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Sunday, February 8, 2009

Spinal Decompression And Sciatica

Posted by patrick

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

Sciatica can be a life altering condition, and past treatment options have failed to bring relief. A new treatment option is providing relief in most cases, without the risk associated with surgery.

The complaint of Sciatica is often used inappropriately to define any pain down the leg, the true description, however is irritation to the sciatica nerve which is comprised of several nerves as they leave the lower back and join together to travel down the leg. The most common cause of true sciatica is either a bulging or herniated disc in the lumbar spine. The discs are soft structures in between each bone int he spine that acts as a shock absorber.

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.

Steroid injections are one of the most common treatments utilized for severe sciatica as we have outlined previously. The goal of the injection is to reduce inflammation and soothe the surrounding areas. The problem is that the injection is only temporary and offers no real long term benefit for the patient. Side effect can include spinal headaches, a rebound pain phenomenon and a spike in blood sugar in diabetics. The relief obtained can sometimes be worth the risk, however a proactive approach must be coupled with the short term pain relief.

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.

One of the newest and most effective treatments for sciatica is Spinal Decompression. This technology uses a patented computer system that is able to gently distract the spine and bypass the muscle guarding response, thus creating a negative pressure in the disc. This negative pressure draws in fluid and nutrition so the disc can heal, while also reducing herniated and bulging material to take pressure off the nerve to reduce pain. The technology has over an 80% success rate and doesn't bring with it the risk of side effect associated with other treatments. It also treats the cause of the sciatica reducing the chances of another episode down the road.

As research continues to pour in on spinal decompression, the benefits of this technology are more and more evident. It represents a real option for many suffering from sciatica to truly correct the problem and remain pain free. Although there are some that spinal decompression is not indicated for, many will find long lastly and highly effective relief from spinal decompression.

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