by Dr. George Best
I have been using spinal decompression in my San Antonio office for a few years now, and while it is a highly effective treatment for many people, it is not for everyone. Unfortunately, the costs of providing spinal decompression services sometimes influences doctors to recommend it in cases where it may not be entirely appropriate. Even with proper patient selection, spinal decompression is not 100% effective - no treatment is. But when doctors are not as discriminating as they need to be in what patients they accept, the results can be far from ideal and some patients may even get worse with this form of treatment when doctors prescribe it inappropriately for financial reasons.
Spinal decompression is an advanced form of spinal traction used in the treatment of disc-related back pain and related conditions such as sciatica. The primary difference between true spinal decompression and traction (and inversion) machines is that spinal decompression machines are set up to “trick” the spinal muscles into staying relaxed during treatment, allowing for greater changes in disc pressure than with regular traction, which has to fight the resistance of the muscles. Spinal decompression treatment provides excellent results for many people, but some fail to get any improvement at all, and others may even feel worse. I will attempt to explain the most common reasons for these treatment failures, and give suggestions for how to know when spinal decompression is and is not likely to help you.
From my experiences in my San Antonio practice, the patients who get the best results with spinal decompression are those with one or more bulging/herniated discs and patients with mild to moderate disc degeneration. Those patients who have previously had disc surgery still make good candidates for spinal decompression, provided they do not have any specific issues that would exclude them, such as metal implants in the spine, spinal instability, and/or some form of healing impairment at the site of the surgery. The vast majority of people who meet these criteria get very good results and are usually able to return to their normal activities without any significant pain.
Although complete disc ruptures (disc extrusions) may sometimes be helped with spinal decompression, my experience has been that people with true disc ruptures (the term “rupture” is often used incorrectly even by doctors to describe disc bulges and herniations - actual disc ruptures are relatively rare) do not tend to get good results.
In addition to the importance of applying spinal decompression only in the appropriate cases, it is extremely important for the doctor or technician operating the machine to set the patient up properly for the treatment. Several factors are involved, and every spinal decompression system has its own unique set-up procedure. Ongoing training of any personnel who operate this type of equipment is essential. It is very easy to get sloppy with setting up patients on the equipment, and this leads to ineffective treatment. Overall, because of the design of the better spinal decompression systems, even very poor patient set-ups rarely lead to patient injury, but mistakes in the use of the machine can definitely prevent the patient from getting the desired results and might cause a temporary flare-up in symptoms. To help avoid this problem, I recommend asking any potential spinal decompression provider you may be considering seeking treatment with about his or her training for the operators of the equipment.
Another factor in the suitability of a patient for spinal decompression treatment is the person’s willingness and ability to get the recommended schedule of treatment. I have found that there are two primary considerations in how well a patient tends to follow the recommended treatment plan: money and time.
A full spinal decompression treatment program that includes spinal decompression and other adjunctive treatments can seem somewhat expensive. Since spinal decompression is an alternative to disc surgery though, a cost comparison with surgery will show spinal decompression to be much less expensive with statistically much better resuts, making it a good value in most cases. Nonetheless, some people try to cut down their costs by trying to cut down the amount of treatment. This can be a costly mistake in the long run. The people who discontinue care prematurely will often feel better and return to activities before their disc condition is stable, often leading to re-injury and even more severe problems.
Of course, some people fail to follow treatment recommendations primarily because they have busy lives and are unwilling to spend the time on getting better. The key to lasting results with spinal decompression lies in having the recommended number of treatments at the recommended frequency to allow for maximum correction, stabilization, and healing of the disc. The effectiveness and results are not as good when people don’t make time for their appointments. Some people can get away with neglecting themselves for a while, but in my experience, if you don’t make time for your health, sooner or later your health condition will absolutely force you to take the time (by means of a severe pain crisis), and this usually occurs when it is least convenient in your schedule. It is my recommendation to invest the necessary time in getting better, rather than do the treatment intermittently and not get the best results.
To summarize, spinal decompression can be an extremely effective treatment for people suffering with pain from bulging and degenerated discs, but it is important that doctors select patients for this treatment carefully and make sure that the technicians operating the equipment get refresher training regularly to be sure patients are being set up on the machine properly. Patients need to take the responsibility to follow the treatment recommendations to allow for maximum correction and healing.
About the Author:
To learn more about spinal decompression, and to obtain a free copy of Dr. Best’s Ebook, “The Spine Pain Guide”, visit the
Spinal Decompression San Antonio website.