San Francisco Spinal
Decompression
Frequently Asked Questions
Does Spinal Decompression hurt?
It should not hurt during the procedure.
Some patients may experience slightly more
pain after the first few sessions. This is
a result of the stretching that occurs to
spinal ligaments and disc tissue. As you proceed
through your lumbar decompression treatment
regimen, the discomfort decreases as your
spine acclimates to the improved mobility.
Can I get Spinal Decompression if
I had a laminectomy?
In most cases, yes, as long
as you didn't have a bilateral laminectomy
(both; i.e., left and right, laminas of the
same vertebra were removed). In addition,
the surgery must have had at least twelve
(12) months to heal.
Can I get Spinal Decompression if
I had other back surgery?
It depends on the type of surgery you had.
If you had a spinal fusion, for example at
L4 and L5, you should not get the treatment.
If you had a partial discectomy without fusion
or surgical screws and still have back pain,
you may still be a candidate. If you have
any kind of surgical hardware (pedicle screws,
rods, x-stop device, artificial disc), you
cannot get spinal decompression.
Is Spinal Decompression safe?
Yes. There is no surgery, no injections,
and no spinal adjustments. We are careful
to properly screen the patient and identify
those who aren't qualified. Spinal decompression
is very gentle and comfortable. You will be
lying on your back, legs propped up for most
of the duration. Decompression settings are
custom set for each patient, depending on
his or her particular condition. The maximum
distraction force is set low initially, and
gradually increased over the course of treatment.
I have severe spinal arthritis. Can
it help?
Spondylosis, the term given to arthritic,
degenerative changes to spinal vertebrae,
do not go back (resorb) once formed. If the
bony protrusions impinge on a spinal nerve
root or the spinal cord itself (severe stenosis),
the prognosis is less favorable. If you have
spondylosis that does not significantly narrow
the foramen (hole where nerve root exits;
also where spinal cord resides), the prognosis
is more favorable. Spinal decompression provides
relief by increasing space between vertebra
and relieving pressure in the discs and facet
joints (rear spinal joints).
How many sessions are necessary?
For chronic low back pain from degenerative
disc disease, a treatment regimen of 20-30
sessions are typically recommended.
Does my health insurance cover spinal
decompression?
Currently, San Francisco spinal decompression
is not covered by health insurance. It has
not been around long enough for elaborate,
long-term medical trials, which are typically
required for insurance reimbursement. This
does not change the fact that many happy patients
throughout the country are benefitting from
this non-surgical procedure, where other procedures
have failed. Most patients have no problem
paying out of pocket for this treatment. Compared
to the cost of surgery, spinal decompression
is a bargain.
What about the DRX9000 machine? What's the
difference?
The DRX9000 was one of the first spinal decompression
tables to come out. Since then, less expensive
models like our TX-1 system have come into
the market. Despite its elaborate appearance,
the DRX9000 uses the same type of technology
as the less expensive models. Some of the
DRX9000 features include a built-in DVD player
and TV screen for patient relaxation, and
a console that prints out a summary of each
treatment session. These two features have
a negligible effect on treatment outcome.
DRX9000 centers are also likely to charge
much higher rates, due to the significantly
higher cost of the machine.
Our TX-1 system is manufactured by Chattanooga
Group, an industry-leading manufacturer
of medical grade Physical Therapy equipment.
It is rated up to 200 pounds of maximum pull,
equal to the DRX9000 and similar decompression
units.
Why haven't I heard about this from
my medical doctor?
Unless your medical doctor is an orthopedic
specialist, he/she probably hasn't been exposed
to non-surgical spinal decompression. Since
most medical practices rely on insurance billing,
and since spinal decompression is not covered
by insurance, there is little incentive for
MDs and physical therapists to offer the service.
How long is each Spinal Decompression
session?
The decompression session itself is 30-45
minutes, but you should budget one hour for
the appointment to allow for evaluation, physiotherapy
application, and changing into treatment attire.
Do I need MRI films?
If you are suffering from chronic lumbar
pain, especially pain that radiates to the
buttocks and/or lower extremities, it is highly
recommended that you get an MRI study of your
lumbar spine. MRIs provide important information
such as levels of disc herniations, size of
disc herniations, and areas of stenosis that
can make your spinal decompression treatment
more accurate. They can also reveal potential
contraindications to spinal decompression
such as cancer and aortic aneurysms. Our office
can write the prescription for you. We use
a facility that is conveniently located around
the corner from our office. Many health insurance
plans have coverage for MRI studies.
How do I get started?
You can fill out the online Prequalification
Questionnaire or call us at (415) 627-9077
Mondays through Fridays to set up your initial
evaluation. If you have MRI films, we will
ask you to bring them to your first appointment.
Spinal Decompression
San Francisco - 230 California Street, Suite
600 - Financial District
lumbar decompression
treatment for: disc herniation - sciatica
- degenerative disk disease