Question
Hello Dr. Gillman,

My name is Russ.  Several yrs ago i developed a compressed disc on the lower end of my spine (d2 or d3) as a result of a hockey injury.  Since then whenever i try to play i often "pop" my lower back out and am in excruciating pain for a week after and am unable to even walk.  the motion that causes it is when I take a sudden quick stride on the ice.  In any case, i pretty much had to end my hockey career but i after hearing about spinal decompression i am thinking that this might help fix my problem.  I wanted to get your feedback & see if this may be a viable option to treat my compressed disc.  i am now 36 and if im gonna fix this i would rather do it now and not wait.  I did go for a single treatment as an evaluation and my back felt amazing for about 2-3 months after, so im thinking that it really might help.  ANyway would be curious to get some feedback from you

thanks

Russ

Answer
Hi Russ,

You really need to get a general work up before considering spinal decompression therapy.  There is a lot of marketing poo-poo associated with the decompression therapy, and some unscrupulous providers will steer you into paying thousands in advance for undergoing 20 sessions of the procedure when it may not be in your best interest.  I've commented on previous answers (on this, allexperts.com) regarding this topic.   There are also some recent posts regarding having the spine examined to determine if there is weakness or instability (Google: prone instability test for lumbar spine).   If you find a doctor that will provide a global assessment to be sure you are indicated for decompressive manipulation, then obtain enough sessions to make you feel better.  If you feel that the doctor is abruptly putting urging dcompression therapy instead of other proven methods, then use your gut to decide whether to do it.   It is no substitute for learning about proper trunk/body mechanics!  It is no substitute for spine stabilization training!  It is no substititute for skilled soft tissue therapy (e.g. see my web site for examples!   

'Hope this was helpful.

Dr. G
www.drgillman.com