1. QUESTION: Can the DDS 500 & DDS Double help with Herniated, or Bulging discs?
BACKGROUND INFORMATION: A bulge is when the inner nucleus of the disc becomes disrupted and partially pushes toward the periphery of the disc, making it bulge. This in turn can press on nerve tissue. A herniation is when the nucleus material pushes clear through and past the periphery of the disc and into the spinal canal, which can also press on nerve tissue. Both of these conditions are referred to as “space-occupying lesions” in that they occupy space in the spinal canal and/or the intervertebral foramina that may displace or put pressure on the nerve tissue that also occupies that space.
ANSWER: Yes, the DDS 500 & DDS Double can help patients with herniated or bulging discs. Both the DDS 500 & DDS Double decompresses the disc, thereby decreasing gravitational weight-bearing stress to the disc. This usually results in less disc bulge or herniation. The DDS 500 & DDS Double also increases disc height and as a result increases the available space for the nerve tissue (spinal cord, cauda equine or peripheral nerve roots) in that region, which in turn decreases the pressure that the disc bulge or herniation can impart to the nerve tissue. Decompression of the disc helps to minimize further disc damage and by increasing imbibitions of fluids allowing re-hydration and nutrients into the disc as well as the disc reforming its natural shape, resulting in increased disc health
2. QUESTION: Can the DDS 500 & DDS Double help patients with Lumbar acute/chronic sprain?
BACKGROUND INFORMATION: A sprain of the tendons & ligaments or a strain of the muscles occurs as a result of forces that microscopically tear these tissues. Typical healing time is anywhere from about 6 weeks to a year or more, depending upon the severity of the injury, and upon the stage of healing that one is referring to.
Stage 1 of healing is referred to as the Active Swelling stage and occurs during the initial 12-72 hours after the injury.
Stage 2 of healing is referred to as the Passive Congestion stage and begins by the 2nd to 4th day. This is the stage when swelling occurs.
Stage 3 of healing is referred to as the Tissue Repair stage and begins by the 5th day after the injury. This is the stage when the body infiltrates the damaged tissue with scar tissue. No matter what type of tissue is damaged, the body always heals with scar tissue. This tissue is laid down in a disorganized matrix that (when around joints) does not usually allow for normal function and movement. This phase lasts up to six weeks.
Stage 4 of healing is referred to as the Remodeling stage. This is when physical activities such as passive exercise (stretching) and active exercise (muscle strengthening) cause the body to gradually align the scar tissue fibers from a disorganized criss-cross matrix of fibers to parallel orientation of the fibers, which allows for normal joint function and movement. This stage generally lasts 3-6 months, but may last as long as a year or more.
ANSWER: The DDS 500 & DDS Double would be very helpful for acute and chronic lumbar sprain/strain, especially if invasive forms of therapy are anticipated, such as a lumbar epidural block. If a chronic sprain/strain condition exists as a result of chronic work or postural stresses, the DDS 500 & DDS Double would be quite effective and very appropriate.
3. QUESTION: Can the DDS 500 & DDS Double help with Spondylosis and Spondylolisthesis?
BACKGROUND INFORMATION: Spondylosis is another name for arthritis.This arthritis may consist of arthritic spurs above and below each disc, each spur growing toward the other, or it may be arthritic changes of the lumbar facet joints between the vertebrae. There are facet joints on the left and on the right, with the vertebra above and with the vertebra below.
ANSWER: Yes. By reducing weight-bearing stress to the joints of the lumbar spine, the DDS 500 & DDS Double can be very helpful for this condition.
BACKGROUND INFORMATION for Spondylolisthesis: Spondylolis-thesis is a non-union or disconnection between the front part of the bone (vertebral body), which supports your weight, and the back part of the bone, which controls bone movement. This non-union usually stabilizes by the early to mid twenties. Nevertheless, it usually results in an increased lumbar curve, called Lordosis (also called sway-back). This increased Lordosis is made worse by prolonged standing or sitting.
ANSWER: Yes. By reducing weight-bearing stress to the lumbar spine, the Lumbar Lordosis, usually increased in cases of Spondylolisthesis, is reduced; and stress to the region is reduced. This results in increased stability to the region as well as decreased pain and discomfort
4. QUESTION: Can the DDS 500 & DDS Double help Lateral Recess Stenosis?
BACKGROUND INFORMATION: Lateral Recess Stenosis is a condition brought on and caused by arthritic changes in the bone adjacent to where nerve tissue exits the spinal canal to form the peripheral nerves. The arthritic changes forms new bony material next to the nerves and crowds the nerve tissue, placing pressure on the nerves which may result in pain and decreased nerve function.
ANSWER: The DDS 500 & DDS Double might help Lateral Recess Stenosis depending upon exactly where the stenosis is located and how much pressure upon the nerve may be contributed by thinning disc space and/or disc bulge. By increasing the disc space and increasing the space between the facet joints as well, this may result in enough additional space for the nerves affected by Lateral Recess Stenosis to achieve some measure of symptomatic relief. This will of course not treat the cause of the stenosis, which will probably continue to progress and may eventually require surgery. However, it is possible for the DDS 500 or DDS Double to “buy time” and provide some relief for the patient until such time as surgery becomes unavoidable.
5. QUESTION: Can the DDS 500 & DDS Double help Facet Joint Hypertrophy (Facet Joint Arthritis, Facet Joint Degeneration)?
BACKGROUND INFORMATION: The lumbar facet joints are located behind the vertebral bodies. Each vertebra has a total of four facet joints. Two joints connecting it with the vertebra above, and two joints connecting it with the vertebra below. Two joints are on the left (one above and one below) and two joints are on the right (one above and one below). These joints are adjacent to the peripheral nerves where they exit the spinal canal and pass through the intervertebral foramina (a hole through which the peripheral nerves pass. And part of each facet joint helps to form a portion of this foramina. For that reason, arthritic changes to this portion of the facet joint can encroach upon the foraminal space and place pressure on the exiting nerve root. In addition, arthritic changes in the facet joint can cause arthritic pain in the joint itself.
ANSWER: By reducing pressure on the facet joint surfaces, the DDS 500 & DDS Double can help to alleviate facet joint pain; just like reducing pressure on any arthritic joint can help to relieve the pain of the joint. Without the continued pressure as an irritant to the joint, it is more likely that the joint would respond favorably to anti-inflammatory nutriceuticals or medications, and possibly no longer require medication.
6. QUESTION: Can the DDS 500 or DDS Double help patients with Failed Low Back Surgery Syndrome?
ANSWER: Depending upon what is the cause of the patient’s pain, and the reason why low back surgery has failed, the DDS 500 & DDS Double may be helpful andshould be tried prior to risking another surgery.
7. QUESTION: Can the DDS 500 & DDS Double help those with Sciatica?
ANSWER: It depends upon what is causing the Sciatica. Many conditions that cause Sciatica can benefit from use of the DDS 500 & DDS Double, however there are a few causes of sciatica that may not respond favorably to the DDS 500 or DDSDouble.
8. QUESTION: Can the DDS 500 or DDS Double help low back, hip or leg pain caused by Piriformis Syndrome?
9. QUESTION: Can the DDS 500 or DDS Double help with low back, hip or leg pain caused by Greater Trochanteric Bursitis?
10. QUESTION: Can the DDS 500 or DDS Double help low back conditions caused by a Spinal Cord Tumor?
11. QUESTION: Can the DDS 500 & DDS Double help low back pain that results from a Compression Fracture?
ANSWER: By reducing the weight bearing forces, the DDS 500 & DDS Double may be able to help patients that have suffered a compression fracture in the lumbar region.
12. QUESTION: Can the DDS 500 or DDS Double help patients with bone cancer that has metastasized to the lumbar spine?
ANSWER: The DDS 500 & DDS Double is not intended to treat cancer. However, if prescribed by and under the direct supervision of a patient’s treating physician, the DDS 500 & DDS Double may provide some benefit.
13. QUESTION: Can the DDS 500 or DDS Double be used by pregnant patients?
ANSWER: No. The DDS 500 & DDS Double should not be worn by pregnant patients at any time during their pregnancy.
14. QUESTION: Can the DDS 500 or DDS Double worsen any conditions?
ANSWER: No. There are no conditions that can be made worse by the DDS 500 orDDS Double, since the DDS 500 & DDS Double only serves to reduce the effectsof gravitational weight bearing forces. Some patients can experience a musclespasm reaction from the removal of the DDS 500 or DDS Double. This reaction can generally be avoided by instructing the patient to time the use of the DDS 500or DDS Double such that it’s removal occurs immediately prior to laying down for rest or to sleep.
15. QUESTION: How long should patients wear the DDS 500 or DDS Double each day?
ANSWER: In order to benefit from a lasting therapeutic effect, it is generally advisable to wear the DDS 500 or DDS Double for approximately 4-6 hours per day. A noticeable benefit is generally evident after 3 days of wearing the DDS 500or DDS Double 4-6 hours per day.
16. QUESTION: Can patients wear the DDS 500 or DDS Double longer than 4-6 hours each day?
ANSWER: Yes. Although most patients experience adequate relief by wearing the DDS 500 or DDS Double for 4-6 hours per day, some patients may need to wear the DDS 500 or DDS Double longer order to obtain maximum relief of symptoms.
17. QUESTION: Are there any adverse effects from wearing the DDS 500 or DDSDouble longer than the recommended 4-6 hours per day?
ANSWER: The only adverse effect that can occur from wearing the DDS 500or DDS Double longer than the recommended 4-6 hours per day is that with prolonged use, the back and abdominal muscles that support the spine can get weak and dependant upon the DDS 500 & DDS Double for adequate spinal support. However, usually using the DDS 500 & DDS Double allows the individualto become more physically active, which would counteract this effect. To helpinsure that individuals do not become dependant upon the DDS 500 & DDSDouble, it is advisable to engage in daily spinal stabilization exercises, especiallyif the individual is wearing the DDS 500 & DDS Double longer than 4-6 hours perday. Individuals should consult with their treating physician for recommendations of which exercises would be most appropriate for their particular situation.
18. QUESTION: I’ve been wearing my DDS 500 or DDS Double for awhile nowand its working great, however, it is getting dirty now. Can I wash it?
ANSWER: Yes. The DDS 500 & DDS Double can be washed in the washingmachine by placing the DDS 500 or DDS Double into the mesh bag that is providedand washed on the “gentle” cycle with a mild detergent and warm water. Makesure that the air valve is in the closed position before placing the DDS 500 or DDSDouble in the washing machine. After completing the wash cycle, the DDS 500& DDS Double should be air-dried in the shade (keep away from direct sunlight).
19. QUESTION: How should the DDS 500 or DDS Double be positioned on my body?
ANSWER: Your physician is the best one to advise you of the exact positioning of the DDS 500 & DDS Double. However, in general terms, the DDS 500 & DDSDouble should be positioned so that the Disc Disease Solutions patch is centeredand lined up with your navel, and that the lower edge of the DDS 500 & DDS Doubleis as far above the upper part of the hip bones as the upper edge of the DDS 500 &DDS Double is below the lowest part of the ribs. As the DDS 500 & DDS Double isinflated, the lower edge expands downward to anchor itself against the upper partof the hip bones and the upper edge expands upwards to anchor itself against thelower portion of the ribs. Once this anchoring occurs, further expansion of the DDS 500 or DDS Double results in positive traction to the lumbar spine.
20. QUESTION: How much air should I inflate into the DDS 500 or DDS Double?
ANSWER: Inflate the DDS 500 or DDS Double until the needle within the air pressure gauge of the hand air pump moves into the green-orange areas (10-14 psi). Only use the hand air pump that is provided with the DDS 500 & DDS Double.Do not use other pumps or methods to inflate the DDS 500 or DDS Double. Doingso may damage the air valve and will void the warranty of the DDS 500 & DDSDouble.
21. QUESTION: My DDS 500 or DDS Double won’t stay inflated. What do I do?
ANSWER: First, close the valve on the DDS 500 or DDS Double all the way by rotating it clockwise. With the valve in the closed position, attach the air pump andinflate to the desired pressure. Disconnect the air pump. If the DDS 500 or DDSDouble is still not holding air then contact Disc Disease Solutions, Inc. regarding warranty information.
22. QUESTION: How long will the DDS 500 & DDS Double last?
ANSWER: With proper use and care the DDS 500 & DDS Double will last for many years before it wears out and needs to be replaced.
23. QUESTION: What if I loose or gain weight?
ANSWER: We do have available an 8” extension piece (additional accessory) for the DDS 500 that will allow for small increases in weight gain (typically 5 - 15 lbs).Odds are we will be coming out with an extension piece for the DDS Double aswell in the near future. However if you gain or lose more than several pounds, youmay need to buy the next size larger or smaller DDS 500 or DDS Double in orderfor the Brace to fit properly.