What is Spinal Disc Decompression
What is Spinal Decompression?
By Thomas A. Gionis, MD, JD, MBA, MHA, FICS, FRCS, and Eric Groteke, DC, CCIC
The outcome of a clinical study evaluating the effect of nonsurgical intervention
on symptoms of spine patients with herniated and degenerative disc disease
is presented.
This clinical outcomes study was performed to evaluate the
effect of spinal decompression on symptoms and physical findings of patients
with herniated and degenerative disc disease. Results showed that 86% of the
219 patients who completed the therapy reported immediate resolution of symptoms,
while 84% remained pain-free 90 days post-treatment. Physical examination findings
showed improvement in 92% of the 219 patients, and remained intact in 89% of
these patients 90 days after treatment. This study shows that disc disease—the
most common cause of back pain, which costs the American health care system
more than $50 billion annually—can be cost-effectively treated using
spinal decompression. The cost for successful non-surgical therapy is less
than a tenth of that for surgery. These results show that biotechnological
advances of spinal decompression reveal promising results for the future of
effective management of patients with disc herniation and degenerative disc
diseases. Long-term outcome studies are needed to determine if non-surgical
treatment prevents later surgery, or merely delays it.
INTRODUCTION: ADVANCES IN BIOTECHNOLOGY
With
the recent advances in biotechnology, spinal decompression has evolved into
a cost-effective nonsurgical treatment for herniated and degenerative spinal
disc disease, one of the major causes of back pain. This nonsurgical treatment
for herniated and degenerative spinal disc disease works on the affected spinal
segment by significantly reducing intradiscal pressures.1 Chronic low back
pain disability is the most expensive benign condition that is medically treated
in industrial countries. It is also the number one cause of disability in persons
under age 45. After 45, it is the third leading cause of disability.2 Disc
disease costs the health care system more than $50 billion a year.
The intervertebral disc is made up of sheets of fibers that form a fibrocartilaginous
structure, which encapsulates the inner mucopolysaccharide gel nucleus. The
outer wall and gel act hydrodynamically. The intrinsic pressure of the fluid
within the semirigid enclosed outer wall allows hydrodynamic activity, making
the intervertebral disc a mechanical structure.3 As a person utilizes various
normal ranges of motion, spinal discs deform as a result of pressure changes
within the disc.4 The disc deforms, causing nuclear migration and elongation
of annular fibers. Osteophytes develop along the junction of vertebral bodies
and discs, causing a disease known as spondylosis. This disc narrows from the
alteration of the nucleus pulposus, which changes from a gelatinous consistency
to a more fibrous nature as the aging process continues. The disc space thins
with sclerosis of the cartilaginous end plates and new bone formation around
the periphery of the contiguous vertebral surfaces. The altered mechanics place
stress on the posterior diarthrodial joints, causing them to lose their normal
nuclear fulcrum for movement. With the loss of disc space, the plane of articulation
of the facet surface is no longer congruous. This stress results in degenerative
arthritis of the articular surfaces.
This is especially important in occupational repetitive injuries, which make
up a majority of work-related injuries. When disc degeneration occurs, the
layers of the annulus can separate in places and form circumferential tears.
Several of these circumferential tears may unite and result in a radial tear
where the material may herniate to produce disc herniation or prolapse. Even
though a disc herniation may not occur, the annulus produces weakening, circumferential
bulging, and loss of intervertebral disc height. As a result, discograms at
this stage usually reveal reduced interdiscal pressure.
The early changes that have been identified in the nucleus pulposus and annulus
fibrosis are probably biomechanical and relate to aging. Any additional trauma
on these changes can speed up the process of degeneration. When there is a
discogenic injury, physical displacement occurs, as well as tissue edema and
muscle spasm, which increase the intradiscal pressures and restrict fluid migration.6
Additionally, compression injuries causing an endplate fracture can predispose
the disc to degeneration in the future.
The alteration of normal kinetics is the most prevalent cause of lower back
pain and disc disruption and thus it is vital to maintain homeostasis in and
around the spinal disc; Yong-Hing and Kirkaldy-Willis7 have correlated this
degeneration to clinical symptoms. The three clinical stages of spinal degeneration
include:
Stage of Dysfunction. There is little pathology and symptoms are subtle or
absent. The diagnosis of Lumbalgia and rotatory strain are commonly used.
Stage of Instability. Abnormal movement of the motion segment of instability
exists and the patient complains of moderate symptoms with objective findings.
Conservative care is used and sometimes surgery is indicated.
Stage of Stabilization. The third phase where there are severe degenerative
changes of the disc and facets reduce motion with likely stenosis.
Spinal decompression has been shown to decompress the disc space, and in the
clinical picture of low back pain is distinguishable from conventional spinal
traction.8,9 According to the literature, traditional traction has proven to
be less effective and biomechanically inadequate to produce optimal therapeutic
results.8-11 In fact, one study by Mangion et al concluded that any benefit
derived from continuous traction devices was due to enforced immobilization
rather than actual traction.10 In another study, Weber compared patients treated
with traction to a control group that had simulated traction and demonstrated
no significant differences.11 Research confirms that traditional traction does
not produce spinal decompression. Instead, decompression, that is, unloading
due to distraction and positioning of the intervertebral discs and facet joints
of the lumbar spine, has been proven an effective treatment for herniated and
degenerative disc disease, by producing and sustaining negative intradiscal
pressure in the disc space. In agreement with Nachemon’s findings and
Yong-Hing and Kirkaldy-Willis,1 spinal decompression treatment for low back
pain intervenes in the natural history of spinal degeneration.7,12 Matthews13
used epidurography to study patients thought to have lumbar disc protrusion.
With applied forces of 120 pounds x 20 minutes, he was able to demonstrate
that the contrast material was drawn into the disc spaces by osmotic changes.
Goldfish14 speculates that the degenerated disc may benefit by lowering intradiscal
pressure, affecting the nutritional state of the nucleus pulposus. Ramos and
Martin8 showed by precisely directed distraction forces, intradiscal pressure
could dramatically drop into a negative range. A study by Onel et al15 reported
the positive effects of distraction on the disc with contour changes by computed
tomography imaging. High intradiscal pressures associated with both herniated
and degenerated discs interfere with the restoration of homeostasis and repair
of injured tissue.
Biotechnological advances have fostered the design of Food and Drug Administration-approved
ergonomic devices that decompress the intervertebral discs. The biomechanics
of these decompression/reduction machines work by decompression at the specific
disc level that is diagnosed from finding on a comprehensive physical examination
and the appropriate diagnostic imaging studies. The angle of decompression
to the affected level causes a negative pressure intradiscally that creates
an osmotic pressure gradient for nutrients, water, and blood to flow into the
degenerated and/or herniated disc thereby allowing the phases of healing to
take place.
This clinical outcomes study, which was performed to evaluate the effect of
spinal decompression on symptoms of patients with herniated and degenerative
disc disease, showed that 86% of the 219 patients who completed therapy reported
immediate resolution of symptoms, and 84% of those remained pain-free 90 days
post-treatment. Physical examination findings revealed improvement in 92% of
the 219 patients who completed the therapy.
METHODS
The study group included 229 people, randomly chosen from 500 patients who
had symptoms associated with herniated and degenerative disc disease that had
been ongoing for at least 4 weeks. Inclusion criteria included pain due to
herniated and bulging lumbar discs that is more than 4 weeks old, or persistent
pain from degenerated discs not responding to 4 weeks of conservative therapy.
All patients had to be available for 4 weeks of treatment protocol, be at least
18 years of age, and have an MRI within 6 months. Those patients who had previous
back surgery were excluded. Of note, 73 of the patients had experienced one
to three epidural injections prior to this episode of back pain and 22 of those
patients had epidurals for their current condition. Measurements were taken
before the treatments began and again at week two, four, six, and 90 days post
treatment. At each testing point a questionnaire and physical examination were
performed without prior documentation present in order to avoid bias. Testing
included the Oswetry questionnaire, which was utilized to quantify information
related to measurement of symptoms and functional status. Ten categories of
questions about everyday activities were asked prior to the first session and
again after treatment and 30 days following the last treatment.
Testing also consisted of a modified physical examination, including evaluation
of reflexes (normal, sluggish, or absent), gait evaluation, the presence of
kyphosis, and a straight leg raising test (radiating pain into the lower back
and leg was categorized when raising the leg over 30 degrees or less is considered
positive, but if pain remained isolated in the lower back, it was considered
negative). Lumbar range of motion was measured with an ergonometer. Limitations
ranging from normal to over 15 degrees in flexion and over 10 degrees in rotation
and extension were positive findings. The investigator used pinprick and soft
touch to determine the presence of gross sensory deficit in the lower extremities.
Of the 229 patients selected, only 10 patients did not complete the treatment
protocol. Reasons for noncompletion included transportation issues, family
emergencies, scheduling conflicts, lack of motivation, and transient discomfort.
The patient protocol provided for 20 treatments of spinal decompression over
a 6-week course of therapy. Each session consisted of a 45-minute treatment
on the equipment followed by 15 minutes of ice and interferential frequency
therapy to consolidate the lumbar paravertebral muscles. The patient regimen
included 2 weeks of daily spinal decompression treatment (5 days per week),
followed by three sessions per week for 2 weeks, concluding with two sessions
per week for the remaining 2 weeks of therapy
On the first day of treatment, the applied pressure was measured as one half
of the person’s body weight minus 10 pounds, followed on the second day
with one half of the person’s body weight. The pressure placed for the
remainder of the 18 sessions was equivalent to one half of the patient’s
body weight plus an additional 10 pounds. The angle of treatment was set according
to manufacturer’s protocol after identifying a specific lumbar disc correlated
with MRI findings. A session would begin with the patient being fitted with
a customized lower and upper harness to fit their specific body frame. The
patient would step onto a platform located at the base of the equipment, which
simultaneously calculated body weight and determined proper treatment pressure.
The patient was then lowered into the supine position, where the investigator
would align the split of table with the top of the patient’s iliac crest.
A pneumatic air pump was used to automatically increase lordosis of the lumbar
spine for patient comfort. The patient’s chest harness was attached and
tightened to the table. An automatic shoulder support system tightened and
affixed the patient’s upper body. A knee pillow was placed to maintain
slight flexion of the knees. With use of the previously calculated treatment
pressures, spinal decompression was then applied. After treatment, the patient
received 15 minutes of interferential frequency (80 to 120 Hz) therapy and
cold packs to consolidate paravertebral muscles.
During the initial 2 weeks of treatment, the patients were instructed to wear
lumbar support belts and limit activities, and were placed on light duty at
work. In addition, they were prescribed a nonsteroidal, to be taken 1 hour
before therapy and at bedtime during the first 2 weeks of treatment. After
the second week of treatment, medication was decreased and moderate activity
was permitted.
Data was collected from 219 patients treated during this clinical study. Study
demographics consisted of 79 female and 140 male patients. The patients treated
ranged from 24 to 74 years of age (see Table 1). The average weight of the
females was 146 pounds and the average weight of the men was 195 pounds. According
to the Oswestry Pain Scale, patients reported their symptoms ranging from no
pain (0) to severe pain (5).
PATIENT GROUPS
The patients were further subdivided into six groups:
single lateral herniation 67 cases
single central herniation 22 cases
single lateral herniation
with disc degeneration 32 cases
single central herniation
with disc degeneration. 24 cases
more than 1 herniation
with disc degeneration 17 cases
more than 1 herniation
without disc degeneration 57 cases
RESULTS
According to the self-rated Oswestry Pain Scale, treatment was successful
in 86% of the 219 patients included in this study (Table 2, page 39). Treatment
success was defined by a reduction in pain to 0 or 1 on the pain scale. The
perception of pain was none 0 to occasional 1 without any further need for
medication or treatment in 188 patients. These patients reported complete resolution
of pain, lumbar range of motion was normalized, and there was recovery of any
sensory or motor loss. The remaining 31 patients reported significant pain
and disability, despite some improvement in their overall pain and disability
score.
Diagnosis MRI
Results on self-rated Oswestry Pain Scale after treatment.
In this study, only patients diagnosed with herniated and degenerative discs
with at least a 4-week onset were eligible. Each patient’s diagnosis
was confirmed by MRI findings. All selected patients reported 3 to 5 on the
pain scale with radiating neuritis into the lower extremities. By the second
week of treatment, 77% of patients had a greater than 50% resolution of low
back pain. Subsequent orthopedic examinations demonstrated that an increase
in spinal range of motion directly correlated with an improvement in straight
leg raises and reflex response. Table 2 shows a summary of the subjective
findings obtained during this study by category and total results post treatment.
After 90 days, only five patients (2%) were found to have relapsed from the
initial treatment program.
Percentage of patients that had improved physical exam findings post treatment.
Ninety-two percent of patients with abnormal physical findings improved post-treatment.
Ninety days later only 3% of these patients had abnormal findings. Table
3 summarizes the percentage of patients that showed improvement in physician
examination findings testing both motor and sensory system function after
treatment. Gait improved in 96% of the individuals who started with an abnormal
gait, while 96% of those with sluggish reflexes normalized. Sensory perception
improved in 93% of the patients, motor limitation diminished in 86%, 89%
had a normal straight leg raise test who initially tested abnormal, and 90%
showed improvement in their spinal range of motion.
SUMMARY
In conclusion, 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,
by physical examination exhibiting motor limitations and decreased spinal range
of motion. Our results indicate that in treating 219 patients with MRI-documented
disc herniation and degenerative disc diseases, treatment was successful as
defined by: pain reduction; reduction in use of pain medications; normalization
of range of motion, reflex, and gait; and recovery of sensory or motor loss.
Biotechnological advances of spinal decompression indeed reveal promising results
for the future of effective management of patients with disc herniation and
degenerative disc diseases. The cost for successful nonsurgical therapy is
less than a tenth of that for surgery. Long-term outcome studies are needed
to determine if nonsurgical treatment prevents later surgery or merely delays
it.
Thomas A. Gionis, MD, JD, MBA, MHA, FICS, FRCS, is chairman of the American
Board of Healthcare Law and Medicine, Chicago; a diplomate professor of surgery,
American Academy of Neurological and Orthopaedic Surgeons; and a fellow of
the International College of Surgeons and the Royal College of Surgeons.
Eric Groteke, DC, CCIC, is a chiropractor and is certified in manipulation
under anesthesia. He is also a chiropractic insurance consultant, a certified
independent chiropractic examiner, and a certified chiropractic insurance consultant.
Groteke maintains chiropractic centers in northeastern Pennsylvania, in Stroudsburg,
Scranton, and Wilkes-Barre.
REFERENCES
Eyerman E. MRI evidence of mechanical reduction and repair of the torn annulus
disc. International Society of Neuroradiologists; October 1998; Orlando.
Narayan P, Morris IM. A preliminary audit of the management of acute low back
pain in the Kettering District. Br J Rheumatol. 1995;34:693-694.
McDevitt C. Proteoglycans of the intervertebral disc. In: Gosh, P, ed. The
Biology of the Intervertebral Disc. Boca Raton, Fla: CRC Press; 1988:151-170.
Bogduk N, Twomey L. Clinical Anatomy of the Lumbar Spine. New York: Churchill
Livingstone; 1991. Cox JM. Low Back Pain: Mechanism, Diagnosis, and Treatment.
5th ed. Baltimore: Williams & Wilkins; 1990:69-70, 144. Cyriax JH. Textbook
of Orthopaedic Medicine: Diagnosis of Soft Tissue Lesions. Vol 1. 8th ed. London:
Balliere Tindall; 1982. Nachemson AL. The lumbar spine, an orthopaedic challenge.
Spine. 1976;1(1):59-69. Ramos G, Martin W. Effects of vertebral axial decompression
on intradiscal pressure. J Neurosurgery. 1994;81:350-353. Shealy CN, Leroy
P. New concepts in back pain management: decompression, reduction, and stabilization.
In: Weiner R, ed. Pain Management: A Practical Guide for Clinicians. Boca Raton,
Fla: St Lucie Press; 1998:239-257.
Pal B, Mangion P, Hossain MA, et al. A controlled trial of continuous lumbar
traction in back pain and sciatica. Br J Rheumatol. 1986;25:181-183.
Weber H. Traction therapy in sciatica due to disc prolapse. J Oslo City Hosp.
1973;23(10):167-176. Yong-Hing K, Kirkaldy-Willis WH. The pathophysiology of
degenerative disease of the lumbar spine. Orthop Clin North Am. 1983;14:501-503.
Matthews J. The effects of spinal traction. Physiotherapy. 1972;58:64-66.
Goldfish G. Lumbar traction. In: Tollison CD, Kriegel M, eds. Inter- disciplinary
Rehabilitation of Low Back Pain. Baltimore: Williams & Wilkins; 1989.
Onel D, Tuzlaci M, Sari H, Demir K. Computed tomographic investigation of the
effect of traction on lumbar disc herniations. Spine. 1989; 14(1):82-90.
Featured Specialists
Dr. Robert Lambrou, D.C.
Neck Pain Lakewood, New Jersey
North East Spine and Sports Medicine
Call 888-575-1316
2080 West County Line Rd.
Jackson,
New Jersey
08527
If opportunities are presenting themselves and you can't grasp at them because you have to hold your neck in pain the North East Spine and Sports Medicine Institute near Lakewood, New Jersey is the place for you. Neck pain doesn't have to hold you back any longer. Dr. Dimitrios Lambrou has the resources to provide the remedies for you to finally get better.
Dr. David Fuller DC
Chiropractic Back Pain Relief North Wales, PA (North Philadelphia)
Fuller Chiropractic and Sports Injury Center
Call 888-870-8351
1218 Welsh Road, Ste C
North Wales,
Pennsylvania
19454
Is back pain taking over your life? Is it causing unnecessary difficulties, disabling you from doing the things that you once loved? When one suffers from back problems, pain is often unfortunately felt in other parts of the body as well such as the legs, neck, hands and arms. Dr. David Fuller DC of Fuller Chiropractic and Sports Injury Center in North Wales, PA (North Philadelphia) can offer the relief you may be seeking without invasive surgery.
Dr. Michael Mulvaney, DC
Back Pain Doctor Chesterfield, Virginia
Spinal Correction Center of Richmond
Call 888-804-5326
8536 Patterson Ave.
Richmond,
Virginia
23229
In spite of its long recognition by the medical community and the government as a safe, proven and effective treatment, many people today still have misconceptions about Chiropractic care. Chiropractic or osteopathic manipulations can be especially helpful in relieving back pain because such a condition responds well to mobilization. Dr. Michael Mulvaney, DC of the Spinal Correction Center of Richmond serves the Chesterfield area using innovative chiropractic technology and proven chiropractic techniques.
Columbia University Medical Center for Metabolic and Weight Loss Surgery
Manhattan Metabolic Weight Loss
Columbia University Medical Center | Center for Metabolic and Weight Loss Surgery
Call 888-857-1803
The Herbert Irving Pavilion,161 Fort Washington Avenue, 6th Floor, Room 620
NYC,
NY
10032
Are you tired of being obese? Have you tried exercise and diets, but nothing seems to work? Don't feel bad, many people today suffer from obesity. Often times, losing weight is impossible using traditional methods (diet and exercise). The reason is many people are genetically predisposed to obesity. Get the help you need from Dr. Marc Bessler, MD and the Columbia University Center of Obesity Surgery. Dr. Bessler has been the director of Columbia University Center of Obesity Surgery for over 10 years and specializes in many weight loss surgeries.
Dr. George Wilson
Disk Herniation Fresno, California
Fresno Spinal Relief
Call 888-694-5358
4832 N. First St. Suite 101
Fresno,
California
93726
Disk herniation is one of the leading causes of back disease. If you are living in or around Fresno, California then a great place to seek help is the Fresno Spinal Relief Center. Dr. George Wilson and a team of experts at the Center are waiting for your call.
Dr. Ronald Spiaggia
Spinal Decompression Morristown, New Jersey
Performance Rehabilitation & Sports Injury Center
Call 888-216-4182
459 Watchung Avenue
Watchung,
NJ
07069
When you've tried so many treatments for back pain but not found any sort of satisfactory result, it is easy to get discouraged. However, spinal decompression therapy with Dr. Ronald Spiaggia, DC at Performance Rehabilitation and Sports Injury Center in Morristown, New Jersey area, you don't have to give up. He utilizes clinical expertise as well as cutting-edge technology in order to deliver quality decompression care that will have you feeling pain-free in no time.
Dr. Jonathan Donath
Chiropractor Greenburgh, Westchester, NY
Joint Effort Chiropractic
Call 914-908-5562
1241 Mamaroneck Ave
White Plains,
NY
10605
If you are experiencing back pain, every movement can be extremely difficult. When getting out of bed hurts, or when you feel like your back pain is preventing you from enjoying life the way you used to, it is time for you to consider seeing a chiropractor. Only proper treatment can effectively take the pain away and prevent the pain from worsening. At Joint Effort Chiropractic, located in Westchester NY, near Greenburg, Dr. Jonathan Donath is committed to and specializes in treating back injuries. As a chiropractor, Dr. Jonathan Donath uses top of the line spinal decompression technology to help you put an end to chronic back pain.
Louis E. Bisogni, DC & Alan H. Siegel, DC
Sciatica Treatment Westchester County, New York
Westchester Non-Surgical Spine and Sports Care
Call (914) 202-0700
12 Old Mamaroneck Rd.
Wht Plns,
NY
10605
Do you feel like your life is at a standstill due to your back pain? Sciatica symptoms don't only affect your back, but your whole body. The pain is often long-term and unbearable making everyday tasks at work and home extremely difficult. Even simple mobility such as walking becomes increasingly painful and disheartening. At Westchester Non-Surgical Spine and Sports Care, you can find friendly doctors who specialize in Sciatica treatment in order to help relieve you of troublesome back pain.
Dr. Rex W. Roffler, DC
Herniated Disc/Bulging Disc Orlando, Florida
Roffler Spinal Aid of Winter Park, FL
Call 888-268-4760
5502 Lake Howell Rd.
Winter Park,
FL
32792
If you or a loved one is struggling to get through each day because of the pain a herniated or bulging disc is causing, you want the most effective treatment available. At Roffler SpinalAid Centers of America, patients are able to discover the relief they need to resume living a healthy, active life again. Dr. Rex Roffler has spent years helping clients at his state-of-the-art facility. If you are looking for the highest quality decompression & chiropractic care available in the Orlando, Florida area, SpinalAid Centers of America welcomes you to experience the care and support offered by the doctors and staff here.
Dr. Peter Ferraro, D.C.
Herniated Disc Passaic County, New Jersey
Call 888-283-6198
224 Midland Ave.
Saddle Brook,
New Jersey
07663
If you are experiencing severe back pain, it may be the result of a herniated and bulging disc. Finding a good chiropractor to help you with your aching back could make all the difference. Dr. Peter Ferraro, D.C., is an expert in the chiropractic field an has years of experience helping clients live healthy, pain-free lives again. If you are looking for a chiropractor who can deliver the highest quality care and treatment in the Passaic County, New Jersey area, Dr. Ferraro and his team can help.
Dr. Matthew Symons
Back Pain West Palm Beach Florida
Florida D.I.S.C.
Call (888) 240-5922
1011 North State Rd. 7 Suite D
Royal Palm Beach,
Florida
33411
Has excruciating back pain slowed you down? Is it hard for you to walk or sleep without back pain? Dr. Matt Symons in West Palm Beach, Florida can help you treat the pain and return to an active lifestyle. Consisting of a large team of highly-trained doctors, Dr. Symons works hard to help you go back to a life without pain.
Dr. Anthony J. Scatena, DC
Herniated Disc Lexington, KY
Scatena Chiropractic
Call (888) 355-0063
1019 Majestic Drive Suite 160
Lexington,
Kentucky
40513
Is pain from a herniated disc adding to daily pressures? Is it negatively affecting your performance at work as well as your daily life? Then receiving quality treatment is something you definitely owe yourself. At Scatena Chiropractic in Lexington, KY, Dr. Anthony J. Scatena, DC can provide you with a number of treatment options that are designed to thoroughly tackle your condition.
Dr. Steven Shoshany
Bulging Disc NYC
New York Integrative Medical and Rehab
Call (888) 435-7155
632 Broadway, Ste 303 (btw. Bleecker & Houston)
New York City,
NY
10012
Is a bulging disk in your spine making every position uncomfortable? Find the relief that only a spinal decompression expert can bring you. Manhattan, New York City's Dr. Steven Shoshany D.C, C.C.E.P. and New York Integrative Medical and Rehab near the B, D, F, V, N, R, W, and 6 trains strive to non-invasively correct back pain in a caring environment. The DRX9000 spinal decompression therapy produces outstanding patient results by stimulating the full recovery of damaged structures in the lower back, including disc herniations and other spinal conditions. As the founder and director of New York Integrative Medical and Rehab, Dr. Shoshany can bring the relief you are looking for.
Synergy Pain Relief
Back Pain Treatment Spinal Decompression Bolingbrook, Illinois
Synergy Pain Relief
Call 888-216-3329
2011 S. Washington Street
Naperville,
IL
60565
Is back pain getting you down? Do you feel overtly exhausted or hurt every time you sit or stand, and want individual treatment for back pain? At Syergy Pain Relief Institute in Bolingbrook, Illinois, the family of doctors and pain specialists can grant you relief from pain with Spinal Decompression, today's revolutionary back pain treatment.
Dr. Robert M. Browne DC
Chiropractic Back Pain Doctor Staten Island, NY
Staten Island DRX
Call 888-211-4196
3204 Amboy Rd.
Staten Island,
NY
10306
Is back pain keeping you away from the things you love? Back pain is one of the leading causes of doctor visits today, but secret to lasting relief still evades so many. If you're or a loved one is tired or relying to painkillers to just get through the day Dr. Robert Browne DC and the team at Staten Island DRX can help. He utilizes a little known, FDA-cleared technology called spinal disc decompression to treat a wide range of pain conditions without the need of drugs or surgery. Don't let pain hold your life back any longer. An experienced chiropractic back pain doctor in Staten Island, NY is only a phone call away.
Radiology & Diagnostic Imaging | General Radiology Services
Digital MRI Scan Yonkers, New York
Lawrence Hospital Center | Outpatient Services
Call (888) 837-8158
55 Palmer Avenue, First Floor
Bronxville,
NY
10708
From digital MRI scan to an X-ray examination, Lawrence Hospital possesses the latest technology and the most recent imaging methods to provide the most accurate, detailed information. Their staff of board certified radiologists, imagers and technicians work to provide a full range of imaging services as well as a comfortable atmosphere to welcome patients into. Lawrence Hospital has been serving patients in Yonkers, New York for many years. For more information about the different imaging services provided, call today.
MedWell, L.L.C.
Back Pain/Neck Pain Bergen County, NJ
MedWell, L.L.C. Sports Medicine & Physical Therapy
Call (888) 820-2250
33 Central Ave
Midland Park,
NJ
07432
Does It hurts when you hold certain positions, or ache when you sit down too long? Back and neck pain is a common complaint throughout the United States. In most cases, it is simply the result of wear and tear, but you may need medical attention if the pain is severe or chronic. At MedWell, L.L.C. Pain Relief and Physical Therapy Center in Midland Park, Bergen County, New Jersey we are committed to providing quick pain relief to all our patients.
Dr. Howard Goodman, DC
Back Pain Relief Manhattan, NYC
NYREHAB Pain Management & Medical Services P.C.
Call (888) 292-7798
4 Park Avenue (Btw 33-34th St)
Manhattan,
NY
10016
As a back pain sufferer, there is probably nothing you want more than to end your pain once and for all. The key to ending your condition is getting the proper care from a well-trained medical professional who can get you on the right road towards your recovery. Dr. Howard Goodman, DC, is ready to help you get rid of the back pain.
Progressive Medical Centers of America
Dr. Gez Agolli
Progressive Medical Centers of America
Call (888) 802-4131
4646 North Shallowford Road
Atlanta,
GA
30338
If you are looking for viable alternative to the shortcomings of traditional medicines that sometimes rely on dangerous drug therapy and surgery, it is important to find a trusted professional with a wide range of natural medicinal experience. For those in Atlanta, Georgia, look no further than Dr. Gez Agolli at the Progressive Medical Center of America.
Dr. Melinda Keller, D.C.
Back Pain Relief Boro Park, Brooklyn, NY
Brooklyn Spine Center
Call 888-772-6132
1117 57th Street
Boro Park,
NY
11219
Back pain can often limit a person's physical activity. Get back to the pain-free life you once had. Call Dr. Melinda Keller, D.C. at Brooklyn Spine Center in Bolo Park, Brooklyn, NY for back pain relief.