Name of the Procedure:

Vertebral Axial Decompression (S9090)

Common names: Non-surgical spinal decompression, VAX-D

Technical/medical terms: Vertebral Axial Decompression Therapy

Summary

Vertebral Axial Decompression (VAX-D) is a non-surgical treatment designed to relieve pressure on the spine and alleviate back pain. It involves a specialized table that gently stretches the spine, creating negative pressure in the spinal discs.

Purpose

VAX-D is intended to treat chronic back pain and conditions such as herniated discs, sciatica, and degenerative disc disease. The goal is to reduce spinal pressure, decrease nerve irritation, and promote the healing of spinal discs.

Indications

• Chronic lower back pain
• Herniated or bulging discs
• Sciatica
• Degenerative disc disease
• Spinal stenosis
• Facet syndrome

Preparation

• Patients should wear comfortable clothing.
• No fasting is typically required.
• Discuss any current medications with your healthcare provider; adjustments may be recommended.
• Diagnostic imaging like MRI or X-rays might be needed beforehand to assess the condition of the spine.

Procedure Description

1. The patient lies on a specialized VAX-D table.
2. A harness is fitted around the patient’s hips.
3. The table slowly and gently stretches the spine in a controlled manner.
4. Each session typically includes cycles of decompression and relaxation.
5. No anesthesia or sedation is generally required.

Duration

Each session typically lasts between 30 to 45 minutes.

Setting

The procedure is usually performed in a specialized outpatient clinic or chiropractic office.

Personnel

• Chiropractor or physician trained in VAX-D
• Clinic staff assistance for patient positioning and monitoring

Risks and Complications

• Mild discomfort or soreness
• Rare risk of worsening symptoms
• Potential for muscle spasms
• Uncommon complications include nerve damage and increased pain

Benefits

• Non-surgical treatment option
• Potential for pain relief and improved mobility
• Reduced pressure on spinal discs
• Outcomes may be realized after a series of sessions, typically within a few weeks

Recovery

• Patients can usually resume normal activities immediately
• Follow the chiropractor's advice on activities to avoid
• Attend scheduled follow-up sessions as required

Alternatives

• Physical therapy
• Pain medications
• Spinal injections
• Surgical options like spinal fusion or discectomy

Pros and Cons Compared to Alternatives:

• Non-invasive and lower risk than surgery
• May not be effective for all patients
• Requires multiple sessions, which can be time-consuming

Patient Experience

During the procedure, patients might feel a gentle pulling sensation on their spine. Post-procedure, some might experience temporary soreness or relief from chronic pain. Comfort measures, such as using heat or ice packs and mild pain relief medications, can be taken if needed.