Tag Archives: decompression

Spinal Decompression Maintenance Care

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Spinal Decompression Therapy with DRX9000

We have been providing spinal decompression in San Francisco for around 10 years now. The machine we use is the DRX9000. Prior to this, patients that did not respond favorably to chiropractic care were referred for surgical consultation.

Over the past 10 years we have helped thousands of herniated disc patients return to more normal lives and prevent back surgery.

About half of our spinal decompression patients continue on with maintenance care. They do this because they are happy with the results and wish to maintain them. The frequency of maintenance care varies from once every 3 months to around once per month in advanced cases.

Your spinal decompression doctor will usually have a good idea of what you need from how you respond to the initial intensive care, which is 20 visits over a 6 week period.

As far as what to expect from decompression therapy…some report a complete resolution of their low back pain or sciatica. A small minority report no change at all. And everyone else reports they are much better than they were and glad they did the treatment.

Sure, some patients do not respond to decompression…it’s just the way it is. But you know what? They are still whole and can pursue other treatment options.

If you have surgery you may be disqualified from decompression…so why not try spinal decompression first?

To find out if you are a candidate for spinal decompression in San Francisco call 415-392-2225. Ask for a complimentary consultation.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Spinal Decompression or Back Surgery?

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Lumbar decompression with the DRX9000

We have been providing spinal decompression therapy in San Francisco for over 9 years now. The machine we use is the DRX9000. Spinal decompression machines are designed and built to treat disc herniations, disc bulges, disc degeneration, and spinal stenosis non-surgically.

Many of our patients have been told they need back surgery and want to try something less invasive first. Unless your condition is a medical emergency and you risk paralysis without immediate surgery, there is most likely no harm in trying spinal decompression first to see if it may help.

Some back surgeons will scare the heck out of you…especially some of the overseas doctors that are not familiar with the latest advancements with nonsurgical treatments.

If we accept a spinal decompression patient then we feel there is a very good chance of a favorable outcome…and we are usually right. If we are wrong then you are still whole and can pursue other treatment options.

Surgery on the other hand is permanent and cannot be reversed. Even a discectomy,  whereby the herniated disc fragments are removed, alters your structure and can predispose you to problems down the road in the same area or different areas of the spine.  And, the surgery may or may not even make you feel better. The patients that seek us out do not want to take this chance…at least not first.

So, if you have a lumbar disc herniation and are experiencing low back pain, sciatica, leg numbness or tingling, weakness or night pain, you should consider spinal disc decompression. You can always try surgery.

Plus, depending on the type of surgery…if it is a “fusion” surgery, you will forever be permanently disqualified from ever trying nonsurgical spinal decompression.

Why not try it first?

To schedule a complimentary in house or phone consultation at our San Francisco Spinal Decompression Center please call 415-392-2225.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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DRX9000 spinal decompression

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Spinal Decompression Therapy with DRX9000

We have been treating disc herniations in San Francisco for over 21 years. About 8 years ago we began to incorporate nonsurgical spinal decompression with the DRX9000 into the mix.

The DRX9000 spinal decompression system is a computerized machine that is designed and built to treat lumbar disc herniations, bulges, stenosis, facet syndrome, and degenerative disc disease without drugs or surgery. The machine we have cost’s over $150,000 because it also treats disc herniations in the neck. There are much cheaper and less effective machines out there so beware.

DRX9000 spinal decompression is the Rolls Royce of spinal decompression systems. We like the machine because it is very comfortable for the patient while at the same time effective. Most of the patients we treat fall asleep during the treatment.

DRX sessions usually last about an hour or less. It takes a few minutes to set you up and harness you so we can connect you to the machine. You are on the machine for 30 minutes or so. Then, we do 10 minutes of electrical muscle stimulation to teach the spinal muscles to work with the spine in it’s new position, and 10 minutes of ice to reduce muscle spasms, pain, and inflammation. Sometimes we will incorporate deep tissue laser therapy if there is a lot of initial pain and inflammation in the beginning.

The DRX9000 treatment protocol is for 20 sessions over a 6 week period. Sometimes it takes more than this. We incorporate exercises at the halfway point. There is extensive home-care instructions including dietary and nutrition recommendations.

Success rates are very high.

Not all patients are accepted for care. You must qualify for treatment medically.

If you would like to find out if you are a candidate for spinal decompression in San Francisco please call 415-392-2225. Ask for a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Low Back Pain? Things Not To Do

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Low Back Pain


Here is a partial list of things “Not To Do” if you have low back pain or sciatica:

STAY STILL: You’ve heard, “…don’t do that – you’ll get a bad back!” There is something to be said about being careful, but one can be too cautious as well. In order to determine how much activity vs. rest is appropriate, you have to gradually increase your activities by keeping track of how you feel both during and after an activity. If you do notice pain, it may be “safe” to continue depending on the type and intensity of the pain. In general, a sharp, knife-like pain is a warning sign that you should STOP what you’re doing, while an ache is not. Until you’re comfortable about which type of pain is “safe,” start out with the premise, “…if in doubt, stop.” If the recovery time is short (within minutes to hours), then no “harm” was done. If it takes days to recover, you overdid it. Think of a cut on your skin – if you pick at it too soon, it will re-bleed, but if you are careful, you can do a lot of things safely without “re-bleeding.” Talk to us about the proper way to bend, lift, pull, push, and perform any activity that you frequently have to do that often presents problems. There is usually a way to do that activity more safely!


SURGERY IS A “QUICK FIX”: Though in some cases this may inevitably be the end result for your back condition, most of the time, it is not needed. As a rule, don’t jump to a surgical option too soon. It’s tempting to view surgery as a “quick fix,” but non-surgical care at least for 4-6 weeks and maybe several months is usually the best approach. As the old saying goes, you can’t “un-do” a surgery, so wait. UNLESS there are certain warning signs such as: a) bowel or bladder weakness &/or, b) progressive neurological losses (worsening weakness in the leg). If there are no “surgical indicators” meaning, no instability, no radiating leg pain, and only low back pain that is non-specific and hard to isolate what is generating the pain, DO NOT have surgery as the chances of improvement following surgery drops off dramatically in this group. There are guidelines that we all should follow and they all support non-surgical care initially for 4-6 weeks. Chiropractic is one of the best options cited in these guidelines because it’s less costly, involves less time lost from work, and chiropractic carries the highest patient satisfaction. If chiropractic fails to deliver then there is nonsurgical spinal decompression with the DRX9000.


DON’T STRETCH – IT’S HARMFUL: You may have heard or read that stretching can actually increase or worsen your time if you’re a runner, reduce your ability to lift heavy weight (if you’re a weight lifter), or cycle as fast.  Though this seems obviously silly, there IS a growing body of evidence that has found this TO BE TRUE! HOWEVER, it appears (at least at present), that is applies primarily to static, long hold stretching and NOT to dynamic exercising like jumping jacks, toy-soldier like high kicks, or core stabilization. Moreover, no study YET has found a negative effect for non-athletic competitive activities or for low back pain specifically. A good general rule is, if you feel better after exercising, or in this case stretching, it’s probably better for you than not. Also, as stated last month, there is a “right vs. wrong” time to exercise and WAY to exercise. For example, when LBP occurs in flexion but reduces in extension, there is plenty of evidence published that performing exercises INTO the direction of pain relief is VERY helpful. So until you hear differently, KEEP ON STRETCHING, but follow our advice!  


            We realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule a complimentary consultation for low back pain relief in San Francisco call 415-392-2225. Mention this blog post.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Pinched Nerve in the Low Back?

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Pinched Lumbar Nerve Root of Sciatic Nerve

We have been providing treatment for low back pain and sciatica in the SF Bay Area for over 20 years now. We use a combination of chiropractic adjustments, massage, motion extension traction, custom exercises, deep tissue laser therapy, and nonsurgical spinal decompression when indicated. During this time we have helped over 5000 patients with low back pain and related disorders.

A primary cause of low back pain and sciatica is a “Pinched Nerve” in the low back. Pinched nerves are generally caused by herniated or bulging discs in the lumbar spine, most commonly at L5-S1.

Nerve tissue is very sensitive to pressure. In fact, just the weight of a pencil erasure on a nerve can alter it’s ability to function by 60% and cause severe pain and dysfunction.

The sciatic nerve is the largest nerve in the body…it can be the diameter of a quarter at it’s greatest circumference. Bulging discs, herniated discs, spinal stenosis, disc degeneration, and various conditions like “Piriformis Syndrome” can put pressure on the sciatic nerve or nerve roots causing “pinched nerves”.

Typically, a patient will feel various combinations of low back pain, leg pain, numbness, tingling, aching, weakness, and muscle stiffness and spasms that become progressively worse over time. There can also be pinched nerves with no symptoms at all…for a while and then BOOM…when you least expect it lightning strikes. This is fairly common actually, and can be very alarming.

The solution for pinched nerves in the low back depends on the nature and severity of the problem. Conservative chiropractic, massage, laser, and ice are always the first thing we try. That is of course unless the patient is unable to handle it. In rare cases such as this we do laser and ice to try to reduce inflammation and then maybe some muscle stim and light massage.

Spinal decompression with the DRX9000 is also an option in the beginning as it is very safe and gentle. The DRX is designed and built to treat neurovascular compression syndromes such as bulging and herniated lumbar discs. However, the cost is greater than chiropractic as is the time commitment…so typically we try more conservative chiropractic first.

In any case, many chiropractors that have included disc decompression and deep tissue laser therapy into their protocols (such as us) have become “one stop shops” for pinched nerves due to herniated and bulging spinal discs.

If you or someone you know requires treatment for a pinched nerve in San Francisco, please call 415-392-2225. Mention this blog post for a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Decompression or Neck Surgery?

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DRX9000c Cervical Decompression

We have been providing treatment for cervical disc herniations in San Francisco for over 20 years now. About 8 years ago or so we began to incorporate cervical decompression with the DRX9000c into the mix. Since then we believe we have helped prevent many neck surgeries.

How many times have you heard, “I have a pinched nerve in my neck and have to have surgery.” Though there certainly are cases where surgical intervention is required, surgery should ONLY be considered after ALL non-surgical treatment approaches have been tried first (and failed). It is alarming how many cases of cervical radiculopathy (i.e., “pinched nerve”) end up being surgically treated with NO trial of non-surgical care. Hence, the focus of this month’s article will look at research (“MEDICAL EVIDENCE”) that clearly states neck surgery DOES NOT improve the long term outcomes of patients with chronic neck pain.

Chronic neck pain (CNP) is, by definition, neck pain that has been present for a minimum of three months. This category of neck pain is very well represented, as many neck pain sufferers have had neck pain, “…for years” or, at least longer than three months. Depending on the intensity of pain and it’s effect on daily function, many patients with CNP often ask their primary care provider, “…is there anything surgically that can be done?” The desire for a “quick fix” is often the focus of those suffering with neck pain. Unfortunately, according to recent studies, there may not be a “quick fix” or, at least surgery is NOT the answer. The December 2012 issue of The European Spine Journal reports that spine surgery did NOT improve outcomes for patients with CNP. Moreover, they pointed to other studies that showed some VERY STRONG REASONS NOT to have spine surgery unless everything else has failed. One of the reasons was a higher hospital readmission rate after spine surgery. Another reported that most studies on surgical vs. conservative [non-surgical] care showed a high risk of bias, suggesting the research on surgical intervention was biased in the research approach used. They further reported, “The benefit of surgery over conservative care is not clearly demonstrated.” It is important to point out that the research analyzed studies that included patients with and without radiculopathy (radiating arm pain from a pinched nerve), and myelopathy (those with pinching of the spinal cord creating pain, numbness, weakness in the legs, and/or bowel / bladder dysfunction).

In February of 2008, the Neck Pain Task Force published overwhelming evidence that research supports the use of cervical spinal manipulation in the treatment of both acute and chronic neck pain with or without radiculopathy. Bronfort published similar findings in 2010 in a large UK based study that looked at the published evidence supporting different types of treatment for various conditions. They found cervical spine manipulation was effective for neck pain of ANY duration (acute or chronic). Chiropractic utilizes manipulation, manual traction, mobilization, muscle release techniques, home cervical traction, exercise, as well as a multitude of physiotherapy modalities when managing patients with CNP. Given the overwhelming research evidence that surgical intervention for CNP is NOT any better than non-surgical care, the greater amount of negative side-effects, and the obviously long recovery time post-surgically, chiropractic treatment of anyone suffering from CNP should be tried FIRST.

We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

If you are considering neck surgery than you owe it to yourself to find out more about cervical disc decompression with the DRX9000c.

 To schedule an appointment with one of our Cervical Decompression Doctors in San Francisco please call 415-392-2225

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Traction Protocols and Indications

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DRX9000c Cervical Decompression

Often times, cervical traction is indicated for neck, shoulder or arm pain. If the problem is a bulging or herniated disc than cervical traction done at home or in a doctors office  may not be such a good idea. This is when you want to consider nonsurgical spinal decompression with the DRX9000c.

Last month, we looked at the published evidence that overwhelmingly supports the use of cervical traction. As promised, this month’s focus is the proper methods of applying it. The type of traction that this discussion will address will be limited to the kind that can be purchased and then used in the home, usually multiple times a day, giving it a clear advantage over in-office traction treatments which can only be applied a few times a week during office visits. In some cases however, it may be appropriate to use the in-office type for a few sessions to determine dosage and/or tolerance prior to administering a home unit, but this varies from case to case, and each type of traction unit is different. In the neck or cervical spine, there are many varieties including: sitting over-the-door types, cervical collar types, as well as supine (lying on the back) types. Each variety has its pros and cons and prices vary considerably from $10 to $600.

            CONDITIONS: Probably the most common condition treated with cervical traction is “cervical radiculopathy,” or a pinched nerve. When a nerve root in the neck is pinched, pain, numbness, tingling, and/or muscle weakness occurs in the area the particular nerve innervates. For example, if a patient presents with pain and numbness radiating down the arm to the thumb and index finger and/or have weakness in bending their elbow and extending their wrist, then we know that the C6 nerve is pinched. When pulling or stretching the neck relieves the arm pain, traction is usually helpful. If pain worsens, the person is probably not ready for traction yet.

            PROTOCOL (DOSAGE): The key to a successful outcome using cervical traction is finding the right dosage. If you start with too much weight, it may leave you feeling sore, or worse, making you reluctant to try it a second time. Therefore, rather than relying on using a certain percentage of body weight, it’s safest to start with less weight and then gradually increase it, such as 5# (# = pounds or .45 kg) for 15-20 minutes. If that dose feels fine, try 7#/15-20 min., then 9#, 11#, 13#, etc., until you find it just isn’t quite as comfortable at the last weight. You have now found your current threshold and should drop down to the last most comfortable weight and use that for a few days and then MAYBE try increasing it again. Studies show a maximum stretch is usually achieved within 15-20 minutes, so extending the time longer may be less productive. Facing the over-the-door unit may be better tolerated than facing away. Try it both ways and you decide which feels best. The next most important issue is frequency.

            How often to repeat the traction sessions depends on: 1. The condition’s severity and your response; 2. Your time availability. If there is a severe nerve pinch with muscle twitching, weakness and dense numbness/tingling, then the traction be repeated MANY times a day, gradually increasing the weight to find the optimum amount. We’ve had people repeat the traction 10x/day! With the option of wearing a cervical collar traction unit, you can actually travel and/or do certain activities during traction. We’ve had people travel to and from work while performing traction! Since each case is unique, we’ll discuss that individually. The bottom line, IT WORKS GREAT with proper chiropractic management and in many cases, surgery CAN be avoided!

            We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule a complimentary consultation for cervical spinal decompression in San Francisco call 415-392-2225 and mention this blog post.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Decompression for C7 Disc Bulge

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DRX9000c Cervical Decompression

We have been providing spinal decompression therapy in San Francisco for over 8 years now. The machine we use is the DRX9000c.

Cervical decompression systems are designed and built to treat bulging and herniated cervical discs without drugs or surgery.

The C7 disc bulge is one of the most common conditions we treat with the DRX9000c. The C7 disc is the disc at the very bottom of the cervical spine in between the C7 and T1 vertebra. The C7 disc will often bulge as an adaption to things like abnormal stresses from poor posture over time, injury (sports, auto accident, repetitive strain) or degenerative disc disease…to name a few.

Typically, a bulging disc in the neck will eventually herniate if left untreated. This is why it’s so important to get the right kind of treatment as soon as the disc bulge is diagnosed.

Cervical disc decompression treats bulging and herniated disc by elongating the spine, re-positioning the disc, enlarging the disc space, and creating a negative pressure, which actually pulls the bulging disc material back to the center of the disc.

The treatment protocol is 20 sessions done as follows:

5 times for 2 weeks, 3 times for 2 weeks, 2 times for 2 weeks.

The sessions are about 50 minutes. You receive cervical decompression for 30 minutes, then 10 minutes of muscle stimulation, then 10 minutes of ice.

Bulging cervical discs at C7 can cause symptoms like arm pain and weakness, loss of grip strength, numbness and tingling in the arm and hand, night pain, and headaches.

Success rates are high with the DRX9000c.

If you have been diagnosed with a bulging or herniated disc in the neck and would like to fined out if you are a candidate for cervical decompression with the DRX9000c we would like to hear from you.

To schedule a complimentary consultation at our San Francisco Spinal Decompression Center please call 415-392-2225.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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How Many Spinal Decompression Sessions Do You Need?

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Spinal Decompression Therapy with DRX9000

We have been providing spinal decompression therapy in San Francisco for over 8 years now.  We have been in business for over 20 years. We were the first to offer the DRX9000 to San Francisco and the Financial District.

We have performed over 20,000 spinal decompression sessions during this time, so we know a thing or two about what works best and how herniated disc patients respond to disc decompression therapy.

The manufacturers protocol for the DRX90000 is for 20 sessions done as follows:

Daily for 2 weeks (10 sessions), Three times for 2 weeks (6 sessions), Two times for 2 weeks (4 sessions). This totals 20 sessions over 6 weeks.

Of course, because of work and family schedules not everyone is able to adhere to this regimen. In fact, most don’t. But for those that see the best results that last the longest, they do finish the 20 sessions, sometimes more, in a short period of time…say in 6-10 weeks. And, they complete the entire program, not just part of it.

Recently, we have had some lumbar and cervical disc herniation patients that have said they wanted to try 10 sessions and see how it goes. Well…that’s fine if “seeing how it goes” means that they are just making sure they can handle the treatment (it is very gentle) and that we are competent. But these patients need to have a full understanding that doing only half the recommended treatment is NOT ideal.

First of all, this has already been researched and it has been found that 20 sessions are best for a more permanent solution.  After 10 sessions (half the work is done) some patients may feel better, some worse, some no change…and it is not much of an indicator of what the results will be like after 20.

I can’t tell you how many times we have treated very difficult cases of patients with  multi-level disc herniations and spinal degeneration that were not feeling better at the half way point, but went on to achieve very favorable outcomes.

You have to “stay the course” to give yourself a chance to respond. And if at all possible, you do not want to have big gaps in between the treatments.

Every spinal decompression session builds on the previous ones at sets up the next one. When you get off the DRX9000 your spine is in a different place than it was before that session. It’s the cumulative effect of all 20 sessions (or more) in a short period of time that produce the best results.

So, if at all possible, please make it a priority to finish what you start, do your home care, wear your back support, drink lots of water, get plenty of rest, and let spinal disc decompression do it’s thing. If you do it right you give yourself the best chance of a favorable outcome.

To schedule an appointment at our San Francisco Spinal Decompression Center please call 415-392-2225. Mention this blog post for a complimentary consultation.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Decompression with the DRX9000c

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DRX9000c Cervical Decompression

We have been providing cervical decompression therapy in San Francisco for about 8 years now. We have been serving the SF Financial District for over 20 years. The spinal decompression machine we use is the DRX9000c.

The DRX9000c is designed and built to treat cervical neurovascular compression syndromes such as bulging discs, herniated discs, cervical stenosis, degenerative disc disease, and facet syndrome, nonsurgically.

The DRX9000c is set to the specific spinal disc level of the problem. For instance, if there is a disc herniation of the C6-7 disc then that is the disc we target. Decompression therapy enlarges the disc space, elongates the spine, strengthens the spinal muscles and ligaments, re-hydrates the injured cervical spinal disc, and pulls the herniated or bulging disc fragments back to the center of the disc and off the spinal cord and spinal nerves.

The decompression therapy is about 30 minutes. Then there is 10 minutes and muscle stimulation and ice. The muscle stimulation teaches the cervical muscles to work with the spine in it’s new position. The ice reduces inflammation and muscle spasms.

The protocol for cervical decompression with the DRX9000c is 20 sessions. These sessions are done over a 6 week period.

Some spinal decompression patients continue with ongoing maintenance and some just come in as needed when they feel they need it.

There is home care and exercises that decompression patients follow to obtain optimum results.

Success rates are high with cervical decompression at our San Francisco clinic. We try to only accept cases that we feel will achieve favorable outcomes.

Sometimes there is a little soreness in the beginning…but most patients are already sore. Otherwise, the treatment itself is very gentle and relaxing…it’s something you look forward to.

If you have been diagnosed with a cervical disc herniation or disc bulge, or any of the other conditions listed above, and would like to find out if you are a candidate for spinal decompression, you should find a doctor with a DRX9000c in your area.

If you live, work, or can travel to downtown San Francisco, then you can see us.

To schedule a complimentary consultation with one of our San Francisco Spinal Decompression Doctors please call 415-392-2225 and mention this blog post.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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