Tag Archives: downtown

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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Can Spinal Decompression Make My Sciatica Worse?

drx9000 in san francisco
Spinal Decompression Therapy with DRX9000

We have been providing sciatica treatment in San Francisco for over 22 years now in the Financial District.

Sciatica or leg pain is mostly caused by pinched nerves in the low back. Pinched nerves are usually the result of bulging or herniated lumbar discs secondary to spinal degeneration and ongoing misalignment’s and abnormal wear and tear.

The symptom of sciatica, and sciatica is a symptom not a cause, is usually the last thing to occur in the degenerative process, not the first. What this means is that when a patient presents with sciatica they have usually had a problem that has been developing for a long time vs. something that is new.

Once a patient has an MRI and the source of the sciatica is located and quantified (spinal disc level of bulging or herniated disc) we will begin spinal disc decompression per the manufacturers protocols superimposed with common sense and our clinic experience.

The bottom line is this: YES, it is possible for your sciatica to feel worse before it feels better.

Just like many healing or cleansing processes, there are often toxins and inflammation that have been in place for an extended time. Plus, even though the the injured spinal discs are not where they belong, they have become used to being there. When we begin the process of restoring normal position and function the body fights it and there can be an increase in symptoms. Fortunately this is usually temporary, but can go on for several weeks or more.

Sure, spinal disc decompression does not help every single person that does it, but soreness in the beginning is not an indicator of eventual results. Listen to you doctor who will most likely have specific home care recommendations to support your care. And hang in there and let the treatment unfold. In the end…chances are, you will be glad you did 🙂

To schedule an appointment for sciatica 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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Low Back Pain Statistics

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Low Back Pain

We have been providing Low Back Pain Relief in San Francisco for 22 years now.

As stated last month, the prevalence of low back pain (LBP) is REALLY high! In fact, it’s the second most common cause of disability among adults in the United States (US) and a very common reason for lost days at work. The total cost of back pain in the US, including treatment and lost productivity, ranges between $100 billion to $200 billion a year! Is low back pain on the rise, staying the same, or lessening? Let’s take a look!

            In the past two decades, the use of health care services for chronic LBP (that means LBP > 3 months) has substantially increased. When reviewing studies reporting insurance claims information, researchers note a significant increase in the use of spinal injections, surgery, and narcotic prescriptions. There has been an increase in the use of spinal manipulation by chiropractors as well, along with increased physical therapy services and primary care physician driven non-narcotic prescriptions. In general, LBP sufferers who are chronic (vs. acute) are the group using most of these services and incurring the majority of costs. The reported utilization of the above mentioned services was only 3.9% in 1992 compared to 10.2% in 2006, just 11 years later. The question now becomes, why is this? Possible reasons for this increase health care use in chronic LBP sufferers may be: 1) There are simply more people suffering from chronic LBP; 2) More chronic LBP patients are deciding to seek care or treatment where previously they “just accepted and lived with it” and didn’t pursue treatment; or, 3) A combination of these factors. Regardless of which of the above three is most accurate, the most important issue is, what can we do to help chronic back pain sufferers?

            As we’ve discussed in the past, an anti-inflammatory diet, exercise within YOUR personal tolerance level, not smoking, getting enough sleep, and obtaining chiropractic adjustments every two weeks are well documented methods of “controlling” chronic LBP (as there really ISN’T a “cure” in many cases). You may be surprised to hear that maintenance care has good literature support for controlling chronic LBP. In the 8/15/11 issue of SPINE (Vol. 36, No. 18, pp1427-1437), two Medical Doctors (MDs) penned the article, “Does Maintained Spinal Manipulation Therapy for Chronic Nonspecific Low Back Pain Result in Better Long-Term Outcomes?” Here, they took 60 patients with chronic LBP (cLBP) and randomly assigned them into one of three groups: 1) 12 treatments of sham (fake) SMT (spinal manipulation) have over a one month period; 2) 12 treatments, over a one month period but no treatment for the following nine months; or 3) 12 treatments for one month AND then SMT every two weeks for the following nine months. To measure the differences between the three groups, they measured pain, disability, generic health status, and back-specific patient satisfaction at baseline, 1-, 4-, 7-, and 10-month time intervals. They found only the patients in the second and third groups experienced significantly lower pain and disability scores vs. the first group after the first month of treatments (at three times a week). BUT, only the third group showed more improvement at the 10-month evaluation. Also, by the tenth month, the pain and disability scores returned back to nearly the initial baseline/initial level in group two. The authors concluded that, “To obtain long-term benefit, this study suggests maintenance SM after the initial intensive manipulative therapy.” Other studies have reported fewer medical tests, lower costs, fewer doctor visits, less work absenteeism, and a higher quality of life when maintenance chiropractic visits are utilized. The question is, WHEN will insurance companies and general practitioners start RECOMMENDING chiropractic maintenance care for chronic LBP patients?

                        We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for back pain, we would be honored to render our services.

For Low Back Pain Relief in San Francisco 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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Arm Pain Causes and Cures

Arm Pain treatment san francisco
The Neck and Arm Pain Connection

We have been providing natural solutions for neck, arm and hand pain in San Francisco for over 20 years in the Financial District.

Arm Pain has many causes from repetitive strain injuries (RSI) to herniated and bulging discs in the neck. If you are someone that spends the majority of your day at a desk in front of a computer (like most of our patients) yo are prone to abnormal wear and tear on the cervical spine (neck), shoulders, arms and hands.

If you have poor posture. either from hereditary predisposition or acquired from poor sleeping habits, ergonomics or injury, you are prone to disc bulges and disc herniations which can lead to pinched nerves in the neck. Pinched nerves in the neck is a primary cause of arm pain.

Arm pain usually presents with either hand pain, shoulder pain, neck pain, numbness in the hands, weakness of grip, or night pain. Arm pain can also present as a stand alone symptom.

The cures for arm pain vary depending on the cause. One thing you should know. Rarely is the cause a “Motrin” deficiency.  When you take a pain killer for arm pain or any type of pain, all you are doing is masking the problem. Pain is a symptom not a condition.

Chiropractic is probably your best bet for arm pain. A chiropractor can examine you to uncover the cause of the arm pain and provide drug-less, nonsurgical solutions on the spot like chiropractic adjustments, massage, ice, and deep tissue laser therapy.

If your arm pain is from a herniated or bulging disc in the neck, then a chiropractor may use nonsurgical spinal decompression to the cervical spine. The machine we use is the DRX9000c. Spinal decompression machines are designed and built to treat disc bulges, herniations and spinal stenosis naturally.

If you have arm pain and would like to find out if you are a candidate for care please call 415-392-2225 and ask for a complimentary consultation. Go here for more info on arm pain treatment in San Francisco.

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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Leg Numbness?

drx9000 in san francisco
Spinal Decompression Therapy with DRX9000

We have been providing nonsurgical treatment for herniated discs in San Francisco for over 20 years. A not so common presentation is that of leg numbness only without low back pain or sciatica. There may or may not be associated leg weakness.

If the leg numbness is new and was brought on by a particular sequence of events such as participating in a  run or walk with a new pair of shoes or doing a new workout or sitting in a new chair for extended periods or even using a new mattress, then there is a good chance you will recover quickly with chiropractic adjustments and therapy.

If your leg numbness is chronic (over 3 months duration) and ongoing, and especially if it is getting worse, you may have a herniated or bulging lumbar disc. This still may respond favorably to conservative chiropractic care or physical therapy.

However, if your leg numbness does not resolve with chiropractic, physical therapy, acupuncture or even medical care, you should probably have an MRI of the lumbar spine to rule out a herniated disc.

If you do have a herniated disc you may be a candidate for nonsurgical spinal decompression on the DRX9000. The DRX9000 is designed and built to treat disc herniations, bulges, stenosis and disc degeneration non-surgically. The treatment is gentle and safe and success rates are high.

Spinal decompression treatment programs are typically 20 sessions spread out over 6-8 weeks. The sessions are 1 hour long and include 30 minutes of decompression, 10 minutes of electrical muscle stimulation and 10 minutes of ice. There is some set-up involved which takes 5-10 minutes.

If you would like to find out if you are a candidate for the DRX9000 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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DRX9000 spinal decompression

drx9000 in san francisco
Spinal Decompression Therapy with DRX9000

We have been treating disc herniations in San Francisco for over 21 years. About 8 years ago we began to incorporate nonsurgical spinal decompression with the DRX9000 into the mix.

The DRX9000 spinal decompression system is a computerized machine that is designed and built to treat lumbar disc herniations, bulges, stenosis, facet syndrome, and degenerative disc disease without drugs or surgery. The machine we have cost’s over $150,000 because it also treats disc herniations in the neck. There are much cheaper and less effective machines out there so beware.

DRX9000 spinal decompression is the Rolls Royce of spinal decompression systems. We like the machine because it is very comfortable for the patient while at the same time effective. Most of the patients we treat fall asleep during the treatment.

DRX sessions usually last about an hour or less. It takes a few minutes to set you up and harness you so we can connect you to the machine. You are on the machine for 30 minutes or so. Then, we do 10 minutes of electrical muscle stimulation to teach the spinal muscles to work with the spine in it’s new position, and 10 minutes of ice to reduce muscle spasms, pain, and inflammation. Sometimes we will incorporate deep tissue laser therapy if there is a lot of initial pain and inflammation in the beginning.

The DRX9000 treatment protocol is for 20 sessions over a 6 week period. Sometimes it takes more than this. We incorporate exercises at the halfway point. There is extensive home-care instructions including dietary and nutrition recommendations.

Success rates are very high.

Not all patients are accepted for care. You must qualify for treatment medically.

If you would like to find out if you are a candidate for spinal decompression 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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Low Back Pain? Things Not To Do

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Low Back Pain


Here is a partial list of things “Not To Do” if you have low back pain or sciatica:

STAY STILL: You’ve heard, “…don’t do that – you’ll get a bad back!” There is something to be said about being careful, but one can be too cautious as well. In order to determine how much activity vs. rest is appropriate, you have to gradually increase your activities by keeping track of how you feel both during and after an activity. If you do notice pain, it may be “safe” to continue depending on the type and intensity of the pain. In general, a sharp, knife-like pain is a warning sign that you should STOP what you’re doing, while an ache is not. Until you’re comfortable about which type of pain is “safe,” start out with the premise, “…if in doubt, stop.” If the recovery time is short (within minutes to hours), then no “harm” was done. If it takes days to recover, you overdid it. Think of a cut on your skin – if you pick at it too soon, it will re-bleed, but if you are careful, you can do a lot of things safely without “re-bleeding.” Talk to us about the proper way to bend, lift, pull, push, and perform any activity that you frequently have to do that often presents problems. There is usually a way to do that activity more safely!


SURGERY IS A “QUICK FIX”: Though in some cases this may inevitably be the end result for your back condition, most of the time, it is not needed. As a rule, don’t jump to a surgical option too soon. It’s tempting to view surgery as a “quick fix,” but non-surgical care at least for 4-6 weeks and maybe several months is usually the best approach. As the old saying goes, you can’t “un-do” a surgery, so wait. UNLESS there are certain warning signs such as: a) bowel or bladder weakness &/or, b) progressive neurological losses (worsening weakness in the leg). If there are no “surgical indicators” meaning, no instability, no radiating leg pain, and only low back pain that is non-specific and hard to isolate what is generating the pain, DO NOT have surgery as the chances of improvement following surgery drops off dramatically in this group. There are guidelines that we all should follow and they all support non-surgical care initially for 4-6 weeks. Chiropractic is one of the best options cited in these guidelines because it’s less costly, involves less time lost from work, and chiropractic carries the highest patient satisfaction. If chiropractic fails to deliver then there is nonsurgical spinal decompression with the DRX9000.


DON’T STRETCH – IT’S HARMFUL: You may have heard or read that stretching can actually increase or worsen your time if you’re a runner, reduce your ability to lift heavy weight (if you’re a weight lifter), or cycle as fast.  Though this seems obviously silly, there IS a growing body of evidence that has found this TO BE TRUE! HOWEVER, it appears (at least at present), that is applies primarily to static, long hold stretching and NOT to dynamic exercising like jumping jacks, toy-soldier like high kicks, or core stabilization. Moreover, no study YET has found a negative effect for non-athletic competitive activities or for low back pain specifically. A good general rule is, if you feel better after exercising, or in this case stretching, it’s probably better for you than not. Also, as stated last month, there is a “right vs. wrong” time to exercise and WAY to exercise. For example, when LBP occurs in flexion but reduces in extension, there is plenty of evidence published that performing exercises INTO the direction of pain relief is VERY helpful. So until you hear differently, KEEP ON STRETCHING, but follow our advice!  


            We realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back 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 low back pain relief in San Francisco call 415-392-2225. Mention this blog post.

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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When Choosing a Spinal Decompression Doctor: Experience Matters!

drx9000 in san francisco
Spinal Decompression Therapy with DRX9000

We have been providing spinal decompression in San Francisco for over 9 years. We have been serving downtown  San Francisco for over 20 years providing natural solutions for cervical and lumbar herniated and bulging discs. We specialize in chronic and severe neck pain,  low back pain and sciatica. The machine we use is the DRX9000 spinal decompression system. Prior to this we had perfected a back and neck pain treatment regimen that included chiropractic, physical therapy, acupuncture, massage, and deep tissue laser therapy.

Spinal disc  decompression gave us a “next step” for disc patients that did not respond to our normal lumbar and cervical disc treatment protocols. Instead of referring for a surgical consultation we could now handle these cases in house. Since then we have performed over 25,000 spinal decompression sessions on thousands of patients and the result have mostly been outstanding.

When it comes to spinal decompression results “experience matters”. There are many decisions to be made from the very start to the finish and then post care and rehab.

A Spinal decompression machine is NOT a commodity like a gallon of milk. Just because a doctor has a DRX9000 or similar machine does not mean they know what to do with it. The DRX9000 is a tool, and like all tools it’s use must be mastered.

Decisions like whether or not to even accept a patient for disc decompression therapy. Where to start as far as pounds of pull? What spinal disc to target? What other therapies to do along with the decompression treatment? How many sessions to do? When to change the angle of pull? Nutritional support to reduce inflammation? What about meditation and relaxation techniques…do they help? Then, the choice of exercises and rehab and whether or not to incorporate acupuncture, physical therapy or chiropractic…what about weight lifting? These are all decisions that are better made with lots of experience and help determine treatment results (or not)…it’s not just about the machine.

Plus, does your spinal decompression doctor have a decompression support blog? Are there spinal decompression patients onsite you can talk to? How many years have they been in business? How many years experience do they have performing cervical and lumbar spinal decompression? It all matters…Big Time!

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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Spinal Decompression Soreness in the Beginning

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Lumbar decompression with the DRX9000

It is not unusual for lumbar and cervical spinal decompression patients to get even more sore than they already are temporarily. It’s like that splinter in your finger that is really bugging you. The longer it’s there the deeper it gets into your finger and the harder it becomes to remove. Then, when you finally decide to dig it out it becomes even more sore…temporarily, before it starts feeling better.

There are all kinds of examples and analogies we can use to describe why some people get sore when they start a DRX9000 spinal decompression program. Heck…the treatment IS physical. Just like when you start a new exercise program…good chance you will get sore. Now the more out of shape you are the more potential for soreness.

Depending on where the starting point is with your back or neck pain when we start decompression you may be more prone to soreness in the  beginning.

However…we know this and we try to minimize it by starting off very light and slowly increasing the pounds of force of the pull. We have you wear a back support all day, ice frequently, drink lots of water, take fish oil, eat lots of plant foods, and get plenty of rest. All these things help to reduce inflammation which is the primary source of pain.

As time goes on and you progress through the treatment the pain levels will subside. And usually the pain is not unbearable, it’s just uncomfortable. But like the old saying goes… “No Pain, No Gain”.

Believe me…it’s a small price to pay to reach our treatment objectives like most of our decompression patients do. It’s a process that thankfully usually has a happy ending 🙂

To schedule an appointment at our San Francisco Spinal Decompression Clinic 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 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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