Spinal Decompression Centre - Melbourne Australia

Spinal Decompression uses the following concepts:

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.

Lyrica, Pregabalin, Neurontin or Gabapentin are INEFFECTIVE for back pain and leg pain

Dr Ilan Sommer DC (USA) - 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

This is why Spinal Decompression works

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 difference between non-surgical spinal decompression, traction and inversion therapy

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…

NEW neurologic deficits are inherent potential complications of spine surgery

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

Treating chronic low back pain can restore normal brain function in humans (fascinating)

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

The relation between abdominal symptoms and a thoracic disc protrusion

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/

Danish, US, and UK clinical practice guidelines for low back pain in evidence-based practice

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…

significant increase in disability, opiate use, prolonged work loss, and poor return to work status after Spinal Fusion Surgery

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

Spinal Decompression treatment successful on post surgical patients

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

The nerve can revive itself after compression

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

The best way to decompress the spine is Prone (on your stomach)

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…

Non-Surgical treatment of radicular pain may be superior to surgery based on cost, morbidity, complications.

Written by Dr. Ilan Sommer DC (USA) Melbourne Australia Decompression Centre: (research pearls)
- NON-SURGICAL TREATMENT OF RADICULAR PAIN MAY BE SUPERIOR TO SURGERY BASED ON COST, MORBIDITY, COMPLICATIONS.
Memmo PA, Nadler S, Malanga G: Lumbar disc herniations: a review of surgical and non surgical indications and outcomes.
J of Back and Musculoskeletal Rehabilitation. 2000;14(3):79-88

Nonsurgical Approach to the Management of Patients With Lumbar Radiculopathy Secondary to Herniated Disk

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

How can GP's define 30% improvement as a good outcome??

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

Spinal Decompression Outcome clinical study

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…


GOOD (50-89% improvement) to EXCELENT (90-100% improvement) results with decompression

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."
"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 Stabilization of the Lumbar Spine: A Cost-Effective Treatment for Lumbosacral Pain.
American Journal of Pain Management Vol. 7 No. 2 April 1997.

Distraction reverses disc degeneration

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

Long Term Effect on Spinal Decompression

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://www.promedpainrehab.com/…/Long-Term-Effectiveness.pdf

Spinal Decompression Decrease Discogenic pain

Dr. Ilan Sommer DC (USA): (research pearls):
(Great paper on Spinal Decompression).
Research published in: BMC Musculoskelet Disorder 2010 Jul 8;11:155 named: "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.

Risk of Epidural Steroid

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…

Benefits of computerized nonsurgical spinal decompression systems

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

Disc REGENERATION after decompression

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

Difference between Traction and Decompression

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.

99 out of 100 Spinal Surgeons will “ABSOLUTELY NOT” have lumbar surgery in this pole

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

WHAT IS THE DIFFERENCE BETWEEN NON-SURGICAL SPINAL DECOMPRESSION, TRACTION AND INVERSION THERAPY?

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…

"HUETER-VOLKMANN LAW" apply to children accelerated growth plate with tension (decompression)

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.

J Musculoskel Neuron Interact 2002; 2(3):277-280

The best position in which to sit at your desk is leaning back, at about 135 degrees

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…

Injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events

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…

Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain”

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