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Saturday, February 27, 2016

By John Potter


Chronic back pain causes varying degrees of discomfort depending on the cause. It has been shown to be a leading cause of reduced productivity and absenteeism in the workplace. The source of this pain may be any anatomical structure of the spine that impinges on adjacent nerves. Spinal decompression is one of the effective treatments for this problem. There is some important information on Spinal Decompression Therapy Santa Monica residents will find helpful.

The techniques that are used for decompression are broadly classified into non-surgical and surgical. The non-surgical decompression is most effective if the cause is a displaced intervertebral disc. In this method, you will be put on motorized traction. Your spinal column will be gently stretched to restore its natural shape and intrinsic force. When this happens, the pressure in the intervertebral space is reduced and the disc slips back into position.

A session of non-surgical decompression typically lasts between thirty and forty five minutes. This will, of course, depend on the initial severity of your illness and the rate at which you show a positive response. On average, most people tend to show improvement after 20 to 28 sessions. The sessions are spread over five to eight weeks. To increase the chances of success, a number of other treatments may also be given alongside traction.

There are a number of situations in which traction is contraindicated or deemed inappropriate. If it is performed on pregnant women, for example, there is a risk of harming the fetus hence alternative techniques should be used. It should also not be used in persons with fractures due to the risk of worsening the injury. Other contraindications include abdominal tumors, some bone conditions such as osteoporosis and the presence of metallic spinal implants.

Surgical intervention is considered if the problem cannot be solved by the non-invasive options. Indications of surgery include conditions such as soft tissue swellings, bony growths and ruptured intervertebral discs. The operation, when successful can help relieve pressure exerted on the spinal cord as well as the adjacent nerve roots. There are many types of operations that can be performed depending on the nature of the problem.

The type of surgery to be done is named depending on the anatomical part that is to be removed. For example, if the whole vertebra is removed, the operation will be referred to as corpectomy. If only the disc is to be extracted, the surgery is termed discectomy. Removal of a vertebral arch (lamina is termed laminectomy) and that of a foramen, foraminectomy. These procedures may be done through an open procedure or through endoscopy.

Complications may be encountered after surgery. Some occur in the immediate and intermediate post-operative period while others are seen much later. The common short term complications include excessive bleeding, nerve fiber damage and surgical site infection. In the remote post-operative period, spinal instability is a possibility.

Decompressing the spine can be achieved through traction or surgery. Each approach is associated with various advantages and disadvantages. The conservative approach (or traction) is by far the more preferred modality. Surgery is a last resort. It is important that the patient is educated on all the merits and demerits so that they can make an informed decision.




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