I've decided to place this review for idd therapy(also called neurosurgical spinal rehabilitation program (nsr)), since it is a new technology and not much information is out there about it. I hope it will give some insight on the process and my personal feelings on the treatment.
I've had pretty bad back problems most of my life and about a year ago went through a very painful spinal fusion surgery, which left me even more handicapped with additional nerve damage. After many monthes of reviewing my options, my physician recommended idd therapy. My doctor was very optimistic about the program and recommended many of his patients for it. He also stated that it had an 80 percent success rate. Now for anyone who experiences lower back pain, the idea that 20 sessions of a new technology physical therapy may cure your pain, is a very exciting concept, so naturally I jumped in. The treatments can
be expensive, but to my great relief my insurance company agreed to cover the sessions.
Before scheduling the first treatment a pamplet was issued to me instructing me to wear loose fitted clothes and sneakers. You also want to bring your ice pack daily, which they will provide you at the beginning of your treatment. They recommend taking a multivitamin daily, drink lots of water, and take aspirin, ibuprofen or naprosyn an hour before the treatment. After the treatment they ask you to take a minimum of an hour nap. In the pamplet they also say that included in the program is a weekly massage.
The first week of the treatment was very difficult and left me in severe pain, but the pain from the procedure will usually subside by the third week. They start the session by seating you in a chair with a heating pad on your back, they leave you there for about 15 minutes. Then after that they take you into the office and seat you in a massage chair. They place very small electric shock pads all along the affected areas of your back. (this part was frustrating, cause they often tend to shock you with them). A round ball is gelled then rubbed around the back where the shock pads were just placed, sending a charge to the muscle to relax them. This goes on for just a couple minutes. You are then asked to stand and they suit you up in a large harnes, that personally reminded me of a diaper but high in the back for support. Attached to this harness are straps in various areas that will be used to attach you into the table.
Once the harness is tightened you are asked to step into the machine which is angled in a standing position. This machine itself can be very intimidating. But it is designed to strap you in and move in various positions while lightly tugging and stretching your back. The machine is computerised and an increase of weight is placed on it daily to increase the strength in your back. Once you stand into the machine, it will begin to move you into a flat position so that you are laid comfortably on your back. This is when all of the harnesses are strapped tightly into the machine. At this the machine will begin to moving in it's various positions while pulling you. Each stretch lasts about 3 minutes. Within 10 minutes the table below your rear will begin to split open increasing the pressure and weight that is being pushed against your back. The process is pretty painless until the table opens and then you will feel some pressure. Throughout my sessions I was never able to have the table opened due to the pain it left me in. The machine treatment is about 20 minutes. After that is done, a cooling gel is placed on your back along with an ice pack. And your session is now over. They recommend wearing the ice pack for 2 hours.
In the office that I went for my treatments they had 2 available tables, so there were often other patients in the room with me. I spoke to several of the patients and asked there experience with the therapy. Unfortunately the treatment was not given rave reviews.
Through the people that I questioned, I took notice to the fact that there was a better success rate for people with disc or neck problems. But there was virtually no success for people with nerve problems, like myself. And i'm sad to report that many people said they felt they were left in more pain after the treatment than before. As for myself, I can admit that the treatment has given me more mobility when sitting and turning. But my pain remains pretty much the same. I can say that i'm glad that I did the procedure. But my feelings would have been different if my insurance did not cover it. I don't feel the treatment would have been worth the five thousand dollars out of pocket.
And on a final note I never received the weekly massage that was promised from the pamplet.
I have three herniated discs, spinal stenosis and osteoarthritis. My doctors said that surgery would not help me because of the number of vertebra that would need to be fused. I saw a informercial on tv about IDD and did some research. I decided to try it. Unfortunately, my insurance did not cover it. My husband and I decided to pay the full amount up front and received a discount for doing so. I have nerve damage in my legs because of the pressure on my nerves from the herniations. I have lived with back pain and have been on pain medications (including hydrocodone and oxycodone) for 12 years prior to this. I had to take the meds on a regular basis. The strength of the hydrocodone had to be increased on several occasions until finally none of it had any effect. That is when I began taking oxycodone. After my 20 -25 sessions on the IDD table, I no longer had the shooting pains in my legs and buttocks. I could clean my house without being forced to remain in bed all the next day. I still hurt most days, but it was most often a dull ache caused by the arthritis (which IDD will not help.After a year, I started having more severe pain again and had to return for some maintenance sessions (4-5). Since then I go back every 6 months for 3 or 4 visits (all in one week)to relieve the pressure on my nerves. Instead of taking pain meds every day as I once did, it has taken me 10 months to finish 30 oxycodone pills! I have been thrilled with the IDD therapy but it will not help everyone. The director of the office I go to told me that in the first meeting. In fact, they sometimes turn people away if the therapy will not help them. When you live with constant pain, you are willing to try anything to stop it. I have been pleased with my IDD experience and will continue to return for maintenance as long as I feel the benefit of it.
AN inversion table will do the same thing for $129 at most major athletic retailers.
I survived a faulty parachute canopy and did considerable damage, and all the doctors want to do is cut and fuse. That is their job and how they make money. Eat right, stretch and invert. Gravity works so all you have to do is reverse your body.
I did this therapy about a year ago and what a difference it has made in my life. I would get up in the morning and I would cry and hangto on my kitchen counter the pain was so bad. I literally could not hold a cup of coffee. Now I am back working and doing the things I could normally do before. I also go in for periodic treatments to keep my back stretched out. I have a hang ups inversion table and it was not helping me and the IDD therapy worked wonders. I have arthritus and a couple of disks that are worn so they are almost touching so the pain was unbearablle. I was given a 10 minute massaqge every time I went in and put on ice for 10 minutes and then told to go home and do ice again. Much of the rest of the treatment was like debraz above but I loved the electrical stimulation but I have a high tolerance for pain and he could use very strong electrical impulses on me.
I have DDD and suffered every day for years. I tried everything from chiropractic treatment to water therapy and finally was havings 4-6 spinal injections every 3 months... which offered little relief. I saw info on IDD online but had to wait over a year for it to come to my area. I had only 10 treatments (was supposed to be 20) and I was PAIN FREE foir 3 years. in the las 6-9 months I have started to have some pain at night in bed. Since I am currently unemployed with no insurance I cannot afford to go back again but you can be certain as soon as I am back to work I will go back for another round of therapy. It worked wonders for me when nothing else helped at all.
Laid up 4 months in bed, MRI showed hern disc L5, did the 3 steroid shots, 3rd one helped pain somewhat, but still not enough to get me out of bed. Also doing PT weekly. Feeling despondent, I decided to try IDD since I am against surgery.
Was skeptical that it actually could do much. I have had 5 treatments, last weekend I spent in bed crying & feeling hopeless. This weekend, my son drove me to town & I was able to shop several stores, came home & did not return to bed, but was able to do dishes. & some other light chores.
Down to a half Vicodin morning & nite, from Vicodin every 4 hours! Pain is very mild now, down from a 10 to about a 2 or 3! Also want to mention, I have a very low pain tolerance. I also have much more mobility already, with no pain in the movements.
They did tell me it works great for discs, but not necessarily for someone with hardware from previous surgery.
I wanted to post my experience with the hope it may help others. I have already referred a friend who has same as me & was considering surgery, he will start his treatments tomorrow!
Would highly recommend this to anyone who is down to considering surgery!
I had 6 herniated discs (cervical). I had a 10% reduction in pain after the first two treatments. I began with a 66% disability score. I am now at 0% disability with little or no pain. The only pain I experience anymore is something akin to a tight muscle- I can live with that. Just resumed body building again after 3.5 years away from it. IDD really helped me. It was far cheaper and more affective than neck surgery -which my father had.
Avoid this treatment. In my opinion, this treatment is dangerous.
Towards the autumn of 2013, after over 10 years of back pain, I sent my April 2013 MRI scan to two separate IDD clinics - Sheffield and Glasgow. Both IDD clinics claimed that I was a suitable candidate for IDD treatment and would see benefits from the treatment. In November 2013, I started IDD treatment at the Sheffield Physiotherapy Centre. I privately funded the treatment as I was looking for a cure for my 10 years plus of back pain.
I was advised to go for 20 sessions. At the end of session number 15 as the physiotherapist pushed the moveable half of the bed back towards the fixed part of the bed, I suddenly felt excruciating back pain - by far the worst I'd ever had. I couldn't stand or bear any weight on my legs. Five hours later and only with the help of codeine and gas and air, I was taken out of the physiotherapist's surgery on an ambulance stretcher. I couldn't walk for four days and took months to gain my pre-IDD levels of movement and pain.
In my opinion, (I'm not a qualified healthcare professional - just a long term back pain sufferer), IDD is flawed for the following reasons:
1) The pulling forces used by IDD are way too heavy. My 'IDD pulling weight' was 113 pounds. I'm no giant of a man. I'm just 5'6" tall and weigh around 12.5 stone.
2) The treatment plan recommended by IDD is too intensive. For example, treatment is every day for the first two weeks. I'm no stranger to traction. I've had much milder traction on a fixed bed many times prior to IDD, with good results, but never more frequently than once per week.
3) The treatment bed should be fixed. The bed you lie on is split into two halves. The top half is fixed. The bottom half of the bed moves away from the top half as you are pulled by the insanely heavy forces. This means that a gap opens up underneath your lower back. Your lower back is then dangerously unsupported in 'mid-air' if you will. I believe my lower back 'fell' into this unsupported space causing my lower discs to be 'out of line' when the lower half of the bed was pushed back at the end of the session.
In summary, I'm not against traction - far from it. As I have said, I've benefitted on many occasions from much gentler traction performed on a fixed bed, where your back is always fully supported. If you are thinking of or have been recommended traction, avoid this treatment and find a physiotherapist or chiropractor who offers traction on a fixed bed with gentle forces. Walk away from any health care professional who wants to perform traction any more frequently than once per week.
As a final tip, my experience of good traction is that your back is very vulnerable for 24 hours afterwards, so please take things very easy during the 24 hours following any traction treatment.
Are there any randomised single or double blinded trials for this procedure?
A couple of points although I know nothing about IDD therapy, it has to be better than surgery, which I know something about. The risks for spinal procedures, ie fusion & laminectomy are high; they are also incredibly expensive even if you don't pay personally. In my opinion unless it's an emergency or the patient has significant real neurological signs spinal surgery related to 'the disc' being the perceived single cause of pain should be banned, as should CT scanning for NSLBP. The trouble is this kind of surgery is very very financially rewarding & the AMA is very very powerful!