What might be causing your back pain?

When your back goes out, the pain can take your breath away. Any of the normal activities of daily living - coughing, sneezing, lifting or bending - can trigger a painful spasm or regional instability that negatively impacts your overall health and quality of life.

Back pain is epidemic in our country, with more than 21 million Americans suffering. Current treatments include medication, surgeries, manipulation physical therapy and acupuncture; and unfortunately, seem to provide little long-term relief. Exploring non-surgical solutions to pain relief is our focus and our goal is to guide you to wellness by providing a less invasive treatment, as well as a commitment to helping you achieve a pain-free life.

All back pain can be divided into two categories, medical and mechanical. Medical includes recent fractures, tumors, infections or metabolic diseases. Women who are pregnant, or in advanced stages of osteoporosis, may be included in this group. Medical back pain represents 3% of all low back pain sufferers.

97% of people with acute or chronic back pain have what physicians refer to as mechanical spinal pathology. This means the pain is a by-product of spinal instability and may result in a herniated disk, degenerative joint disease, sciatica, facet syndrome and even canal narrowing called spinal stenosis.

Mechanical back pain may develop from an inherited, congenital or an acquired condition such as a repetitive stress injury or an impact trauma. Over time, the injury manifests itself through pain. This is when most people go see their doctor. Medication is prescribed to reduce pain, but does nothing to address the underlying problem of the mechanical instability.

Pressure on sensitive nerve fibers from the disc, nerve root or facet articulating joint may cause a cascade of nerve messages to the brain putting the muscles into spasm. This cycle is often repeated over days, weeks, months and eventually for years until the degenerative changes become visible on x-ray and MRI. If the condition becomes too extreme and the pain intolerable, the back pain sufferer may attempt surgery as a final attempt for relief. Almost half of all spine surgeries have less than satisfactory outcomes.


Setting the standard of care for both acute and chronic low back pain has been the Lordex goal for more than 15 years. Developed by Dr. John Boren, and based on the principles researched at major universities and in clinical settings, Lordex relieves patients of their back pain by re-establishing functional capacity and decompressing the sensitive nerve fibers non-operatively. That is, without surgery.

By "reeducating" the nerve fibers through subtle movement, patients are able to restore health to the sensory nerves; transmitting healthy signals rather debilitating pain. Patients suffering with herniated disks, degenerative joint disease,sciatica and facet syndromes now have this option; a treatment that has been demonstrated to be more successful in the alleviation of pain.

What does Lordex mean? "Lord" for the Lordosis region of the spine. "Ex" for exercise. The proprietary equipment developed by Lordex took 15 years of research to become what is now known in doctors' offices across the country as the Lordex Lumbar Spine System. The system is comprised of the Lordex Decompression Unit, the RX1 Lordex Strength Restoration machine, and the therapist-assisted Lordex Stretch-Flex program.

How does Lordex work? Lordex targets the lumbar muscles to reintroduce kinetic activity. The Lordex Decompression Unit then comfortably tractions the spinal joint, decompressing the disk and reducing pain. Unlike conventional traction that stretches the back only, the Lordex Decompression procedure aids in reconstitution and disc healing, allowing increased circulation to the damaged area.

The therapy is gentle, yet effective.

What to expect as a LORDEX patient

As our patient, it is our mission to help you experience the greatest benefits possible. Our clinicians and care staff are dedicated to your needs.

You will most likely require 20-30 procedure sessions to regain functional capacity, restore spinal motion dynamics and decompress affected nerves. The average number of procedures to reach optimum spinal function for most patients is 25. Each hour-long visit follows a simple protocol. We request that you arrive 10 minutes early to complete a visual pain analog and prepare for your Lordex procedure.

You are invited to dress comfortably, many patients prefer warm up clothes to change into prior to treatment.

Before starting either the Lordex Decompression Unit or the RX1 Strength Machine, you will be asked to remove any objects from your person and offered to visit the restroom. The doctor or physical therapist will determine at each procedure on which machine you will begin. On some days it may be appropriate to use the RX1 first, on others, the LDU.

Unless otherwise prescribed, the LDU procedure is 30 cycles of decompression of approximately 30 minutes. You are welcome to bring your favorite CD to enjoy while relaxing on the LDU, or choose from our audio library. During each procedure, you will be fitted with a pelvic harness and a chest vest. While you are comfortably positioned on your back, a knee wedge will support your legs and a small lordotic bladder will support your lumbar region. The Lordex decompression table slowly and gently separates to relieve you of pressure that pinches the nerves. This allows for vital circulation to be restored to the damaged, painful areas of the lower back. This stimulates your body's natural healing process.

Following the 30 cycles of decompression, you will begin strength restoration therapy on the RX1 to re-stabilize your spine. Next to the leg muscles, the muscles of the lower back (erector spinae) are the largest muscle group in the body. Without the strength and support of these muscles, the low back becomes weak and unstable. The RX1 was designed to effectively make your back strong and stable.

Each RX1 procedure consists of:

Pelvic stabilization
Eccentric/concentric progressive resistance throughout your own range of motion in both flexion and extension
During each session you will be coached on movement form, breathing, control and focus on the lumbar spine. The 60-80 flexion/extension repetitions introduce a kinetic activity that produces strength gain and stabilization. The final procedure following the LDU and RX1 is the Lordex Stretch/Flex program. This involves passive stretching in a treatment suite performed by a Lordex therapist. The goal of the Lordex Stretch/Flex program is to improve overall range of motion and flexibility.