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Back Pain

Back Clinic Back Pain Chiropractic Treatment Team. At the El Paso Back Clinic, we take back pain very seriously.

After diagnosing the root cause of your discomfort/pain, we’ll do everything within our power to cure the area and relieve your symptoms.

Common causes of back pain:
There is an infinite number of forms of back pain, and a variety of injuries and diseases may cause discomfort in this area of the body. One of the most Frequent ones we see one of our patients in East Side El Paso and surrounding areas comprise:

Disc Herniation
Inside the backbone are flexible discs that cushion your bones and absorb shock. Whenever these discs are broken, they may compress a nerve leading to lower extremity numbness. StressWhen a muscle at the trunk is overexerted or hurt, causing stiffness and pain, this type of injury is generally classified as a back strain. This can be the consequence of attempting to lift an item that can result in excruciating pain and impairment and is too heavy. Diagnosing the underlying cause of your pain.

Osteoarthritis
Osteoarthritis is characterized by the slow wearing down of protective cartilage. When the back is affected by this condition, it causes damage to the bones that results in chronic pain, stiffness, and limited mobility. SprainIf ligaments in your spine and back are stretched or torn, it’s called a spine sprain. Typically, this injury causes pain in the region. Spasms cause back muscles to overwork they may start to contract, and can even stay contracted– also called a muscle spasm. Muscle spasms can present with pain and stiffness until the strain resolves.

We want to accomplish the diagnosis straight away, integrating a background and exam along with state-of-the-art imaging, so we can provide you with the most efficient therapy choices. To begin, we will speak with you regarding your symptoms, which will provide us with critical information regarding your underlying condition. We’ll then perform a physical exam, during which we’ll check for posture issues, evaluate your spine and assess your backbone. If we guess injuries, like a disk or neurological injury, we’ll probably order imaging tests to obtain an analysis.

Regenerative remedies to your back pain. At the El Paso Back Clinic, you may be certain that you’re in the best possible hands with our Doctor of Chiropractic and Massage Therapist. Our purpose during your pain treatment isn’t only to relieve your symptoms — but also to avoid a recurrence and to treat your pain.


The Efficacy Of Spinal Decompression For Low Back Pain

The Efficacy Of Spinal Decompression For Low Back Pain

How efficient is spinal decompression to alleviate pain-like symptoms in many individuals with low back pain?

Introduction

Low back pain is a common condition that affects many people worldwide. It can cause discomfort and prevent individuals from returning to their normal routines. The pain can be specific or non-specific, depending on the severity of the symptoms. It can also be associated with other musculoskeletal conditions, such as sciatica, DDD, and osteoarthritis, affecting the spine’s mobility and stability. Fortunately, treatments are available to reduce the pain and associated symptoms while relieving the lumbar spinal region. At the same time, working with certified medical providers who use our patients’ information to treat individuals experiencing pain-like symptoms associated with low back pain. We inform them that non-surgical treatments like decompression can help reduce the progression of low back pain and its associated pain-like symptoms. At the same time, we also explain to them how adding decompression to their routine can alleviate the pain-like symptoms. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

The Burden Of Low Back Pain

Do you often experience muscle stiffness and aches from excessive sitting at your desk job? Do you feel excruciating pain in your hips and low back after a long day of moving heavy objects? Or do you feel constant pain after moving from one location to another, only to find relief when resting? Many of these scenarios are a normal routine associated with low back pain for many working people. Since low back pain is common worldwide, it can greatly impact many individuals trying to alleviate it. For many individuals dealing with low back pain, it can be an economic burden, and it causes unnecessary stress to the working individual. (Maetzel & Li, 2002) When a person is dealing with low back pain and is working, it can lead to work disability which then cascades to frequent doctor visits to missing time off work to eventually short-term disability. At the same time, low back pain has many potential, either normal or traumatic factors affecting the region of the lower back, hips, and buttocks. Many individuals with low back pain noticed the corresponding relationship between the genetic and environmental factors that often correspond to where the pain is localized. (Manek & MacGregor, 2005)

 

 

Low back pain can often develop at an early age and be associated with serious pathologies (Jones & Macfarlane, 2005) that can correlate with environmental factors that lead to spinal misalignment or subluxation. Low back pain covers a huge spectrum of pain-like conditions that are frequently overlapped and can be prone to different stressors that can impact the body while becoming a challenge to diagnose when getting treated. (Knezevic et al., 2021) However, many individuals with low back pain can find relief from not only the economic burden of low back pain but also find the right therapies to alleviate pain-like symptoms associated with low back pain from their bodies.

 


Body In Balance- Video

When it comes to treating low back pain, many individuals will go to their primary doctors for a physical examination to determine where the pain radiates in the lumbar region. (Chou, Qaseem, et al., 2007) At the same time, the individual’s primary doctor should assess what factors are the causes for the development of low back pain and come up with a customized treatment plan to reduce the pain from the lumbar region while also working with other medical professionals to kick start the person’s health and wellness journey. Numerous non-surgical treatments are cost-effective, safe, and non-pharmacological when alleviating low back pain. They can provide positive, beneficial results after a few sessions of treatments to reduce low back pain. Non-surgical treatments like chiropractic care, massage therapy, spinal decompression, and physical therapy can help relieve many individuals with low back pain. The video above explains how these treatments, combined with the right tools, can help bring balance back into the body.


The Efficacy Of Spinal Decompression

When reducing the effects of low back pain, non-surgical treatments are cost-effective and safe for many individuals with low back pain. Many non-surgical therapies are efficient for chronic or acute low back pain and can be combined with numerous therapies to reduce the chances of low back pain from returning in the future. (Chou, Huffman, et al., 2007) Non-surgical treatments like spinal decompression are efficient for low back pain as it helps stretch the tight, shortened muscles in the lumbar region and reduce any pain-like symptoms associated with low back pain.

 

How Spinal Decompression Alleviates Low Back Pain

Now how would spinal decompression alleviate low back pain? Well, since low back pain has many factors that can contribute to its development, one of these factors that can contribute to low back pain is compressed intervertebral discs. When the spinal discs are compressed, they can become herniated under pressure and aggravate the spinal nerve root, leading to low back pain symptoms. With spinal decompression, individuals will be strapped to a traction machine and have their bodies gently pulled to reduce pressure off the aggravated nerve and pull the disc back into its original position. To that point, spinal decompression allows mobility back to the lower extremities and improves stability in the lumbar region. (Meszaros et al., 2000) Additionally, decompression can help reduce the effects of low back pain, whether done manually or through a traction machine that allows negative pressure into the spine while allowing the body to heal itself and rehydrate the spinal discs naturally. (Macario et al., 2008) With spinal decompression combined with other therapies, many people can return to work pain-free while being more mindful of how they listen to their bodies.

 


References

Chou, R., Huffman, L. H., American Pain, S., & American College of, P. (2007). Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med, 147(7), 492-504. doi.org/10.7326/0003-4819-147-7-200710020-00007

 

Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Jr., Shekelle, P., Owens, D. K., Clinical Efficacy Assessment Subcommittee of the American College of, P., American College of, P., & American Pain Society Low Back Pain Guidelines, P. (2007). Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med, 147(7), 478-491. doi.org/10.7326/0003-4819-147-7-200710020-00006

 

Jones, G. T., & Macfarlane, G. J. (2005). Epidemiology of low back pain in children and adolescents. Arch Dis Child, 90(3), 312-316. doi.org/10.1136/adc.2004.056812

 

Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. The Lancet, 398(10294), 78-92. doi.org/10.1016/s0140-6736(21)00733-9

 

Macario, A., Richmond, C., Auster, M., & Pergolizzi, J. V. (2008). Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review. Pain Practice, 8(1), 11-17. doi.org/10.1111/j.1533-2500.2007.00167.x

 

Maetzel, A., & Li, L. (2002). The economic burden of low back pain: a review of studies published between 1996 and 2001. Best Pract Res Clin Rheumatol, 16(1), 23-30. doi.org/10.1053/berh.2001.0204

 

Manek, N. J., & MacGregor, A. J. (2005). Epidemiology of back disorders: prevalence, risk factors, and prognosis. Curr Opin Rheumatol, 17(2), 134-140. doi.org/10.1097/01.bor.0000154215.08986.06

 

Meszaros, T. F., Olson, R., Kulig, K., Creighton, D., & Czarnecki, E. (2000). Effect of 10%, 30%, and 60% body weight traction on the straight leg raise test of symptomatic patients with low back pain. J Orthop Sports Phys Ther, 30(10), 595-601. doi.org/10.2519/jospt.2000.30.10.595

 

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Lumbar Disc Degeneration Relieved With Decompression

Lumbar Disc Degeneration Relieved With Decompression

How does decompression alleviate sciatic nerve pain in many working individuals with lumbar disc degeneration?

Introduction

The discs between the spinal vertebrae act as a cushion when pressure is added to the body. These discs get compressed when the body is in motion. Our bodies and spines also age as we age, which causes the spinal intervertebral disc to degenerate over time. The outer part of the spinal disc may crack under pressure, causing the inner part to protrude and irritate the spinal nerve roots. This can cause sciatic nerve pain, which may result in radiating pain in the legs, buttocks, and lower back. This can cause mobility issues and disability, making it difficult for working individuals to perform their jobs. Non-surgical treatments, such as safe and gentle traction, can help alleviate sciatic nerve pain by reducing pressure on the spine and maintaining disc height. By slowing down the progression of lumbar disc degeneration, individuals can reduce the frequency of visits to their primary care doctors and avoid disability. Today’s article provides an overview of lumbar disc degeneration, its association with sciatic nerve pain, and the benefits of decompression in restoring disc height and reducing pain. As we work with certified medical providers who use our patients’ information to treat individuals experiencing sciatic nerve pain associated with lumbar disc degeneration. We inform them that non-surgical treatments like decompression can help reduce the progression of lumbar disc degeneration and reduce sciatic nerve pain. At the same time, we also explain to them how adding decompression to their routine can alleviate the pain-like symptoms. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Lumbar Disc Degeneration Overview

Have you begun to notice how your legs, buttocks, and feet are constantly experiencing tingling sensations that it makes it difficult to do everyday actions? Do you feel excruciating pain in your legs while standing, only to find relief from resting? Or do you notice that you are getting aches and muscle strains from normal motion like bending, twisting, and turning after waking up in the morning? Many individuals, especially older working adults, are experiencing these issues due to lumbar disc degeneration. Now lumbar disc degeneration usually occurs naturally as the body ages, which then causes the intervertebral disc to wear and tear constantly under pressure, then cracks and causes the disc to herniate. Since the intervertebral disc provides structural support and shock absorption against mechanical loads to the lumbar region, when normal or traumatic factors cause changes, it can cause dysfunction and instability in the lumbar spine. (Mohd Isa et al., 2022)

 

 

When the intervertebral discs begin to crack under pressure, it can cause pain-like symptoms affecting the upper and lower extremities. Additionally, lumbar disc degeneration can cause spinal flexibility to decrease and reduce the spine’s ROM (range of motion), which causes more stress on the surrounding muscles, ligaments, and tissues. Lumbar disc degeneration can cascade events from disc bulging to nerve root irritation. (Liyew, 2020) This means that when there are advanced degenerative changes to the lumbar facet joints and the surrounding soft tissues, it can cause the spinal canal to narrow and compress the adjacent nerve root. To that point, it can lead to reduce disc height and lead to sciatic nerve pain.

 

Lumbar Disc Degeneration Associated With Sciatica

Now how would lumbar disc degeneration be associated with sciatic nerve pain? When the intervertebral disc is being compressed under unwanted pressure, it can crack over time and herniate out of its original position, which then can press on the nerve root causing radiating pain to travel to the affected muscle area. Since the sciatic nerve is positioned in the lumbosacral region, it runs from the top of the gluteus muscles and down to the back of the hamstrings and calves. When unwanted pressure causes the intervertebral disc to herniate and start to affect the sciatic nerve, it causes a frequent symptom known as lumbar sciatica, where the herniated disc is compressing the sciatic nerve. (Zitouna et al., 2019) To that point, it can cause radiating, shooting pain down to the leg, making it difficult for individuals with demanding jobs to find relief. Since the lumbar intervertebral discs have a corresponding relationship with the central nervous system, the nerve roots that surround the spinal discs help with providing neuron signals to the adjacent muscles, which allows the arms, hands, legs, and feet to move. (Bogduk, Tynan, & Wilson, 1981) However, when the intervertebral discs are herniated, it can disrupt the neuron signaling to the muscles and cause referred pain to the lower or upper extremities. When this happens, many individuals opt to seek treatment.

 


Sciatica Secrets Revealed- Video

Many individuals dealing with sciatic nerve pain associated with lumbar disc degeneration will often find temporary relief to continue their work despite constant pain. This is due to the unwanted pressure that is causing an overload on the spinal disc to cause them to degenerate and invoke pain in the lower regions. At the same time, age and degenerative structural changes have a close relationship that can cause a greater effect on stress distribution to the lower back. (Adams, McNally, & Dolan, 1996) This leads to overlapping risk profiles contributing to sciatic nerve pain associated with lumbar disc degeneration due to normal and traumatic factors. However, many individuals don’t have to suffer from pain-like symptoms related to lumbar disc degeneration as there are numerous treatments to restore disc height and reduce sciatic nerve pain. Non-surgical treatments are great for many individuals looking for cost-efficiency and can be personalized to the person’s pain. (Louis-Sidney et al., 2022) Non-surgical treatments like chiropractic care, massage and physical therapy, and spinal decompression can help many individuals with lumbar disc degeneration associated with sciatic nerve pain. These treatments incorporate mechanical and manual manipulation of the spine to realign the body out of subluxation while incorporating various techniques to stretch out the soft tissues and muscles to strengthen their length and reduce nerve entrapment. The video above explains a bit more about how these treatments can restore mobility to the body, reduce inflammation, and relieve muscle tension caused by lumbar disc degeneration associated with sciatic nerve pain.


Spinal Decompression Restores Disc Height

Now non-surgical treatments like spinal decompression can help reduce the progress of lumbar disc degeneration by restoring disc height. Spinal decompression uses gentle traction on the spine to allow the necessary nutrients, fluids, and blood to be reabsorbed back into the spine. It will enable the herniated disc to return to its original position and rehydrate it. (Yu et al., 2022) Since the spine and body age naturally, spinal decompression can restore disc height by creating negative pressure to regain mobility and stretch out the affected muscles surrounding the spine.

 

Spinal Decompression Reduces Sciatic Nerve Pain

Additionally, decompression can help reduce sciatic nerve pain as it can help the herniated disc alleviate the pressure on the sciatic nerve and can restore mobility to the body. Spinal decompression can become a positive outcome for many working individuals as it allows individuals to be more mindful of their habits that were the cause of the pain they were experiencing. (Brogger et al., 2018) With non-surgical treatments like spinal decompression, many individuals can become efficient with work while being more conscious about what factors contribute to the pain. This, in turn, allows them to focus on their well-being and strengthen their weak points with a personalized plan that will enable them to make small changes in their day-to-day lives and become pain-free after a few consecutive treatments.

 


References

 

Adams, M. A., McNally, D. S., & Dolan, P. (1996). ‘Stress’ distributions inside intervertebral discs. The effects of age and degeneration. J Bone Joint Surg Br, 78(6), 965-972. doi.org/10.1302/0301-620x78b6.1287

 

Bogduk, N., Tynan, W., & Wilson, A. S. (1981). The nerve supply to the human lumbar intervertebral discs. J Anat, 132(Pt 1), 39-56. www.ncbi.nlm.nih.gov/pubmed/7275791

www.ncbi.nlm.nih.gov/pmc/articles/PMC1233394/pdf/janat00225-0045.pdf

 

Brogger, H. A., Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Comparative effectiveness and prognostic factors for outcome of surgical and non-surgical management of lumbar spinal stenosis in an elderly population: protocol for an observational study. BMJ Open, 8(12), e024949. doi.org/10.1136/bmjopen-2018-024949

 

Liyew, W. A. (2020). Clinical Presentations of Lumbar Disc Degeneration and Lumbosacral Nerve Lesions. Int J Rheumatol, 2020, 2919625. doi.org/10.1155/2020/2919625

 

Louis-Sidney, F., Duby, J. F., Signate, A., Arfi, S., De Bandt, M., Suzon, B., & Cabre, P. (2022). Lumbar Spinal Stenosis Treatment: Is Surgery Better than Non-Surgical Treatments in Afro-Descendant Populations? Biomedicines, 10(12). doi.org/10.3390/biomedicines10123144

 

Mohd Isa, I. L., Teoh, S. L., Mohd Nor, N. H., & Mokhtar, S. A. (2022). Discogenic Low Back Pain: Anatomy, Pathophysiology and Treatments of Intervertebral Disc Degeneration. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010208

 

Yu, P., Mao, F., Chen, J., Ma, X., Dai, Y., Liu, G., Dai, F., & Liu, J. (2022). Characteristics and mechanisms of resorption in lumbar disc herniation. Arthritis Res Ther, 24(1), 205. doi.org/10.1186/s13075-022-02894-8

 

Zitouna, K., Selmene, M. A., Derbel, B., Rekik, S., Drissi, G., & Barsaoui, M. (2019). An unexpected etiology of lumbosciatica. Tunis Med, 97(12), 1415-1418. www.ncbi.nlm.nih.gov/pubmed/32173813

 

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A Cost-Effective Treatment For Lumbosacral Pain

A Cost-Effective Treatment For Lumbosacral Pain

In individuals with lumbosacral pain, how do cost-effective treatments compare to traditional care treatments affect muscle strain?

Introduction

The human spine is divided into three sections, which form an S-curve shape that supports the upper and lower body parts, maintaining good posture during movement. The spinal discs or intervertebral discs act as shock absorbers within each section of the spinal column. They help reduce axial overload and protect the spinal cord. The cervical, thoracic, and lumbar sections have specific roles in the upper and lower body parts, ensuring comfort and pain-free movement. However, many people engage in normal activities such as lifting improperly, sitting excessively, or carrying an unreasonable weight, leading to pain and disability over time without proper care. The lumbosacral region of the spine is the most commonly injured and is linked to low back pain. Lumbosacral pain can result from normal or traumatic factors, making individuals miss work or daily activities, leading to financial burdens when visiting a doctor. Symptoms associated with lumbosacral pain can cause referred pain to other parts of the body, leading individuals to think that the primary pain location is elsewhere. Fortunately, various cost-effective treatments can reduce the effects of lumbosacral pain and alleviate muscle strain in the lower back region. This article focuses on the many factors associated with lumbosacral pain, cost-effective treatments to reduce it, and the difference between traction and spinal decompression, which can alleviate muscle strain in the lumbosacral spinal region. As we work with certified medical providers who use our patients’ information to treat individuals experiencing lumbosacral pain and explain how combining non-surgical decompression as part of their routine can alleviate the pain-like symptoms affecting the lumbosacral region. We inform them about non-surgical treatments to ease lumbosacral pain while reducing muscle strain. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Lumbosacral Pain Associated Factors

How many times a day have you been experiencing low back pain associated with lifting heavy objects? Do you feel muscle aches or strains in your lower back from excessing sitting from your job? Or do you feel pain in your lower back after a long day of work that feels better after sitting down? Many individuals don’t often realize that the pain they are feeling in their lumbosacral region could be due to the normal factors that are causing repetitive motions that are causing the spinal discs in the lumbosacral area to be compressed, damaged, or herniated. To that point, lumbosacral pain may correlate with low back pain. Since low back pain is mostly a non-specific issue, many working individuals with a sedentary desk job or an active job requiring physical exertion can be a clue to the causes of low back pain associated with lumbosacral pain. (See Tan & Kumar, 2021) Additionally, lumbosacral pain can cause the individual to have unwanted stress while undergoing treatment. The cost of treating lumbosacral pain associated with the low back can increase drastically.

 

 

The working individual would have to worry about the cost of traditional medical care and how to compensate for the lost wages to pay for the treatment. (Snook, 1988) This leads many individuals to continue working even when in excruciating pain by incorporating home treatments to reduce the pain temporarily. When the lumbosacral spine is dealing with pain, the nerve roots that surround the lumbosacral region will begin to go haywire, causing somato-visceral pain where the sensory signals cause symptoms of tingling and numbness to travel down to the legs, glutes, low back, and thighs. (Vaitkus & Sipylaite, 2021) Luckily, many individuals can be at ease in numerous ways. There are cost-effective treatments to reduce the pain-like issues associated with the lumbosacral region and alleviate the muscle strain caused by lumbosacral pain.


Many individuals will look for home remedies to reduce the pain in the affected muscle area when treating lumbosacral pain associated with low back pain. Many people will opt for exercises, ice/hot packs, or massages to ease low back pain related to lumbosacral pain. (“Simple treatments best for acute low-back problems, say federal guidelines,” 1995) All these treatments are cost-effective and can be combined with non-surgical treatments to stretch the tight muscles, realign the spine, and help rehydrate the spinal discs back to the spine. The video above asks if core exercises can help ease back pain. The video details how weak core muscles correlate with lower back lumbosacral pain. Engaging the core during exercise can help stabilize the lumbosacral region while improving overall wellness.


Cost-Effective Treatments Relieve Lumbosacral Pain

When relieving lumbosacral pain, cost-effective non-surgical treatments can help many individuals find the relief they need. The effects of non-surgical treatments for the lumbosacral vertebrae apply various techniques to the spine by widening the spinal disc height, reducing muscle strain and spasms, and separating the vertebrae. (Colachis & Strohm, 1969) Many individuals have opted for these treatments because they are safe, cost-effective, and gentle on the spine. Since the spinal discs can be compressed due to unwanted axial load, spinal manipulation done by a chiropractor can realign the spine out of subluxation. (Cyriax, 1950) This allows the individual to feel instant relief and reduce the aggravated nerve roots from the lumbosacral spine. Other cost-effective treatments like traction therapy and spinal decompression can also alleviate lumbosacral pain that is causing the issue to many individuals.

 

Traction vs. Spinal Decompression

The difference between traction therapy and spinal decompression therapy varies within the individual and what their personalized treatment plan requires. Traction therapy incorporates half of the person’s body weight with additional weight to reduce nerve root compression and can be combined with other treatments like hot/cold therapies and electro-stimulation; combined with an exercise program can strengthen the weak muscles and reduce muscle strain. (Alrwaily, Almutiri, & Schneider, 2018)
With spinal decompression, many individuals will be strapped into a mechanical machine and feel a gentle pull on their spine. This creates negative pressure between the spine and allows the disc to lay off the aggravating nerve root and promote healing properties back to the disc. (Choi et al., 2022) Spinal decompression causes a direct distraction within the spinal segments with minimal discomfort to the individual. Both cost-effective treatments are suitable for individuals with lumbosacral pain along their spine as they can help relieve pain and reduce muscle strain along the lumbar region after a few sessions. Non-surgical treatments are beneficial for many individuals who are looking to take back their health and wellness without being in pain.


References

Alrwaily, M., Almutiri, M., & Schneider, M. (2018). Assessment of variability in traction interventions for patients with low back pain: a systematic review. Chiropr Man Therap, 26, 35. doi.org/10.1186/s12998-018-0205-z

 

Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P.-B. (2022). Effect of Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 6343837. doi.org/10.1155/2022/6343837

 

Colachis, S. C., Jr., & Strohm, B. R. (1969). Effects of intermittent traction on separation of lumbar vertebrae. Archives of Physical Medicine and Rehabilitation, 50(5), 251-258. www.ncbi.nlm.nih.gov/pubmed/5769845

 

Cyriax, J. (1950). The treatment of lumbar disk lesions. Br Med J, 2(4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434

 

See, Q. Y., Tan, J. B., & Kumar, D. S. (2021). Acute low back pain: diagnosis and management. Singapore Med J, 62(6), 271-275. doi.org/10.11622/smedj.2021086

 

Simple treatments best for acute low-back problems, say federal guidelines. (1995). Am J Health Syst Pharm, 52(5), 457. doi.org/10.1093/ajhp/52.5.457a

 

Snook, S. H. (1988). The costs of back pain in industry. Occup Med, 3(1), 1-5. www.ncbi.nlm.nih.gov/pubmed/2963383

 

Vaitkus, A., & Sipylaite, J. (2021). Sensory Perception in Lumbosacral Radiculopathy with Radicular Pain: Feasibility Study of Multimodal Bedside-Suitable Somatosensory Testing. Acta Med Litu, 28(1), 97-111. doi.org/10.15388/Amed.2021.28.1.18

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New Concepts In Back Pain Management: Decompression

New Concepts In Back Pain Management: Decompression

In many working individuals with back pain, how does non-surgical decompression achieve pain reduction to the intervertebral disc in pain management?

Introduction

Low back pain is a common complaint in the workforce. It can cause individuals to miss work, become disabled, and frequently visit their primary doctors. Many factors contribute to the development of low back pain. You may have experienced constant back muscle aches from sitting down and hunched over a computer. Or maybe you have felt your back muscles strain from carrying heavy objects from one location to another. Carrying equipment around your hips, like a utility belt in construction or a law enforcement job, can also contribute to back pain. These scenarios can all be related to the development of low back pain. When the lower extremity muscles are over or under-active, it can cause muscle and tissue fibers to shorten or become overstretched. This can lead to tiny nodules known as trigger points forming. Additionally, repetitive motions caused by overload axial pressure can compress the lumbar spinal structure and cause the spinal disc to care constantly. However, there are ways to manage low back pain. By focusing on common issues associated with each back pain syndrome, non-surgical treatments like spinal decompression can achieve pain management for the intervertebral disc. As we work with certified medical providers who use our patients’ information to treat working individuals suffering from low back pain combining non-surgical decompression as part of their routine can alleviate the pain-like symptoms. We inform them about non-surgical treatments to ease low back pain issues while achieving pain management. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Each Low Back Pain Syndrome Is Common

 

When it comes to low back pain, many individuals will come to their primary doctor and inform them that they are in constant pain in their lower back. As stated earlier, repetitive motions from normal factors can cause the back muscles to be over or under-stretched, causing muscle aches. At the same time, the spinal discs are constantly being compressed with unnecessary pressure. When the spinal discs are under constant pressure, they can begin to bulge or herniate, depending on the severity of the issue. To that point, the compressed spinal discs can aggravate the spinal nerve roots to cause referred localized pain down to the legs or arms, causing symptoms of numbness or tingling sensations in the hands and feet. Low back pain has four categories that can affect many individuals and has different treatment pathways. (Bogduk & Twomey, 1991) These four categories can vary with intense symptoms that pertain to the pain and how they were developed. These include:

  • Acute muscularity (can involve sciatic radiation)
  • With or without neurological dysfunction
  • Chronic muscularity (can have recurring symptoms)
  • Neoplastic low back pain (can have frequent symptoms and become progressive)

These four categories of low back pain all have common features, as well as regional pain, muscle impairment, mechanical dysfunction exacerbated by daily activities, and mood/behavioral changes. Additional low back pain can be specific or non-specific, associated with many working individuals. Many individuals dealing with low back pain will often work through the pain rather than find the proper relief because of that fear of missing out on work. (Becker & Childress, 2019) Luckily, many ways exist to reduce low back pain and alleviate compressed spinal discs.


Revolutionizing Healthcare-Video

Have you or your loved ones felt aches and pains in your lower back after regular activities? Do your legs and lower back feel stiffer than usual when walking with heavy equipment? Or do you hunch or slouch constantly while relaxing on a chair or sofa? Many of these factors are the root cause of low back pain, and it can affect a person’s routine without treatment right away. When many individuals deal with low back pain in the workforce, they often try home remedies to alleviate the pain temporarily to get back to work, only to cause more issues in the future. To that point, this causes the working individual to be under constant pain and miss out on work, which then causes more unnecessary stress and pressure on the lower back. Luckily there are available treatments that can reduce the effects of low back pain and ease the minds of many individuals looking for cost-effective and safe options. Non-surgical treatments for low back pain are safe for the spine and can be cost-effective to help manage the pain associated with compressed spinal discs and allow people to be more mindful of their back and spine. Non-surgical treatments can range from chiropractic care to spinal decompression, depending on the severity of the pain that the person is experiencing. The video above goes more in-depth with how non-surgical treatments can revolutionize healthcare.


The Biomechanic Principal Of Decompression

 

When it comes to individuals trying to find relief for their low back pain, many will opt for traditional surgical treatments if the home treatments are not working. While conventional surgical treatments can provide more rapid relief, they can be pricey and cause a financial burden to the working individual. Hence why many will often seek out non-surgical therapies. (Schoenfeld & Weiner, 2010) Non-surgical treatments are affordable to the active individual and can be customizable depending on the issue. One of the non-surgical treatments is decompression. Decompression incorporates mechanical traction to gently stretch the spine as a distracting force to realign the spine back to normal, increase the body’s fluids and nutrients to promote healing factors, and relieve abnormal pressure on the nociceptive receptors system. (Judovich, 1954) The effects of spinal decompression allow the spine to regain mobility, stability, and reduction of low back pain, allowing the compressed spinal disc to return to its original position.

 

The Decompression Benefits For Common Occurring Back Pain Syndrome

During the mechanical traction process of spinal decompression, the spinal disc space is slightly increased, which reduces the lumbar disc protrusion and causes the disc herniation to disappear over time after a few sessions. (Andersson, Schultz, & Nachemson, 1983) These are a few benefits of spinal decompression, as traction therapy can also alleviate additional musculoskeletal disorders associated with low back pain. (Bettmann, 1957) Musculoskeletal disorders associated with low back pain can be treated with spinal manipulation combined with decompression, as it is used to improve spinal and hip mobility in the lower extremities, thus reducing pain and incapacity in people with low back pain. (Fagundes Loss et al., 2020) Additionally, mechanical traction from decompression can help inhibit positive results for many individuals looking for relief from mechanical stress from their backs. (Wegner et al., 2013) Spinal decompression can help reduce low back pain and its associated symptoms for many working individuals who want the relief they deserve.


References

Andersson, G. B., Schultz, A. B., & Nachemson, A. L. (1983). Intervertebral disc pressures during traction. Scand J Rehabil Med Suppl, 9, 88-91. www.ncbi.nlm.nih.gov/pubmed/6585945

 

Becker, B. A., & Childress, M. A. (2019). Nonspecific Low Back Pain and Return To Work. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184

 

Bettmann, E. H. (1957). Therapeutic advantages of intermittent traction in musculoskeletal disorders. GP, 16(5), 84-88. www.ncbi.nlm.nih.gov/pubmed/13474126

 

Bogduk, N., & Twomey, L. T. (1991). Clinical Anatomy of the Lumbar Spine. Churchill Livingstone. books.google.com/books?id=qrJqAAAAMAAJ

 

Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial. Chiropr Man Therap, 28(1), 25. doi.org/10.1186/s12998-020-00316-7

 

Judovich, B. D. (1954). Lumbar traction therapy and dissipated force factors. J Lancet, 74(10), 411-414. www.ncbi.nlm.nih.gov/pubmed/13221967

 

Schoenfeld, A. J., & Weiner, B. K. (2010). Treatment of lumbar disc herniation: Evidence-based practice. International Journal of General Medicine, 3, 209-214. doi.org/10.2147/ijgm.s12270

 

Wegner, I., Widyahening, I. S., van Tulder, M. W., Blomberg, S. E., de Vet, H. C., Bronfort, G., Bouter, L. M., & van der Heijden, G. J. (2013). Traction for low-back pain with or without sciatica. Cochrane Database Syst Rev, 2013(8), CD003010. doi.org/10.1002/14651858.CD003010.pub5

 

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Inversion Therapy, Back Pain & Spinal Decompression

Inversion Therapy, Back Pain & Spinal Decompression

In many inviduals with low back pain, how does spinal decompression and inversion therapy reduce nerve entrapment?

Introduction

Low back pain is a common problem worldwide that can cause individuals to miss out on important aspects of their lives, including work. The severity of the pain can be specific or non-specific, and it can be localized in one area or spread throughout the body, causing referred pain. Many normal and traumatic factors can contribute to low back pain, such as improper lifting, excessive weight gain, stress, excessive sitting, or repetitive motions. These factors can compress the spinal discs and cause the surrounding muscles to become over-stretched and tight, leading to nerve entrapment. However, various treatments are available to reduce low back pain and restore functionality to the body. This article focuses on two therapies, inversion therapy, and spinal decompression, and how they can be used together to reduce the likelihood of low back pain returning. By working with certified medical providers who use our patients’ information to treat individuals suffering from low back pain while combining inversion therapy and spinal decompression as part of their routine. We inform them about non-surgical treatments to regain spinal mobility and restore muscle strength to the back muscles while preventing the effects of low back pain from reoccurring. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

How Does Inversion Therapy Reduce Back Pain

Do you suffer from muscle aches and strains in your lower back due to sitting for extended periods? Do you experience pain after carrying heavy objects or from being physically inactive? If these symptoms are associated with low back pain, seeking treatment is common. Many take over-the-counter medicines, hot/cold packs, or home remedies for temporary relief. Inversion therapy is another treatment option. In “The Ultimate Spinal Decompression” by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., inversion therapy is mentioned as a method where the individual is suspended upside down in an inversion table for a few minutes to relieve pain-like symptoms. Inversion therapy can reverse the effects of gravity on the back, which can compress the spine and spinal disc over time, leading to back pain. Inversion therapy can relieve acute back pain by decompressing the back.

 

 

Using inversion therapy can help alleviate the symptoms of low back pain and reduce the need for surgery among many individuals. This practice, which has been used for thousands of years, involves utilizing gravity to provide traction for those experiencing lumbar disc herniation related to low back pain. By opting for non-surgical treatments, such as inversion therapy, individuals suffering from low back pain caused by various factors, including nerve entrapment, can experience relief. (Mendelow et al., 2021)

 

Back Pain & Nerve Entrapment Reduced

It is possible to experience low back pain with or without additional symptoms caused by factors affecting the back. This type of pain can result in mobility issues in the spinal region, pain that radiates into the lower extremities, and general discomfort associated with musculoskeletal conditions. (Delitto et al., 2012) Nerve entrapment can be a factor related to low back pain, and it can impact the peripheral pathway because signals from the peripheral system can cause irregular transmissions to the brain. This can lead to inflammatory cytokines releasing in the affected muscle and radiating shooting pain to the legs. As a result, the body can mimic leg pain correlated with low back pain, leading to a misdiagnosis of the issue. (Saal et al., 1988) Fortunately, various non-surgical treatments, such as inversion therapy and spinal decompression, can help reduce low back pain and its associated symptoms.

 


Enhance Your Lifestyle-Video

If you’re suffering from low back pain, non-surgical treatments can be a cost-effective, gentle, and safe solution. Innovative techniques are used to target the root cause of the pain and alleviate it from the musculoskeletal system. Inversion therapy, spinal decompression, and chiropractic care are some non-surgical treatments that can help relieve low back pain and prevent it from recurring. These therapies involve physical and mechanical manipulation of the spine to correct any subluxations. Misalignment of the body can cause low back pain and negatively impact one’s quality of life. Incorporating non-surgical treatments into your routine can help your body heal naturally and promote a healthy lifestyle. For more information on the benefits of these treatments, check out the video above.


How Spinal Decompression & Inversion Therapy Reduce Back Pain

 

As one of the forms of non-surgical treatment, spinal decompression is safer and more cost effective than traditional surgical treatments. Non-surgical treatments can be combined with other therapies to help improve and control the movement in the lumbar spine. (Zaina et al., 2016) So when spinal decompression is combined with inversion therapy, it can help decompress the spine, allowing the spinal discs to slip back into their original position and reduce the pressure off the aggravated and irritated nerve root from causing low back pain to occur again. Since inversion therapy is used for acute low back pain, spinal decompression therapy is used for individuals with chronic issues. After a few sessions of these treatments, the body will function normally and allow the back to be mobile again. When people start to think about their health and wellness for back pain issues, they can incorporate non-surgical treatments as part of their routine.


References

Delitto, A., George, S. Z., Van Dillen, L., Whitman, J. M., Sowa, G., Shekelle, P., Denninger, T. R., Godges, J. J., & Orthopaedic Section of the American Physical Therapy, A. (2012). Low back pain. J Orthop Sports Phys Ther, 42(4), A1-57. doi.org/10.2519/jospt.2012.42.4.A1

 

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

 

Mendelow, A. D., Gregson, B. A., Mitchell, P., Schofield, I., Prasad, M., Wynne-Jones, G., Kamat, A., Patterson, M., Rowell, L., & Hargreaves, G. (2021). Lumbar disc disease: the effect of inversion on clinical symptoms and a comparison of the rate of surgery after inversion therapy with the rate of surgery in neurosurgery controls. Journal of Physical Therapy Science, 33(11), 801-808. doi.org/10.1589/jpts.33.801

 

Saal, J. A., Dillingham, M. F., Gamburd, R. S., & Fanton, G. S. (1988). The pseudoradicular syndrome. Lower extremity peripheral nerve entrapment masquerading as lumbar radiculopathy. Spine (Phila Pa 1976), 13(8), 926-930. www.ncbi.nlm.nih.gov/pubmed/2847334

 

Zaina, F., Tomkins-Lane, C., Carragee, E., & Negrini, S. (2016). Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane Database Syst Rev, 2016(1), CD010264. doi.org/10.1002/14651858.CD010264.pub2

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IDD Therapy Treatment Protocols For Spinal Decompression

IDD Therapy Treatment Protocols For Spinal Decompression

Introduction

Many individuals are unaware of their pain until they perform specific movements that cause discomfort. This is due to the heavy weight that causes the body to carry an axial overload, compressing the spinal disc, which can lead to herniation or degeneration over time if not treated promptly. Compressed spinal discs can cause chronic conditions such as low back pain, spinal stenosis, or intervertebral disc disease (IDD). Several factors contribute to the development of IDD, including chronic conditions that can lead to compressed spinal discs. This condition can be relieved over time through therapy treatments that can reduce the pain effects of IDD and help individuals be more mindful of their spine. This article will discuss IDD therapy’s role in relieving spine pain, treatment protocols, and how it is combined with spinal decompression, a non-surgical therapy. We work with certified medical providers who use our patients’ valuable information to treat individuals suffering from back and spinal disc degeneration while informing them about non-surgical treatments like IDD(intervertebral disc degeneration) therapy and spinal decompression that can help relieve their pain and help rehydrate their spinal disc. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

What Is IDD Therapy?

The spine comprises muscles, tendons, ligaments, discs, and bones extending from the skull’s base to the bottom of the sacrum. Its primary function is to keep the body upright and protect the spinal cord from injuries. According to research studies, the spinal discs act as shock absorbers during movement and can become damaged over time, causing pain-like symptoms and chronic conditions. IDD therapy is a common treatment for reducing pain caused by degenerative discs. 

 

 

Research suggests that intervertebral disc degeneration can cause symptoms related to musculoskeletal disorders such as low back pain, disc herniation, and spinal stenosis. Conservative and non-invasive treatments can reduce the pain-like symptoms and effects caused by IDD. IDD therapy allows the spine to be re-toned, restructured and re-educated. Like spinal decompression, IDD therapy uses gentle traction pulling to rehydrate the discs and reduce the pressure on the nerve roots, as stated by research studies. IDD therapy helps restore muscle strength, increase the spine’s range of motion, and promote the body’s natural healing process to reduce spinal pain associated with environmental factors.


Home Exercise For Pain Relief- Video

Do you experience difficulty doing activities due to back pain? Do you feel stiffness or instability in your lower back? These may be symptoms of intervertebral degenerative disease caused by repetitive motions. IDD can cause chronic musculoskeletal disorders and disability. However, available non-surgical treatments like IDD therapy, which uses negative pressure to rehydrate the spinal disc, can reduce pain. Other non-surgical therapies like chiropractic care and physical therapy can help restore mobility and strengthen back muscles. Check out the video above for home exercise routines that relieve pain.


IDD Treatment Protocols

 

Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., wrote “The Ultimate Spinal Decompression,” explaining how chiropractors and massage therapists use personalized IDD therapy plans to treat musculoskeletal pain associated with intervertebral degenerative disease. IDD therapy involves strapping the individual to a traction machine and utilizing specific protocols for treatment.

 

The Treatment Schedule

The first step in IDD therapy is examining the individual’s range of motion, muscle strength, nerve conduction, and SSEP tests. This allows the doctor to document the pain’s location and develop a personalized treatment plan, including the indicated problem, treatment frequency, duration, etc. Afterward, the individual will receive other treatments before the IDD traction therapy machine.

  • Therapeutic Ultrasound
  • Electro-stimulation
  • Interferential Stimulation
  • Hydrocolator

This machine gently pulls the spine to create negative space between the spinal column, allowing nutrients to rehydrate the disc and begin healing. The process lasts 20-30 minutes and may cause mild soreness, but progress is seen after a few sessions.

 

Pre-& Post-Session Physical Therapy

The benefit of combining IDD therapy with physical therapy is that stretching techniques can loosen the surrounding muscles before spinal mobilization, allowing the soft tissues to accept the treatment. After treatment, cryo-therapeutic therapy or an ice pack can alleviate soreness and inflammation. Drinking plenty of water is important to replenish intra-cellular cells, and physical activities can be slowly incorporated to strengthen muscles.

 

Conclusion

Taking care of the spine is important by not constantly allowing axial overload to compress the spinal disc through repetitive motion. This causes the disc to degenerate and lead to back pain. However, non-surgical treatments like IDD therapy can help reduce the pain and help strengthen the surrounding muscles protecting the spine. IDD therapy is similar to spinal decompression, which allows the individual to be harnessed to a machine and uses gentle traction on the spine to create negative space in the spinal column and promote the body’s healing factors. Many individuals can see the beneficial results over time and continue their daily routine pain-free.

 

References

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Why People Spend More On Back & Neck Pain?

Why People Spend More On Back & Neck Pain?

Introduction

Many people experience neck and back pain due to various factors that affect their daily routine. These pain conditions are common and can be caused by repetitive motions that impact the surrounding muscles, tissues, ligaments, and spinal discs. Chronic pain can develop depending on the severity and duration of the condition. People with demanding jobs, pre-existing conditions, or older adults may seek medical attention to reduce the pain-like symptoms of neck and back pain. However, treatment costs can be high. There are safe, cost-effective, and non-invasive treatments to relieve neck and back pain. This article will explore why neck and back pain is expensive and why non-surgical treatments are cost-effective. It will also discuss how non-surgical therapies like spinal decompression can alleviate back and neck pain. We work with certified medical providers who use our patients’ valuable information to treat individuals suffering from back and neck pain while informing them about non-surgical treatments like spinal decompression that can help relieve their neck and back pain. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Why Does Back & Neck Pain Cost More?

Many people report to their primary doctors that they are experiencing radiating pain from the neck or lower back, which affects their upper or lower extremities. For neck pain, they may experience headaches or shoulder pain that causes pain-like symptoms like numbness or tingling sensations down to their arms and fingers. For back pain, they may experience muscle soreness in their lumbar region, which can result in numbness in the glute muscles or cause sciatic nerve pain, affecting their walking ability. Research studies reveal that cognitive, affective, and lifestyle factors all affect the neck and back. High-demanding jobs, stress, or trauma from an accident can develop neck and back pain. As a result, the body takes more overbearing loads, tightening the surrounding muscles in the neck and back. If not treated right away, it can lead to problematic issues that disrupt their routine.

 

 

Based on the book “The Ultimate Spinal Decompression” by Dr. Eric Kaplan D.C., FIAMA, and Dr. Perry Bard, D.C., humans’ evolution to walk upright has strained their stability, leading to axial overload and potential neck and back pain. The book also highlights that the human body was not meant to remain sedentary, which can also contribute to the development of such pain. Research studies revealed that neck and back pain can be nociceptive with neuropathic components, making treatment costly and time-consuming. This economic burden can discourage individuals from seeking treatment despite the pain and expense involved.


Fighting Inflammation Naturally- Video

Are you experiencing persistent neck and back pain? Do your upper or lower extremities feel stiff or tingly? Or is your mobility limited, interfering with your daily activities? These issues are often associated with neck and back pain, disrupting a person’s routine and preventing them from enjoying life. Neck and back pain are common ailments that can be expensive to treat. Research studies revealed that they can also influence individuals’ ability to return to work, increasing treatment costs.

 

 

Additionally, pain-like symptoms often accompany neck and back pain, leading some individuals to spend nearly a billion dollars on treatment. However, cost-effective treatments are available that can help alleviate these symptoms. The video above explains how non-surgical treatments can reduce neck and back pain and relieve pain-like symptoms.


Why Non-Surgical Treatments Are Cost Effective?

 

Research studies have shown that non-surgical treatments are a cost-effective and effective solution for neck and back pain. Many individuals can utilize these treatments combined with various therapies to improve their quality of life and reduce pain symptoms. Non-surgical treatments offer personalized plans as healthcare providers work together to find solutions. They provide individuals with a positive approach to regaining their health and wellness by informing them about their bodies and how to be more mindful of how pain affects their daily routines. Some non-surgical treatments that can relieve neck and back pain include:

  • Chiropractic care
  • Physical therapy
  • Spinal Decompression
  • Acupuncture
  • Massage therapy

 

How Spinal Decompression Can Alleviate Back & Neck Pain

 

You might be interested in non-surgical treatments like spinal decompression if you suffer back or neck pain. This technique uses gentle traction on the spinal column to alleviate pain while helping your body heal naturally. Research studies have found that cervical spinal decompression can increase disc height and reduce pain caused by compressed cervical discs. This treatment can also alleviate residual pain symptoms like headaches or muscle stiffness and restore mobility to the neck. For back pain, research suggests that spinal decompression can reduce the effects of compressed spinal discs, which can aggravate nerve roots like the sciatic nerve in the lumbar region. Many people who try spinal decompression feel relief after just a few sessions and become more mindful of what triggers their pain. This can help them make small lifestyle changes to continue their journey toward health and wellness.

 

Conclusion

Many people struggle with neck and back pain, which can be caused by multiple normal and traumatic factors and can be costly. Individuals often prefer to endure the pain rather than subject themselves to invasive treatments. However, non-surgical therapies that are cost-effective and gentle on the body are available. Spinal decompression therapy is one such treatment that can help alleviate pain and promote the body’s natural healing processes. By reducing pain symptoms, many individuals who undergo spinal decompression therapy can return to their daily routines pain-free.

 

References

Daniel, D. M. (2007). Non-surgical spinal decompression therapy: does the scientific literature support efficacy claims made in the advertising media? Chiropractic & Osteopathy, 15(1). doi.org/10.1186/1746-1340-15-7

Driessen, M. T., Lin, C.-W. C., & van Tulder, M. W. (2012). Cost-effectiveness of conservative treatments for neck pain: a systematic review on economic evaluations. European Spine Journal, 21(8), 1441–1450. doi.org/10.1007/s00586-012-2272-5

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Kazeminasab, S., Nejadghaderi, S. A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M. J. M., Kolahi, A.-A., & Safiri, S. (2022). Neck pain: global epidemiology, trends and risk factors. BMC Musculoskeletal Disorders, 23(1). doi.org/10.1186/s12891-021-04957-4

Kleinman, N., Patel, A. A., Benson, C., Macario, A., Kim, M., & Biondi, D. M. (2014). Economic Burden of Back and Neck Pain: Effect of a Neuropathic Component. Population Health Management, 17(4), 224–232. doi.org/10.1089/pop.2013.0071

Xu, Q., Tian, X., Bao, X., Liu, D., Zeng, F., & Sun, Q. (2022). Nonsurgical spinal decompression system traction combined with electroacupuncture in the treatment of multi-segmental cervical disc herniation. Medicine, 101(3), e28540. doi.org/10.1097/md.0000000000028540

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