Monday, January 21, 2008

Spinal decompression therapy is it safe?

Spinal decompression therapy has taken the treatment of the herniated disc to a new level. This non-invasive, non surgical technique has helped thousands of patients get their lives back from chronic back pain.
Is this technique for everyone and is it safe?
These are the two questions that I often get asked, I will addresses the first.
Spinal decompression is not for everyone, In fact it is my opinion that by correctly examining and selecting patients that are the ideal candidates your success as a practitioner will go up. I am very selective with who I accept into my NYC spinal decompression practice.
In my practice in Manhattan, I do not accept patients that are morbidly obese, have had metal implants in their spine(such as titanium rods), or if they have severe osteoporosis or if they have sustained a recent vertebral fracture.
Outside this other factors that will not result in satisfactory results include patients with sequestered disc or a free fragment should not be considered for treatment on a Spinal decompression machine.
If a patient has a bulging or herniated disc and is accepted as a candidate for the spinal decompression protocol follow signs and symptoms carefully throughout treatment.
The act of unloading or decompression of the spine reduces tension on the disc and allows the disc to draw in fluid like blood and nutrients and moisture from the surrounding tissue.
Patients can and usually do complain of soreness in the area that is being treated, That is why patients should be on Ice and electrical stimulation like H-wave for at least 10 minutes after a session followed by a lumbar support to brace the area and prevent movement for at least three hours.

If a practitioner follows all of these protocols and is careful to select and qualify the patient the chances of injury are extremely low in comparison the possible side effects from an unsuccessful back surgery can include permanent impairment, loss of sensation and loss of motor control. This is why more and more patients are turning to a non surgical approach to addresses the Disc herniation.
The patient is also in complete control during the procedure, In my NYC practice I utilize the DRX 9000 which has a safety switch that can stop the pulling if it does become uncomfortable, most patients are sleeping half way through the session because they feel so comfortable.
I like the DRX 9000 machine because the pull is so smooth it allows the muscles to completely relax which allows the spine to be repositioned without tension and without setting off the "lock down" propioceptor response.
So to answer the question from earlier, Is it safe? Yes absolutely! Will it help everyone? No, but if you chose the patient carefully you can offer them a safe and affective non-surgical solution to a difficult problem and allow them improve their lives my taking away the pain without surgery.
www.drshoshany.com

Monday, December 17, 2007

Manhattan Chiropractor Granted Patent for His Spinal Decompression Group -- First Chiropractor in New York to

Manhattan Chiropractor Granted Patent for His Spinal Decompression Group -- First Chiropractor in New York to Receive Patent for Non-surgical Spinal Decompression Treatment

NYC Chiropractor is granted a Patent for his spinal decompression group. This group is dedicated to Non Surgical treatment of bulging/ Herniated discs, Sciatica, spinal stenosis,and Chronic low back pain. This group has the highest success rate in New York.

(PRWEB) December 17, 2007 -- Manhattan Chiropractor Dr. Steven Shoshany has been recently granted a Certification of registration from the United States of America for a Patent Service Mark for his Spinal decompression group NYCDISC which stands for New York Spinal Decompression specialists. This group was formed over three years ago and is comprised of the best trained and equipped spinal decompression doctors in New York City. To be a service provider the doctor must meet certain criteria and utilize special equipment like the DRX 9000.



The DRX9000™ computerized nonsurgical spinal decompression systems were designed to provide maximum patient benefits with the use of a noninvasive approach that may help minimize health care resources and offer a potentially optimal therapeutic approach to the treatment of LBP (low back pain).
In order to be considered you must have a DRX 9000 table or a comparable table, sorry not DTS tables or modified traction tables allowed. This group was formed out of necessity as spinal decompression grew in its popularity more chiropractors are offering this service and the goal of NYCDISC is to maintain a level of excellence in providing spinal decompression services.

Dr. Steven Shoshany is the founder of this group and has consulted with doctors nationwide on the principles and protocols of spinal decompression. This non surgical procedure has been shown to be 89% effective in resolving disc herniation, sciatica spinal stenosis and disc degeneration.

Spinal decompression when combined with a targeted Physical therapy and nutritional program can help many patients that have been suffering needlessly. In the United States, low back pain is the second most common reason for physician visits and the third most common indication for surgery. However, a special report published in the December issue of Anesthesiology News highlights exciting research on a medical device that offers patients a non-surgical treatment option in treating chronic low back pain. The device is called the DRX9000™ and is manufactured by Axiom Worldwide of Tampa, FL. The authors of this special report are from the prestigious institutions of Duke University School of Medicine, Mayo Clinic, and Johns Hopkins University School of Medicine. They conclude their special report by stating, "The DRX9000™ computerized nonsurgical spinal decompression systems were designed to provide maximum patient benefits with the use of a noninvasive approach that may help minimize health care resources and offer a potentially optimal therapeutic approach to the treatment of LBP (low back pain)." The report is attached.

Monday, December 10, 2007

What is the Best spinal decompression table?


www.drshoshany.com
What about the DTS table?

Chattanooga DTS system or a.k.a as the DTS is my opinion is an inferior table compared to the DRX 9000 or the Spine-med table. I have been utulizing spinal decompression in my practce for 4 plus years longer than most chiropractors in Manhattan. Several new Chiropractors have added this table to their practice and even are offering the first five visits free. I believe that you get what you pay for and I have made a major investment in my practice and my patients health. Why settle for inexpensive equipment? The Chattanooga table is about $ 8,000 K and the DRX is about $95 K, What table do you want to be treated on? If that is the only table you have access to then it can't hurt you, but if you want top of the line spinal decompression and want to treated on the best then go with the table that has set the benchmark, the DRX 9000. I do not offer free treatments but I do offer a free consultation. If you have an MRI report or better yet the actual film I will review them and give you a second opinion. Call (212) 645-8151 to speak to me directly.
I posted both pictures of the DRX 9000 and the DTX which one looks better to you.

Wednesday, November 21, 2007

Carpal tunnel Syndrome and treatments


I have been helping New York city office workers for almost 10 years now at our Manhattan Chiropractic Center. Because of this, we have witnessed first hand what sitting in front of a computer for 8-12 hours per day can do to the body over time. Hint: It's Not Good

One of the more common problems we treat is arm and hand pain. Sometimes there is weakness of grip, numbness or tingling in the hands, and even night pain. These are the classic signs and symptoms of carpal tunnel syndrome (CTS). They are also some of the signs and symptoms of a cervical disc herniation.

Yes...herniated discs in the neck can cause the same symptoms as carpal tunnel syndrome in the wrist. How is this possible?

Well...the nerves that exit from the bones in the neck, travel down the arms and into the hands. One of these nerves...the median nerve...branches off and enters into the carpal tunnel, an opening in the wrist which contains some tendons and the median nerve. Compression of the median nerve in the carpal tunnel is what causes CTS.

Nerves are very sensitive to pressure. Any kind of pressure on a nerve will interfere with the transmission of the nerve impulse from the brain to the target cells. Since the target cells of the nerves that exit the cervical spine include the hand...pressure on the nerves in the neck...can cause symptoms in the hand.
The Medical treatment involves Physical therapy and medication and sometimes surgery.
My approach consists of specific Chiropractic adjustments, Cold laser therapy and physical therapy. Cervical Spinal decompression using the DRX 9000C can correct disc herniations in the cervical spine.
Cold laser therapy has FDA approval to treat Carpal tunnel syndrome.
If you have wrist pain, neck pain and want a Non surgical approach contact Dr. Shoshany in Manhattan (212) 645-8151 or visit www.drshoshany.com

Friday, November 9, 2007

Emergency Spinal decompression treatment

I recently added a website to my collection of websites
The site is http://emergencychiropractor.com/ I will be adding doctors of Chiropractic that offer emergency Chiropractic care across the country.
I offer emergency chiropractic care in my Manhattan Chiropractic practice.
Call (917) 922-2426 for a visit.

Monday, November 5, 2007

Make Back Pain Disappear Without Drugs or Scalpel

Dr. Shoshany New York City's top Chiropractor contributed to this article that over 70,000 people subscribe to monthly
Make Back Pain Disappear Without Drugs or Scalpel
Spinal Decompression Is a Magical Cure for Some People

reprinted from Daily Health News, November 1, 2007
URL: http://www.bottomlinesecrets.com/blpnet/article.html?article_id=43340


Luckily I've never suffered a serious bout of back pain -- and staying strong in the hope I won't have problems like that is one reason I am so committed to fitness. Even so, though, the truth is that most of us (80% by some estimates) will have back pain at some time or another -- whether from over-exertion, injury or simply a result of the aging process. Chronic back pain is frustrating, not only because of how badly it hurts but also because it can be difficult to cure. It is the fifth most common reason for doctor visits.

A particularly common cause of such pain is a herniated disk, also referred to colloquially as a "slipped disk." For a long time, the usual mainstream medical solutions were surgery, physical therapy and/or pain medication, all of which take a long time and may not work for everyone. So I was very interested to learn about a non-surgical, non-invasive treatment for herniated disks called spinal decompression.

Visualize the disks in your back as being like hard donuts filled with a jelly-like material in the center. With age, the strong fibrous cartilage (the donut) can weaken, allowing the jelly-like material (nucleus pulposus) to bulge, which in and of itself is not painful. But more seriously, with a herniated disk the hard tissue has actually torn or ruptured, causing this material to ooze and press on spinal nerves. This causes pain that can range from mild to horrible.

SPINAL DECOMPRESSION 101: A PRIMER

One of the first devices used for spinal decompression was approved by the FDA in 1995. Because spinal decompression requires special expertise and pricey equipment, few chiropractors have offered this treatment -- but numbers are growing as training and better insurance reimbursement becomes more commonplace, I was told by Steven Shoshany, DC, a New York City-based chiropractor who specializes in spinal decompression.

Here's how it works: The patient lies on a comfortable table made specifically for this purpose, comfortably strapped down with a pelvis and torso harness that resembles a girdle. Calling it a "high-tech traction device," Dr. Shoshany explained how it works. "Slowly and comfortably, almost imperceptibly, the machine creates traction by pulling and holding for one minute. Then, intermittently, it releases. It is believed that this creates a negative pressure, or a vacuum within the disk, which then draws back the herniated-disk material which was displaced." With less pressure inside the disk, and thus less on the spinal nerves, pain often decreases or might even disappear -- sometimes instantaneously. To "fix the hold," however, numerous sessions may be required.

This technique also allows nutrient-rich fluid to go to the area where there is less pressure, stimulating the healing process. Most patients either sleep or watch a DVD during the treatment, Dr. Shoshany told me. Each session takes about 30 minutes and a typical treatment program may take between 20 to 30 sessions.

Critics contend that there are no long-range, well-designed studies looking at efficacy over time, but there has been some research on the treatment and the results are promising. In one study published in 2001 in Neurological Research, researchers reported that a spinal decompression therapy called VAX-D produced a success rate of 68.4%, compared with 0% for a placebo therapy in treatment of chronic low back pain. Another study from a team of researchers at the University of Illinois and Rome found a 71% success rate for treatment of herniated disk and other causes of low back pain, with "success" defined as a reduction in pain to 0 or 1 on a scale of 0 to 5.

NOT FOR EVERYONE

Dr. Shoshany noted that some people get much more benefit from spinal decompression than others, and it is not an option for everyone. "It's not a good choice for a person who has metal implants in the spine," he warned. It's better for people with a single-disk herniation than those who have herniation in several or all of them. Also, people who are morbidly obese and/or who smoke likely won't find much relief from spinal decompression either.

The procedure is thought to be safe, though there is no hard science supporting its efficacy. If you do decide to seek out this somewhat unconventional form of treatment, it's safest and best to do so with the oversight of your orthopedic surgeon, who can help you ascertain whether it might work in your case. For more information on spinal decompression, go to http://www.drshoshany.com
Effectiveness and safety of Non Surgical Spinal Decompression reveals a 89% reduction on severity of chronic LBP once this article is converted to a text form i will post it.

Monday, October 15, 2007

Spinal Decompression using the DRX 9000


www.drshoshany.com
DATA FROM A RECENT MULTI-CENTER PILOT STUDY UTILIZING AXIOM WORLDWIDE’S DRX9000™ REVEALS A DRAMATIC SUCCESS RATE OF 88.9%!

Clinical results to be presented at the 2007 annual conference of the American Academy of Pain Management.

Tampa, FL September 5, 2007: The clinical results of an IRB-approved prospective, multi-center, phase II, non-randomized pilot study utilizing the DRX9000™ will be presented at the 18th Annual Clinical Meeting of the American Academy of Pain Management in Las Vegas, NV September 27- 30, 2007. The study, authored by Dr. John Leslie of The Mayo Clinic, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of ten years of chronic back pain. After two weeks of treatments on the DRX9000 there was a 50% reduction in pain scores and upon completion of the entire six week protocol an amazing success rate of 88.9% was documented. The patients also reported an improvement in their Oswestry Disability score. Abstracts and copies of the presentation will be made available following the release of the study data at the American Academy of Pain Management.



Non-treatment or control groups were not included making efficacy outcome versus placebo or spontaneous recovery difficult to determine. Randomized double-blinded or comparative long-term outcome trials are needed to further prove the efficacy of non-surgical spinal decompression systems such as the DRX9000Ô for the routine treatment of chronic LBP. This study was partially funded by Axiom Worldwide