NONINVASIVE TREATMENTS FOR NEURAL SPINE STENOSIS AT L4/5

Dear Sirs ,

-I am S.P.JAIN -82+ , resident of PALAM VIHAR , GURGAON , HARYANA -INDIA
I am a known case of Diabetes & BP both under control Fasting Sugar
around 70-80 & HbAC1 6.4-6.7 over last year , under Medical Treatment
of Dr. Bimal Chhajer of SAAOL since March 2016 , for CAD problem .,
comprising of 35 sittings of EECP & 20infdusions of EDTAS plus zero
oil consumption & few medicines for Diabetes /BP /Choelstrol / Heart
& Thinner
For past 2-3 months I was feeling pain at the back of my right leg
thigh , but I was able to manage with Yoga , which I discontinued in
Mid Dec.2019 as it was very Cold. Towards end of Dec. it became almost
impossible for me to stand or walk so I restarted Yoga on 7th.Jan.2020
& discontinued on 11th as I was advised Physiotherapy by my Dr on the
basis of MRI carried out on 11th
I have been diagnosed with NEURAL CANAL STENOSIS AT L4/5 accompanied
by NEUROGENIC CLAUDICATION SYNDROME as the pains radiates down the
legs while walking & is relieved by rest . The pain even starts on
standing on the basis of MRI carried out on 11th as advised by my
Ortho Doctor
Dr. has advised me Physiotherapy comprising of IFT , INTERMITTENT
TRACTION , FLXEION EXCERCISES & PREGABA CAPSULE details at '2'
I have learnt of a new technique , being offered in India by a Mumbai
based SPINE CLINIC ,claims to give better relief by DSA Analysis
followed by FSM as below at & of Nasal Drops at 1A being offered by
another
My query to the learned team are , your comments on the validity of
these claims , if approved by medical fraternity or the claims are
false & not applicable for my age & your recommendations for going
for the same as I am 82+ & diabetic, also whether I will be able to
bear the pain
However may I have your comments as well few refrence papers on the subject
ie DSA Test followed by FSM repair of muscles details as below , at
least that will give me some information , in case called for or will

With best Wishes
S. P.JAIN

1-DETAILS OF DSA & FSM

PREAMBLE
Our Spine is made of 4parts , BONES , DISCS ,NERVES & SOFT TISSUE .
Muscle Tissue is a weight bearing structure that supports , protects &
stabilizes the spine . MUSCLE TISSUE CARRY 70% OF BODY WT. WHILE HE
BONES BALANCE 30%. 90% OF BACK PAIN CASES ARE MECHANICAL IN NATURE
APPROACH

Spine Cell Regeneration that strengthens the spine muscles. There are
no shortcuts for healing and rebuilding spine muscle tissue.

Regenerating new tissue is the most sustainable long term answer to
recover from back pain.
The human body produces a natural frequency or current on its own
within each cell. This new device works on those specific current
frequencies that naturally occur in your cells. FSM is applied to the
body with a device that delivers a weak low-level current to the
affected area.

What is Digital Spine Analysis?

The Digital Spine Analysis (DSA) is the first clinically accepted test
for measuring spine function. It is a revolutionary diagnostic tool
that reveals what standard imaging tests like X-rays and MRIs cannot.
The DSA is a very precise test that measures the strength, mobility
and balance of all the elements of the spine’s muscular components.
This provides the doctor with a complete and accurate functional
profile of the patient’s spine.

Why DSA?

Back pain is usually associated with a deficiency in proper spine
function. This is due to the inability of the spine to cope up with
the ‘load’ of an active lifestyle. Effective treatment of back pain
starts with the accurate diagnosis of the cause of back pain. Hence, a
complete functional test of the spine, in addition to the examination
of the anatomy of the spine, is necessary. This is where the DSA
becomes extremely important. To draw a parallel from our everyday
life, consider the testing done for a heart problem – a stress test is
done in addition to other anatomical tests that show the structure of
the heart – so the root cause of heart trouble is diagnosed or in the
case of the eye, a vision test is done in addition to the anatomical
tests to diagnose and treat the problem accurately. In both examples,
the function is as important as the structural problems.

How is the DSA more effective than other forms of diagnosis?

Unlike conventional anatomical diagnosis of the spine, the DSA
provides a thorough and accurate diagnosis of the functional
deficiencies based on bio-feedback. This bio-feedback can be compared
to the feedback of a stress test of the heart. The DSA tests your
spine based on 21 different diagnostic parameters. The report that the
test generates enables our specially trained Spine Consultants to
identify the root cause of back pain and devise a patient-specific
treatment protocol.

The NEW Approach
4-step approach for the back pain led by Data Intelligence & Latest technologies
1. Spine Cell Repair Reduce pain & Repair damaged cells by FSM
Frequency Specific Microcurrent (FSM) is a proven pain management
technology uses that extremely low frequency of electric current that
to treat the root cause of pain by aiding tissue repair at a cellular
level.
A recent study found that the FSM protocol can reduce pain by in just 90 minutes
FSM therapy has been proven to enhance the healing process in damaged
soft tissue and can potentially reduce inflammation. It is a safer,
more effective way to reduce pain & and has no long-term side effects
compared to most painkillers
How does frequency-specific microcurrent work?
FSM is applied to the body with a device that delivers a mild current.
Microcurrent is an extremely mild electrical current (one millionth of
an ampere). The human body actually produces its own current within
each cell.

In FSM, depending on the tissue involved, specific frequencies are
selected to encourage natural healing of the body and to reduce pain.
Frequencies have been identified for nearly every type of tissue in
the body.

One of the ways FSM works is by potentially increasing the production
of the substance ATP in injured tissues. ATP is the major source of
energy for all cellular reactions in the body. Because treatment with
FSM can increase ATP production by as much as 500% in damaged tissues,
this may help with the recovery process. Depending on the condition,
treatment with FSM can “loosen” or soften the muscles, which can help
relieve pain and/or stiffness

1A-CALCITONIN NASALSPRAY FOR TREATMENT OF STENOSIS

2-PRESENT TREATMENT DETAILS

On 11th Jan afternoon after the Yoga session I consulted my
Dr Orthpoad Surgeon -M.S(Ortho),DNB (Ortho) , MCh. Perth (UK) Joint
replacements and Endoscopic Spine Surgeon in Gurgaon itself , who
after hearing my history & seen me walking with right shoulder a bit
down as compared
to right shoulder made flg

CHIEF COMPLAINTS -LOW BACK PAIN RADIATES TO BOTH LEGS
-PRESENT ILLNESS TENDERNESS AT LOWER LUMBER SPINE
SLR :NEGATIVE
-LAB ADVICE-MRI LUMBOSACRAL SPINE ( 3 Tesla )

Findings after viewing MRI Films - NEURAL CANAL STENOSIS at L4/5

Rx
- Capsule -PREGABA 75 Twice a day
-IFT SITTINGS ( LOWER BACK )
-INTERMITTENT LUMBER TRACTION
-SPINAL FLEXION EXERCISES
I consulted Dr. PHYSIOTHERAPIST (BPT .MPT MIAP.DCPT, DNHE) on 13th Jan. who
after thoroughly examining me , hearing my history and the X Ray &
MRI films started PHYSIOTHERAPY sessions ie IFT with hot fomentation
for 15 mins , -Streching ( gentle) for calf , quads , kirifiorms ,
hip mobilization ,- Exs . Knee to Chest , bridge , pelvic rolling ,
prone on elbows - Strengthening Exs , SLR , Has , hip abduc , Extn
from 13th itself. except Traction
After watching my body response started Intermittent traction too
wef 16th. with 25 kg wt for 15 mins
( Due to Physio Sessions wef 13th the yoga was discontinued )
After completing , 12 sessions of IFT 15 mins each / Exercises & 9
sessions of Intermittent Traction 15 mins. with 25kg wt + Flexion
/Stretch Exercises for 12 days
Physiotherapist Dr report on 25/1/20 reads
- IFT +HOT FOMENTATION X15MINS
-INTERMITTENT TRACTION FOR 15MINS
-SPINAL MOBILITY EXC -ROLLING .KNEE TO CHEST , CAT /CAMEL PRONE ON ELBOWS
STRENGTHENING EXC with 1 KG wt . -BRIDGING , SLR ,HIP ABDUCTION , HIP
EXTN ,HAMS -STRETCHING FOR HAMS , QUADS KIRIFORMIS &ITBV
MMT FOR B/L LL IMPROVED 3+/5 .---4/5 TURNING IN BED COMFORTABLE
PAIN REDUCED DURING SIT TO STAND
GAIT PATTERN GOOD
PAIN PERSISTENT WHILE WALKING
I visited the Dr again on 27th Jan . who made flg notings
Chief Complaints -PAIN IS LESS NOW
Present illness -TENDERNESS AT LOWER LUMBER SPINE .SLR -NEGATIVE
Prescription
PREGABA 75mg for 10days
Advices -IFT 10SITTINGS (LOWER BACK ) , TENS , INTERMITTENT LUMBER
TRACTION , SPINAL FLEXION EXERCISES

As per my latest Blood test reports dt 10/1/20
HbA1c -6.7 , HEMOGLOBIN -14.4, PLATELET COUNT 163, VITAMIN -25-OH
VITAMIN D(TOTAL)39.75,VITAMIN B-12-870,LDL -60,TOTAL Cholesterol.-108, HDL
-35,TRIGLYCERIDES -87, BLOOD UREA NITROGEN -20.4, CREATININE -1.2,
CALCIUM 9.23

It seems to me that I am having ' NEURAL CANAL SPINAL STENOSIS AT L4/5
which may be accompanied by NEUROGENIC CLAUDICATION SYNDROME more