Conditions Summary

Conditions Our Treatments

Conditions Conditions Treated

Conditions To Do

Do you live in Sainte-Thérèse?

The TAGMED Clinic does not have a branch in Sainte-Thérèse. However, we regularly serve patients from Sainte-Thérèse at our two specialized clinics located in Terrebonne and Town of Mount Royal (Montreal).

Many patients from Sainte-Thérèse visit one of our clinics to benefit from our non-surgical treatments for herniated discs and associated pain.

Our clinics:
TAGMED Clinic Terrebonne — 1150 Lévis Street, Suite 200, Terrebonne, QC, J6W 5S6 (Monday and Wednesday, 8 a.m. to 6 p.m.)
TAGMED Clinic Montreal (Town of Mount Royal) — 1140 Beaumont Avenue, Mount Royal, QC, H3P 3E5 (Tuesday and Thursday, 9 a.m. to 6 p.m.)

Traitement de la hernie discale pour les résidents de: Sainte-Thérèse

Introduction to Herniated Disc and the TAGMED Clinic

Do you suffer from persistent, incapacitating lower back or neck pain?

Si vous habitez à Sainte-Thérèse ou dans les environs, vous n’êtes pas seul. Les hernies discales sont une cause fréquente de douleurs cervicales ou lombaires et peuvent affecter considérablement votre qualité de vie. Heureusement, la Clinique TAGMED, spécialisée dans le traitement des hernies discales, est là pour vous aider à retrouver une vie sans pain and get back on your feet rapidement.

Résumé: La Clinique TAGMED, qui dessert Sainte-Thérèse, est votre solution pour le traitement de la herniated disc. Our team of experienced professionals offers personalized care and cutting-edge treatment options to help you regain your quality of life.

 

 

Traitement De La Hernie Discale À Sainte-Thérèse Clinique Tagmed Montréal Terrebonne

 

Understanding herniated discs with the TAGMED Clinic

The spine est composée de disques intervertébraux qui agissent comme des amortisseurs entre les vertèbres. Une hernie discale se produit lorsque le noyau gélatineux (nucléus pulposus) à l’intérieur d’un disque vertébral fait saillie à travers une fissure dans l’anneau fibreux externe (annulus fibrosus). Cela peut provoquer une compression des nerfs de la colonne vertébrale, entraînant des douleurs, des engourdissements et une faiblesse dans les membres.

 

Herniated Disc Symptoms Treated at TAGMED Clinic

Les symptômes d’une hernie discale peuvent varier selon la localisation et la gravité de la hernie.

Les symptômes les plus courants comprennent:

  • Douleurs au back or neck
  • Numbness or tingling in the arms or legs
  • Muscle weakness
  • Pain radiating to the limbs, often described as a burning or stinging sensation

 

Traitement De La Hernie Discale À Sainte-Thérèse Clinique Tagmed Montréal Terrebonne

 

Les causes fréquentes des hernies discales pour Sainte-Thérèse

À Sainte-Thérèse, plusieurs facteurs peuvent contribuer au développement d’une hernie discale. Le mode de vie sédentaire est l’un des principaux responsables, surtout pour ceux qui passent de longues heures assis ou effectuent des mouvements répétitifs sollicitant la colonne vertébrale. Cette pression continue peut entraîner une usure prématurée des disques intervertébraux, conduisant à une hernie discale.

Le vieillissement est une autre cause fréquente de hernies discales. Avec l’âge, les disques intervertébraux perdent leur élasticité et leur capacité à absorber les chocs, ce qui les rend plus vulnérables aux fissures ou aux déplacements. Cette dégénérescence naturelle peut entraîner des douleurs chroniques nécessitant un traitement par décompression neurovertébrale pour Sainte-Thérèse.

Les traumatismes physiques, tels que les accidents ou les chutes, sont aussi des causes fréquentes de hernie discale pour Sainte-Thérèse. Ces incidents peuvent causer des lésions aux disques, entraînant une compression nerveuse. La décompression neurovertébrale s’avère alors être un traitement essentiel pour soulager la douleur et favoriser la guérison après un traumatisme.

 

Pourquoi choisir la Clinique TAGMED alors que vous habitez à Sainte-Thérèse?

The TAGMED CLINIC, qui a déjà traité beaucoup de patients de Sainte-Thérèse, est spécialisée dans le traitement des hernies discales et est composée d’une équipe dévouée de professionnels de la santé expérimentés.

Here are some reasons why you should choose us for your herniated disc treatment:

  • Personalized approach: We understand that every patient is unique, which is why we offer personalized treatment plans to meet your specific needs.
  • Cutting edge technology: Our clinic is equipped with the latest technologies and techniques to offer you the best care possible.
  • Rehabilitation and support: We offer comprehensive support throughout your recovery, including rehabilitation and lifestyle counseling to help you get back to normal life.

 

Options de traitement de la hernie discale à la Clinique TAGMED de Sainte-Thérèse

Le traitement de la hernie discale dépend de la gravité de la condition et des symptômes du patient. Voici quelques-unes des options de traitement que nous proposons à la TAGMED CLINIC de Sainte-Thérèse:

Traitement Efficacité Spinal decompression therapy Très efficace Ostéopathie Modérément efficace Médicaments et injections Variable

La décompression neurovertébrale est une technique de pointe qui a fait ses preuves dans le traitement de la hernie discale. Elle consiste à utiliser un appareil spécialisé pour appliquer une force de traction contrôlée sur la colonne vertébrale, réduisant ainsi la pression sur les disques intervertébraux et les nerfs. Cette approche non invasive est souvent plus efficace que les autres treatment options, et elle est fortement recommandée par notre équipe à la Clinique TAGMED.

 

Traitement De La Hernie Discale À Sainte-Thérèse Clinique Tagmed Montréal Terrebonne

 

Comment prendre rendez-vous à la Clinique TAGMED pour un patient de Sainte-Thérèse?

Si vous souffrez d’une hernie disc and you are at Looking for an effective treatment near Sainte-Thérèse, do not hesitate to make an appointment online. During your initial consultation, our team will assess your condition and discuss the treatment options best suited to your needs.

 

Local case studies and testimonials

Pour Sainte-Thérèse, plusieurs patients ont partagé des témoignages positifs après avoir suivi un traitement de la hernie discale par décompression neurovertébrale. Par exemple, un patient souffrant de douleurs récurrentes dans le bas du dos a constaté une nette amélioration après plusieurs séances de thérapie par traction. Avant cela, il avait exploré diverses options de traitement sans succès, mais grâce à la décompression neurovertébrale, il a pu reprendre ses activités quotidiennes sans douleur.

Une autre patiente, qui souffrait de douleurs cervicales sévères, a également trouvé un soulagement significatif après avoir suivi un programme de décompression neurovertébrale pour traiter sa hernie discale pour Sainte-Thérèse. Elle a noté une amélioration de sa mobilité et une réduction marquée de la douleur, ce qui lui a permis de reprendre ses tâches quotidiennes avec plus de confort. Elle recommande ce traitement à toute personne confrontée à des problèmes similaires.

Ces témoignages mettent en lumière l’efficacité du traitement de la hernie discale par décompression neurovertébrale pour Sainte-Thérèse. Les résultats montrent non seulement une réduction de la douleur, mais aussi une amélioration générale de la qualité de vie. Grâce à cette approche thérapeutique, les patients peuvent reprendre leurs activités habituelles sans être limités par la douleur.

Tips for preventing herniated discs

Pour Sainte-Thérèse, il est essentiel d’adopter certaines pratiques pour prévenir le développement des hernies discales. Maintenir une bonne posture, surtout pour ceux qui passent de longues heures assis, est crucial pour minimiser la pression sur la colonne vertébrale. Ajuster l’ergonomie de l’espace de travail peut également jouer un rôle important dans la prévention de cette condition.

Une alimentation équilibrée et une hydratation adéquate sont également importantes pour préserver la santé des disques intervertébraux. Les nutriments appropriés aident à maintenir l’intégrité des disques, réduisant ainsi le risque de dégénérescence et de hernie discale. Pour Sainte-Thérèse, il est conseillé de consulter des professionnels de santé qui peuvent offrir des conseils personnalisés pour maintenir une colonne vertébrale en bonne santé.

Il est aussi important d’être attentif aux premiers signes de douleur ou d’inconfort dans le dos ou le cou. Un diagnostic précoce et un traitement approprié peuvent empêcher l’aggravation de la condition. Pour Sainte-Thérèse, consulter un professionnel de santé dès l’apparition des symptômes peut grandement contribuer à une gestion efficace de la hernie discale.

Conclusion and call to action

Le traitement de la hernie discale par décompression neurovertébrale est une solution efficace et non invasive pour les personnes souffrant de douleurs chroniques pour Sainte-Thérèse. Grâce à l’utilisation de techniques modernes et à l’expertise des professionnels locaux, les patients peuvent espérer un soulagement durable de leurs symptômes. Cette méthode permet de réduire la douleur, d’améliorer la mobilité et de prévenir de futures complications.

Si vous ressentez des douleurs dans le dos ou le cou, il est important de consulter rapidement un professionnel de santé pour Sainte-Thérèse. Un diagnostic précoce et un traitement adapté peuvent faire une grande différence dans les résultats à long terme. La décompression neurovertébrale pourrait être la clé pour retrouver une vie sans douleur et pleinement active.

Pour en savoir plus sur les options de traitement de la hernie discale disponibles pour Sainte-Thérèse ou pour prendre rendez-vous, n’hésitez pas à contacter une clinique spécialisée. Les professionnels de santé sont prêts à vous accompagner dans votre parcours vers une meilleure santé de la colonne vertébrale. Ne laissez pas la douleur vous freiner – explorez les solutions offertes par la décompression neurovertébrale dès aujourd’hui.

 

Published research/studies in Spinal Decompression Therapy

 

Download the research that has been published regarding spinal decompression therapy:

 

Traitement De La Hernie Discale À Sainte-Thérèse Clinique Tagmed Montréal Terrebonne

 

FREE special report on spinal decompression to download

Traitement De La Hernie Discale À Sainte-Thérèse Clinique Tagmed Montréal Terrebonne

 

To find out more about non-surgical spinal decompression therapy, please visit our specialized websites:

 

Rediscover a Pain-Free Life: Our Herniated Disc Treatment Experts in Montreal & Terrebonne Serve All Boroughs & Cities of Montreal, the Longueuil Agglomeration, the South Shore, the Laval Agglomeration and the North Shore!

 

 

Boroughs & Cities of Montreal

 

Longueuil Agglomeration

 

South Shore of Montreal

 

Laval Agglomeration

 

North Shore of Montreal

Preparations for the treatment of spinal decompression therapy for herniated disc

  • Book your appointment online or contact our staff at the TAGMED clinic to book your appointment by phone.
  • Before going to the TAGMED clinic in Montreal or Terrebonne for your first treatment, there are some things you should absolutely do. First, make sure you have your medical imaging reports (X-ray, MRI, or ultrasound) available.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Finally, if you were unable to complete our form, as mentioned above, arrive 15 minutes before your appointment time to ensure you have enough time to discuss your condition, make the assessment and your treatment.

To be completed before your consultation at TAGMED clinic

Download, print and complete this questionnaire (your health history), before consulting us, in order to save time. (Click on the tablet!)

Frequently Asked Questions

Disc herniation

  • Disc herniation: what does it mean?

    A disc herniation is a localized displacement of material from an intervertebral disc. Its significance depends on its location and whether it corresponds to symptoms and examination findings.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: what symptoms can occur?

    A herniation may cause no symptoms or may be associated with back or neck pain. Nerve root irritation can produce pain spreading into a limb, tingling or weakness.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: what distinctions matter?

    Herniation, protrusion and bulging describe different anatomical findings. An imaging term alone does not determine symptom severity or the appropriate treatment.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: what does assessment involve?

    Assessment begins with your history, pain distribution, difficult activities and previous care. It includes movement testing and, when symptoms warrant it, assessment of sensation, strength and reflexes. Available imaging reports are considered alongside these findings.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: is an MRI always necessary?

    Imaging is not routine for every episode of back pain. It is considered according to symptoms, examination and whether it may change care. Progressive weakness or other concerning findings can warrant faster investigation.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc herniation: what role may spinal decompression have at TAGMED?

    At TAGMED, suitability for spinal decompression is discussed after individual assessment. A motorized table applies controlled traction and relaxation phases adapted to the region. This approach is not suitable for every situation and cannot guarantee recovery or disappearance of an imaging finding.

    Further information: Clinique TAGMED.

  • Disc herniation: what other measures may be discussed?

    Depending on the situation, options include activity adjustments, progressive exercise and individualized conservative care. Medical assessment may be appropriate for medication, injections or other interventions. Choices depend on your goals, tolerance and symptom progression.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc herniation: how are progress and the duration of care assessed?

    Follow-up considers pain, daily activities, tolerance for positions and, when relevant, neurological findings. Visit frequency and duration are reassessed according to response. Lack of progress or worsening symptoms should lead to review of the plan and any further investigations.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc herniation: which signs need prompt medical assessment?

    New loss of bladder or bowel control, reduced sensation around the saddle area or marked progressive leg weakness requires urgent assessment. Pain with fever, significant trauma or general illness also warrants prompt medical assessment.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: how can I prepare for a TAGMED appointment?

    Prepare a timeline of symptoms, activities that change them, previous treatments and any available imaging reports. Note your goals and questions. The associated detailed page provides condition information and practical details for the next step.

    Further information: Clinique TAGMED.

References

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Kim, Chi Heon, Yunhee Choi, Chun Kee Chung, Ki-Jeong Kim, Dong Ah Shin, Youn-Kwan Park, Woo-Keun Kwon, et al. 2021. “Nonsurgical Treatment Outcomes for Surgical Candidates with Lumbar Disc Herniation: A Comprehensive Cohort Study.” Scientific Reports 11(1): 3931. http://doi.org/10.1038/s41598-021-83471-y.
Ma, Zhijia, Pengfei Yu, Hong Jiang, Xiaochun Li, Xiang Qian, Zhenhan Yu, Yu Zhu, and Jintao Liu. 2021. “Conservative Treatment for Giant Lumbar Disc Herniation: Clinical Study in 409 Cases.” Bread Physician 24(5): E639–48.
Jordan, Jo, Kika Konstantinou, and John O'Dowd. 2009. “Herniated Lumbar Disc.” BMJ clinical evidence 2009: 1118.
van der Windt, Daniëlle Awm, Emmanuel Simons, Ingrid I. Riphagen, Carlo Ammendolia, Arianne P. Verhagen, Mark Laslett, Walter Devillé, et al. 2010. “Physical Examination for Lumbar Radiculopathy Due to Disc Herniation in Patients with Low-Back Pain.” The Cochrane Database of Systematic Reviews (2): CD007431. http://doi.org/10.1002/14651858.CD007431.pub2.
Wang, Rui, and Huasong Luo. 2021. “Regression of Lumbar Disc Herniation with Non-Surgical Treatment: A Case Report.” The Journal of International Medical Research 49(6): 3000605211020636. http://doi.org/10.1177/03000605211020636.
Benzakour, Thami, Vasilios Igoumenou, Andreas F. Mavrogenis, and Ahmed Benzakour. 2019. “Current Concepts for Lumbar Disc Herniation.” International Orthopaedics 43(4): 841–51. http://doi.org/10.1007/s00264-018-4247-6.
Demirel, Aynur, Mehmet Yorubulut, and Nevin Ergun. 2017. “Regression of Lumbar Disc Herniation by Physiotherapy. Does Non-Surgical Spinal Decompression Therapy Make a Difference? Double-Blind Randomized Controlled Trial.” Journal of Back and Musculoskeletal Rehabilitation 30(5): 1015–22. http://doi.org/10.3233/BMR-169581.
Andersen, Mikkel Østerheden, Andreas K. Andresen, Marianne Dyrby Lorenzen, Alexander Isenberg-Jørgensen, and Christian Støttrup. 2017. “[Non-surgical treatment of lumbar radiculopathy].” Ugeskrift for Laeger 179(23): V05170397.
Chen, Bing-Lin, Jia-Bao Guo, Hong-Wei Zhang, Ya-Jun Zhang, Yi Zhu, Juan Zhang, Hao-Yu Hu, Yi-Li Zheng, and Xue-Qiang Wang. 2018. “Surgical versus Non-Operative Treatment for Lumbar Disc Herniation: A Systematic Review and Meta-Analysis.” Clinical Rehabilitation 32(2): 146–60. http://doi.org/10.1177/0269215517719952.
Jordan, Jo, Kika Konstantinou, and John O'Dowd. 2011. “Herniated Lumbar Disc.” BMJ clinical evidence 2011: 1118.
Chu, Eric Chun-Pu, Divya Midhun Chakkaravarthy, Fa-Sain Lo, and Amiya Bhaumik. 2020. “Regression of Lumbar Disc Herniation Following Non-Surgical Treatment.” European Journal of Molecular & Clinical Medicine 7(1): 27–29.
Lee, Ye Ji, Ju Hyun Jeon, Eunseok Kim, and Young Il Kim. 2021. “Retrospective Statistical Analysis of Patients with Disc Herniation Treated with Cervical or Lumbar Decompression Treatment.” The Journal of Korean Medicine 42(2): 1–20.
Amjad, Fareeha, Mohammad A. Mohseni-Bandpei, Syed Amir Gilani, Ashfaq Ahmad, and Asif Hanif. 2022. “Effects of Non-Surgical Decompression Therapy in Addition to Routine Physical Therapy on Pain, Range of Motion, Endurance, Functional Disability and Quality of Life versus Routine Physical Therapy Alone in Patients with Lumbar Radiculopathy; a Randomized Controlled Trial.” BMC Musculoskeletal Disorders 23(1): 1–12.
El-Zayat, Ahmed Ramzy, Wael Gomah, and Ahmed H Aldesouky. 2019. “Spinal Decompression Therapy as an Alternative Modality for Management of Low Back Pain and Radicular Pain Caused by Lumbar Disc Herniation or Protrusion.” Egyptian Rheumatology and Rehabilitation 46(3): 183–88.
Kim, Beom Seok, Ye Ji Lee, Hyo Bin Kim, Ki Jung Sung, Ju Hyun Jeon, Eun Seok Kim, and Young Il Kim. 2020. “Effects of Nonsurgical Spinal Decompression Treatment on the Level of Pain and Quality of Life in Patients with Cervical or Lumbar Disc Herniation: A Retrospective Observational Study.” Journal of Acupuncture Research 37(4): 259–69.
Gil, Ho Young, Eunjoo Choi, Ju Jiyoun, Woong Ki Han, Francis Sahngun Nahm, and Pyung-Bok Lee. 2021. “Follow-Up Magnetic Resonance Imaging Study of Non-Surgical Spinal Decompression Therapy for Acute Herniated Intervertebral Disc: A Prospective, Randomized, Controlled Study.”
Xu, Qing, Xuewen Tian, Xintong Bao, Dongren Liu, Fanshuo Zeng, and Qiangsan Sun. 2022. “Nonsurgical Spinal Decompression System Traction Combined with Electroacupuncture in the Treatment of Multi-Segmental Cervical Disc Herniation: A Case Report.” Medicine 101(3).
Wang, Yi, Guogang Dai, Ling Jiang, and Shichuan Liao. 2020. “The Incidence of Regression after the Non-Surgical Treatment of Symptomatic Lumbar Disc Herniation: A Systematic Review and Meta-Analysis.” BMC musculoskeletal disorders 21(1): 1–12.
Chu, Eric Chun-Pu, Divya Midhun Chakkaravarthy, Fa-Sain Lo, and Amiya Bhaumik. 2020. “Regression of Lumbar Disc Herniation Following Non-Surgical Treatment.” European Journal of Molecular & Clinical Medicine 7(1): 27–29.
Yoon, Wai Weng, and Jonathan Koch. 2021. “Herniated Discs: When Is Surgery Necessary?” EFORT Open Reviews 6(6): 526–30.

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