Friday, February 13, 2009

The Treatment Of Sciatica With Spinal Decompression

By Randall Pruitt, DC, DACNB, DAAPM, MUAC, CES-NASM

Sciatica has long been a difficult and unrelenting symptom to treat. Many treatments have failed to produce long term results, until now. A new treatments provides relief in the majority of cases without the risk on invasive procedures.

The term sciatica is often used to describe pain down the leg, however the true definition of sciatica is irritation of the sciatic nerve, which is a combination of several nerves as they leave the lower back .The majority of cases of sciatica are caused by herniated or bulging discs in the lumbar spine. These discs are soft cartilaginous structures that provide cushion between each vertebrae.

The inner portion of the disc has a much higher water content then the outer portion and as is much softer in consistency. One the outer fibers become weaker or are damaged the softer material begins to move it's way outward because of the positive pressure on the disc itself. As it moves out it begins to create a bulge or what's called a herniated causing the disc to protrude outwards and narrowing the hole where the nerve exits. The narrowing can cause direct pressure on the nerve itself or create inflammation that can then irritate the nerve creating symptoms of pain, numbness or weakness down the leg.

The treatment of sciatica often includes medications, spinal injections and in severe cases surgery may be recommended. With the exception of surgery these treatments are often temporary and don't treat the actual cause. They also bring with them the risk of undesirable side effects. If the nerve is actually compressed these treatments may offer very little relief if any at all, and surgery brings with it other undesirable risks.

One of the most common treatments from the above list are spinal injections or epidurals. This treatment may offer a short term solution to a debilitation problem, however it offers very little in the way of a long term benefit. The injections work by combating inflammation and reducing swelling of the affected nerve, however side effects may be associated with this treatment. These may include a spinal headache, a spike in blood sugar for diabetics and the potential of a rebound effect where the pain returns with greater intensity. The relief these injections bring may be worth the risk but a long term solution needs to be combined for the treatment to be truly effective.

In extreme cases of unrelenting sciatica surgery may be recommended and in a small number of cases may be an appropriate treatment. However, the overall success rate for disc related surgery is poor at only about 50% and in many cases the problem may worsen after surgery resulting in a condition called failed back surgery syndrome. This complication may arise from post surgical scarring, spinal instability, and increased stress on adjacent discs. It is very common to require another surgery in later years.

Fortunately a new treatment exists that is highly effective and doesn't bring with it the risk of side effects associated with other treatments. Spinal Decompression is a new, advanced form of spinal traction with a patented computer monitoring device. This device allow a gently and logarithmic pull of the spine safely bypassing the guarding reflex muscle contraction associated with traditional traction. Bypassing this muscle response allows a therapeutic negative pressure to develop inside the disc space drawing in nutrition and fluid to help the disc heal, but also reducing herniated or bulging material and relieving the sciatica nerve. The treatment is safe and gentle and brings with it a very high success rate in the high 80 percentile and because it physically treats the cause of sciatica the problem is not likely to return.

As more studies are done on this technology a consistently high success rate is achieved. The long term benefits are also very promising because as I stated previously the treatment is aimed at healing the disc and removing the pressure and irritation from the nerve, not just masking it. While spinal decompression is not right for everyone with sciatica, it certainly represents a true breakthrough and a safe long term option for this condition. - 15683

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