Tag Archives: spinal

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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DRX9000 spinal decompression

drx9000 in san francisco
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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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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Low Back Pain and Obesity

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Normal Body Weight = Decreased Low Back Pain

We have been providing treatment for low back pain in San Francisco for over 20 years now. One of our primary goals is to always try to help our patient’s maintain a normal body weight. Losing weight can dramatically reduce Low back pain (LBP). For the next 2 months, we will look at easy ways to lose weight without the need for fancy, hard to follow diets. As the saying goes, this is a “no-brainer.”

  1. Time you meals. Set a timer for 20 minutes and “pace yourself” so that you eat slower. This is one of the most effective ways to reduce weight without a complicated diet plan. Make each bite “count” and enjoy the food’s flavor! This tricks your brain into thinking you’re more full while wolfing down your food in a hurry blocks those brain signals, resulting in over-eating.
  2. Sleep an extra hour. This can result in a drop of 14 pounds a year according to University of Michigan research.
  3. Serve three vegetables and/or fruit vs. one in your evening meal. You can eat more and STILL reduce weight!
  4. Add a broth-based soup to your day. It fills you up without adding calories. Avoid creamy soups as they can be high in fat and calories.
  5. Eat more whole grains. Add brown rice, barley, oats, buckwheat and/or whole wheat when consuming waffles, pizza crust, English muffins, and pasta. If you are gluten sensitive, look for alternatives like quinoa.
  6. Visualize your favorite “skinny clothes.” Think about, or literally take out, a favorite dress or pair of pants that you no longer fit into and use it as a target or goal to wear them again.
  7. Skip the bacon! If you avoid that 2 strips of bacon at breakfast or on your sandwich at lunch, you’ll save about 100 calories / day, about 10 pounds per year! Instead add tomato slices, banana peppers, roasted red bell peppers, grainy mustard, or a light spread of herbed goat cheese.
  8. Pizza perfect! Choose a veggie topping vs. meat and shave 100 calories from your meal. Consider going light on the cheese, use reduced fat cheese and choose a thin, bread-like crust made with olive oil.
  9. Drink “smart!” Trade that soda in for water or zero-calorie seltzer and you’ll avoid about 10 teaspoons of sugar! Add a lemon, mint or frozen strawberries for a much more satisfying beverage.

            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 an appointment for low back pain treatment in San Francisco 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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Low Back Pain and Spinal Manipulation: How Does it Work?

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Spinal Adjustment

For many years, Chiropractic has been at the forefront of treating low back pain (LBP) with both greater patient satisfaction and less lost time at work when compared to other non-surgical treatment approaches. There have been many explanations as to why chiropractic manipulation therapy (CMT) works but many of these studies include other treatment modalities or methods and the benefits are ,therefore, not clearly derived only from CMT.  A recent study has tried to clear this up and the results are very interesting!

This study included two chiropractors and two a physical therapists (PT) from Canada and the US. What is unique about this study is that they measured clinical or symptomatic improvement by tracking improvement in activity tolerance using a standard questionnaire commonly used by chiropractors and PTs all over the world, as well as changes in the spinal stiffness using a valid/reliable instrument before and after CMT was utilized. The importance of these findings is that only CMT was utilized and hence, other forms of treatment commonly utilized by chiropractors did not cloud the findings. There were 48 patients included in the study and the initial 2 treatments were administered 3-4 days apart, followed by an assessment 3-4 days after the 2nd treatment. Assessments were also performed before and after each treatment. The assessments included use of the questionnaire and a stiffness measurement using the special instrument. Also, “recruitment of the lumbar multifidus muscle” (a muscle in the low back that helps stabilize the trunk or core) was measured by ultrasound. After each treatment, significant improvement was found in the overall pain level and in reduced spinal stiffness (which remained improved 3-4 days after the last/second treatment).

The study conclusions revealed less pain, more activity tolerance and less spinal stiffness after the administration of the 2 treatments. The greatest clinical improvement was found in those who had the most dramatic reduction in stiffness after each treatment. They found that the level of muscle recruitment was directly related to the degree of spinal stiffness.  They also found that patients who received thrust manipulation (CMT) had immediate improvements with reduced pain, stiffness and improved muscle recruitment measurements. However, this same effect was NOT obtained when non-thrust mobilization techniques were used. This means many non-thrust manual techniques such as mobilization, massage, and other soft tissue release methods do not create the immediate benefits that were produced by thrust manipulation.

With this new information, we are now able to explain with confidence to patients the reasons why they typically feel better after the spinal adjustment. The patient can then appreciate receiving an answer that makes clear sense and has been “proven.” It’s important to realize that the “bonus” of receiving chiropractic care for low back pain includes not only just pain reduction, but more importantly, improvement in tolerating activities such as vacuuming, washing dishes, golfing, walking and of course, working.

            We realize you have a choice in who you choose to provide your health-care 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 an appointment with one of our San Francisco Chiropractors 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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