r = 0.36, p = 0.044).
CONCLUSIONS: Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.
https://www.ncbi.nlm.nih.gov/pubmed/20615252
"Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain”. Low back pain decreased from 6.2 (sd 2.2) to 1.6 (2.3, p < 0.001) and disc height increased from 7.5 (1.7) mm to 8.8 (1.7) mm (p < 0.001). INCREASE IN DISC HEIGHT AND REDUCTION IN PAIN WERE SIGNIFICANTLY CORRELATED (r = 0.36, p = 0.044).
CONCLUSIONS: Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.
https://www.ncbi.nlm.nih.gov/pubmed/20615252