Spinal Decompression – Observations From My San Antonio Office
Spinal decompression is an advanced form of spinal traction used in the treatment of disc-related back pain and related conditions such as sciatica. The primary difference between true spinal decompression and traction (and inversion) machines is that spinal decompression machines are set up to "trick" the spinal muscles into staying relaxed during treatment, allowing for greater changes in disc pressure than with regular traction, which has to fight the resistance of the muscles. Spinal decompression treatment provides excellent results for many people, but some fail to get any improvement at all, and others may even feel worse. I will attempt to explain the most common reasons for these treatment failures, and give suggestions for how to know when spinal decompression is and is not likely to help you.
Spinal decompression in my San Antonio office has been quite successful for most patients, but it is not appropriate or effective for every patient. It has been my observation that some providers of spinal decompression services will recommend it as a "cure-all" for all patients in an attempt to keep their machines full and maximize their return on investment on the equipment. Even the best doctors don't have a 100% success rate, because no treatment works for everyone. The problem is when doctors accept patients who are not really good candidates for treatment, the results are lacking, and some poorly-selected patients may even temporarily get worse when they receive this form of treatment.
Judging from my experience in my San Antonio spinal decompression practice, the best patients for this form of treatment are the ones who have one or more bulging or herniated spinal discs and/or mild to moderate degeneration of the discs. Those patients who have previously had disc surgery still make good candidates for spinal decompression, provided they do not have any specific issues that would exclude them, such as metal implants in the spine, spinal instability, and/or some form of healing impairment at the site of the surgery. The large majority of patients who qualify under these criteria will typically get excellent results and be able to resume their daily activities without any major pain.
While there are case reports that indicate complete disc ruptures can be treated with spinal decompression, in my experience, people with actual ruptures tend to not do very well with this form of treatment. It should be noted that even doctors sometimes incorrectly call a disc bulge or herniation a rupture. True disc ruptures (also called extrusions and sequestered discs), in which the inner gel of the disc is actually leaking out, are relatively rare, so it is good to find out for sure what your actual condition is.
Besides the obvious importance of only using spinal decompression in cases where it is really appropriate, it is very important for the machine operator to be well-trained to ensure proper set-up of the machine for the patient. There are several different decompression machines on the market, each with their own specific set-up procedures. Whatever machine is being used, it is critical to have ongoing refresher training for the operating technicians to be sure that all patients are being set up on the machine exactly right. While the better machines are unlikely to produce any major injury if they are not set up exactly right, results can suffer tremendously if the patient is not positioned and secured on the machine correctly on every visit. I highly suggest asking any spinal decompression provider how frequently the technicians undergo training and only work with those providers who do re-training at a minimum of every 3 months.
Another factor in the suitability of a patient for spinal decompression treatment is the person's willingness and ability to get the recommended schedule of treatment. I have found that there are two primary considerations in how well a patient tends to follow the recommended treatment plan: money and time.
A complete spinal decompression program of care that inclues decompression as well as additional treatments may seem expensive to some people. Since spinal decompression is an alternative to disc surgery though, a cost comparison with surgery will show spinal decompression to be much less expensive with statistically much better resuts, making it a good value in most cases. Even so, some people try to lower the cost by attempting to reduce the amount of treatment they get. In my experiences from my San Antonio office, this approach is often a very big mistake. The people who discontinue care prematurely will often feel better and return to activities before their disc condition is stable. This can lead to re-injury and even worse problems. In my opinion, it is far better to invest in the recommended treatment in order to get maximum benefits.
The other reason that some people don't follow the recommended spinal decompression protocol is time. Some will frequently skip appointments or discontinue treatment altogether because they have busy schedules and just can't or won't take the time to get the treatment they need. The key to lasting results with spinal decompression lies in having the recommended number of treatments at the recommended frequency to allow for maximum correction, stabilization, and healing of the disc. The treatment just doesn't work as well when patients don't make it a priority for their time. Some people can get away with neglecting themselves for a while, but in my experience, if you don't make time for your health, sooner or later your health condition will absolutely force you to take the time (by means of a severe pain crisis), and this usually occurs when it is least convenient in your schedule. You are far better off to simply make your treatment a high priority and get the problem taken care of properly.
In summary, spinal decompression is a very effective means of treating the pain and disability associated with herniated and degenerated spinal discs, but there are some important factors in getting maximum results. Doctors and patients alike are responsible for making sure the treament is done properly to get maximum results.
Dr. George Best has been providing spinal decompression in San Antonio, Texas since 2006 with the DRX9000 system. For additional infomation, visit his website at www.spinesanantonio.com.
