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I hope the spinal decompression research doesn’t take as long to find and forward as the reasearch being done by CBS news to find out who forged the Bush was a terrible soldier documents.

HAHA

Let’s see the research.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: JEFF TUNICK <jtunick46@...>

Date: Tue, 18 Jul 2006 16:19:27 -0700

< >

Subject: Spinal Decompression

For those with an interest in understanding Spinal Decompression better, who

have questions or concerns, please see the attached PDF file. We are sure

you will find it worthwhile reading.

We hope to open a dialogue with as many of you as possible on both sides of

the aisle.

Yours in chiropractic,

K. Tunick D.C.

J. Tomaino D.C.

503-684-9698

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Dear ,

Hopefully you received the Word Document of the PDF file which we sent you

immediately after your last post concerning the PDF file!

Since you had opined that you would like to have the ability to comment

throughout the document, we quickly forwarded you the Word Document and have

been patiently awaiting your comments so that we could respond to ALL of

your concerns, not merely provide you a list of available research.

Since you are one of only two doctors who have asked for research, we are

not blanketing the group with you request!

Keep smiling !

K. Tunick D.C.

J. Tomaino D.C.

>From: Abrahamson <drscott@...>

>JEFF TUNICK <jtunick46@...>,< >

>Subject: Re: Spinal Decompression Research

>Date: Thu, 20 Jul 2006 12:10:59 -0700

>

>I hope the spinal decompression research doesn¹t take as long to find and

>forward as the reasearch being done by CBS news to find out who forged the

>Bush was a terrible soldier documents.

>HAHA

>Let¹s see the research.

>

>

>( E. Abrahamson, D.C.)

>Chiropractic physician

>Lake Oswego Chiropractic Clinic

>315 Second Street

>Lake Oswego, OR 97034

>503-635-6246

>Website: http://www.lakeoswegochiro.com

>

>

>

>From: JEFF TUNICK <jtunick46@...>

>Date: Tue, 18 Jul 2006 16:19:27 -0700

>< >

>Subject: Spinal Decompression

>

>

>

>

>

>For those with an interest in understanding Spinal Decompression better,

>who

>have questions or concerns, please see the attached PDF file. We are sure

>you will find it worthwhile reading.

>

>We hope to open a dialogue with as many of you as possible on both sides of

>the aisle.

>

>Yours in chiropractic,

>

> K. Tunick D.C.

> J. Tomaino D.C.

>503-684-9698

>

>

>

>

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Guest guest

Hi Jeff,

I didn't mean any disrespect. Many alternative (and mainstream) healthcare

approaches have lots of studies, articles, and anecdotal evidence but

abysmal research design.

It's true I personally bristle at ad. Campaigns which make claims for a new

breakthrough therapy that makes mainstream chiropractic appear less than the

miracle that it is.

Lordex and other decompression methods appear to be addressing a specific

and difficult area of spinal conditions. That's why discussions like this

are effective for the profession.

As Chuck Simpson says,

The PDF document said

" ... Is There Research Available? Absolutely. We would be more than

happy to supply a list of articles that you are sure to find

interesting. " Please do so.

Although there are at least 2 docs on the list who get tired or overwhelmed

when there is too much information, most of us can handle emails which have

information we don't choose to read or even open. (Seminars on the meaning

and use of the " DEL " button on the computer are forthcoming.)

Please blanket us with the research.

We'll handle it.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

> From: JEFF TUNICK <jtunick46@...>

> Date: Thu, 20 Jul 2006 14:38:28 -0700

> <drscott@...>

> Cc: < >

> Subject: Re: Spinal Decompression Research

>

> Dear ,

>

> Hopefully you received the Word Document of the PDF file which we sent you

> immediately after your last post concerning the PDF file!

>

> Since you had opined that you would like to have the ability to comment

> throughout the document, we quickly forwarded you the Word Document and have

> been patiently awaiting your comments so that we could respond to ALL of

> your concerns, not merely provide you a list of available research.

>

> Since you are one of only two doctors who have asked for research, we are

> not blanketing the group with you request!

>

> Keep smiling !

>

> K. Tunick D.C.

> J. Tomaino D.C.

>

>

>

>

>> From: Abrahamson <drscott@...>

>> JEFF TUNICK <jtunick46@...>,< >

>> Subject: Re: Spinal Decompression Research

>> Date: Thu, 20 Jul 2006 12:10:59 -0700

>>

>> I hope the spinal decompression research doesn¹t take as long to find and

>> forward as the reasearch being done by CBS news to find out who forged the

>> Bush was a terrible soldier documents.

>> HAHA

>> Let¹s see the research.

>>

>>

>> ( E. Abrahamson, D.C.)

>> Chiropractic physician

>> Lake Oswego Chiropractic Clinic

>> 315 Second Street

>> Lake Oswego, OR 97034

>> 503-635-6246

>> Website: http://www.lakeoswegochiro.com

>>

>>

>>

>> From: JEFF TUNICK <jtunick46@...>

>> Date: Tue, 18 Jul 2006 16:19:27 -0700

>> < >

>> Subject: Spinal Decompression

>>

>>

>>

>>

>>

>> For those with an interest in understanding Spinal Decompression better,

>> who

>> have questions or concerns, please see the attached PDF file. We are sure

>> you will find it worthwhile reading.

>>

>> We hope to open a dialogue with as many of you as possible on both sides of

>> the aisle.

>>

>> Yours in chiropractic,

>>

>> K. Tunick D.C.

>> J. Tomaino D.C.

>> 503-684-9698

>>

>>

>>

>>

>

>

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to foster

> communication and collegiality. No personal attacks on listserve members will

> be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere. However, it

> is against the rules of the listserve to copy, print, forward, or otherwise

> distribute correspondence written by another member without his or her

> consent, unless all personal identifiers have been removed.

>

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Guest guest

Hi ,

No disrespect felt! No foul!! I always enjoy your posts on the List Serve

and without question they are usually the highlight of my day (sad, but

true!! Ha Ha)

We did recently post some of the research articles, so hopefully that will

provide you some interesting reading during the coming heatwave.....we will

be hiding out on the coast for the weekend in search of cooler climes.

All kidding aside, we share the disdain for the groups you are mentioning,

and are doing our best to let our colleagues know that there is validity to

the approach when applied in a sound clinical environment for all the right

reasons. We will welcome input and suggestions from all of our colleagues so

that we can make the Lordex Spine Institute a clinic we can all be proud of.

We want to position ourselves to be of service to each of our colleagues and

their patients. As you mentioned we are focusing on an area of practice that

is extremely challenging and specific. We pledge to do our very best to be

principled chiropractors that are an asset to our profession and the

wonderful patients we all serve.

We hope that you and a number of others will stop by and get to know us

better.

Yours in chiropractic,

Jeff

K. Tunick D.C.

J. Tomaino D.C.

>From: Abrahamson <drscott@...>

>JEFF TUNICK <jtunick46@...>

>CC: < >

>Subject: Re: Spinal Decompression Research

>Date: Thu, 20 Jul 2006 15:37:50 -0700

>

>Hi Jeff,

>

>I didn't mean any disrespect. Many alternative (and mainstream) healthcare

>approaches have lots of studies, articles, and anecdotal evidence but

>abysmal research design.

>It's true I personally bristle at ad. Campaigns which make claims for a new

>breakthrough therapy that makes mainstream chiropractic appear less than

>the

>miracle that it is.

>Lordex and other decompression methods appear to be addressing a specific

>and difficult area of spinal conditions. That's why discussions like this

>are effective for the profession.

>

>As Chuck Simpson says,

>The PDF document said

> " ... Is There Research Available? Absolutely. We would be more than

>happy to supply a list of articles that you are sure to find

>interesting. " Please do so.

>

>Although there are at least 2 docs on the list who get tired or overwhelmed

>when there is too much information, most of us can handle emails which have

>information we don't choose to read or even open. (Seminars on the meaning

>and use of the " DEL " button on the computer are forthcoming.)

>

>Please blanket us with the research.

>We'll handle it.

>

>

>( E. Abrahamson, D.C.)

>Chiropractic physician

>Lake Oswego Chiropractic Clinic

>315 Second Street

>Lake Oswego, OR 97034

>503-635-6246

>Website: http://www.lakeoswegochiro.com

>

>

> > From: JEFF TUNICK <jtunick46@...>

> > Date: Thu, 20 Jul 2006 14:38:28 -0700

> > <drscott@...>

> > Cc: < >

> > Subject: Re: Spinal Decompression Research

> >

> > Dear ,

> >

> > Hopefully you received the Word Document of the PDF file which we sent

>you

> > immediately after your last post concerning the PDF file!

> >

> > Since you had opined that you would like to have the ability to comment

> > throughout the document, we quickly forwarded you the Word Document and

>have

> > been patiently awaiting your comments so that we could respond to ALL of

> > your concerns, not merely provide you a list of available research.

> >

> > Since you are one of only two doctors who have asked for research, we

>are

> > not blanketing the group with you request!

> >

> > Keep smiling !

> >

> > K. Tunick D.C.

> > J. Tomaino D.C.

> >

> >

> >

> >

> >> From: Abrahamson <drscott@...>

> >> JEFF TUNICK <jtunick46@...>,< >

> >> Subject: Re: Spinal Decompression Research

> >> Date: Thu, 20 Jul 2006 12:10:59 -0700

> >>

> >> I hope the spinal decompression research doesn¹t take as long to find

>and

> >> forward as the reasearch being done by CBS news to find out who forged

>the

> >> Bush was a terrible soldier documents.

> >> HAHA

> >> Let¹s see the research.

> >>

> >>

> >> ( E. Abrahamson, D.C.)

> >> Chiropractic physician

> >> Lake Oswego Chiropractic Clinic

> >> 315 Second Street

> >> Lake Oswego, OR 97034

> >> 503-635-6246

> >> Website: http://www.lakeoswegochiro.com

> >>

> >>

> >>

> >> From: JEFF TUNICK <jtunick46@...>

> >> Date: Tue, 18 Jul 2006 16:19:27 -0700

> >> < >

> >> Subject: Spinal Decompression

> >>

> >>

> >>

> >>

> >>

> >> For those with an interest in understanding Spinal Decompression

>better,

> >> who

> >> have questions or concerns, please see the attached PDF file. We are

>sure

> >> you will find it worthwhile reading.

> >>

> >> We hope to open a dialogue with as many of you as possible on both

>sides of

> >> the aisle.

> >>

> >> Yours in chiropractic,

> >>

> >> K. Tunick D.C.

> >> J. Tomaino D.C.

> >> 503-684-9698

> >>

> >>

> >>

> >>

> >

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

>foster

> > communication and collegiality. No personal attacks on listserve members

>will

> > be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

>However, it

> > is against the rules of the listserve to copy, print, forward, or

>otherwise

> > distribute correspondence written by another member without his or her

> > consent, unless all personal identifiers have been removed.

> >

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Guest guest

HI Jeff,

The rest of us just allowed and Chuck to ask the questions. We're awaiting the answers.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: "JEFF TUNICK" <jtunick46@...>drscott@...CC: Subject: Re: Spinal Decompression ResearchDate: Thu, 20 Jul 2006 14:38:28 -0700Dear ,Hopefully you received the Word Document of the PDF file which we sent youimmediately after your last post concerning the PDF file!Since you had opined that you would like to have the ability to commentthroughout the document, we quickly forwarded you the Word Document and havebeen patiently awaiting your comments so that we could respond to ALL ofyour concerns, not merely provide you a list of available research.Since you are one of only two doctors who have asked for research, we arenot blanketing the group with you request!Keep smiling ! K. Tunick D.C. J. Tomaino D.C.>From: Abrahamson <drscott@...>>JEFF TUNICK <jtunick46@...>,< >>Subject: Re: Spinal Decompression Research>Date: Thu, 20 Jul 2006 12:10:59 -0700>>I hope the spinal decompression research doesn¹t take as long to find and>forward as the reasearch being done by CBS news to find out who forged the>Bush was a terrible soldier documents.>HAHA>Let¹s see the research.>>>( E. Abrahamson, D.C.)>Chiropractic physician>Lake Oswego Chiropractic Clinic>315 Second Street>Lake Oswego, OR 97034>503-635-6246>Website: http://www.lakeoswegochiro.com>>>>From: JEFF TUNICK <jtunick46@...>>Date: Tue, 18 Jul 2006 16:19:27 -0700>< >>Subject: Spinal Decompression>>>>>>For those with an interest in understanding Spinal Decompression better,>who>have questions or concerns, please see the attached PDF file. We are sure>you will find it worthwhile reading.>>We hope to open a dialogue with as many of you as possible on both sides of>the aisle.>>Yours in chiropractic,>> K. Tunick D.C.> J. Tomaino D.C.>503-684-9698>>>>

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Guest guest

I suppose I make the third doc who would like to see the research.

W. Snell, D.C.

Hawthorne Wellness Center

3942 SE Hawthorne Blvd.

Portland, OR 97214

Ph. 503-235-5484

Fax 503-235-3956

drpsnell.chiroweb.com

>From: Abrahamson <drscott@...>

>JEFF TUNICK <jtunick46@...>

>CC: < >

>Subject: Re: Spinal Decompression Research

>Date: Thu, 20 Jul 2006 15:37:50 -0700

>

>Hi Jeff,

>

>I didn't mean any disrespect. Many alternative (and mainstream) healthcare

>approaches have lots of studies, articles, and anecdotal evidence but

>abysmal research design.

>It's true I personally bristle at ad. Campaigns which make claims for a new

>breakthrough therapy that makes mainstream chiropractic appear less than

>the

>miracle that it is.

>Lordex and other decompression methods appear to be addressing a specific

>and difficult area of spinal conditions. That's why discussions like this

>are effective for the profession.

>

>As Chuck Simpson says,

>The PDF document said

> " ... Is There Research Available? Absolutely. We would be more than

>happy to supply a list of articles that you are sure to find

>interesting. " Please do so.

>

>Although there are at least 2 docs on the list who get tired or overwhelmed

>when there is too much information, most of us can handle emails which have

>information we don't choose to read or even open. (Seminars on the meaning

>and use of the " DEL " button on the computer are forthcoming.)

>

>Please blanket us with the research.

>We'll handle it.

>

>

>( E. Abrahamson, D.C.)

>Chiropractic physician

>Lake Oswego Chiropractic Clinic

>315 Second Street

>Lake Oswego, OR 97034

>503-635-6246

>Website: http://www.lakeoswegochiro.com

>

>

> > From: JEFF TUNICK <jtunick46@...>

> > Date: Thu, 20 Jul 2006 14:38:28 -0700

> > <drscott@...>

> > Cc: < >

> > Subject: Re: Spinal Decompression Research

> >

> > Dear ,

> >

> > Hopefully you received the Word Document of the PDF file which we sent

>you

> > immediately after your last post concerning the PDF file!

> >

> > Since you had opined that you would like to have the ability to comment

> > throughout the document, we quickly forwarded you the Word Document and

>have

> > been patiently awaiting your comments so that we could respond to ALL of

> > your concerns, not merely provide you a list of available research.

> >

> > Since you are one of only two doctors who have asked for research, we

>are

> > not blanketing the group with you request!

> >

> > Keep smiling !

> >

> > K. Tunick D.C.

> > J. Tomaino D.C.

> >

> >

> >

> >

> >> From: Abrahamson <drscott@...>

> >> JEFF TUNICK <jtunick46@...>,< >

> >> Subject: Re: Spinal Decompression Research

> >> Date: Thu, 20 Jul 2006 12:10:59 -0700

> >>

> >> I hope the spinal decompression research doesn¹t take as long to find

>and

> >> forward as the reasearch being done by CBS news to find out who forged

>the

> >> Bush was a terrible soldier documents.

> >> HAHA

> >> Let¹s see the research.

> >>

> >>

> >> ( E. Abrahamson, D.C.)

> >> Chiropractic physician

> >> Lake Oswego Chiropractic Clinic

> >> 315 Second Street

> >> Lake Oswego, OR 97034

> >> 503-635-6246

> >> Website: http://www.lakeoswegochiro.com

> >>

> >>

> >>

> >> From: JEFF TUNICK <jtunick46@...>

> >> Date: Tue, 18 Jul 2006 16:19:27 -0700

> >> < >

> >> Subject: Spinal Decompression

> >>

> >>

> >>

> >>

> >>

> >> For those with an interest in understanding Spinal Decompression

>better,

> >> who

> >> have questions or concerns, please see the attached PDF file. We are

>sure

> >> you will find it worthwhile reading.

> >>

> >> We hope to open a dialogue with as many of you as possible on both

>sides of

> >> the aisle.

> >>

> >> Yours in chiropractic,

> >>

> >> K. Tunick D.C.

> >> J. Tomaino D.C.

> >> 503-684-9698

> >>

> >>

> >>

> >>

> >

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

>foster

> > communication and collegiality. No personal attacks on listserve members

>will

> > be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

>However, it

> > is against the rules of the listserve to copy, print, forward, or

>otherwise

> > distribute correspondence written by another member without his or her

> > consent, unless all personal identifiers have been removed.

> >

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Guest guest

Ok, ok I'll be the fourth...

Vern Saboe, DC., DCAN., FICC., DABFP., FACO

Spinal Decompression

>> >>

>> >>

>> >>

>> >>

>> >>

>> >> For those with an interest in understanding Spinal Decompression

>>better,

>> >> who

>> >> have questions or concerns, please see the attached PDF file. We are

>>sure

>> >> you will find it worthwhile reading.

>> >>

>> >> We hope to open a dialogue with as many of you as possible on both

>>sides of

>> >> the aisle.

>> >>

>> >> Yours in chiropractic,

>> >>

>> >> K. Tunick D.C.

>> >> J. Tomaino D.C.

>> >> 503-684-9698

>> >>

>> >>

>> >>

>> >>

>> >

>> >

>> >

>> >

>> >

>> > OregonDCs rules:

>> > 1. Keep correspondence professional; the purpose of the listserve is to

>>foster

>> > communication and collegiality. No personal attacks on listserve

>> > members

>>will

>> > be tolerated.

>> > 2. Always sign your e-mails with your first and last name.

>> > 3. The listserve is not secure; your e-mail could end up anywhere.

>>However, it

>> > is against the rules of the listserve to copy, print, forward, or

>>otherwise

>> > distribute correspondence written by another member without his or her

>> > consent, unless all personal identifiers have been removed.

>> >

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Share on other sites

Guest guest

Dear Jeff and others,

At first blush, the daunting mass of research (11 citings) looks too difficult to wade through.

I copies the title of the 1st one into google’s search bar and came up with 182 pages which reference:

“ Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

Research, Volume 26, April 2004”

Strangely CIGNA Insurance in a PDF article rejects payment for VAX-D citing the article as part of their reasoning.

Perhaps a number of people who like to do research can pick various of these studies and actually read the study and comment on them.

Even more to the point, I was looking for studies which study how VAX-D is compares to flexion traction, COX, etc. At least one parameter is clear: Lordex is more expensive to purchase than a flexion traction table.

I’ll get back to you after I go over some of these studies.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: JEFF TUNICK <jtunick46@...>

Date: Thu, 20 Jul 2006 15:39:25 -0700

< >

Subject: Spinal Decompression Research

Spinal Decompression Research for those expressing interest:

In terms of research articles concerning what is usually referred to as

nonsurgical spinal decompression, much of the research worth reading has

been done on the VAX-D protocol. An early mover in the industry, VAX-D

gained a fair amount of acceptance with medical and chiropractic physicians

alike, and they have been fortunate to have a number of studies reported.

Naturally, there are endless debates among the various decompression table

manufacturers claiming superiority, but as we discussed in our recent PDF,

we believe there is a considerable amount of marketing posturing driving

this competitive banter.

The following is a brief list of available articles related to spinal

decompression that may prove of interest to you. We encourage you to access

additional articles that are in the literature concerning spinal

decompression.

1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

Research, Volume 26, April 2004

2. Effects of Controlled Dynamic Disc Distraction on Degenerated

Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

SPINE, Vol 30, Number 2, 181-187, 2005

3. Orthopaedics: New answers to an age-old problem. Hospital Management

International 2004; Annual Issue of the International Hospital Federation

Journal, March 1, 2004

4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

5. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos

G., MD, Journal of Neurosurgery 81: 350-353, 1994

6. Quantitative Assessment of the Lordex Isometric Lumbar Extension Machine:

A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

Division of Sports Medicine, HPER Department, Southwest Texas State

University 1991

7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

8. Vertebral Axial Decompression Therapy for Pain Associated with Herniated

or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research Vol

23, No 3, April 1998

9. The Effects of Vertebral Axial Decompression on Sensory Nerve Dysfunction

in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

Israel Deaconess Medical Center (BIDMC), Harvard Medical School

11. Short and Long Term Outcomes Following Treatment with the VAX-D Protocol

for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

Sports Physical Therapy, Volume 35, Number 1, January 2005

Please feel free to contact us with any additional questions or concerns!

Yours in chiropractic,

K. Tunick D.C.

J. Tomaino D.C.

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Guest guest

Larry,

You are not alone.

I cringe reading a grocery list.

Milk, butter, eggs...Hold it raght thar!

The elist says “Don’t eat that stuff”.

WAAAAIT A MINUTE!

They don’t say anything about Hefeweitzen! It’s got wheat in it. I’ll get a bunch!

What does the DRX 9000 do that flexion traction and supervised exercise does not?

We need to take a class. (Double cringe!)

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: " Larry Oliver, DC " <dro@...>

Date: Fri, 21 Jul 2006 08:14:17 -0700

Abrahamson <drscott@...>, JEFF TUNICK <jtunick46@...>, < >

Subject: RE: Spinal Decompression Research

We have a DRX 9000 in the office and have had reasonable results with it for both disc herniations and disc degeneration. The list of research articles made me cringe. Does anyone else find reading research articles boring or am I just research challenged?

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

dro@...

541-757-9933

The information contained in this electronic message may contain protected health information which is confidential under applicable law and is intended only for the use of the individual or entity named above. If the recipient of the message is not the intended recipient, you are hereby notified that any dissemination, copying or disclosure of this communication is strictly prohibited. If you have received the communication in error, please notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis, OR 97330, 541-757-9933 and purge the communication immediately without making any copy or distribution

Spinal Decompression Research

Spinal Decompression Research for those expressing interest:

In terms of research articles concerning what is usually referred to as

nonsurgical spinal decompression, much of the research worth reading has

been done on the VAX-D protocol. An early mover in the industry, VAX-D

gained a fair amount of acceptance with medical and chiropractic physicians

alike, and they have been fortunate to have a number of studies reported.

Naturally, there are endless debates among the various decompression table

manufacturers claiming superiority, but as we discussed in our recent PDF,

we believe there is a considerable amount of marketing posturing driving

this competitive banter.

The following is a brief list of available articles related to spinal

decompression that may prove of interest to you. We encourage you to access

additional articles that are in the literature concerning spinal

decompression.

1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

Research, Volume 26, April 2004

2. Effects of Controlled Dynamic Disc Distraction on Degenerated

Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

SPINE, Vol 30, Number 2, 181-187, 2005

3. Orthopaedics: New answers to an age-old problem. Hospital Management

International 2004; Annual Issue of the International Hospital Federation

Journal, March 1, 2004

4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

5. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos

G., MD, Journal of Neurosurgery 81: 350-353, 1994

6. Quantitative Assessment of the Lordex Isometric Lumbar Extension Machine:

A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

Division of Sports Medicine, HPER Department, Southwest Texas State

University 1991

7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

8. Vertebral Axial Decompression Therapy for Pain Associated with Herniated

or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research Vol

23, No 3, April 1998

9. The Effects of Vertebral Axial Decompression on Sensory Nerve Dysfunction

in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

Israel Deaconess Medical Center (BIDMC), Harvard Medical School

11. Short and Long Term Outcomes Following Treatment with the VAX-D Protocol

for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

Sports Physical Therapy, Volume 35, Number 1, January 2005

Please feel free to contact us with any additional questions or concerns!

Yours in chiropractic,

K. Tunick D.C.

J. Tomaino D.C.

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Guest guest

We have a DRX 9000 in the

office and have had reasonable results with it for both disc herniations and

disc degeneration. The list of

research articles made me cringe.

Does anyone else find reading research articles boring or am I just

research challenged?

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

dro@...

541-757-9933

The information contained in this

electronic message may contain protected health information which is

confidential under applicable law and is intended only for the use of the

individual or entity named above.

If the recipient of the message is not the intended recipient, you are

hereby notified that any dissemination, copying or disclosure of this

communication is strictly prohibited.

If you have received the communication in error, please notify Heresco

Chiropractic & Associates, 408 NW 7th St, Corvallis, OR 97330, 541-757-9933 and purge the

communication immediately without making any copy or distribution

-----Original

Message-----

From:

[mailto: ]On Behalf

Of Abrahamson

Sent: Thursday, July 20, 2006 9:55

PM

JEFF TUNICK;

Subject: Re: Spinal

Decompression Research

Dear

Jeff and others,

At first blush, the daunting mass of research (11 citings) looks too difficult

to wade through.

I copies the title of the 1st one into google’s search bar and came up with 182

pages which reference:

“ Efficacy of Vertebral Axial

Decompression (VAX-D) on Chronic Low Back Pain: A Study of Dosage Regimen.

Ramos G., MD, Journal of Neurological

Research, Volume 26, April 2004”

Strangely CIGNA Insurance in a PDF article rejects payment for VAX-D citing the

article as part of their reasoning.

Perhaps a number of people who like to do research can pick various of these

studies and actually read the study and comment on them.

Even more to the point, I was looking for studies which study how VAX-D is

compares to flexion traction, COX, etc. At least one parameter is clear: Lordex

is more expensive to purchase than a flexion traction table.

I’ll get back to you after I go over some of these studies.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: JEFF

TUNICK <jtunick46@...>

Date: Thu, 20 Jul 2006 15:39:25

-0700

< >

Subject: Spinal

Decompression Research

Spinal Decompression Research for those expressing interest:

In terms of research articles concerning what is usually referred to as

nonsurgical spinal decompression, much of the research worth reading has

been done on the VAX-D protocol. An early mover in the industry, VAX-D

gained a fair amount of acceptance with medical and chiropractic physicians

alike, and they have been fortunate to have a number of studies reported.

Naturally, there are endless debates among the various decompression table

manufacturers claiming superiority, but as we discussed in our recent PDF,

we believe there is a considerable amount of marketing posturing driving

this competitive banter.

The following is a brief list of available articles related to spinal

decompression that may prove of interest to you. We encourage you to access

additional articles that are in the literature concerning spinal

decompression.

1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

Research, Volume 26, April 2004

2. Effects of Controlled Dynamic Disc Distraction on Degenerated

Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

SPINE, Vol 30, Number 2, 181-187, 2005

3. Orthopaedics: New answers to an age-old problem. Hospital Management

International 2004; Annual Issue of the International Hospital Federation

Journal, March 1, 2004

4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

5. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos

G., MD, Journal of Neurosurgery 81: 350-353, 1994

6. Quantitative Assessment of the Lordex Isometric Lumbar Extension Machine:

A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

Division of Sports Medicine, HPER Department, Southwest Texas State

University 1991

7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

8. Vertebral Axial Decompression Therapy for Pain Associated with Herniated

or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research Vol

23, No 3, April 1998

9. The Effects of Vertebral Axial Decompression on Sensory Nerve Dysfunction

in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

Israel Deaconess Medical Center (BIDMC), Harvard Medical School

11. Short and Long Term Outcomes Following Treatment with the VAX-D Protocol

for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

Sports Physical Therapy, Volume 35, Number 1, January 2005

Please feel free to contact us with any additional questions or concerns!

Yours in chiropractic,

K. Tunick D.C.

J. Tomaino D.C.

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Gosh people, you ask for articles and then cringe at the list. There were only 10 (ten) references. We must become used to reviewing research. This is only fair.

I am curious about the Lordex. I really feel that if it has positive benefits then we owe it to our patients to make this option available to them. We also need to support our colleagues who offer another step in Chiropractic care that we ourselves can't offer.

Read the literature then you can critically nit-pick it.

sharron fuchs dc

From: [mailto: ] On Behalf Of Larry Oliver, DCSent: Friday, July 21, 2006 8:14 AM Abrahamson; JEFF TUNICK; Subject: RE: Spinal Decompression Research

We have a DRX 9000 in the office and have had reasonable results with it for both disc herniations and disc degeneration. The list of research articles made me cringe. Does anyone else find reading research articles boring or am I just research challenged?

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

dro@...

541-757-9933

The information contained in this electronic message may contain protected health information which is confidential under applicable law and is intended only for the use of the individual or entity named above. If the recipient of the message is not the intended recipient, you are hereby notified that any dissemination, copying or disclosure of this communication is strictly prohibited. If you have received the communication in error, please notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis, OR 97330, 541-757-9933 and purge the communication immediately without making any copy or distribution

Spinal Decompression Research Spinal Decompression Research for those expressing interest:In terms of research articles concerning what is usually referred to as nonsurgical spinal decompression, much of the research worth reading has been done on the VAX-D protocol. An early mover in the industry, VAX-D gained a fair amount of acceptance with medical and chiropractic physicians alike, and they have been fortunate to have a number of studies reported.Naturally, there are endless debates among the various decompression table manufacturers claiming superiority, but as we discussed in our recent PDF, we believe there is a considerable amount of marketing posturing driving this competitive banter.The following is a brief list of available articles related to spinal decompression that may prove of interest to you. We encourage you to access additional articles that are in the literature concerning spinal decompression.1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological Research, Volume 26, April 20042. Effects of Controlled Dynamic Disc Distraction on Degenerated Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model. Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD, SPINE, Vol 30, Number 2, 181-187, 20053. Orthopaedics: New answers to an age-old problem. Hospital Management International 2004; Annual Issue of the International Hospital Federation Journal, March 1, 20044. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman, MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD, DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 20035. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos G., MD, Journal of Neurosurgery 81: 350-353, 19946. Quantitative Assessment of the Lordex Isometric Lumbar Extension Machine: A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD, Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S., Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the Division of Sports Medicine, HPER Department, Southwest Texas State University 19917. Intradiscal Pressure Study of Percutaneous Disc Decompression With Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD, and Darwin Chen. SPINE, Vol 28, No 7, 661-665 20038. Vertebral Axial Decompression Therapy for Pain Associated with Herniated or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D, Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research Vol 23, No 3, April 19989. The Effects of Vertebral Axial Decompression on Sensory Nerve Dysfunction in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 199910. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth Israel Deaconess Medical Center (BIDMC), Harvard Medical School11. Short and Long Term Outcomes Following Treatment with the VAX-D Protocol for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF., R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic & Sports Physical Therapy, Volume 35, Number 1, January 2005Please feel free to contact us with any additional questions or concerns!Yours in chiropractic, K. Tunick D.C. J. Tomaino D.C.

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Sharon,

You are right of course

but reading research papers is soooo boring. Then too if there are 10 papers and I spend just 10 minutes

on each one that’s an hour and one half plus and we all know that research

papers are not read in 10 minutes.

So the struggle continues.

I’ll take a little cheese with my whine please.

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

dro@...

541-757-9933

The information contained in this

electronic message may contain protected health information which is

confidential under applicable law and is intended only for the use of the

individual or entity named above.

If the recipient of the message is not the intended recipient, you are

hereby notified that any dissemination, copying or disclosure of this

communication is strictly prohibited.

If you have received the communication in error, please notify Heresco

Chiropractic & Associates, 408 NW 7th St, Corvallis, OR 97330, 541-757-9933 and purge the

communication immediately without making any copy or distribution

-----Original

Message-----

From:

[mailto: ]On Behalf

Of Sharron Fuchs

Sent: Friday, July 21, 2006 11:20

AM

Subject: RE: Spinal

Decompression Research

Gosh people, you ask for

articles and then cringe at the list. There were only 10 (ten) references. We

must become used to reviewing research. This is only fair.

I am curious about the

Lordex. I really feel that if it has positive benefits then we owe it to our

patients to make this option available to them. We also need to support our

colleagues who offer another step in Chiropractic care that we ourselves can't

offer.

Read the literature then

you can critically nit-pick it.

sharron fuchs dc

From: [mailto: ] On Behalf Of Larry Oliver, DC

Sent: Friday, July 21, 2006 8:14

AM

Abrahamson; JEFF TUNICK;

Subject: RE: Spinal

Decompression Research

We have a DRX

9000 in the office and have had reasonable results with it for both disc

herniations and disc degeneration. The list of research articles made me

cringe. Does anyone else find reading research articles boring or am I

just research challenged?

Larry L. Oliver, DC

408 NW 7th

Corvallis,

OR 97330

dro@...

541-757-9933

The

information contained in this electronic message may contain protected health

information which is confidential under applicable law and is intended only for

the use of the individual or entity named above. If the recipient of the

message is not the intended recipient, you are hereby notified that any

dissemination, copying or disclosure of this communication is strictly

prohibited. If you have received the communication in error, please

notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis,

OR 97330, 541-757-9933 and purge the communication immediately without

making any copy or distribution

Spinal

Decompression Research

Spinal Decompression Research for those expressing interest:

In terms of research articles concerning what is usually referred to as

nonsurgical spinal decompression, much of the research worth reading has

been done on the VAX-D protocol. An early mover in the industry, VAX-D

gained a fair amount of acceptance with medical and chiropractic physicians

alike, and they have been fortunate to have a number of studies reported.

Naturally, there are endless debates among the various decompression table

manufacturers claiming superiority, but as we discussed in our recent PDF,

we believe there is a considerable amount of marketing posturing driving

this competitive banter.

The following is a brief list of available articles related to spinal

decompression that may prove of interest to you. We encourage you to access

additional articles that are in the literature concerning spinal

decompression.

1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

Research, Volume 26, April 2004

2. Effects of Controlled Dynamic Disc Distraction on Degenerated

Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

SPINE, Vol 30, Number 2, 181-187, 2005

3. Orthopaedics: New answers to an age-old problem. Hospital Management

International 2004; Annual Issue of the International Hospital Federation

Journal, March 1, 2004

4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

5. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos

G., MD, Journal of Neurosurgery 81: 350-353, 1994

6. Quantitative Assessment of the Lordex Isometric Lumbar Extension Machine:

A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

Division of Sports Medicine, HPER Department, Southwest Texas State

University 1991

7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

8. Vertebral Axial Decompression Therapy for Pain Associated with Herniated

or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research Vol

23, No 3, April 1998

9. The Effects of Vertebral Axial Decompression on Sensory Nerve Dysfunction

in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

Israel Deaconess Medical Center (BIDMC), Harvard Medical School

11. Short and Long Term Outcomes Following Treatment with the VAX-D Protocol

for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

Sports Physical Therapy, Volume 35, Number 1, January 2005

Please feel free to contact us with any additional questions or concerns!

Yours in chiropractic,

K. Tunick D.C.

J. Tomaino D.C.

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Share on other sites

Guest guest

Thanks for the list Jeff and hope its cooler at the coast. I appreciate

your efforts to support your treatment methods with research. Perhaps I'll

take a break from bucking compost into my beds in my yard, to enjoy the AC

in the OHSU library this afternoon.

Several have posted their sentiments on this therapy and I agree that we

should read and critically evaluate the citations to make a more informed

decision about the efficacy of spinal decompression. To date, I have been a

bit miffed (like ) regarding the marketing of the therapy as an

incredibly fabulous, significantly better therapy than say

flexion-distraction therapy. Personally, given 20+ treatments to fix a low

back complaint, I suspect most of us in this forum would achieve an " 84%

success rate " using the various methods we currently employ.

I have hopes that we will mature as a profession to the point where we can

become more respected in the realm of public health by striving to become

the most cost effective, outcomes oriented, conservative option in the

market place for managing common musculoskeletal complaints. Perhaps I will

be proven wrong, but the marketing of the spinal decompression units has

seemed to focus more on generation of doctor revenue (so they can afford the

expensive units) than on patient outcomes. Most of us would have no qualms

with the therapy if their marketing focus was on how much quicker it allows

a patient to return to function with less pain rather than how cool it is

for the provider to pre-book 20+ sessions at $100 a pop.

I'll get back to you after looking these items up. Cheers.

W. Snell, D.C.

Hawthorne Wellness Center

3942 SE Hawthorne Blvd.

Portland, OR 97214

Ph. 503-235-5484

Fax 503-235-3956

drpsnell.chiroweb.com

>From: " JEFF TUNICK " <jtunick46@...>

>

>Subject: Spinal Decompression Research

>Date: Thu, 20 Jul 2006 15:39:25 -0700

>

>Spinal Decompression Research for those expressing interest:

>

>In terms of research articles concerning what is usually referred to as

>nonsurgical spinal decompression, much of the research worth reading has

>been done on the VAX-D protocol. An early mover in the industry, VAX-D

>gained a fair amount of acceptance with medical and chiropractic physicians

>alike, and they have been fortunate to have a number of studies reported.

>

>Naturally, there are endless debates among the various decompression table

>manufacturers claiming superiority, but as we discussed in our recent PDF,

>we believe there is a considerable amount of marketing posturing driving

>this competitive banter.

>

>The following is a brief list of available articles related to spinal

>decompression that may prove of interest to you. We encourage you to access

>additional articles that are in the literature concerning spinal

>decompression.

>

>1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

>Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

>Research, Volume 26, April 2004

>2. Effects of Controlled Dynamic Disc Distraction on Degenerated

>Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

>Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

>Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

>SPINE, Vol 30, Number 2, 181-187, 2005

>3. Orthopaedics: New answers to an age-old problem. Hospital Management

>International 2004; Annual Issue of the International Hospital Federation

>Journal, March 1, 2004

>4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

>MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

>DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

>5. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos

>G., MD, Journal of Neurosurgery 81: 350-353, 1994

>6. Quantitative Assessment of the Lordex Isometric Lumbar Extension

>Machine:

>A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

>Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

>Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

>Division of Sports Medicine, HPER Department, Southwest Texas State

>University 1991

>7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

>Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

>and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

>8. Vertebral Axial Decompression Therapy for Pain Associated with Herniated

>or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

>Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research

>Vol

>23, No 3, April 1998

>9. The Effects of Vertebral Axial Decompression on Sensory Nerve

>Dysfunction

>in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

>D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

>10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

>Israel Deaconess Medical Center (BIDMC), Harvard Medical School

>11. Short and Long Term Outcomes Following Treatment with the VAX-D

>Protocol

>for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

> R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

>Sports Physical Therapy, Volume 35, Number 1, January 2005

>

>

>Please feel free to contact us with any additional questions or concerns!

>

>Yours in chiropractic,

>

> K. Tunick D.C.

> J. Tomaino D.C.

>

>

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Share on other sites

Guest guest

I don't know much about this, but I can tell you that one of my

Ultimate Fighters underwent this therapy with no help. He had to undergo

surgery anyway...So whether it didn't work or he was just too far gone is

hard to say...

Matt Terreri, DC

Spinal Decompression Research

>Date: Thu, 20 Jul 2006 15:39:25 -0700

>

>Spinal Decompression Research for those expressing interest:

>

>In terms of research articles concerning what is usually referred to as

>nonsurgical spinal decompression, much of the research worth reading has

>been done on the VAX-D protocol. An early mover in the industry, VAX-D

>gained a fair amount of acceptance with medical and chiropractic physicians

>alike, and they have been fortunate to have a number of studies reported.

>

>Naturally, there are endless debates among the various decompression table

>manufacturers claiming superiority, but as we discussed in our recent PDF,

>we believe there is a considerable amount of marketing posturing driving

>this competitive banter.

>

>The following is a brief list of available articles related to spinal

>decompression that may prove of interest to you. We encourage you to access

>additional articles that are in the literature concerning spinal

>decompression.

>

>1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low

Back

>Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

>Research, Volume 26, April 2004

>2. Effects of Controlled Dynamic Disc Distraction on Degenerated

>Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

>Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

>Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

>SPINE, Vol 30, Number 2, 181-187, 2005

>3. Orthopaedics: New answers to an age-old problem. Hospital Management

>International 2004; Annual Issue of the International Hospital Federation

>Journal, March 1, 2004

>4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki

Osterman,

>MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

>DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

>5. Effects of Vertebral Axial Decompression On Intradiscal Pressure.

Ramos

>G., MD, Journal of Neurosurgery 81: 350-353, 1994

>6. Quantitative Assessment of the Lordex Isometric Lumbar Extension

>Machine:

>A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

>Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

>Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

>Division of Sports Medicine, HPER Department, Southwest Texas State

>University 1991

>7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

>Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

>and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

>8. Vertebral Axial Decompression Therapy for Pain Associated with

Herniated

>or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

>Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research

>Vol

>23, No 3, April 1998

>9. The Effects of Vertebral Axial Decompression on Sensory Nerve

>Dysfunction

>in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

>D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

>10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

>Israel Deaconess Medical Center (BIDMC), Harvard Medical School

>11. Short and Long Term Outcomes Following Treatment with the VAX-D

>Protocol

>for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

> R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

>Sports Physical Therapy, Volume 35, Number 1, January 2005

>

>

>Please feel free to contact us with any additional questions or concerns!

>

>Yours in chiropractic,

>

> K. Tunick D.C.

> J. Tomaino D.C.

>

>

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However,

it is against the rules of the listserve to copy, print, forward, or

otherwise distribute correspondence written by another member without his or

her consent, unless all personal identifiers have been removed.

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Guest guest

Hey Jeff, , et al.

Thanks for the list of references. Of 11 citations, 6 journals were

represented, 1 CBS media release, and one of unknown origin (Quantitative

Assessment of the Lordex Isometric Lumbar Extension Machine: A Preliminary

Study. Tinker D. Murray, PhD...). Of the 6 journals represented, 3 are

represented in the Index Medicus (Spine, Journal of Neurosurgery, Journal of

Orthopaedic and Sports Physical Therapy). Of these, I was able to pull full

citations of 3 citations, those from Spine. Here are those citations with

my comments after each:

Effects of Controlled Dynamic Disc Distraction on Degenerated Intervertebral

Discs; An in vivo Study on the Rabbit Lumbar Spine Model. Markus Groeber,

MD, Unglaub, MD, Thorsten Guegring, MD, s Nerlich, MD, Tamer

Hadi, BA, Lotz, PhD, and Claus Carstens, MD, SPINE, Vol 30, Number

2, 181-187, 2005

Rabbits subjected to compressive force on the discs with a custom made

device. Examination of discs showed increased dead cells in the annulus and

decreased disc space, both of which improved more after traction than just

leaving the animals alone to heal on their own. I assume this study was

cited by you Jeff, to show that distraction apparently improves disc health

and height. I don't quite see how this study can then be generalized to

support the use of VAX-D device beyond the use of standard traction, manual

traction, hanging traction, flexion-distraction, or weight loss...all of

which can be obtained for significantly less than the VAX-D treatment

protocols I've seen.

Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

>MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

>DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

This study is a retrospective follow up study that finds that the risk of

subsequent lumbar surgery after initial discectomy is about 14% in a Finnish

cohort of >35,000 patients. Incidence of a 2 or more reoperations was 2.3%.

I can only assume that this article was included in the list to

demonstrate that perhaps better conservative options are needed to reduce

the 14% reoperation rate. I don't see otherwise how this relates to VAX-D

therapy.

Intradiscal Pressure Study of Percutaneous Disc Decompression With

>Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

>and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

This study describes a surgical technique of radiofrequency ablation of disc

material in discogenic pain patients. They find that this technique

decompresses the disc, creating less pressure on nerve roots, and " in some

cases offering relief from disc pain " . I can only assume this study was

included in the list to somehow link decompression=good and

VAX-D=decompression, therefore VAX-D=good, which I think is a faulty

syllogism.

The other studies you cited Jeff, sound interesting and possibly more able

to support your claims about VAX-D, especially those in Journal of

Neurological Research. However, these are not available on Medline so I

can't see them to comment. Perhaps you can provide me with the full text so

I can speak to them as well. For those who haven't fallen asleep yet, and

who want to read further, 6 citations are listed on PubMed with a VAX-D

search term. Some are OK, some not-so-OK. Thanks for the submissions Jeff

and and I'd like to see more if you have them. Be well.

W. Snell, D.C.

Hawthorne Wellness Center

3942 SE Hawthorne Blvd.

Portland, OR 97214

Ph. 503-235-5484

Fax 503-235-3956

drpsnell.chiroweb.com

>From: " JEFF TUNICK " <jtunick46@...>

>

>Subject: Spinal Decompression Research

>Date: Thu, 20 Jul 2006 15:39:25 -0700

>

>Spinal Decompression Research for those expressing interest:

>

>In terms of research articles concerning what is usually referred to as

>nonsurgical spinal decompression, much of the research worth reading has

>been done on the VAX-D protocol. An early mover in the industry, VAX-D

>gained a fair amount of acceptance with medical and chiropractic physicians

>alike, and they have been fortunate to have a number of studies reported.

>

>Naturally, there are endless debates among the various decompression table

>manufacturers claiming superiority, but as we discussed in our recent PDF,

>we believe there is a considerable amount of marketing posturing driving

>this competitive banter.

>

>The following is a brief list of available articles related to spinal

>decompression that may prove of interest to you. We encourage you to access

>additional articles that are in the literature concerning spinal

>decompression.

>

>1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

>Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

>Research, Volume 26, April 2004

>2. Effects of Controlled Dynamic Disc Distraction on Degenerated

>Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

>Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

>Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

>SPINE, Vol 30, Number 2, 181-187, 2005

>3. Orthopaedics: New answers to an age-old problem. Hospital Management

>International 2004; Annual Issue of the International Hospital Federation

>Journal, March 1, 2004

>4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

>MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

>DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

>5. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos

>G., MD, Journal of Neurosurgery 81: 350-353, 1994

>6. Quantitative Assessment of the Lordex Isometric Lumbar Extension

>Machine:

>A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

>Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

>Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

>Division of Sports Medicine, HPER Department, Southwest Texas State

>University 1991

>7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

>Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

>and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

>8. Vertebral Axial Decompression Therapy for Pain Associated with Herniated

>or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

>Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research

>Vol

>23, No 3, April 1998

>9. The Effects of Vertebral Axial Decompression on Sensory Nerve

>Dysfunction

>in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

>D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

>10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

>Israel Deaconess Medical Center (BIDMC), Harvard Medical School

>11. Short and Long Term Outcomes Following Treatment with the VAX-D

>Protocol

>for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

> R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

>Sports Physical Therapy, Volume 35, Number 1, January 2005

>

>

>Please feel free to contact us with any additional questions or concerns!

>

>Yours in chiropractic,

>

> K. Tunick D.C.

> J. Tomaino D.C.

>

>

Link to comment
Share on other sites

Guest guest

:

Thanks for doing our homework for us.

Bruce Chaser

Snell wrote:

>Hey Jeff, , et al.

>

>Thanks for the list of references. Of 11 citations, 6 journals were

>represented, 1 CBS media release, and one of unknown origin (Quantitative

>Assessment of the Lordex Isometric Lumbar Extension Machine: A Preliminary

>Study. Tinker D. Murray, PhD...). Of the 6 journals represented, 3 are

>represented in the Index Medicus (Spine, Journal of Neurosurgery, Journal of

>Orthopaedic and Sports Physical Therapy). Of these, I was able to pull full

>citations of 3 citations, those from Spine. Here are those citations with

>my comments after each:

>

>Effects of Controlled Dynamic Disc Distraction on Degenerated Intervertebral

>Discs; An in vivo Study on the Rabbit Lumbar Spine Model. Markus Groeber,

>MD, Unglaub, MD, Thorsten Guegring, MD, s Nerlich, MD, Tamer

>Hadi, BA, Lotz, PhD, and Claus Carstens, MD, SPINE, Vol 30, Number

>2, 181-187, 2005

>

>Rabbits subjected to compressive force on the discs with a custom made

>device. Examination of discs showed increased dead cells in the annulus and

>decreased disc space, both of which improved more after traction than just

>leaving the animals alone to heal on their own. I assume this study was

>cited by you Jeff, to show that distraction apparently improves disc health

>and height. I don't quite see how this study can then be generalized to

>support the use of VAX-D device beyond the use of standard traction, manual

>traction, hanging traction, flexion-distraction, or weight loss...all of

>which can be obtained for significantly less than the VAX-D treatment

>protocols I've seen.

>

>

>

>Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

>

>

>>MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

>>DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

>>

>>

>

>This study is a retrospective follow up study that finds that the risk of

>subsequent lumbar surgery after initial discectomy is about 14% in a Finnish

>cohort of >35,000 patients. Incidence of a 2 or more reoperations was 2.3%.

> I can only assume that this article was included in the list to

>demonstrate that perhaps better conservative options are needed to reduce

>the 14% reoperation rate. I don't see otherwise how this relates to VAX-D

>therapy.

>

>

>Intradiscal Pressure Study of Percutaneous Disc Decompression With

>

>

>>Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

>>and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

>>

>>

>

>This study describes a surgical technique of radiofrequency ablation of disc

>material in discogenic pain patients. They find that this technique

>decompresses the disc, creating less pressure on nerve roots, and " in some

>cases offering relief from disc pain " . I can only assume this study was

>included in the list to somehow link decompression=good and

>VAX-D=decompression, therefore VAX-D=good, which I think is a faulty

>syllogism.

>

>

>

>The other studies you cited Jeff, sound interesting and possibly more able

>to support your claims about VAX-D, especially those in Journal of

>Neurological Research. However, these are not available on Medline so I

>can't see them to comment. Perhaps you can provide me with the full text so

>I can speak to them as well. For those who haven't fallen asleep yet, and

>who want to read further, 6 citations are listed on PubMed with a VAX-D

>search term. Some are OK, some not-so-OK. Thanks for the submissions Jeff

>and and I'd like to see more if you have them. Be well.

>

>

>

>

> W. Snell, D.C.

>Hawthorne Wellness Center

>3942 SE Hawthorne Blvd.

>Portland, OR 97214

>Ph. 503-235-5484

>Fax 503-235-3956

>drpsnell.chiroweb.com

>

>

>

>

>

>

>>From: " JEFF TUNICK " <jtunick46@...>

>>

>>Subject: Spinal Decompression Research

>>Date: Thu, 20 Jul 2006 15:39:25 -0700

>>

>>Spinal Decompression Research for those expressing interest:

>>

>>In terms of research articles concerning what is usually referred to as

>>nonsurgical spinal decompression, much of the research worth reading has

>>been done on the VAX-D protocol. An early mover in the industry, VAX-D

>>gained a fair amount of acceptance with medical and chiropractic physicians

>>alike, and they have been fortunate to have a number of studies reported.

>>

>>Naturally, there are endless debates among the various decompression table

>>manufacturers claiming superiority, but as we discussed in our recent PDF,

>>we believe there is a considerable amount of marketing posturing driving

>>this competitive banter.

>>

>>The following is a brief list of available articles related to spinal

>>decompression that may prove of interest to you. We encourage you to access

>>additional articles that are in the literature concerning spinal

>>decompression.

>>

>>1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

>>Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

>>Research, Volume 26, April 2004

>>2. Effects of Controlled Dynamic Disc Distraction on Degenerated

>>Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

>>Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

>>Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

>>SPINE, Vol 30, Number 2, 181-187, 2005

>>3. Orthopaedics: New answers to an age-old problem. Hospital Management

>>International 2004; Annual Issue of the International Hospital Federation

>>Journal, March 1, 2004

>>4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki Osterman,

>>MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

>>DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

>>5. Effects of Vertebral Axial Decompression On Intradiscal Pressure. Ramos

>>G., MD, Journal of Neurosurgery 81: 350-353, 1994

>>6. Quantitative Assessment of the Lordex Isometric Lumbar Extension

>>Machine:

>>A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

>>Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

>>Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

>>Division of Sports Medicine, HPER Department, Southwest Texas State

>>University 1991

>>7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

>>Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

>>and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

>>8. Vertebral Axial Decompression Therapy for Pain Associated with Herniated

>>or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

>>Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research

>>Vol

>>23, No 3, April 1998

>>9. The Effects of Vertebral Axial Decompression on Sensory Nerve

>>Dysfunction

>>in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD, Miskovich

>>D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

>>10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

>>Israel Deaconess Medical Center (BIDMC), Harvard Medical School

>>11. Short and Long Term Outcomes Following Treatment with the VAX-D

>>Protocol

>>for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

>> R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic &

>>Sports Physical Therapy, Volume 35, Number 1, January 2005

>>

>>

>>Please feel free to contact us with any additional questions or concerns!

>>

>>Yours in chiropractic,

>>

>> K. Tunick D.C.

>> J. Tomaino D.C.

>>

>>

>>

>>

>

>

>

>

>

>OregonDCs rules:

>1. Keep correspondence professional; the purpose of the listserve is to foster

communication and collegiality. No personal attacks on listserve members will be

tolerated.

>2. Always sign your e-mails with your first and last name.

>3. The listserve is not secure; your e-mail could end up anywhere. However, it

is against the rules of the listserve to copy, print, forward, or otherwise

distribute correspondence written by another member without his or her consent,

unless all personal identifiers have been removed.

>

Link to comment
Share on other sites

Guest guest

Dear Phil and others,

Please understand that our purpose in posting our original letter concerning

Spinal Decompression on the List Serve was to provide a different point of

view than what had been previously posted by others. We felt there would be

general value in giving a perspective from doctors who actually use the

technology in their daily practice. It also gave us a chance to reach out to

each of you with our vision of potentially being of help to each of our

colleagues when a case warranted such assistance.

The only reason we posted any research articles at all was in answer to

requests we received. We were happy to do so and provided a few additional

articles to help frame the subject. We hope that people who have an interest

in learning more about related research would do so. Naturally we

anticipated that some of our colleagues would take issue with various

articles, etc. Our purpose has never been to seek professional validation of

spinal decompression; we are confident that the concept of decompression is

sound. After all, no one has questioned or doubted or other

flexion/distraction techniques, and we would be surprised if any of you do

now.

It is interesting that the most important point for everyone so far has been

‘show us the research’, rather than the query of whether it might prove

helpful to cases that are not responding to traditional chiropractic

protocols. From our viewpoint, the research is fairly moot and we remain

much more interested in clinical outcomes. Lord knows as chiropractors we

have always been accused as a profession of lacking research; yet somehow

that never seemed to stop any of us from believing what we found to be the

truth. As Virgil Strang D.C., one of chiropractic’s foremost professors used

to tell his students at Palmer College, “if chiropractic works, it works….

and it works.”

The real question is not so much if decompression of involved segments makes

sense. It is the marketing of the technique that most people take issue

with, and in this regard we strongly agree with you. If you read our

original letter, we did not make the statement that decompression was

‘incredibly fabulous’ or ‘significantly better’ than traditional

flexion-distraction. In fact, we went drew comparisons between the work of

DC and the other decompression modalities.

There is a difference between the marketing of decompression technology to

the profession, and the marketing of decompression to the public. We can’t

stress this enough and hope the difference is obvious. The reality is that

all the tables accomplish traction/decompression and this is a good thing.

Our remarks regarding the semantics of traction vs. decompression are worth

rereading. As we pointed out, there is a lot of marketing ‘posturing’ in the

industry as companies try to convince each of us why their mousetrap is

better. Hopefully we can see beyond this in attempting to decide whether

there is value to be had.

We are suggesting that a more appropriate method to market decompression is

through inter-professional referral rather than telling the public some

story about NASA that is of questionable validity. Decompression is not a

substitute for chiropractic; rather it is part of chiropractic. We are

recommending that the profession seek to align itself inter-professionally

for those cases that are sound candidates for the protocol. Doesn’t this

make more sense? If the profession can successfully develop this ideal, we

believe marketing to the public would be radically repositioned.

We would agree that given 20 + treatments to fix a typical low back

complaint virtually all of us will be successful. The success rate of

traditional chiropractic is incredibly high, and is largely responsible for

the acceptance of chiropractic by the public for the last 100+ years. Again,

we went to great lengths to state this and segmented out whom in our opinion

was a potential candidate for the procedure. The typical low back case is

not a candidate for the procedure. We differentiated that it was the patient

who has not responded to traditional treatment protocols and was refractive

to care. As noted in our original remarks, this is a small percentage of the

average caseload.

We share your vision that chiropractic grow to be more respected in public

health by being cost effective, outcomes oriented and the conservative

option of choice for the management of common musculoskeletal conditions. In

the treatment of typical lower back pain chiropractic definitely answers

this call. This is also true in the treatment of severe and chronic lower

back and leg pain especially those considering surgical intervention.

Decompression is yet another component in our toolbox that should be

considered prior to referrals for consideration of surgical intervention.

One question we would ask each of you to ask yourself, is how many referrals

have you personally made to a chiropractic orthopedist or neurologist,

internist, etc. this past year vs. a medical specialist? Other than the ‘I

needed a medical doctor’ involved in the case rationale, why don’t we as a

profession make more of those referrals? Hopefully this trend will increase

as we gain more confidence in our profession.

It simply is not a matter of anyone saying spinal decompression is better

than everything else. We personally have not said that, and hope that you

and our colleagues will recognize this. While we appreciate and share your

disdain for Altadonna and others like his organization, we believe it is

important not to place all people in the same barrel.

As a profession, we have historically had chiropractors that have not served

their profession well. It’s a rather long list, and we are sure everyone can

think of someone who unfortunately is on that list. Surely all of us do not

want to be summarily judged that ‘all chiropractors are bad’; nor do we wish

to be placed in the same barrel as the people who have spoiled the soup for

decompression.

We firmly believe that traditional chiropractic is the first line of

treatment for lower back and leg complaints. We went out of our way to say

this in our original letter, and reiterate it here. Additionally, we spoke

highly of flexion-distraction as taught by D.C. I myself practiced

for 20+ years and believe it to be an incredibly strong technique. Like

most practitioners, I had a percentage of cases that did not respond and

either had to accept their level of recovery, refer to another chiropractor,

pursue surgery, or give up. I personally found this very frustrating and

have always been open to additional techniques that may hold potential for

patients whose conditions are refractive to care.

We believe very strongly in the Lordex protocol and its inclusion of

strength restoration and stretch/flex components, and have put forth an

outstretched hand to each of our colleagues to assist in those cases that

you feel we may be able to help. It’s really that simple. We are not trying

to get into a technical debate with any of you. We are not trying to carry

the flag for spinal decompression nor wish to square off with all of you.

However, we are trying to be a useful resource for each of you and your

patients.

Please don’t ask us to get into a protracted debate, as there simply is no

upside to any of us. There are patients that need all of our help. If you

have no interest in what we are doing, that of course is your prerogative,

and we trust we will remain colleagues in our great chiropractic profession.

We wish each of you well, and encourage you to get to know us better in the

days and months ahead. Our position is that the best way you can assess the

value of the Lordex protocol is to take a closer look first hand, refer a

difficult case, and let’s see the outcome.

The ball is in your court and we hope you will explore what value we can add

for you and your patients.

Yours in chiropractic,

Jeff

K. Tunick, D.C.

J. Tomaino, D.C.

>From: " Snell " <drpsnell@...>

>

>Subject: RE: Spinal Decompression Research

>Date: Sat, 22 Jul 2006 10:23:40 -0700

>

>Thanks for the list Jeff and hope its cooler at the coast. I appreciate

>your efforts to support your treatment methods with research. Perhaps I'll

>take a break from bucking compost into my beds in my yard, to enjoy the AC

>in the OHSU library this afternoon.

>

>Several have posted their sentiments on this therapy and I agree that we

>should read and critically evaluate the citations to make a more informed

>decision about the efficacy of spinal decompression. To date, I have been

>a

>bit miffed (like ) regarding the marketing of the therapy as an

>incredibly fabulous, significantly better therapy than say

>flexion-distraction therapy. Personally, given 20+ treatments to fix a low

>back complaint, I suspect most of us in this forum would achieve an " 84%

>success rate " using the various methods we currently employ.

>

>I have hopes that we will mature as a profession to the point where we can

>become more respected in the realm of public health by striving to become

>the most cost effective, outcomes oriented, conservative option in the

>market place for managing common musculoskeletal complaints. Perhaps I

>will

>be proven wrong, but the marketing of the spinal decompression units has

>seemed to focus more on generation of doctor revenue (so they can afford

>the

>expensive units) than on patient outcomes. Most of us would have no qualms

>with the therapy if their marketing focus was on how much quicker it allows

>a patient to return to function with less pain rather than how cool it is

>for the provider to pre-book 20+ sessions at $100 a pop.

>

>I'll get back to you after looking these items up. Cheers.

>

> W. Snell, D.C.

>Hawthorne Wellness Center

>3942 SE Hawthorne Blvd.

>Portland, OR 97214

>Ph. 503-235-5484

>Fax 503-235-3956

>drpsnell.chiroweb.com

>

>

>

>

> >From: " JEFF TUNICK " <jtunick46@...>

> >

> >Subject: Spinal Decompression Research

> >Date: Thu, 20 Jul 2006 15:39:25 -0700

> >

> >Spinal Decompression Research for those expressing interest:

> >

> >In terms of research articles concerning what is usually referred to as

> >nonsurgical spinal decompression, much of the research worth reading has

> >been done on the VAX-D protocol. An early mover in the industry, VAX-D

> >gained a fair amount of acceptance with medical and chiropractic

>physicians

> >alike, and they have been fortunate to have a number of studies reported.

> >

> >Naturally, there are endless debates among the various decompression

>table

> >manufacturers claiming superiority, but as we discussed in our recent

>PDF,

> >we believe there is a considerable amount of marketing posturing driving

> >this competitive banter.

> >

> >The following is a brief list of available articles related to spinal

> >decompression that may prove of interest to you. We encourage you to

>access

> >additional articles that are in the literature concerning spinal

> >decompression.

> >

> >1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low Back

> >Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

> >Research, Volume 26, April 2004

> >2. Effects of Controlled Dynamic Disc Distraction on Degenerated

> >Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

> >Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

> >Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

> >SPINE, Vol 30, Number 2, 181-187, 2005

> >3. Orthopaedics: New answers to an age-old problem. Hospital Management

> >International 2004; Annual Issue of the International Hospital Federation

> >Journal, March 1, 2004

> >4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki

>Osterman,

> >MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

> >DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

> >5. Effects of Vertebral Axial Decompression On Intradiscal Pressure.

>Ramos

> >G., MD, Journal of Neurosurgery 81: 350-353, 1994

> >6. Quantitative Assessment of the Lordex Isometric Lumbar Extension

> >Machine:

> >A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

>

> >Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

>

> >Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

> >Division of Sports Medicine, HPER Department, Southwest Texas State

> >University 1991

> >7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

> >Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

> >and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

> >8. Vertebral Axial Decompression Therapy for Pain Associated with

>Herniated

> >or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

> >Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research

> >Vol

> >23, No 3, April 1998

> >9. The Effects of Vertebral Axial Decompression on Sensory Nerve

> >Dysfunction

> >in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD,

>Miskovich

> >D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

> >10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

> >Israel Deaconess Medical Center (BIDMC), Harvard Medical School

> >11. Short and Long Term Outcomes Following Treatment with the VAX-D

> >Protocol

> >for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

> > R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic

> &

> >Sports Physical Therapy, Volume 35, Number 1, January 2005

> >

> >

> >Please feel free to contact us with any additional questions or concerns!

> >

> >Yours in chiropractic,

> >

> > K. Tunick D.C.

> > J. Tomaino D.C.

> >

> >

>

>

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If the disc protocol for the DRX is followed then traditional chiropractic

treatment is tried before making a referral to the DRX. For our office that

would mean that the patient would undergo 10-12 CMT/therapy visits without a

significant decrease of the sciatic distribution of pain. Our DRX protocol

is then to order an MRI to confirm the level of protrusion so that

decompression can be ordered at the correct disc. The cost of 20 visits on

the DRX is minimal considering the cost of discectomy and is therefore, at

least in our opinion, a reasonable additional, conservative approach.

That sounds similar to the protocol for similar units.

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

dro@...

541-757-9933

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notified that any dissemination, copying or disclosure of this communication

is strictly prohibited. If you have received the communication in error,

please notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis,

OR 97330, 541-757-9933 and purge the communication immediately without

making any copy or distribution

Spinal Decompression Research

> >Date: Thu, 20 Jul 2006 15:39:25 -0700

> >

> >Spinal Decompression Research for those expressing interest:

> >

> >In terms of research articles concerning what is usually referred to as

> >nonsurgical spinal decompression, much of the research worth reading has

> >been done on the VAX-D protocol. An early mover in the industry, VAX-D

> >gained a fair amount of acceptance with medical and chiropractic

>physicians

> >alike, and they have been fortunate to have a number of studies reported.

> >

> >Naturally, there are endless debates among the various decompression

>table

> >manufacturers claiming superiority, but as we discussed in our recent

>PDF,

> >we believe there is a considerable amount of marketing posturing driving

> >this competitive banter.

> >

> >The following is a brief list of available articles related to spinal

> >decompression that may prove of interest to you. We encourage you to

>access

> >additional articles that are in the literature concerning spinal

> >decompression.

> >

> >1. Efficacy of Vertebral Axial Decompression (VAX-D) on Chronic Low

Back

> >Pain: A Study of Dosage Regimen. Ramos G., MD, Journal of Neurological

> >Research, Volume 26, April 2004

> >2. Effects of Controlled Dynamic Disc Distraction on Degenerated

> >Intervertebral Discs; An in vivo Study on the Rabbit Lumbar Spine Model.

> >Markus Groeber, MD, Unglaub, MD, Thorsten Guegring, MD, s

> >Nerlich, MD, Tamer Hadi, BA, Lotz, PhD, and Claus Carstens, MD,

> >SPINE, Vol 30, Number 2, 181-187, 2005

> >3. Orthopaedics: New answers to an age-old problem. Hospital Management

> >International 2004; Annual Issue of the International Hospital Federation

> >Journal, March 1, 2004

> >4. Risk of Multiple Reoperations After Lumbar Discectomy. Heikki

>Osterman,

> >MD, Reijo Sund, MSc, Seppo Seitsalo, MD, PhD, and Ilmo Keskimaki, MD,

> >DMedSc, PhD, SPINE, Vol 28, No 6, 621-627, 2003

> >5. Effects of Vertebral Axial Decompression On Intradiscal Pressure.

>Ramos

> >G., MD, Journal of Neurosurgery 81: 350-353, 1994

> >6. Quantitative Assessment of the Lordex Isometric Lumbar Extension

> >Machine:

> >A Preliminary Study. Tinker D. Murray, PhD, G.Squires, PhD,

>

> >Patton, D.Ed., A.T., C., L. , M.A.I.S., Art Shuler, B.S.,

>

> >Sekula, B.S., Hiram Taverez, B.S.; Exerise Science Laboratory and the

> >Division of Sports Medicine, HPER Department, Southwest Texas State

> >University 1991

> >7. Intradiscal Pressure Study of Percutaneous Disc Decompression With

> >Nucleoplasty in Human Cadavers. Yung C. Chen, MD, Sang-heon Lee, MD, PhD,

> >and Darwin Chen. SPINE, Vol 28, No 7, 661-665 2003

> >8. Vertebral Axial Decompression Therapy for Pain Associated with

>Herniated

> >or Degenerated Discs or Facet Syndrome: An Outcome Study. Gose E., Ph.D,

> >Naguszewski W., MD, Naguszewski R., MD, Journal of Neurological Research

> >Vol

> >23, No 3, April 1998

> >9. The Effects of Vertebral Axial Decompression on Sensory Nerve

> >Dysfunction

> >in Patients with Low Back Pain and Radiculopathy. Tilaro F., MD,

>Miskovich

> >D., MD, Canadian Journal of Clinical Medicine Vol. 6, No 1, January 1999

> >10. Welcome Relief for Low Back Pain. J. CBS Health Watch, Beth

> >Israel Deaconess Medical Center (BIDMC), Harvard Medical School

> >11. Short and Long Term Outcomes Following Treatment with the VAX-D

> >Protocol

> >for Patients with Chronic Activity Limiting Low Back Pain. Beattie PF.,

> > R., Michener L., Cammaratta J., Donely J., Journal of Orthopaedic

> &

> >Sports Physical Therapy, Volume 35, Number 1, January 2005

> >

> >

> >Please feel free to contact us with any additional questions or concerns!

> >

> >Yours in chiropractic,

> >

> > K. Tunick D.C.

> > J. Tomaino D.C.

> >

> >

>

>

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