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Chiropractic

Chiropractic Treatment and Decompression for Spinal Degeneration

Degenerative disc disease is the most common type of spinal degeneration. The condition is characterized by a loss of function of vertebral bones (and discs). Multiple underlying conditions lead to degeneration of your spine. The most prevalent causes of spinal degeneration include:

  • Aging: With progressing age, there is wear and tear in all the joints, including vertebral joints. 
  • Arthritis: A major contributor to spinal bone breakdown is osteoarthritis. Another type of arthritis i.e., rheumatoid arthritis can also lead to degeneration. 
  • Disc Herniations: Spinal degeneration resulting from a slipped disc is seen in numerous cases. 
  • Spinal stenosis: Degenerative lumbar spinal stenosis is the most frequent cause of low back pain in old patients. It is commonly associated with spinal stenosis.

Spinal degenerative disorders frequently cause lower back pain and neuropathic symptoms like burning, tingling, and paresthesias, etc. Patients suffer from reduced mobility and range of motion. This reduces the quality of life and further worsens the condition. Mostly older patients encounter these problems, therefore, healing is slow and disease progression leads to loss of function and mobility.

One of the most potent treatment strategies for managing all such disorders is chiropractic treatment. This is because a chiropractic adjustment is non-invasive and shows promising results in alleviating symptoms.

How Chiropractic Adjustment Helps Spinal Degeneration Conditions?

Chiropractors can improve the life quality of a spinal degeneration patient in multiple ways. Most chiropractors opt for joint stretching to realign the spine (bones and the muscles). The equal distribution of forces on your back eliminates many problems. Sometimes, chiropractors may choose instrument-aided spinal correction such as the flexion-distraction technique. Studies show that flexion-distraction decreases pain and improves function in degenerative disc disease patients.

Going to the chiropractor has numerous benefits, some of which are mentioned below:

Relieves Pressure from Vertebrae

As spinal degeneration may be triggered by a herniated disc, repositioning the intervertebal disc takes away the source of damage. Chiropractic adjustment effectively regresses lumbar disc herniation and improves symptoms of degeneration.

Improves Mobility and Flexibility

Spinal manipulation and decompression strategies not only minimize pain and neuropathic symptoms but also improve joint mobility. A clinical trial revealed that spinal manipulation enhanced spinal mobility and hip flexion, and improved self-perceived pain in degenerative disc disease patients.

Halts The Progress of Disease

Chiropractic sessions improve the blood supply of the spine. This promotes natural healing of the body. Patients report significant improvements in the condition and enjoy a boost in generalized well-being. This strengthens the mind and body and thus, halts the further progression of the disease.

Spinal Degeneration Management at The Legacy Clinic of Chiropractic

The Legacy Clinic of Chiropractic offers highly effective treatment modalities to manage and halt the progression of spinal degeneration. So, you can enjoy a pain-free, active life with the right chiropractic treatment.  

Conclusion

Multiple conditions like trauma, aging, arthritis, and disc slippage can cause spinal bones to degenerate. This leads to radiating pain, burning/tingling sensations, and muscle weakness, etc. Chiropractic treatment strategies (like joint stretching, and flexion distraction techniques) and decompression help relieve symptoms. This non-invasive procedure realigns the herniated disc, improves spinal mobility, and halts the progression of the disease. This leads to significant relief and enhanced quality of life.

References

  1. Siemionow, K., An, H., Masuda, K., Andersson, G., & Cs-Szabo, G. (2011). The effects of age, sex, ethnicity, and spinal level on the rate of intervertebral disc degeneration: a review of 1712 intervertebral discs. Spine, 36(17), 1333-1339.
  2. Fine, N., Lively, S., Séguin, C. A., Perruccio, A. V., Kapoor, M., & Rampersaud, R. (2023). Intervertebral disc degeneration and osteoarthritis: a common molecular disease spectrum. Nature Reviews Rheumatology, 19(3), 136-152.
  3. Koban, O., Öğrenci, A., Akar, E. A., Uyanık, A. S., Yılmaz, M., & Dalbayrak, S. (2021). Radiological and clinical comparisons of the patients with rheumatoid arthritis operated with rigid and dynamic instrumentation systems due to lumbar degenerative spinal diseases. Journal of Orthopaedic Science, 26(3), 369-374.
  4. Kirnaz, S., Capadona, C., Wong, T., Goldberg, J. L., Medary, B., Sommer, F., … & Härtl, R. (2022). Fundamentals of intervertebral disc degeneration. World neurosurgery, 157, 264-273.
  5. Hennemann, S., & Abreu, M. R. D. (2021). Degenerative lumbar spinal stenosis. Revista brasileira de ortopedia, 56(1), 9-17.
  6. Buser, Z., Ortega, B., D’Oro, A., Pannell, W., Cohen, J. R., Wang, J., … & Wang, J. C. (2018). Spine degenerative conditions and their treatments: national trends in the United States of America. Global spine journal, 8(1), 57-67.
  7. Pi, T., & Chung, Y. (2021). Immediate effect of flexion-distraction spinal manipulation on intervertebral height, pain, and spine mobility in patients with lumbar degenerative disc disease. Physical Therapy Rehabilitation Science, 10(2), 235-243.
  8. Chu, E. C., Chakkaravarthy, D. M., Lo, F. S., & Bhaumik, A. (2020). Regression of lumbar disc herniation following non-surgical treatment. European Journal of Molecular & Clinical Medicine, 7(1), 27-79.
  9. Vieira-Pellenz, F., Oliva-Pascual-Vaca, Á., Rodriguez-Blanco, C., Heredia-Rizo, A. M., Ricard, F., & Almazán-Campos, G. (2014). Short-term effect of spinal manipulation on pain perception, spinal mobility, and full height recovery in male subjects with degenerative disk disease: a randomized controlled trial. Archives of physical medicine and rehabilitation, 95(9), 1613-1619.

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Spinal Decompression Therapy

What is spinal decompression?

Surgery is not the only option to treat back pain, spinal decompression is a non-surgical treatment that helps to reduce back pain. During spinal decompression, your spine can be slightly stretched which can help change the position of the spine. This process is effective for herniated and bulging disks because it can create negative pressure. Therefore, it helps promote the water content, oxygen, and other fluid to the discs, which can initiate the healing process.

What are the reasons you may need spinal decompression treatment?

Spinal decompression treatments are effective if you have the following problems.

  1. If you have herniated disks or bulging disks.
  2. Sciatica is a condition in which the sciatic nerve may damage and the pain travels down the leg. So, spinal decompression treatment plays an important role to treat sciatica.
  3. Spinal stenosis is the narrowing of spaces between the spinal cord. The main reason for spinal stenosis is bone spurs.
  4. Another condition is the degenerative disk in which the spinal breakdown is started which leads to spinal pain.

How is spinal decompression done?

In spinal decompression treatment, your clothes cannot be removed. You need to lie on a computer-controlled table. The doctor can control the computer according to the specific treatment you need. In this treatment, you will connect to the machine that stretches your spine. Therefore, it relieves the pressure on the spinal discs. The level of tension can be regulated with the help of a machine.

You should need to remain on the system for 30 to 45 minutes for at least two weeks. After 2 weeks, you need to get spinal decompression treatment three times for two weeks and then two times for the last two weeks.

Before and after the spinal decompression treatment, you may get other treatments for better results that includes:

  • Electrical stimulation
  • Heat or cold therapy
  • Ultrasound

How long does it take to get the expected results?

Typically, the patient can see the expected results within 10 to 18 treatments. You may experience that this treatment is gentle, painless, and relieving. Results may vary from patient to patient, some patients experience immediate relief during the treatment. Generally, patients may feel improvement after a few sessions.

Who should not have spinal decompression?

It is important to ask your doctor whether you are a good candidate for spinal decompression treatment or not. You should avoid spinal decompression if you have the following conditions:

  • Spinal Fracture: If you have a spinal fracture then it is not a good option to choose spinal decompression.
  • Pregnancy: If you are pregnant, you should avoid spinal decompression treatment.
  • Spine tumor: During a spinal tumor, it is best to avoid spinal decompression.
  • Osteoporosis: If your bones are weak and you are diagnosed with osteoporosis, then you should not get this treatment.

Benefits of spinal decompression treatment:

The discs between your vertebrae can herniate, bulge, or degenerate which causes chronic pain in the back. This back pain goes down in your legs. In these conditions, spinal decompression is beneficial in relieving the pain. For this purpose, you should consult your doctor. In the beginning, the doctor can do the test to evaluate how the patient’s response during spinal decompression. Usually, lower back pain and degenerative disc disease can treat effectively with the help of spinal decompression.

What makes spinal decompression therapy differ from other kinds of traction?

In manual traction, the body tends to refer the pulling in the opposite direction. Spinal decompression has a feature that prevents your body from doing this. When you get this treatment, the doctor will adjust the settings of the machine to provide optimal results. To overcome these tendencies, spinal decompression therapy is a more effective therapy than manual traction.

Is there any risk of spinal decompression therapy?

There is no risk of spinal decompression therapy. The procedure is safe and effective for all patients. The machine has emergency stop switches for both patients as well as doctors, so you can use them to avoid any kind of injury.

Do patients with spinal surgery receive spinal decompression therapy?

Yes, the patient with spinal surgery can receive spinal decompression. This treatment is proven to be effective in patients that have failed back surgery.

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Spinal Decompression Table in The Villages

Non-Surgical Spinal Decompression

Excruciating low back pain can hinder motion and leave you tied to the bed. Disruptions in the spine lead to sharp, radiating nerve pains that do not respond to most the over-the-counter painkillers.

Thus, the only way to treat low back pain arising from compression of spinal nerves is to set the spine back to its original position. This resetting can be achieved either surgically or via non-surgical spinal decompression also known as traction therapy.  

Who Needs Non-Surgical Spinal Decompression?

There are different conditions for which your doctor might recommend a manual traction therapy, some of which are discussed below: 

Sciatica Or Low Back Pain

As per the WHO, the lifetime prevalence of low back pain is estimated to be as high as 70% (average is 60-70%) in industrialized countries. Therefore, it is important to treat low back pain/sciatica with minimal invasion.

The sciatic nerve is a major nerve that innervates the back and the legs. Inflammation of this nerve (due to compression or other causes) leads to a painful condition called sciatica.

As per a retrospective cohort study, non-surgical spinal disc compression effectively reduces discogenic low back pain and also improves disc height.

Another study found this procedure to be a less-expensive treatment for low back pain/sciatica.

Neck Pain

Cervical and neck pain due to nerve compression are common complaints that are managed well by physiotherapy/chiropractic treatment. According to a study published in the Journal of Novel Physiotherapy and Physical Rehabilitation non-surgical spinal decompression is an effective treatment modality for neck and back pain.

Disc Herniation

Lumbar disc herniation (LDH) is a condition that can lead to nerve symptoms such as radiating pain, burning, tingling, or numbness. Traction therapy can also be performed using decompression devices. It effectively alleviates symptoms of disc herniation, a study suggests.

Other conditions for which the non-interventional procedure can be employed include posterior facet syndrome and worn-out spinal joints.

How Is It Done?

A manual traction procedure usually lasts for 30 to 45 minutes. The patient’s spine is protected by fitting a harness around the trunk and pelvis region.

The patient is then made to lie face down and the doctor uses a computerized device for traction (tailored to the specific needs of the patient).

Non Surgical spinal decompression is available at Legacy Clinic of Chiropractic in The Villages, FL.

References

  1. Apfel, Christian C., et al. “Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.” BMC musculoskeletal disorders 11.1 (2010): 1-6.
  2. Daniel, Dwain M. “Non-surgical spinal decompression therapy: does the scientific literature support efficacy claims made in the advertising media?.” Chiropractic & Osteopathy 15.1 (2007): 1-5.
  3. Henry, Lucian. “Non-surgical Spinal Decompression an Effective Physiotherapy Modality for Neck and Back Pain.” Journal of Novel Physiotherapy and Physical Rehabilitation 4.3 (2017): 062-065.
  4. Koçak, Fatmanur Aybala, et al. “Comparison of the short-term effects of the conventional motorized traction with non-surgical spinal decompression performed with a DRX9000 device on pain, functionality, depression, and quality of life in patients with low back pain associated with lumbar disc herniation: A single-blind randomized controlled trial.” Turkish Journal of physical medicine and rehabilitation 64.1 (2018): 17.
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Treat Disc Herniations With Spinal Decompression

There are 24 moveable vertebras in the spine with 23 vertebral disc that are between the vertebras. The disc have a couple of functions that consist mostly of providing as a shock absorber and flexibility. It also keeps the space open where the spinal nerves exit that are between each vertebra. These nerves can travel to each cell, muscle, and organ in the body. 

The spinal discs are under a lot of load each day from sitting, standing, bending, twisting, and lifting. This extra force and pressure on the disc cause the intervertebral discs to degenerate, thin, narrow, bulge, herniate, or protrude. When the disc space is decreased, the canal where the nerves come out also narrows. This can but pressure on the nerves that exit the spine. One of the most common nerves that exit the low back is the sciatica nerve. The sciatica nerve is made up of nerve roots from L4-S3. Wear and tear on the lumbar spine can easily narrow the lumbar disc space abs put unbearable pressure on the nerves that make up the sciatica nerve.

Treatment options for Disc Herniation:
1. Spinal decompression to open the disc space 
2. Corrective training to restore the lumbar curves
3. Medical options consisting of pain management