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Mechanical Spinal Depcompression compared with Cox Flexion Distraction Technique

by: Dr. Adrian Robichaud, Chiropractor

Spinal disc hernias are common. Pojskic, et al state that the “lifetime risk for symptomatic LDH is 1–3%; of these, 60–90% resolve spontaneously. Risk factors for LDH include genetic and environmental factors, strenuous activity, and smoking. LDH is more common in males and in 30–50 year olds. A set of clinical tests, including manual muscle testing, sensory testing, Lasegue sign, and crossed Lasegue sign are recommended to diagnose LDH. Magnetic resonance imaging (MRI) is the gold standard for confirming suspected LDH.”ⁱ (i).

Disc hernias that are treated resolve faster than those that are not. There are many treatment options that vary from simply relieving symptoms to correcting the hernia. There is medication, spinal adjusting, mechanical disc decompression and manual disc decompression. Lastly there is surgery. What option is best depends on the severity of the hernia and if conservative treatments have worked or not.

The most popular option for disc hernias is mechanical decompression. It is the most popular not necessarily due to results, but due to marketing.

Here are the differences:

1. Cost: Typically mechanical (machine) decompression costs about $200.00 per session in southern Ontario. Cox flexion distraction is normally charged at the same price as a chiropractic visit, which in my office is $42.00. Prices for a chiropractic session range from about $40.00 to $60.00 for most clinics.

2. Time Consumption: A typical mechanical decompression session is about 20 minutes. Cox flexion distraction takes about three minutes.

3. Specificity: Mechanical traction is non-specific. The person is strapped into the machine and the entire lower back is tractioned. With the Cox technique the doctor can specifically isolate the herniated disc in exactly the right way to optimize recovery.

4. Sessions: In 2024, a typical mechanical traction care plan is 20 sessions costing about $4,000.00. A typical Cox technique series in my office is about 12 sessions at $80.00 for the first session then $42.00 per visit, costing $542.00.

A herniated disc is a challenging condition that usually causes a lot of pain and discomfort. Waiting for spontaneous resolution may not be something a person is willing to tolerate, when getting treatment dramatically speeds up the healing process and thus reduces pain and any other related symptoms such as numbness, weakness, burning or tingling.

If you think that you or someone you care about is suffering from a disc hernia, we would love to talk to them about our approach and see how we can help them.

iMirza Pojskic a, Erica Bisson b, Joachim Oertel c, Toshihiro Takami d, Corinna Zygourakis e, Francesco Costa f , Lumbar disc herniation: Epidemiology, clinical and radiologic diagnosis WFNS spine committee recommendations,World Neurosurgery: X,Volume 22, April 2024, 100279

Neuro Emotional Technique (NET) is a holistic approach to health that combines elements of homeopathy, neuroscience, and chiropractic principles. Its primary focus is on the connection between emotions and physical health. Here’s how NET is believed to play a role in health:

1. Emotional Health: NET posits that unresolved emotional issues can manifest as physical symptoms or contribute to chronic health problems. By addressing these emotions, NET aims to relieve emotional stress and potentially alleviate physical ailments.
2. Bioenergetic Balance: NET practitioners use muscle testing to identify specific emotions or “neuro-emotional complexes” that may be contributing to a person’s health issues. Through this process, they aim to restore balance to the body’s bioenergetic field, promoting overall well-being.
3. Integration of Mind and Body: By addressing emotional stressors, NET seeks to promote harmony between the mind and body. This integration is thought to support the body’s natural healing mechanisms and enhance overall health.
4. Complementary Approach: NET is often used alongside other conventional and alternative therapies to support overall health and well-being. It may be used as a standalone treatment but more often is used as part of a comprehensive approach to health.
5. Individualized Treatment: Each NET session is tailored to the individual, focusing on their unique emotional and physical health challenges. This personalized approach aims to uncover and address specific emotional blocks that may be hindering health improvement. It is not a form of talk therapy or psychotherapy.

The ‘Home Run Formula’

To address the many possible factors that can influence health, we use a Home Run Formula model as a way of generally categorizing areas that may need to be addressed.

1st base – Emotional/stress
2nd base – Toxic influences
3rd base – Nutritional needs
4th base – Physical/structure

We know any problem can include multiple factors from any of the other bases, and it is important to address all factors related to one’s health to reach our optimum health potential.

‘Body-oriented’ practitioners such as chiropractors may often start with a 4th base (Physical/structure) approach and then check 1st base (Emotional/stress) when a stress-related component is suspected to be a factor. Of course, 2nd base (Toxic factors) can influence how we think and feel, and 3rd base (Nutrition) is clearly an essential piece for balanced mind and body health. For example, it is well known that there is a link between physiological and behavioural interactions related to stress, food intake and emotional state.

Visit https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843770/ for a paper titled Stress Exposure, Food Intake, and Emotional State.

Deciding between physiotherapy and chiropractic care depends on your specific condition, and the recommendations of healthcare professionals. Here’s a general guideline:

1. Physiotherapy (Physical Therapy):
   • Ideal for a wide range of musculoskeletal conditions, sports injuries, and post-surgery rehabilitation.
   • One situation when you should choose physiotherapy over chiropractic is post-surgical rehab. Most physiotherapy clinics have the necessary equipment that most chiropractic clinics do not to properly rehabilitate you. Physiotherapist are generally better trained to handle post-surgical rehabilitation.
   • Focuses on improving mobility, function, and quality of life through exercises, manual therapy, and modalities like ultrasound, laser or electrical stimulation. Most physiotherapists do not adjust the spine or other joints of the body, so if you need this chiropractic is a must.
   • Physiotherapists often work on strengthening muscles, improving flexibility, and correcting movement patterns to prevent future injuries.
2. Chiropractic Care:
   • Suitable for conditions related to the spine, joints, and nervous system, such as back pain, neck pain, headaches, and sciatica. In my practice I also help conditions involving the joints of the extremities, such as shoulder, elbow, wrist and hand injuries. I also help with hip, knee, ankle and foot problems.
   • Primarily involves manual adjustments or manipulations to restore alignment and mobility in the spine and other joints in order to restore optimal nervous system function and relieve pain.  In my office I also use electrical stimulation, Accu-o-matic, moist heat and ice when helpful.
   • Chiropractors also use exercise when useful to help you recover and prevent future injuries.
   • Chiropractors often focus on the relationship between the spine and the nervous system, since spinal dysfunctions (subluxations) can cause various health issues and pain.

Here are some considerations to help you choose:

• Diagnosis: You can see a chiropractor right from the start as they are able to diagnose your condition. The chiropractor will then recommend the best course of action.
• Condition Severity: For severe or acute conditions, such as fractures or severe sprains, you might initially require medical attention before starting physiotherapy or chiropractic care.  Other severe or acute conditions such as sever back pain or a disc herniation can be seen right away by either a physiotherapist or a chiropractor.
• Cost and Insurance Coverage: Check your insurance coverage and consider the cost of treatment. Physiotherapy is about twice the cost of chiropractic care per visit. Usually there is better coverage for physiotherapy in most plans. You usually require a prescription from your medical doctor to be covered for physiotherapy. Most plans also cover chiropractic care up to $500.00 per year in 2024 (without a prescription). It is best to check your plan to know what you can afford. Only you can decide what your health is worth.
• Collaborative Approach: In some cases, a combination of physiotherapy and chiropractic care, along with other treatments like massage therapy or acupuncture, may provide the best results. Discussing this possibility with healthcare providers can help create a comprehensive treatment plan.

Ultimately, the choice between physiotherapy and chiropractic care should be made based on your specific needs, and the advice of healthcare professionals.

Pregnancy is a beautiful and trans-formative time in a woman’s life, and maintaining a healthy lifestyle is crucial for both the mother and the developing baby. Regular exercise during pregnancy has numerous benefits, such as improved mood, reduced discomfort, and better overall health. However, it’s essential to approach exercise with caution and make modifications based on individual health and the stage of pregnancy. Here are some helpful pregnancy exercise tips to ensure a safe and enjoyable experience:

1. Consult with your healthcare provider: Before starting any exercise routine during pregnancy, it’s crucial to consult with your healthcare provider. They can provide personalized advice based on your medical history and the specific needs of your pregnancy.

2. First trimester: During the first trimester normally no modifications are necessary. A woman’s body hasn’t changed that much yet.

3. During the second trimester and beyond choose low-impact activities: Opt for low-impact exercises to minimize stress on your joints and reduce the risk of injury. Swimming, walking, stationary cycling, and prenatal yoga are excellent choices. These activities provide cardiovascular benefits without putting excessive strain on your body.

4. Listen to your body: Pay close attention to your body’s signals and modify or stop any activity that causes discomfort, pain, or shortness of breath. Be mindful of your energy levels, and don’t push yourself too hard. Pregnancy is not the time to set personal records or engage in intense workouts.

5. Warm-up and cool down: Start each exercise session with a gentle warm-up to prepare your body for activity. This could include five to ten minutes of light aerobic exercise. Similarly, finish your workout with a cool-down routine to help your heart rate and breathing return to normal gradually.

6. Stay hydrated: Proper hydration is essential during pregnancy, especially when exercising. Drink water before, during, and after your workout to prevent dehydration. Dehydration can lead to overheating, which can be harmful to both you and your baby.

7. Focus on core and pelvic floor exercises: Strengthening your core and pelvic floor muscles can help support your growing belly and reduce the risk of back pain. Gentle exercises such as Kegels and pelvic tilts can be incorporated into your routine. Dr. Robichaud can provide you with safe exercises.

8. Avoid lying on your back after the first trimester: After the first trimester, it’s advisable to avoid exercises that involve lying flat on your back for an extended period. This position can reduce blood flow to the uterus and may cause dizziness or discomfort. Opt for side-lying positions or exercises in an inclined position instead. Very short periods like when doing abdominal exercises are OK.

9. Wear good shoes: Invest in comfortable and supportive athletic shoes, as your feet may experience changes during pregnancy. Wear a supportive bra to minimize breast discomfort, and choose loose, breathable clothing to regulate body temperature. If advised you may need to wear a pelvic belt to help stabilize your pelvis and prevent pain.

10. Incorporate strength training: Include light to moderate strength training in your routine to maintain muscle tone and strength. Focus on exercises that target major muscle groups, using proper form.

11. Modify as needed: As your pregnancy progresses, your body will undergo various changes. Be prepared to modify your exercise routine accordingly. This might involve adjusting the intensity, duration, or type of exercise to accommodate your changing needs.

Staying active during pregnancy is beneficial for both physical and mental well-being. By following these exercise tips and maintaining open communication with your healthcare provider, you can enjoy a healthy and fit pregnancy journey. Remember, every pregnancy is unique, so tailor your exercise routine to suit your individual circumstances. For more exercise tips speak to Dr. Robichaud at your next appointment.

 

Introduction:

A good night’s sleep is essential for overall well-being, and the key to achieving that lies in the mattress you choose. With countless options available in the market, finding the perfect mattress can be overwhelming. This comprehensive guide will walk you through everything you need to know to make an informed decision and invest in a mattress that suits your unique needs.

Types of Mattresses:

Innerspring Mattresses: Known for their traditional coil support system, these mattresses offer a bouncy feel and excellent airflow. Offered as a full spring base or pocket coil.

Memory Foam Mattresses: Contouring to the shape of your body, memory foam mattresses provide exceptional support and can be ideal for those with joint pain.

Latex Mattresses: Made from natural or synthetic latex, these mattresses are known for their durability and hypoallergenic properties.

Hybrid Mattresses: Combining features of innerspring and memory foam mattresses, hybrids aim to offer the best of both worlds.

Firmness Level:

Soft: Ideal for side sleepers as they provide cushioning for shoulders and hips.

Medium: Research shows that this is the best mattress for most people, offering a balance of support and comfort.

Firm: Recommended for stomach and back sleepers, providing a more stable surface.

Temperature Regualtion:

Gel-infused Memory Foam: Designed to dissipate body heat, keeping you cool throughout the night.

Breathable Materials: Look for mattresses with breathable covers and materials that promote airflow.

Separate heater/air conditioners: Not part of a mattress, but available to keep you warm or cool you off.

Motion Isolation:

If you share your bed, consider a mattress with excellent motion isolation to minimize disruptions when your partner moves during the night. A sleep number bed with each side having its own firmness. It is two separate mattresses, so you won’t have any motion transfer.

Durability and Longevity:

Pay attention to the mattress’s construction and materials to ensure it withstands the test of time. Keep in mind that most mattresses last seven to 10 years, even with a 25 year warranty.

Trial Periods and Warranties:

Many mattress brands offer trial periods allowing you to test the mattress at home. Also, check the warranty terms to understand the coverage and duration. Online companies are often offering a one year trial period.

budget Considerations:

While quality mattresses can be an investment, consider your budget and explore options that offer the best value for your money.

Conclusion:

Choosing the right mattress is a personal decision that requires careful consideration of various factors. By understanding your sleep needs, exploring different mattress types, and considering features like firmness, temperature regulation, and durability, you can make an informed choice that contributes to better sleep and overall well-being. Sweet dreams await with the perfect mattress tailored to your preferences.