If you have persistent sciatica, particularly where your symptoms are associated with a lumbar disc problem, you may have come across IDD Spinal Decompression as a potential treatment option.

At Leyton Osteopaths, we use IDD as part of a broader approach to selected spinal and disc-related conditions.

However, we don't assume that IDD is appropriate simply because you have sciatica.

We first assess your symptoms, clinical findings and MRI to determine whether IDD is suitable for you.

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What is IDD Spinal Decompression?

IDD Spinal Decompression is a computer-controlled treatment designed to apply carefully measured distraction forces to a specific area of the spine.

The treatment is performed on a specialised spinal decompression system, with the parameters adjusted according to the individual and the targeted spinal level.

At Leyton Osteopaths, IDD is used alongside appropriate clinical assessment, advice and rehabilitation rather than as a standalone solution for every spinal problem.

How can sciatica be related to a disc problem?

SSciatica occurs when nerves contributing to the sciatic nerve become irritated.

One possible cause is a lumbar disc protrusion or herniation affecting a nearby nerve root.

This can result in:

• Leg pain
• Buttock pain
• Numbness
• Tingling
• Burning or shooting sensations
• Weakness

If your sciatica is associated with a disc problem, IDD may be considered as one part of your treatment plan.

Who might be suitable for IDD?

IDD may be considered for some people with:

• Persistent disc-related sciatica
• Certain lumbar disc herniations
• Disc protrusions
• Selected chronic or recurrent spinal pain
• Symptoms that have not responded sufficiently to other conservative approaches

However, suitability depends on your individual circumstances.

An appropriate MRI is required before beginning an IDD treatment programme.

Who may not be suitable?

IDD is not appropriate for everyone. Certain medical conditions and spinal findings may mean that IDD is unsuitable or that another form of medical assessment is more appropriate.

This is why we assess your medical history, symptoms, clinical findings and MRI before treatment.

If we don't think IDD is appropriate for you, we'll explain why.

Your MRI is an Important part of the assessment

A Before beginning IDD, we need to understand:

• Which spinal level is involved
• The nature of the disc problem
• Whether there is significant spinal canal narrowing
• Whether there are other structural findings
• Whether there are factors that make IDD unsuitable

Your MRI is considered alongside your symptoms and clinical findings. A scan alone doesn't determine whether IDD is appropriate.

What does IDD Treatment Involve?

If you are considered suitable, we explain the proposed treatment programme before you begin.

During treatment, you are positioned on the IDD system and the machine applies controlled distraction forces to the targeted region of your spine.

Treatment is generally comfortable, although individual experiences vary.

Your response is monitored throughout the programme.

We may also recommend exercises, rehabilitation or other appropriate treatment alongside IDD.

How many IDD treatments will I need?

Most patients do 20 treatments over a period of eight weeks. Three times a week for the first four weeks, then twice a week for the next four weeks. Not every patient requires 20 sessions but due to the nature of the treatment we do not recommend a treatment plan of less than 10 sessions.

We will discuss the proposed treatment programme, expected frequency and costs with you before you commit to treatment.

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Is IDD for all types of sciatica?

No. Sciatica can have many causes, and IDD is particularly relevant to selected disc-related conditions.

If your symptoms appear to have another cause, we will explain what we think is happening and recommend an appropriate approach.

IDD is not a replacement for medical assessment

If your symptoms suggest significant neurological involvement or another condition requiring medical investigation, we may recommend assessment by your GP, a spinal specialist or another appropriate healthcare professional.

We will not recommend IDD simply because you have requested it.

Our priority is making sure the treatment is appropriate for your condition.

What happens next?

The first step is an assessment.We'll discuss your symptoms, examine you and review your MRI if you have one. If IDD appears potentially appropriate, we'll explain why and discuss the treatment programme with you. If it doesn't, we'll tell you and discuss alternative options where appropriate.

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Frequently Asked Questions

Do I need an MRI for IDD?

Yes. An appropriate MRI is required before beginning an IDD treatment programme.

Does IDD cure sciatica?

We would not describe IDD as a cure for sciatica. Sciatica has different causes and treatment outcomes vary. IDD may be appropriate for selected people with disc-related sciatica.

Is IDD painful?

IDD is generally designed to be comfortable, although individual experiences vary. We monitor your response carefully during treatment and make changes where necessary.

How long does an IDD treatment take?

We allow up 45 minutes for an IDD appointment but it usually lasts just under 40 minutes. Time on the machine is 26minutes per session with the remainder used to put on and takes off harnesses, discussion of exercises and heat & cold application where appropriate.

How much does IDD cost?

The cost per session when purchasing 20 treatments is £80. If purchasing 10 treatments the cost per session is £85.