Who is the Director of Rockland SpineCare?
Jay H. Schwartz, DC,
DIBE is the Director of Rockland SpineCare, which provides VAX-D. He is a
Board Certified Chiropractor and is Board Certified in Electrodiagnosis with
over 25 years of experience in treating back pain. Dr. Schwartz has
researched many treatment methods for chronic back pain. He has found that
VAX-D is an effective treatment, approved by the FDA, successful in over 70%
of chronic cases as documented in multiple published peer review studies.

VAX-D (Vertebral Axial
Decompression) is a revolutionary, non-invasive conservative treatment for
patients who suffer from chronic low back pain, as well as leg pain,
(sciatica) tingling and
numbness caused by stenosis, herniated discs, bulging discs or degenerated discs and posterior facet
syndrome. Patients who have had back surgery, yet continue to experience
pain, may also be candidates for VAX-D.
VAX-D is the only medical device that delivers treatment through its
patented logarithmic decompression curve. The treatment is designed to
relieve pressure on structures that may be causing lower back pain usually
associated with bulging discs, stenosis or herniated discs and degenerative disc disease.
VAX-D is safe, effective and does not involve the risks associated with
surgery or injections also used to treat chronic back pain. Studies have
proven that VAX-D reduces the pressure within the discs from a positive
pressure to a negative pressure. (Average standing pressure on the discs is
200 mm. of mercury; With VAX-D,
minus 180 mm. of mercury). This
creates a vacuum-type effect on the disc and allows for a suctioning of the
disc material back into its normal position.
While
back pain is usually treated with a combination of therapies, including
medication, bed-rest, chiropractic care, physical therapy and exercise, many of
these treatments only temporarily reduce symptoms. In contrast, VAX-D addresses
the disc problem rather then just relieves the low back pain. A four year study
showed that the majority of patients were still pain-free four years after
completing the VAX-D regimen and 91% had returned to normal activities.

Notice
that in the picture on the left, the spinal cord is compressed, whereas
on the right, it is no longer compressed.

Can you explain the VAX-D procedure?
Below is a picture of the treatment in progress: The patient
lies face down on the table and holds the hand grips; intermittent tension
is applied through a pelvic belt. This decompresses the discs in the lumbar
spine, lowering the pressures to minus 180 mm of mercury and thereby
removing pressure from the disc and the nerves.

How many sessions does it require?
Patients are treated consecutively for an average of 20-30 treatments. The patient's progress is evaluated weekly by the doctor. Some may require more frequent evaluations, depending upon their condition and response to treatment.
The number of treatment sessions required depends upon the diagnosis and the
overall severity of your condition. One treatment session is about 45
minutes long. Some difficult cases may require additional sessions. Relief
from pain varies with each individual and their physiology. However, many
patients will experience some pain relief within the first ten treatments.
What is the cost of a VAX-D treatment?
VAX-D treatments are given in a series of 20-30 treatments. Your cost will depend upon your diagnosis, and on your payment arrangements. We do offer a consultation to determine whether VAX-D is right for you. We can provide treatment costs at that time.
What will my insurance cover; I have "XX Insurance"?
Most insurance policies now cover VAX-D treatment. Bring in your insurance card and we will be glad to check your benefits for you. We do offer a consultation to determine whether VAX-D is right for you.
How do I qualify for treatment?
Dr. Schwartz will evaluate your condition. If you have had X-rays, MRIs or CT scans please bring them with you.
Is VAX-D traction?
No, it's a decompression procedure. VAX-D produces a vacuum like effect within the disc, while traction does not.
It is the vacuum-like effect that results in the negative pressures created
within the disc by VAX-D. Traction has never been proven to decompress
the spine and discs. As a matter of fact, some researchers have stated
that it can actually increase intraspinal pressure. Traction has been
virtually abandoned over the past 50 years simply because it does not work.
Is VAX-D experimental or investigational?
Most definitely No. The FDA is the
only agency that can make a decision whether a
product ( device or drug) is experimental . No one else has that authority.
Devices that have been registered by issuance of a 510(K) are not
experimental and require no further investigation or testing as long as the
use of said product is consistent with the official usage and/or
indications. VAX-D was issued a 510 (K) in 1996. Therefore, it
is not experimental or investigational.

How effective is VAX-D?
A large 778 patient study was performed on VAX-D and
published in April 1996 demonstrating a 71% success rate with patients
suffering from uni-level to multiple levels of herniated and degenerated discs
as well as extruded discs.
How long has VAX-D been around?
VAX-D was in the development stage for about ten years. It was given full FDA approval for lumbar spinal decompression in 1996.
Does VAX-D treatment hurt?
No, in fact most people notice a reduction of pain during treatment.
Does VAX-D have any risks associated with it?
No. VAX-D is very safe unlike most medications and
surgery.
Will I be able to continue working?
Patients are encouraged to remain at work during VAX-D treatments providing work activities do not aggravate their condition. A return to work assessment will be performed after 2 weeks of VAX-D treatments to assess the patient's ability to continue with or return to work.
Are the effects of VAX-D permanent?
It depends on your definition of permanent. Since
VAX-D has only been used for about 13 year in the US, we can't definitely state that
the effects will last 30 years. However,
a four year study
showed that the majority of patients were still pain-free four years after
completing the VAX-D regimen and 91% had returned to normal activities. In
the medical world, four years is a very long time. Once a cancer
patient is cancer-free for five years, he is considered cured by the medical
community. As long as our VAX-D patients are careful and take their
follow-up care and precautions seriously, they do very well in the long
term.
Can I have VAX-D treatments if I've had surgery?
Yes, providing they did not install hardware into your
spine.
Can VAX-D help arthritis?
Yes, in many cases. Arthritis of the spine usually involves
degenerated discs and stenosis, which respond well to VAX-D. The
doctor can determine if you are a candidate for VAX-D.
If VAX-D works so well, how come I
haven't heard about it?
VAX-D is a relatively new medical procedure in the United
States. The treatment has worked for thousands of patients, and over 3000
patients per day, worldwide, are now being treated. The awareness of VAX-D
is growing every day, as physicians and healthcare providers learn about
VAX-D and the phenomenal results it has achieved in numerous clinical
studies. As a result, VAX-D is now becoming the standard of care for chronic
low back pain.

How is VAX-D different from the
“decompression therapy” I see advertised?
Many patients and
physicians have asked if VAX-D Treatment is any different than ‘traction’.
The emergence and success of VAX-D Therapy has spawned a host
of new medical devices (copycats) all claiming to be the same as VAX-D in
their principles of operation and in their success rates. This has created a
lot of confusion and questions about their similarities and effectiveness.
Many doctors with simple traction devices are advertising them as
“decompression”. Although traction devices can stretch the lower back, they
have not demonstrated the ability to decompress the lumbar discs and
spinal nerves. It is mind boggling that these providers can make these
claims which cannot be backed up through legitimate research published in
peer-reviewed medical journals.

What about the research I see for those
other “decompression devices”?
Isn’t
it interesting that VAX-D research is found on traction table websites? In
other words they are touting the success of VAX-D and falsely giving the
impression that traction is equal to VAX-D, but it certainly is not. This
is similar to a car manufacturer advertising that their Model A car goes 200
miles per hour simply because Model X car goes that fast. They both have an
engine and 4 tires so they must be identical.

Don't those devises have their own
research?
Providers of those treatments are making bogus claims and are falsely advertising that they
“decompress” the lumbar spine and discs when they have no
peer-reviewed published clinical
studies to substantiate their claims. Some have implied that NASA
scientists discovered decompression, which is unfounded. These devices
claim to utilize newer ‘state of the art technology’ equivalent or superior
to VAX–D. They claim to have equal or greater success rates than VAX-D (as
high as 86%) with less complications, and at lower fees. Upon further
investigation, you will find that these statements are just not true. In
fact, virtually all of the VAX-D imitators are using linear traction
technology. This means an electric motor and winch and cable mounted in a
column or attached to the end of a table on a bracket. These devices are
actually using traction technology that emerged prior to 1986 packaged into
what seems like high tech computerized equipment. Several state licensing
boards have taken disciplinary action against providers of these imitation
treatments.

Today’s healthcare market is full of super-salesmen with
new promotional campaigns that utilize scientific references. Unfortunately
what “sells” is not the quality of the product, but the ability of the
marketers to influence their audience. Even when they realize their
treatment method is unproven, they attempt to minimize this by mentioning
that it has been proven to the satisfaction of the FDA or one of the
recognized medical societies. The best way to avoid being taken in is
to do your homework when considering new treatments, and this includes ours.
Ask for copies of all of the published research on the treatment including
clinical and patient-relevant outcomes. Make sure they substantiate their
claims of therapeutic value.
Click on Research.

Questions on Conditions -
Questions arise on various conditions. In most cases, the doctor will need to determine if VAX-D is indicated or contraindicated.
In some cases, the possibility for success may be less then optimal, but if there is a chance, and there are no other safer alternatives, it may still be worth it to try. We will give our best opinion as to what your chances will be for success. We will absolutely not
perform VAX-D on anyone with metal implants in their spine, however we do have
other treatment methods that can be used on these types of patients.
Conditions less likely to qualify for VAX-D are severe stenosis, severe scoliosis, spondylolisthesis with bilateral pars defects, severe osteoporosis, ankylosing spondylitis, and various diseases and fractures of the spine.
Home
Site Map