Tag Archives: cervical

Spinal Decompression Maintenance Care

drx9000 in san francisco
Spinal Decompression Therapy with DRX9000

We have been providing spinal decompression therapy in downtown San Francisco for over 10 years now.

Over the past 10 years or so we have helped thousands of herniated cervical and lumbar disc patients return to more active lifestyles with the DRX9000. Many have been able to avoid back or neck surgery as well.

Sure, there are always some that do not respond favorably to decompression therapy but they are the minority. What typically happens is that patients end up a lot better than they were and are glad they did the treatment. Some have a complete resolution of symptoms.

As we near the end of the spinal decompression protocol, which is typically around 20 sessions performed over a 6-8 week period, we discuss with the patient the option of continuing on with some sort of ongoing maintenance plan. About 50% choose to do so.

Is DRX9000 spinal decompression maintenance necessary? In some cases YES, in other cases we just don’t know. When we just don’t know, we recommend that our patients listen to their body and call for a decompression session “as needed”. This seems to work very well.

Some patients never need the decompression machine again and choose to keep their spine healthy with chiropractic, exercise, stretching, Yoga or Pilates.

So, if we feel you need cervical or lumbar spinal decompression maintenance care, we will tell you. If not, we will teach you how to take care of your new back or neck so that the results last.

The conditions that respond best to cervical or lumbar spinal decompression therapy are bulging or herniated disc in the neck or low back. Degenerative disc disease, Spinal Stenosis, Facet Syndrome, and Failed Back Surgery cases also respond well.

Not all patients can qualify medically for decompression therapy. The best thing to do is research online, find a spinal decompression doctor near you with lots of experience (this matters most) and make an appointment to find out if you are a good candidate.

If you live or work near the San Francisco Financial District, or have the ability to stay for a month or two, you can see us.

To schedule an appointment at our San Francisco Spinal Decompression Center please call 415-392-2225.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Spinal Decompression and Physical Medicine in San Francisco

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Lumbar decompression with the DRX9000

We have been providing nonsurgical spinal decompression for over 10 years now.

Recently, our clinic was acquired by Chiro-Medical Group, Inc. of San Francisco.  Chiro-Medical Group (CMG) is known for it’s multidisciplinary approach to the treatment of sports injuries, chronic back pain, and complex back and neck pain syndromes such as herniated and bulging discs.  They specialize in “Physical Medicine”.

What this means is CMG can co-manage and treat your herniated or bulging disc with an expert team of medical doctors, chiropractors, physical therapists, and trainers.

We have onsite digital x-ray and advanced diagnostic equipment that we can use to quantify and monitor your progress.

Physical therapy and core strengthening can make the difference when it comes to long lasting results from your spinal disc decompression.

Spinal decompression and physical therapy can offer a more permanent solution than spinal decompression alone.

Our two clinics are only a short walk away from each other in the San Francisco Financial District.

So, if you have been diagnosed with a herniated disc in the lumbar or cervical spine and are experiencing neck, low back, arm or leg pain…you may be a candidate for spinal decompression and physical medicine.

To find out if you are a candidate for care please call 415-392-2225 and ask for a spinal decompression assessment. Chances are…you will be glad you did 🙂 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Herniated Disc Treatment in San Francisco

drx9000 in san francisco
Spinal Decompression Therapy with DRX9000

We have been providing nonsurgical herniated disc treatment in San Francisco for over 22 years now. 

Often times, patients diagnosed with cervical or lumbar disc herniations feel they have nowhere to turn and that back or neck surgery is the only option. Well…that simply just is NOT true. Heck, many people have herniated discs and don’t even know it. They will live and die with them. It’s never a good idea to rush into back surgery…you have options.

Sure, sometimes disc herniations and disc bulges contact the spinal cord or nerve roots in ways that are very difficult to treat. And yes, some of these patients are in extreme pain that can cause severe pain and disability. And yes, sometimes surgery is the only option. But this is the exception and not the rule.

At our San Francisco Spinal Decompression Center we have successfully treated thousands of herniated disc patients, many of which thought surgery was the only answer. Spinal disc decompression machines such as the DRX9000 are designed and built to treat herniated discs non-surgically.

The DRX9000 elongates the spine, enlarges the disc space, strengthens the spinal muscles, ligaments and tendons, and re-positions the herniated disc material back to the center of the disc where it belongs.

Does it do this every time? NO…just most of the time.

For sure, disc decompression is worth a shot before surgery. Either it works or it doesn’t. If not, you are still whole and can pursue other treatment options…even surgery.

To find out if you are a candidate for herniated disc treatment in San Francisco please call 415-392-2225. Ask for a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Neck and Shoulder Pain?

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DRX9000c Cervical Decompression

We have been providing nonsurgical treatment for neck and shoulder pain in San Francisco for over 20 years in the Financial District.

If you are experiencing neck, shoulder or arm pain you may have a “pinched nerve” from a herniated or bulging disc in the neck. There are other causes as well such as misaligned vertebrae, muscle spasms, degenerative disc disease or spinal stenosis.

Chiropractic care is probably your best bet for a pinched nerve in the neck. If chiropractic fails to deliver results there is always nonsurgical cervical decompression with the DRX9000c.

Cervical decompression systems like the DRX9000c are designed and built to treat cervical disc herniations and bulges naturally. They do this be enlarging the disc space, elongating the spine, and strengthening the spinal muscles ligaments and tendons.

A typical course of treatment is 20 sessions over a 6-8 week period. The sessions are an hour long. Treatment cost is approx $3500 depending on what level of service is required.

Success rates are high if your case is accepted.

To find out if you are a candidate for neck and shoulder pain treatment in San Francisco call 415-392-2225. Ask for a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Pinched Nerve in the Neck?

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DRX9000c Cervical Decompression

Have you been told you have a Pinched Nerve in the Neck? Or, do you just feel like you have one? What is a pinched nerve anyway?

Well, a pinched nerve in the neck is a term used to describe the pressure or trapping of a cervical nerve root mostly from a bulging or herniated cervical disc. Degenerative disc disease, vertebral subluxatons, and facet syndrome can also cause pinched nerves.

Nerves are very delicate and sensitive to any kind of pressure. Famous research studies from the University of Colorado demonstrated that just the weight of a pencil erasure on a nerve can interfere with the transmission of the nerve impulse by 60%.

When nerves become irritated it can cause severe pain and dysfunction. The nerves that exit from the bones in the neck travel down the arm and into the hand. When these nerves become pinched, stretched or irritated it can cause neck pain, shoulder pain, arm pain, and hand pain. Now this does not mean if you have a pinched nerve you will have all these symptoms, heck you might not have any symptoms at first…these are just some of the symptoms that can present from nerve pressure in the neck.

You may also experience numbness and tingling in the arms or hands, weakness of grip, night pain, and swelling in the hands and fingers. Some patients even get headaches.

The symptoms in the hand can mimic those of carpal tunnel syndrome (CTS).  In fact, you can have a herniated or bulging disc in the neck and be experiencing the signs and symptoms of CTS without any neck pain at all. This can lead to a misdiagnoses and unfortunately, unnecessary carpal tunnel surgery.

A chiropractor or orthopedic doctor that specializes in the neck, arms, and hands is your best bet for pinched nerve treatment. They will most likely order cervical x-rays and a cervical MRI…maybe even a nerve conduction test of the upper extremities.

Once a determination and diagnosis is made of the underlying condition, most likely a herniated disc in the neck, then treatment will commence.

Chiropractic care is probably what we would recommend first as it is very safe, gentle and effective. If chiropractic fails to deliver results we can try nonsurgical cervical decompression with the DRX9000c, a machine designed and built to treat pinched nerves resulting from herniated and bulging discs. We would not recommend rushing into neck  surgery unless it is an emergency (most are not). If chiropractic and spinal decompression fail to deliver a favorable outcome you are still whole and can pursue other treatment options, including surgery.

To find out if you are a candidate for care at our San Francisco Spinal Decompression Center please call 415-392-2225 and ask for a complimentary consultation. 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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How much decompression do you need?

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Lumbar decompression with the DRX9000

We have been providing spinal decompression with the DRX9000 and DRX9000c to the San Francisco Financial District for over 8 years now to thousands of patients. One of the most important things we have learned is that everyone responds differently.

Spinal decompression therapy is a tool and it’s not a Magic Bullet…it requires weeks and sometimes months of initial treatment to achieve favorable outcomes. And favorable outcomes are not always a complete resolution of symptoms. Mostly, patients are just a lot better than they were and are happy with the treatment…many avoiding surgery.

Initially, the manufacturers protocol calls for 20 session of decompression, followed by 10 minutes of electronic muscle stimulation and 10 minutes of ice. Usually this is good enough. But in some cases it’s not and we need to do more. Usually, we realize this in the beginning and build more visits into the treatment program. We can always adjust up or down as the treatment unfolds.

Once we start some people begin to feel better immediately…some feel worse. And everything in between. It really does not matter how a patient responds when we start it’s where they end up when we finish.

Decompression therapy is physical and the body needs to adapt to these new forces and to the spine and discs moving into a more normal position. As the treatment progresses and we begin to incorporate exercises into the mixes there is more potential for soreness. in fact, patients tell us they feel much better from less nerve pain but the muscles soreness is still there…kind of like the soreness you get from working out…a good sore.

Then, at the end, depending on how you progressed and the nature and severity of your problem, and your overall health, we may want to do some more DRX session or a combination of chiropractic, exercise and decompression.

Our spinal decompression doctors work with our clinic director to create custom treatment plans based on individual needs. Some DRX9000 patients choose ongoing maintenance care of various frequencies and some just come in when they feel the need. We work together to find what’s best for you.

The first step in the decompression process is to find out if the DRX9000 makes sense for you.  To schedule a complimentary consultation to see if you are a candidate for spinal decompression in San Francisco, please call 415-392-2225.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Disk Herniations: Common Questions

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DRX9000c Cervical Decompression

We have been providing natural solutions for cervical disk herniations in San Francisco for over 20 years now in the SF Financial District. We are located in the landmark Embarcadero Center One.

Last month, we discussed the topic of neck pain arising from cervical disk herniations. The focus of this month’s Health Update is common questions that arise from patients suffering from cervical disk derangement.

1. “What can I do to help myself for my herniated disk in my neck?” The mnemonic device “PRICE” stands for Protect, Rest, Ice Compress, and Elevate is a good tool to use in the acute stage of many musculoskeletal conditions.

  • Protect your health by NOT placing yourself in an environment that is likely to harm you, such as playing sports or doing heavy yard work. That is, think about what you do BEFORE you do it and if sharp, radiating pain occurs, STOP and assess the importance of what you are doing. Use the concept, “…don’t pick at your cut.” This means if you want the injury to heal, don’t keep irritating it!
  • Rest is similar. Limit your activities to those that can be done without increasing symptoms, especially radiating pain.
  • Ice – The use of ice reduces swelling/inflammation, which reduces pain and promotes healing. Alternate it every 15-20 minutes (on/off/on/off/on) several times a day. You can also use contrast therapy (Ice/heat/ice/heat/ice) at 10/5/10/5/10 minute intervals to “pump” out the swelling.
  • Compress – The use of a collar worn backwards, if it’s more comfortable that way, can literally “take the load off.” the neck and disks. There are even inflatable collars which are pumped up with air to traction the neck. Other forms of traction will be discussed further.
  • Elevate – The concept of raising the ankle to the height of the heart so swelling can drain out of the ankle is the classic example of “elevation.” In the neck, the traction concept may apply once again.

 

2. “I don’t want to have surgery if I can help it. What can you do as a chiropractor to help me?” This is one of our primary goals, and in fact, the goal of ALL health care providers, even surgeons! Chiropractic offers anti-inflammatory measures: ice, herbal anti-inflammatory agents (ginger, turmeric, bioflavonoid, curcumin, bromelain, Rosemary extract, Boswellia Extract, and more), digestive enzymes taken between meals, muscle relaxant nutrients (valerian root, vitamin D, a B complex, chamomile, magnesium, and others) as well as other non-pharmaceutical options. Treatments consist of manual manipulation, mobilization, traction (for home and office), modalities such as deep tissue laser therapy and low-level laser, electrical stimulation, magnetic field, ultrasound, and others. We also offer nonsurgical cervical decompression with the DRX9000c. Most important is having a “coach” guide you through the stages of healing by first addressing the acute inflammatory stage (first 72 hrs), the proliferative or reparative phase (up to 6-8 weeks), followed by the remodeling phase (8 weeks to 1 or 2 years) and finally, the contraction phase (lifetime – includes the natural shortening of scar tissue). If manual traction reduces neck and arm pain, the use of home traction is very effective. Options include sitting over-the-door traction, laying down versions, and mobile traction collars (discussed previously). Exercises to stretch and strengthen the neck are also very important in reducing neck pain as well as preventing recurrences. If in spite of all the best efforts of this non-surgical care approach should ongoing neurological loss and relentless symptoms continue, we will coordinate care with physiatrists for possible injection therapy and pharmaceuticals, with neurology for further testing (such as EMG/NCV – a nerve test), and/or neuro- or orthopedic surgery – THE LAST RESORT!

            We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule a consultation for cervical disk herniation treatment in San Francisco please call 415-392-2225. Mention this blog post for a complimentary consultation.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Neck Pain and Cervical Disk Herniation

 

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DRX9000c Cervical Decompression

We have been providing nonsurgical treatment for herniated disks (also spelled herniated disc with a c) for over 21 years. We currently incorporate cervical spinal decompression with the DRX9000c into our treatment protocols and have had great success with the most difficult of cases. 

Neck pain can arise from many sources. There are ligaments that hold bones to other bones that are non-elastic and very strong. When injured, the term, “sprain” is applied. The muscle and/or its attachment (the tendon) can tear as well, which is called a “strain.” But, what is it that people refer to when they say, “…I slipped a disk in my neck!”?

           

The disks lay between the vertebrae in the front of the spine, and they are part of the primary support and shock absorbing system of our neck and back. There are 6 disks in the neck, 12 in the mid-back and 5 in the low back for a total of 23. The disks in the low back are big, like the vertebral bodies they lie between, and get progressively smaller as they go up the spine towards the head. When we bend our neck forwards, the disk compresses, and opens wider when we look up. It forms a wedge shape when we side bend left or right, and it twists when we rotate or turn the head.

           

The terms, “…a slipped disk, a herniated disk, a ruptured disk, a bulging disk” (and more), all mean something similar, if not exactly the same thing. A central part of the disk is liquid-like and can herniate in any direction. When it does, it can create pain IF it pinches something, or it may be painless if it doesn’t. In fact, since the invention of the CAT scan and MRI, many (“normal”) people have been found  on the scan to have some type of disk “derangement” (alteration of the normal integrity of the disk), with 50%+ showing bulging disk(s) and 21% showing frank herniations WITH NO PAIN AT ALL! So, in the absence of shooting pain down an arm from the neck, or when there is no numbness or weakness in the arm, why order an MRI? It may show bulges or herniations that are not “clinically” important, and may falsely lead a doctor to recommend surgery when it’s not needed.

           

There are “KEY” findings in the history and examination that leads us to the diagnosis of a cervical disk injury. From the history, the disk patient often has arm pain, numbness, and/or muscle weakness that follows a specific pathway, such as numbness to the thumb/index finger (C6 nerve), middle of the hand & 3rd finger (C7) or to the pinky & ring finger (C8). Certain positions, such as looking up, usually irritate the neck and arm, and bending the head forward relieves it. Another unique history and exam finding is if the patient finds relief by putting the arm up and over their head. Similarly, letting the arm hang down is often associated with irritation. Other examination findings unique to a cervical disk injury include reproducing the arm pain by placing the head in certain positions such as bending the head back and to the side simultaneously. Another is compressing the head into the shoulders. When lifting up on the head (traction), relief of arm pain is common. The neurological exam will usually show a reduction of sensation when we gently poke them with a sharp object, and/or they may have weakness when compared to the opposite side.

Often times, patients will present to our San Francisco Back and Neck Pain Center with carpal tunnel like symptoms without neck pain. They end up with a diagnosis of carpal tunnel syndrome (CTS) when the true cause is a herniated disk in the neck Or, they may have both CTS and a herniated disk in the neck. This is called “Double Crush Syndrome” and is a common diagnosis at our clinic.

           

Chiropractic treatments can be very successful in resolving cervical disk herniation signs and symptoms, and should CERTAINLY be tried before agreeing to a surgical correction. Often, the surgeon will recommend a fusion of 2 or more neck vertebrae, sometimes with a metal plate in the front of the spine. This increases the load on either side of the fusion and can create problems above and below the fusion leading to more surgery down the road.  Trust me, try chiropractic first or cervical decompression with the DRX9000c first. You’ll be glad you did!

           

We realize that you have a choice in where you choose your health-care services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule a complimentary consultation for cervical herniated disk treatment in San Francisco please call 415-392-2225.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Decompression or Neck Surgery?

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DRX9000c Cervical Decompression

We have been providing treatment for cervical disc herniations in San Francisco for over 20 years now. About 8 years ago or so we began to incorporate cervical decompression with the DRX9000c into the mix. Since then we believe we have helped prevent many neck surgeries.

How many times have you heard, “I have a pinched nerve in my neck and have to have surgery.” Though there certainly are cases where surgical intervention is required, surgery should ONLY be considered after ALL non-surgical treatment approaches have been tried first (and failed). It is alarming how many cases of cervical radiculopathy (i.e., “pinched nerve”) end up being surgically treated with NO trial of non-surgical care. Hence, the focus of this month’s article will look at research (“MEDICAL EVIDENCE”) that clearly states neck surgery DOES NOT improve the long term outcomes of patients with chronic neck pain.

Chronic neck pain (CNP) is, by definition, neck pain that has been present for a minimum of three months. This category of neck pain is very well represented, as many neck pain sufferers have had neck pain, “…for years” or, at least longer than three months. Depending on the intensity of pain and it’s effect on daily function, many patients with CNP often ask their primary care provider, “…is there anything surgically that can be done?” The desire for a “quick fix” is often the focus of those suffering with neck pain. Unfortunately, according to recent studies, there may not be a “quick fix” or, at least surgery is NOT the answer. The December 2012 issue of The European Spine Journal reports that spine surgery did NOT improve outcomes for patients with CNP. Moreover, they pointed to other studies that showed some VERY STRONG REASONS NOT to have spine surgery unless everything else has failed. One of the reasons was a higher hospital readmission rate after spine surgery. Another reported that most studies on surgical vs. conservative [non-surgical] care showed a high risk of bias, suggesting the research on surgical intervention was biased in the research approach used. They further reported, “The benefit of surgery over conservative care is not clearly demonstrated.” It is important to point out that the research analyzed studies that included patients with and without radiculopathy (radiating arm pain from a pinched nerve), and myelopathy (those with pinching of the spinal cord creating pain, numbness, weakness in the legs, and/or bowel / bladder dysfunction).

In February of 2008, the Neck Pain Task Force published overwhelming evidence that research supports the use of cervical spinal manipulation in the treatment of both acute and chronic neck pain with or without radiculopathy. Bronfort published similar findings in 2010 in a large UK based study that looked at the published evidence supporting different types of treatment for various conditions. They found cervical spine manipulation was effective for neck pain of ANY duration (acute or chronic). Chiropractic utilizes manipulation, manual traction, mobilization, muscle release techniques, home cervical traction, exercise, as well as a multitude of physiotherapy modalities when managing patients with CNP. Given the overwhelming research evidence that surgical intervention for CNP is NOT any better than non-surgical care, the greater amount of negative side-effects, and the obviously long recovery time post-surgically, chiropractic treatment of anyone suffering from CNP should be tried FIRST.

We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

If you are considering neck surgery than you owe it to yourself to find out more about cervical disc decompression with the DRX9000c.

 To schedule an appointment with one of our Cervical Decompression Doctors in San Francisco please call 415-392-2225

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Spinal Decompression for Bulging and Herniated Discs

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Pinched Lumbar Nerve Causing Sciatica

We have been treating bulging and herniated discs in San Francisco for over 20 years now. About 8 years ago we began to incorporate nonsurgical spinal decompression into the mix. The machines we use are the DRX9000 Lumbar Decompression system and the DRX9000c Cervical Decompression machine. The results have been outstanding.

Some common symptoms of herniated and bulging cervical and lumbar discs are as follows:

  • Low Back and Neck Pain
  • Arm and Leg Pain (sciatica)
  • Arm and Leg Weakness
  • Numbness and Tingling in the Arms and Legs
  • Weakness of Grip
  • Abnormal Gait
  • Night Pain

Nonsurgical spinal decompression therapy is able to repair the bulging disc and often times prevent disc herniation. And once a disc has herniated spinal decompression can help the disc heal and return to more normal function. Disc decompression elongates the spine, enlarges the disc space, re-positions the injured disc to a more normal position, re-hydrates the disc, and strengthens the spinal ligaments and tendons.

Success rates are very high and spinal decompression therapy has now become the gold standard for nonsurgical treatment of neurovascular compression syndromes such as herniated and cervical disc syndromes.

To find out if you are a candidate for the DRX9000 or DRX9000c, contact our San Francisco Spinal Decompression Clinic and ask for a complimentary consultation. 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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