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Doctor insights on: When Is Spinal Decompression Therapy A Bad Idea

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Have disc bulge and pich nerve. Chiro recommended a lumbar "posture pump" for traction. Is it safe/does it really work?

Have disc bulge and pich nerve. Chiro recommended a lumbar "posture pump" for traction. Is it safe/does it really work?

Why would you go?: Are you havin pain? Musculoskeletal problems can give you neck pain (strain, joints, arthritis, pinched nerve). A disc bulge can be minor or serious. Why would you go to a chiro ? Best to see an md who can help you isolate the cause and arrive at a solution. In the mean time, stretch, heat, relaxation may help. ...Read more

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Decompression (Definition)

Decompression (surgery), a procedure used to treat spinal stenosis (in spinal decompression), carotid artery stenosis or any condition where a ...Read more


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Is it a bad idea to begin weightlifting after a bad spinal injury?

Is it a bad idea to begin weightlifting after a bad spinal injury?

Consult with Dr.: Do not do begin any activity without consulting with specialist. Why risk further injury? ...Read more

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I have a herniated disk. The pain is not bad. Is a laminotomy surgery worth it?

I have a herniated disk. The pain is not bad. Is a laminotomy surgery worth it?

No: The reasons to consider surgery for a herniated disc are neurological deficits such as weakness, balance problems, bowel/bladder issues or severe pain that cannot be otherwise controlled. "not bad" pain by itself rarely requires surgery. ...Read more

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Is it safe for a person with a lower back injury (two spinal fusions) to sea kayak?

Is it safe for a person with a lower back injury (two spinal fusions) to sea kayak?

Sure: Use pain as your guide low impact great core workout down side lots of sitting sometimes rough depending on surf.Start with short trips on smoothe water. ...Read more

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Can massage therapy be good for L5 s1 3mm retrolisthesis where I have a herniated disc? Is a tens device better therapy?

Can massage therapy be good for L5 s1 3mm retrolisthesis where I have a herniated disc? Is a tens device better therapy?

Both can help: Massage will help with some of the sore muscles that are aggravated by the irritated nerves and the tens unit is very good for pain control by something called "gate theory", both modalities work in different ways and both can be of benefit. Physical therapy is the best for this though, so keep that up! strengthening the supporting musculature and core will help stabilize the slip and herniation. ...Read more

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What is anesthesia therapy for a lower lumbar herniated disc?

What is anesthesia therapy for a lower lumbar herniated disc?

General anesthesia: If you are having surgery such as lumbar laminectomy, discectomy, and/or fusion, you will recieve general anesthesia. However, a herniated disc does not always require surgery and is dependent on your symptoms and treatments. Physical therapy, epidural steroids, and/or oral pain medications are often sufficient treatment of symptoms of a hernieated disc. ...Read more

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How do I know if it is a bone spur or if it is a bulging disc that is impinging a nerve root? I have both with moderate foraminal stenosis in C6/7

How do I know if it is a bone spur or if it is a bulging disc that is impinging a nerve root?  I have both with moderate foraminal stenosis in C6/7

The CT/MRI CAN TELL: A compression of a nerve root in the neck can be caused by different problems; generally the imaging studies can determine the specific reason. The CT is better at defining bony contours and can generally tell if a spur is compressing a nerve (or not). The MRI is better at defining soft tissue contours and would be able to determine if a disc (soft tissue) is compressing a nerve. ...Read more

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How is life like after having a lumbar spinal fusion surgery?

How is life like after having a lumbar spinal fusion surgery?

Assuming that you : Are fused ; rehabilitated just avoid activities that involve combined repetitive flexion ; rotation ie.Racquet sports ; golf. Heavy contact sports are not advisable like rugby or tackle football. If asking in post op period, this is dependent on type and extent of fusion as well as your health/ conditioning including your diagnosis----your surgeon will guide you. Otherwise your life should be ok. ...Read more

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Who is not a good candidate for spinal decompression therapy?

Who is not a good candidate for spinal decompression therapy?

Not validated : I am assuming that you are referencing the use of spinal decompression tables. These are suppose to work by relieving pressure &/or reducing intradiscal pressure & thereby reducing the size of disc protrusions/herniation. Today there simply are no studies of good quality to support these claims. Further objective studies are needed. At present there are few complications associated, except expense. ...Read more

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What is a good treatment for trapped nerve - chiropractic, ostepathy or accupuncture?

What is a good treatment for trapped nerve - chiropractic, ostepathy or accupuncture?

Improved symptoms.: I will speak only for acupuncture. Acupuncture will not un-trap the nerve. However, it can improve circulation of blood, movement of lymph, neural activity & balance of chi in the areas surrounding & impacted by the nerve. It can markedly reduce inflammation of that tissue. Neurologists request acupuncture for a # of people i see for this reason. ...Read more

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When is surgery absolutely necessary with a neck injury?

When is surgery absolutely necessary with a neck injury?

Spinal cord threat: Any suggestion of possible damage to the spinal cord, such as compression, leg weakness, bladder urgency, numbness levels over the trunk, or progressive pain, weakness, muscle bulk loss in one or both arms may mandate surgical treatment. ...Read more

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I have a herniated disc in my neck c4-5. The ortho dr is urging me to have an epidural or at the least trigger point shots. The chiro is saying no. Is physical therapy good for this or adjustments?

I have a herniated disc in my neck c4-5. The ortho dr is urging me to have an epidural or at the least trigger point shots. The chiro is saying no. Is physical therapy good for this or adjustments?

Diagnosis first: The injections are to confirm clinically what the pain generator is he is trying to figure out what pain is coming from where , the disc causes refered pain but usually not tenderness confirming the working diagnosis for pain is alwys a good idea. ...Read more

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Is it possible the day after a chiropractic neck adjustment to have a really bad headache?

Is it possible the day after a chiropractic neck adjustment to have a really bad headache?

Yes: This can happen after any manual manipulation. It doesn't mean anything was necessarily wrong with the adjustment, but it could have caused a muscle spasm that leads to a headache. If you notice any other symptoms, like slurring of words or one sided weakness, see a physician immediately. With a hx of a spinal fusion though, be very cautious with who you see and how much is done. Hope that helps! ...Read more

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How safe is a fusion after artificial disc replacement and does it work?

How safe is a fusion after artificial disc replacement and does it work?

Hmm more details?: Repeat anterior approaches can be fatal one rule ilived by only one anterior lumbar approach in a life time good saftey guidline i can only think of two reason to fuse after a replacement catastrophic mechanical implant failure and facet arthritis desparate diagnostic confusion never operate if confused about the scource of pain facet arthritis is a contraindication for replacement can I have more. ...Read more

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I have spinal stenosis in both my cervical and lumbar spine, bulging discs, nerve abutment. Do you think surgery is a good option for me?

I have spinal stenosis in both my cervical and lumbar spine, bulging discs, nerve abutment. Do you think surgery is a good option for me?

Not based on this : Female age unknown has age-related spine changes noted on MRI. When MRI first invented "bulging" disks thought to be pain generators. Now, surgeons realize these can be red herrings. Some studies indicate only 10% back pain disorders benefitted by surgery. U.S. leads world in unnecessary back operations. Get second opinion. First try aquatherapy, yoga, massage, acupuncture, biofeedback, & etc. ...Read more

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When is surgery definitly needed for a herniated disk?

When is surgery definitly needed for a herniated disk?

Definite indications: 2 indications are a disc herniation leading to myleopathy or cauda equina syndrome. A myleopathy is compression of the spinal cord leading to its dysfunction and cauda equina syndome is bowel/bladder control issues due to those nerves being compressed. Otherwise, disc surgery is for those who fail non op care or may be having intractable pain or a progressive deficit in terms of weakness. ...Read more

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Is it normal to have pain after a surgical spinal fusion?

Is it normal to have pain after a surgical spinal fusion?

Depends: Definitely immediately after surgery, most patients will have surgical pain which gradually improves with time. However, if you are still having significant or new/different pains months after the surgery, you should definitely have re-evaluation to assess the hardware, the fusion, other levels in your spine, pinched nerves, etc. ...Read more

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