Posts Tagged ruptured disc

Functional Disc Rehydration for Chronic Back Pain

A chiropractor in Illinois named Jeff Winternheimer claims to have discovered an effective way to heal herniated discs by rehydrating them. He calls it Functional Disc Rehydration and he offers it through a network of four offices in the Chicago area called the Illinois Back Clinic. He has lots of testimonials and one sorry amateurish attempt at a scientific study that claimed to show 100% improvement; but there is no published evidence, no controlled observations, and no comparison of his methods with other methods.

Degenerative disc disease

Between the spinal vertebrae there are soft, jelly-like compressible discs that act as shock absorbers. They are “corralled” by a fibrous annulus. As we get older, the disc material loses water and becomes less flexible; the disc thins, and the space between the vertebrae narrows, so in old age we are not quite as tall as we once were. Cracks in the annulus develop with age or with trauma, allowing the disc material to bulge out or rupture. Herniated discs don’t necessarily cause pain; disc degeneration can be seen on MRI in 37% of asymptomatic people over the age of 60.

by “debivort,” licensed under CC BY-SA 3.0 via Wikimedia Commons

by “debivort,” licensed under CC BY-SA 3.0 via Wikimedia Commons


Posted in: Chiropractic

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Antibiotics for Low Back Pain

Low back pain is a particularly frustrating condition that is common, poorly understood, and difficult to treat. Could a long course of antibiotics be the answer for some patients? A recent study from Denmark suggests that it might be:  “Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized clinical controlled trial of efficacy” by Albert, Sorensen, Christensen and Manniche.  Is this a crazy idea like long-term antibiotics for “chronic Lyme disease” or will it pan out like antibiotic eradication of H. pylori in patients with ulcers? Time will tell. This was a rigorous, well-done study, but we can never rely on the results of a single study until it is replicated or confirmed elsewhere.

Posted in: Clinical Trials, Pharmaceuticals

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