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The theory behind non-surgical spinal decompression is that significant distractive forces, when applied to the lumbar spine in variable directions, can create a negative pressure in the center of the intervertebral disc, thereby creating a suctioning effect or vacuum phenomenon in order to retract or reduce the size of the herniated or bulging disc’s gelatinous internal nucleus pulposus, thus diminishing or eliminating nerve compression, while at the same time creating an osmotic gradient which helps bring nutrients and water into the disc. Since intervertebral discs have poor circulation, they depend upon receiving their nutrition through diffusion across the end plates of the vertebrae above and below.
The appeal of non-surgical spinal decompression is that it is a non-invasive, non-surgical, drug-free alternative treatment for low back pain, sciatica, disc degeneration, disc bulges, disc herniations, and facet syndrome. There is anecdotal evidence of its effectiveness and more case studies are being published demonstrating very positive results in patients who have tried other conservative treatments that have failed.
Indications
- Persistent muscle spasms
- Bulging or herniated disks – commonly referred to as a ‘slipped disk’
- Degenerative disk disease – essentially arthritis of the disk
- Sciatica – pain, numbness or weakness in the buttocks, leg or foot due to irritation/pressure on the sciatic nerve
- Facet syndrome – there are 2 facet joints for every disk and often cause pain
- Foraminal stenosis – a narrowing of the opening where 1 or more spinal nerves exit the spine
- Persistent pain despite spinal surgery
Contraindications
Stretching the spine to relieve back pain is not appropriate for some patients. The following groups of people are not good candidates for non-surgical spinal decompression:
- Pregnant women
- Patients with broken vertebrae
- Patients who have had spinal fusion
- Patients who have an artificial disc, or other implants, in their spine
- Patients with failed back surgery
- Anyone who has had multiple surgeries without recovery (pain improvement)
- Patients with any of the following conditions are also not good candidates:
- Osteoporosis, or osteopenia
- Spondylolisthesis
- Spinal stenosis
- Spinal infection
- Spinal tumor
- Ankylosing spondylitis
- Any condition that may compromise the integrity of the spine
- Any condition requiring the patient to take blood thinner medication
