Vous habitez Saint-Bruno-de-Montarville ?

The TAGMED Clinic ne possède pas de succursale à Saint-Bruno-de-Montarville. Nous desservons toutefois régulièrement les patients provenant de Saint-Bruno-de-Montarville depuis nos deux cliniques spécialisées situées à Terrebonne and Town of Mount Royal (Montreal).

De nombreux patients de Saint-Bruno-de-Montarville se déplacent vers l’une de nos cliniques afin de bénéficier de nos traitements non chirurgicaux pour Hernie discale et les douleurs associées.

Our clinics:
TAGMED Clinic Terrebonne — 1150 Lévis Street, Suite 200, Terrebonne, QC, J6W 5S6 (Mon/Wed/Fri)
TAGMED Clinic Montreal (Town of Mount Royal) — 1140 Beaumont Avenue, Mount Royal, QC, H3P 3E5 (Tue/Thurs)

Introduction to Herniated Disc Treatment serving Saint-Bruno-de-Montarville

The treatment of herniated discs at the TAGMED clinic in Saint-Bruno-de-Montarville represents a revolution in the management of back pain. This unique approach integrates spinal decompression therapy, osteopathy, and precision impactor, providing a comprehensive, non-invasive solution to patients suffering from this painful condition.

Herniated Disc Treatment In Saint-Bruno-De-Montarville Tagmed Clinic Montreal Terrebonne

 

Herniated disc, a health problem affecting a large number of individuals, occurs when the intervertebral disc, located between the vertebrae, shifts or ruptures, putting pressure on nearby nerves. This pressure can lead to sharp pain, stiffness, and even decreased mobility. Faced with these symptoms, many patients seek alternatives to conventional treatments, such as surgery or heavy medication, which can carry significant risks and side effects.

 

The TAGMED clinic near Saint-Bruno-de-Montarville stands out for its holistic and personalized approach to the treatment of herniated disc. By combining advanced techniques such as Spinal decompression therapy, which aims to relieve pressure on the intervertebral discs and nerves, with osteopathy, a manual practice that restores mobility and balance to the body, patients benefit from a care plan adapted to their specific needs.

 

The precision striker, a complementary technology used at TAGMED, brings significant added value to the treatment. This tool allows you to precisely target affected areas, making it easier to correct misalignments and reduce muscle tension, contributing to faster and longer-lasting recovery.

 

TAGMED's commitment to excellence in herniated disc treatment near Saint-Bruno-de-Montarville is supported by a team of experts dedicated to providing the highest quality care. Thanks to this integrated approach, patients can expect not only a significant improvement in their condition but also a better quality of life.

 

In the following sections, we will explore in detail each component of the treatment offered at TAGMED, highlighting the benefits, patient testimonials, treatment stages, and much more, in order to provide a comprehensive and informative view on this innovative solution for the treatment of herniated disc.

 

Neurovertebral Decompression: A Revolutionary Treatment at TAGMED

Neurovertebral decompression is a central pillar of the treatment of herniated discs at the TAGMED clinic near Saint-Bruno-de-Montarville. This non-invasive technique represents a significant advance in the field of spinal rehabilitation, providing a safe and effective alternative to conventional methods such as surgery.

 

The principle of spinal decompression therapy is based on the targeted application of traction forces to create a space between the vertebrae, thus allowing the intervertebral disc to return to its normal position. This process helps relieve pressure on the nerves and surrounding tissues, significantly reducing pain and promoting the body's natural healing.

 

The effectiveness of this technique lies in its ability to precisely target affected areas, through the use of specialized equipment and protocols individually adjusted for each patient. This personalization of treatment not only ensures better efficiency but also a more comfortable care experience for the patient.

 

Neurovertebral decompression sessions at TAGMED are often complemented by other treatment modalities, like osteopathy and the percussion pin precision, to maximize results. This multidisciplinary approach contributes to faster recovery, treating not only the symptoms but also the causes underlying causes of disc herniation.

Herniated Disc Treatment In Saint-Bruno-De-Montarville Tagmed Clinic Montreal Terrebonne

 

Patients who have benefited from spinal decompression therapy at TAGMED report a significant improvement in their quality of life. Many report a noticeable reduction in pain, an increase in mobility, and a reduction in the need for analgesic medications.

 

Neurovertebral decompression, as an integral part of treatment at TAGMED, exemplifies the clinic's commitment to innovation and excellence in healthcare. By offering this advanced therapeutic option, TAGMED positions itself as a leader in the non-invasive treatment of spinal disorders near Saint-Bruno-de-Montarville, offering hope and relief to people suffering from herniated discs.

 

Traitement de la hernie discale pour les résidents de: Saint-Bruno-de-Montarville

Osteopathy plays a crucial role in treatment integrated herniated disc treatment offered by the TAGMED clinic. This manual practice, centered on the principle that the structure and function of the body are interconnected, is used to diagnose, treat, and prevent a variety of musculoskeletal conditions, including herniated discs.

 

TAGMED osteopaths use a series of manual techniques, such as massage, mobilization, and manipulation of muscles and joints, to restore balance and mobility to the body. This holistic approach aims not only to treat the pain and symptoms associated with a herniated disc but also to address the root causes of the problem, such as muscular imbalances or poor posture.

 

One of the major benefits of osteopathy is its ability to offer relief without the need for surgical procedures or medications. By stimulating the body's natural healing abilities, osteopathy contributes to greater recovery lasting, minimizing the risk of recurrence of the herniated disc.

 

Patients treated by osteopathy at TAGMED often report an improvement in their general well-being, in addition to the reduction in back pain. This method also helps improve blood circulation, reduce stress, and increase flexibility, which is essential for maintaining a healthy back and preventing future injuries.

 

The integration of osteopathy into the treatment plan for herniated discs TAGMED highlights the clinic's personalized, patient-centered approach. By considering each individual as a whole, TAGMED osteopaths develop tailor-made care plans that meet the specific needs of each patient, thus promoting optimal recovery and a better quality of life.

 

Osteopathy at TAGMED therefore represents a fundamental element in the treatment of herniated discs, offering a natural and effective solution for those seeking freedom from pain without resorting to more invasive traditional methods.

 

The Precision Striker: Innovative Complement in TAGMED Treatment

The precision striker represents a major innovation in the treatment of disc herniation at the TAGMED clinic near Saint-Bruno-de-Montarville. This modern tool is used as a complement to other therapies, such as spinal decompression therapy and osteopathy, to optimize treatment results.

Herniated Disc Treatment In Saint-Bruno-De-Montarville Tagmed Clinic Montreal Terrebonne

 

This device offers a targeted, non-invasive approach to adjust and manipulate specific areas of the body affected by herniated discs. It works by applying precise mechanical impulses to soft tissues, thus facilitating the release of muscular tension and the correction of spinal misalignments. This method helps restore mobility and relieve pain, contributing to faster and more effective recovery.

 

The use of the precision striker in the treatment of disc herniation has several advantages. First, it allows for great precision in targeting and treating problem areas, which is particularly useful in cases where misalignments are subtle or difficult to correct with manual techniques alone. Secondly, it provides maximum comfort to the patient, with the impulses designed to be gentle yet effective. Finally, this technology promotes faster healing by stimulating blood circulation and improving nerve function in the treated areas.

 

Patients who have benefited from the precision striker at TAGMED report an improved treatment experience, with results often noticeable from the first sessions. This complementary technology fits perfectly into TAGMED's holistic approach, aiming to offer complete and personalized care for each patient.

 

The precision striker exemplifies TAGMED's commitment to innovation and excellence in healthcare. By integrating this tool into their therapeutic arsenal, TAGMED strengthens its status as a leader in the non-invasive treatment of herniated discs, offering patients in Saint-Bruno-de-Montarville a cutting-edge care option.

 

The Benefits of TAGMED Integrated Treatment for Herniated Discs

Treatment of herniated disc TAGMED clinic serving Saint-Bruno-de-Montarville stands out for its integrated approach, combining spinal decompression therapy, osteopathy, and precision striker. This multidisciplinary strategy offers a multitude of benefits for patients suffering from this painful condition.

 

One of the main benefits is the personalization of treatment. Each patient receives a comprehensive assessment, allowing TAGMED therapists to design a tailor-made care plan that precisely meets their needs. This individual approach ensures that every aspect of the treatment is optimized to achieve the best possible results.

 

Another significant advantage is the non-invasive nature of the treatment. Unlike more traditional options, such as surgery, the methods employed at TAGMED do not require any incisions, reducing the risk of complications and recovery time. This feature makes the treatment accessible to a wider range of patients, including those who might be reluctant or ineligible for surgical procedures.

 

Additionally, the treatment integrated into TAGMED not only addresses the symptoms of herniated disc but also aims to treat the underlying causes of the condition. By addressing muscular imbalances, poor posture, and other contributing factors, TAGMED helps prevent the recurrence of back problems, providing a long-term solution to improve patients' quality of life.

 

Patients who have chosen TAGMED for their herniated disc treatment report a notable improvement in their condition, with a significant reduction in pain, an increase in mobility, and a return to their normal daily activities. These positive testimonials highlight the effectiveness of TAGMED's integrated approach and its ability to provide lasting relief to people suffering from herniated discs.

Herniated Disc Treatment In Saint-Bruno-De-Montarville Tagmed Clinic Montreal Terrebonne

 

In conclusion, the integrated treatment offered by TAGMED for herniated discs represents an advanced and personalized care option, offering patients in Saint-Bruno-de-Montarville a safe, effective, and non-invasive alternative to regain their well-being and mobility.

 

How Decompression is Superior to Other Conventional Treatments for Herniated Discs

Neurovertebral decompression, as applied to TAGMED clinic of Saint-Bruno-de-Montarville, stands out as a superior treatment method for herniated discs, especially when compared to conventional treatments such as surgery or medication. This superiority can be explained by several key aspects that directly benefit patients.

 

Non-Invasive Approach: Unlike surgery, which can carry significant risks, long recovery times and unwanted side effects, spinal decompression therapy is completely non-invasive. This feature significantly reduces the risk of complications and allows patients to return to normal activities much more quickly.

 

Precise Targeting of Affected Areas: Neurovertebral decompression technology allows precise adjustment of force and angle of application, specifically targeting affected areas without putting unnecessary pressure on healthy areas. This precision is difficult to achieve with more conventional methods, making decompression more effective in treating the specific symptoms of herniated disc.

 

Treatment of Underlying Causes: Rather than focusing solely on alleviating symptoms, decompression aims to address the underlying causes of herniated discs, such as pressure on the discs and nerves. By restoring the intervertebral space, it promotes natural and lasting healing, thus reducing the risk of recurrence.

 

Improved Quality of Life: Patients treated with decompression often report a significant improvement in their quality of life. In addition to relieving pain, this method helps restore function and mobility, allowing more active participation in daily life and reducing dependence on painkillers.

 

Cost-Effectiveness: Compared to the high costs associated with surgery and long-term drug treatments, spinal decompression therapy offers a more economical option. Patients benefit from a lasting solution to their condition without the financial burdens often associated with other forms of treatment.

 

By integrating spinal decompression therapy into its service offering, TAGMED offers an advantageous alternative to conventional treatments for herniated discs. This method reflects the clinic's commitment to innovative, patient-centered healthcare solutions focused on holistic healing.

 

FAQs

What is spinal decompression therapy and how does it work? Neurovertebral decompression is a non-invasive technique used to treat back pain, particularly herniated discs. It works by applying a controlled traction force to the spine, which helps reduce pressure on the intervertebral discs and promotes their repair and healing.

 

Is spinal decompression therapy painful? No, spinal decompression therapy is designed to be a comfortable and pain-free experience for the patient. Strength and position adjustments are made to ensure comfort throughout the treatment.

 

How long does a typical spinal decompression therapy treatment last? The duration of a spinal decompression therapy treatment can vary depending on the patient's specific case, but a typical session lasts approximately 30 to 45 minutes. The total number of sessions needed will depend on the severity of the condition and the patient's response to treatment.

 

Can osteopathy help treat a herniated disc? Yes, osteopathy is an effective approach to treating herniated discs. It aims to improve the mobility and balance of the body by treating muscular and structural imbalances, which can help relieve pressure on the spinal discs and reduce pain.

 

Is the precision striker safe? Yes, the precision striker is a safe and non-invasive treatment method. It is used to apply precise mechanical impulses to soft tissues, helping to relieve muscle tension and improve alignment without causing pain or discomfort to the patient.

 

What are the advantages of choosing TAGMED for the treatment of herniated discs? TAGMED offers an integrated and personalized approach to the treatment of herniated discs, combining advanced techniques such as spinal decompression therapy, osteopathy, and precision impactor. Benefits include faster recovery, a non-invasive approach, treatment of underlying causes, and improved quality of life, all supported by a dedicated team of experts.

 

Conclusion: Why Choose TAGMED for Your Herniated Disc near Saint-Bruno-de-Montarville

Choosing TAGMED for the treatment of herniated discs near Saint-Bruno-de-Montarville means opting for an innovative, patient-centered and scientifically advanced approach. The clinic stands out for its use of spinal decompression therapy, osteopathy, and precision impactor, thus offering a full spectrum of non-invasive and personalized care. Patients benefit from treatment that is not only effective in relieving pain and restoring mobility but also addresses the root causes of the herniated disc for a lasting solution. With TAGMED, you choose a path to recovery that combines expertise, innovation, and quality care.

 

Published research/studies in Spinal Decompression Therapy

 

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

 

Herniated Disc Treatment In Saint-Bruno-De-Montarville Tagmed Clinic Montreal Terrebonne

 

FREE special report on spinal decompression to download

Herniated Disc Treatment In Saint-Bruno-De-Montarville Tagmed Clinic Montreal 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

 

 

 

 

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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