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ABOUT DECOMPRESSION

The Beginning And The End Of Discogenic Pain

Intervertebral disc pathology is one of the primary causes of back and neck pain. The discs are prone to degeneration and injury as they are compressed and twisted through daily activities.

As the disc degenerates, the gel-like nucleus loses its hydration, reducing disc height and creating the possibility of facet syndrome and lateral foraminal stenosis. Furthermore, disc degeneration causes the pliable outer coating of the anulus to become brittle and susceptible to cracks and tears that can lead to disc herniations. Bulging or herniated discs often press on spinal nerves, causing severe pain and radiculopathy.

Damaged intervertebral discs seldom heal because they remain under constant pressure, even while a person is at rest. It is widely accepted that the ideal environment to improve disc pathology is to decompress, or reduce the intradiscal pressures of the damaged disc.

The goal of reducing intradiscal pressure is to enhance the osmotic diffusion of fluids and nutrients across the endplates into the disc, furthering the body’s natural healing abilities. Additionally, reduction of intradiscal pressures may help draw the nucleus pulposus of a herniated disc back into the center, thereby relieving pressure on a compressed nerve root—alleviating the problem and the pain.

BACK PAIN FACTS

FACTS
References
FACTS
  • 85% of the US population suffers from back or neck pain at some point in their lives.1
  • Back pain is the leading cause of disability in Americans under 45 years old.2
  • Back pain is the third leading cause of disability in people over 45 years of age. 2
  • More than 26 million Americans between the ages of 20-64 experience frequent back pain.2
  • Americans spend at least $50 billion* each year on back pain-and that’s just for the more easily identified costs.4
  • Back pain is the second most common reason for seeing a doctor in the US, following coughs and other respiratory infections.2
  • Back pain is the third most common reason for surgery.2
  • Failed back surgery syndrome is seen in 10-40% of patients who undergo back surgery. It is characterized by intractable pain and varying degrees of functional incapacitation occurring after spine surgery. More risks include infection, nerve damage, deterioration of health and post operative complications. 3
  • Fewer than 5% of people with back pain are good candidates for surgery.4
  • According to a recent article in the USA TODAY, “The U.S. health care system spends about as much each year on spine problems as it does on cancer.”5
References
  1. Orthopedic Clinics of North America, Volume 35, Issue I, Pages 1-5 S. Pai, L. Sundaram
  2. Bigos S, et al. Acute Low Back Problems in Adults, Clinical Practice Guideline No. 14. Rockville, MD: U.S. Public Health Service, U.S. Dept. of Health and Human Services, AHCPR Pub. No. 95-0642, Dec. 1994.Eyerman, Edward MD. Journal of Neuroimaging. June 1998
  3. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD, Summer 1994.
  4. John P. Kostuik, MD, and Simeon Margolis, MD, Ph.D. Low Back Pain and Osteoporosis. The John Hopkins White Paper on Low Back Pain and Osteoporosis, 2002.
  5. see article: //www.usatoday.com/news/health/2008-02-12-back-pain_N.htm

HOW IT WORKS

What Is It Designed To Do?

Damaged intervertebral discs seldom heal as the discs are constantly under pressure.

Decompression, or the reduction of pressure inside the discs, facilitates the transfer of fluids, nutrients and oxygen back inside the disc which promotes the retraction of bulging or herniated discs.

SpineMED Advantages

INDICATIONS & CONTRAINDICATIONS

Indications
Contraindications
Indications

SpineMED® is a conservative procedure for patients suffering discogenic pain caused by:

  • Bulging disc
  • Herniated disc
  • Degenerative disc disease
  • Posterior Facet syndrome
  • Sciatica
  • Post-surgical patients
  • Spinal Stenosis
  • Non-specified mechanical low back or neck pain

SpineMED® is designed to help patients with lumbar or cervical disc pathologies and is congruent with other conservative treatment options

Contraindications

The low force requirements associated with SpineMED® limit the contraindications significantly.

The primary contraindications for SpineMED® decompression are:

  • Instabilities of the spine, such as recent fractures
  • Bilateral pars defects
  • Unstable spondylolisthesis (typically grade 2 and above)
  • Gross osteoporosis
  • Cancers or tumors of the spine
  • Surgical hardware fixation in the region of the spine being targeted
  • Pregnancy
  • Patients under the age of 15

Disc fragmentation, calcification, severe arthritis and any surgical spinal appliances are all relative contraindications. Post surgical patients are NOT contraindicated unless they have surgical hardware fixation in the region of the spine being targeted. In fact, failed back patients may respond well to SpineMED®.

PROTOCOL

For lumbar procedures, the patient is positioned supine on the SpineMED® system. The Patented Pelvic Restraints are adjusted to comfortably secure the patient’s pelvis. The upper torso is secured to the fixed section of the table. The Patented Pelvic Tilt section electronically tilts the pelvis to target specific spinal segments. With precise computer controlled tension, the specific disc segment is gently distracted.

For cervical procedures, the cervical unit is first electronically tilted to the angle required to target specific segments of the cervical spine. The patient is then placed on the table with their head positioned in the cervical cradle unit. The patented Cervical Restraints are designed to comfortably capture the base of the patient’s skull for controlled distraction.

The SpineMED® protocol consists of 20-25 sessions that are 30 minutes each in duration. SpineMED® sessions are typically administered 3-5 times per week over a 4-6 week period. The procedure is performed with the patient fully clothed and has been described as safe, painless and extremely effective. In fact, it is not uncommon for patients to fall asleep during the procedure. Each session has a cumulative effect designed to significantly reduce pain and improve function as patients progress through the SpineMED® program.

SpineMED® Decompression is showing encouraging success rates for patients suffering with lumbar and cervical disc pathologies, both alone and in conjunction with complimentary patient services.

Want To Know More?

Check out the most commonly asked questions on the FAQ page.

FAQ's