Wednesday, February 25, 2009

The Treatment Of Sciatica With Spinal Decompression

By Randall Pruitt, DC, DACNB, DAAPM, MUAC, CES-NASM

The symptoms of Sciatica have often been difficult to treat, but a new option to this debilitating problem provides effective relief in most cases with little or no risk.

Sciatica is the the term used to identify pain running down the leg, it is irritation of the actual sciatic nerve as it exits the spine at various levels. The sciatic nerve is actually made up of several different nerves joining together to form one large nerve. The most likely cause of sciatica is a herniated or bulging disc in the lower back. The discs are thick fibrous structures between each vertebrae that offer cushioning and spacing needed for the nerves to exit and the flexibility needed to move.

The disc is essentially made up of two materials an outer layer consistent with cartilage and a much softer inner portion almost gelatinous in nature. With wear and tear the outer fibers can weaken allowing the softer material to gradually migrate outwards. This in turn causes an out pouching or bulging of the disc which then can compromise the exiting nerve. When this occurs symptoms of sciatica can manifest. This may include pain, numbness and even weakness in the leg.

The most common treatments for sciatica include medication, injections and potentially surgery.While medications like muscle relaxers and NSAIDS can provide temporary relief they don't actually fix the problem. When the problem becomes more then just inflammation and is the result of actual nerve compression from the disc these medications rarely help. Treatments like injections may also be effective at temporarily decreases the swelling of the nerve, but again once the medication wears off the pain will return. These approaches also carry with them significant risk of side effects.

Steroid injections are one of the most common treatments utilized for severe sciatica as we have outlined previously. The goal of the injection is to reduce inflammation and soothe the surrounding areas. The problem is that the injection is only temporary and offers no real long term benefit for the patient. Side effect can include spinal headaches, a rebound pain phenomenon and a spike in blood sugar in diabetics. The relief obtained can sometimes be worth the risk, however a proactive approach must be coupled with the short term pain relief.

If sciatic pain becomes unbearable then surgical intervention may be recommended. In a small number of sciatica cases this treatment may provide relief, at least temporarily. The problem is that surgical outcomes on the spine are low with about a 50% success rate and it brings with it significant risk factors. A common condition called failed back surgery syndrome is associated with spinal surgery and can the result of excessive scar tissue formation, spinal instability after surgery and increased stress on other spinal structures. The risk is also there for the need for a repeat surgery down the road.

One of the newest and most effective treatments for sciatica is Spinal Decompression. This technology uses a patented computer system that is able to gently distract the spine and bypass the muscle guarding response, thus creating a negative pressure in the disc. This negative pressure draws in fluid and nutrition so the disc can heal, while also reducing herniated and bulging material to take pressure off the nerve to reduce pain. The technology has over an 80% success rate and doesn't bring with it the risk of side effect associated with other treatments. It also treats the cause of the sciatica reducing the chances of another episode down the road.

As research continues to pour in on spinal decompression, the benefits of this technology are more and more evident. It represents a real option for many suffering from sciatica to truly correct the problem and remain pain free. Although there are some that spinal decompression is not indicated for, many will find long lastly and highly effective relief from spinal decompression. - 16083

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