General Practitioners

• Rheumatology
  A recent randomized double-blind trial published in the Annals of Rheumatic diseases (2003) concluded that steroid injections for sciatica are no better than saline. These findings are consistent with those of another definitive trial presented at the recent American College of Rheumatology meeting.
• Primary Care
  In a study of back pain in primary care, Von Korff and Saunders found that 60% to 75% improve in the first month, 33% report intermittent or persistent pain at year one, and 20% of patients describe substantial limitations at this time
• Family Practice
  Low-back pain [LBP] in active patients is common and often recurrent. The cause of LBP and other symptoms is multi-factorial and diverse, and the precise identification of the pain generators is often elusive. Family practice physicians frequently diagnose mechanical LBP in patients without a clear path of optimal care.

Neurologists

• Neurology
  VAX-D has had a long history of peer reviewed clinical studies published on different aspects of the Therapy. The VAX-D system is being utilized and studied by leading physicians in Orthopaedic Medicine, Pain Management, Anesthesiology, Occupational Medicine and Rehabilitation, Neurology, Neurosurgery and Family Practice. Research on the therapy is ongoing and VAX-D Medical Technologies will post future publications on this website as they become available.

Radiologist

• Ultrasound
  7, produced by the Royal College of General Practitioners in Great Britain, address the appropriateness of physical agents and passive modalities "these modalities do not appear to have any effect on clinical outcomes." The modalities listed in the Guidelines include ice, heat, short wave diathermy, massage, and ultrasound.
• MRI
  Patients who fail therapy at the acute phase of care are routinely referred to the orthopedic surgeon or neurosurgeon, especially if abnormalities are noticed on CT scan or MRI. The majority of these patients are not ideal surgical candidates.
• Computed Tomography
• Iontophoresis
  These include, but are not limited to, iontophoresis, phonophoresis, electrical stimulation, ultrasound, diathermy, traction, and other physical agents, during the first four weeks

Surgeons

• Sciatica
  The natural history of recovery from low back pain is favorable and is commonly used as the standard by which to evaluate and compare other treatments. In the absence of serious underlying medical conditions, many patients can expect to recover from the initial acute episode in the first three to four weeks. The evaluation and management during this period can generally proceed without special studies. The patient’s normal activities are limited by their low back condition, and they modify these activities to minimize their pain which allows the tissue to rest and recover spontaneously. When possible, patients learn to self-treat and manage their condition in the early stages. Patients with sciatica may recover more slowly on average because of more severe underlying problems such as herniation or spinal stenosis. Approximately fifty percent of patients with disc/hernia induced sciatica will recover in the first four to six weeks.
• Pinched Nerve
  There are many different terms to describe lumbar disc pathology. The terms include: annular tears, bulging disc, disc protrusion, slipped disc, herniated disc, ruptured or extruded discs, sequestered disc, disc degeneration (or degenerative disc disease), pinched nerve, sciatica etc.
• Neurosurgery
  Results of multiple clinical studies have demonstrated that VAX-D is an effective treatment for the management of chronic low back pain. A retrospective outcome study on 778 patients, a Phase II Randomized Controlled Trial (Australia) and a study conducted in a neurosurgery practice on 142 patients all reported approximately 70% success rates and improvements in functional outcomes for patients suffering from disc related chronic low back pain.

Physical Therapists

• Physical Therapy
  8 of McGill University, there is little evidence that physical therapy and physical therapy modalities provide any long-term efficacy greater than placebo.
• Slipped Disc
• Back Pain