"Pain going down your arms or legs secondary to a herniated disc is a common and often disabling occurrence". Says Dr. David Nahali chiropractor and clinic director of Orlando Spinal Aid Center. A disc in your spine is composed of 2 simple parts, the inner nucleus pulposis that is a jellylike in composition and the outer annulus fibrosis that is fibro-cartilaginous and very strong. When a individual feels trauma and the forces are directed at the spine and disc, it increases the pressure on the inside of the disc (like stepping on a balloon) and the inner nucleus pulposis puts pressure, from the inside out and tears the outer annulus fibrosis causing the interior material to go past the outer boundaries of the disc. Dr. Nahali says " This has often been misnamed a Slipped Disc. Since the disc doesn't slip or slide, it is torn from the trauma allowing the internal material to discharge."

Conversely, a bulging disc, which gets confused with a herniated disc, is a degenerative Wear and tear scenario. That occurs over time with the annulus fibrosis degenerating. This can also be a Risk factor Allowing the disc to herniate with a smaller amount trauma due to the degeneration or thinning of the disc walls. "This however, is a conversation for a further topic." Said Dr. Nahali.

Life span prevalence of a herniated disc has been estimated to be 35% in men and 45% in woman and it has been estimated that 90% of all leg pain secondary to herniated discs happens at either L4-5 or the L5-S1 levels. It has also been reported that average duration of symptoms is 55.9 weeks underscoring the critical requisite for finding a viable solution for these patients.[1]

"Although many of these are surgical candidates, it has been estimated that only 2-4% have actual surgical indications.[2]Therefore, for the most part patients need to be treated non-surgically and until recently, there have been a small amount of metrics affording guidance to the healthcare profession and public alike directing them to the appropriate care. In a 2009 study report, finishing a 2 year study, a clear direction is now obtainable for patients that suffer with radiating pain from herniated discs." Says David Nahali.

"The outcomes of the study demonstrate that as a result of non surgical spinal decompressin http://www.Orlandospinalaid.Com and chiropractic care, Clinically significant recovery in pain magnitude was seen in 73.9% of patients and overall in 80% of the patients, they self-described their results as either good or excellent".[3]

Chiropractic and non-surgical spinal decompression therapy protocols were utilized 2-3 times per week tapering down to 2 times per week and less until the patients were released from care.

He says "The reports go on to state that there were no chief complications with any patient".

The results of the study referenced above also advocate that patients with cervical radiculopathy (neck pain radiating in to the arms,) lumbar spinal stenosis, pregnancy linked lumbo-pelvic pain and chronic occupation related neck-arm pain may also benefit from non-surgical such as chiropractic care.

"This study without a doubt shows that chiropractic is not only an alternative for disc associated radiating pain, but would be the most sensible place to initiate care with 80% of the patients getting well and not being exposed to drugs, their side effects or the added burden to the healthcare system with more costly treatments. The balance of the patients who would need necessary drugs or more complicated intervention is referred to the appropriate specialist as is the standard of care within chiropractic."

Dr. Nahali also says "This study along with many others agrees that a drug-free approach of non surgical spinal decompression and chiropractic care is one of the best answers for disc and radiating pain". Dr. Nahali is excited to bring the FDA cleared, Non-Surgical Spinal Decompression to our town here.

[1]Donald Murphy DC, Eric Hurwitz DC, PhD, Erika McGovern DC, A Nonsurgical Approach to the Management of Patients with Lumbar Radiculopathy Secondary to Herniated Disk: A Prospective Observational Cohort Study with Follow Up, Journal of Manipulative and Physiological Therapeutics, Volume 32, Number 9, 723-733, 2009
[2]IBID
[3]IBIDOrlando Spinal Aid Center

David Nahali, EE, DC
11325 Lake Underhill Rd
Suite.101
Orlando, Fl 32825

 

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