IDD Therapy



EFFECTIVE TREATMENTS OF LOWER BACK SYNDROMES..... Without Surgery!!
Get BACK to LIFE with Dr. Susan Vettichira’s customized program.


What is IDD Therapy?
IDD Therapy - Intervertebral Differential Dynamics Therapy® is a proven treatment for the relief of lower back pain. The IDD therapy is done on the Accu-SPINA® machine. With a significant success rate, thousands of patients have experienced dramatic pain relief and healing.

IDD Therapy is an innovative approach for the relief of lower back & neck syndromes, including:
  • Herniated or bulging discs
  • Degenerative disc disease
  • Posterior facet syndrome
  • Sciatica, Radiating pain in legs/arms
  • Acute or chronic back and neck pain

IDD Therapy done on the Accu-SPINA® machine is non-surgical, non-invasive, and typically does not involve pain medications. The treatment is not only safe and painless, but also comfortable and relaxing. The course of therapy includes approximately 15-20 treatment sessions and is completed in about 4-6 weeks. Each procedure is performed with a unique, patent pending physio-therapeutic device and is performed by an IDD Therapist, specializing in back pain care. The treatment sessions are brief, lasting approximately 30-45 minutes.

How does IDD Therapy work?
IDD Therapy done on the Accu-SPINA® machine, can isolate each lumbar vertebra (L1, L2, L3, L4 or L5) and distract the vertebrae surrounding an injured disc 5 to 7 millimeters. The 25 to 30 minute treatment provides static, intermittent, and cycling forces on structures that may be causing low back pain. Same principle also applies to the cervical/neck area for neck/arm pain.

Negative pressure promotes the diffusion of water, oxygen, and nutrients into the vertebral disc area, thereby re-hydrating the degenerated disc. Repeated pressure differential promotes retraction of a herniated nucleus pulposus (the elastic core of the intervertebral disc).

The IDD Therapy treatment can reduce pressure on the vertebral joints, promote retraction of herniated discs, promote self healing and rehabilitation of damaged discs, thereby relieving low back pain. Several sessions are required to achieve optimal results.


Intervertebral differential dynamics (IDD) therapy is capable of isolating a lumbar vertebra (L1, L2, L3, L4, or L5) and mobilizing the vertebrae. The treatment can be utilized to alleviate the pain emanating from an injured disc by distracting and re-positioning of the surrounding vertebra. The distraction, on average, is between 5 and 7 millimeters. The 25 to 30-minute treatment utilizes variable therapeutic forces on structures that may be causing low back pain. The protocol is termed IDD Therapy®.

The treatment regimen is selected according to the diagnosis presented. The treatment objective for facet syndrome is to mobilize the facets thereby relieving dysfunction. In cases where a disc is compressed, a treatment protocol may be utilized specifically targeted to the relief of intradiscal pressure. Protocols intended for this application emphasize a spinal pumping effect to promote retraction of a herniated nucleus pulposus. In some cases, intradiscal pressure levels may be diminished from positive 25 millimeters of mercury to negative 150 millimeters of mercury. This negative pressure promotes the diffusion of water, oxygen, and nutrients into the vertebral disc. Degenerative disc pathologies may also be treated more effectively than with conventional physical therapy by utilizing a protocol targeted at disc rehydration and re-positioning of the vertebra at the affected disc level.
- Long-Term Effect Analysis of IDD Therapy In Low Back Pain: A retrospective Clinical Pilot Study; C. Norman Shealy, MD, PhD, Nirman Koladia, MD, Merrill M. Wesemann, MD;
American Journal of pain Management; Vol. 15 No. 3 July 2005


IDD Therapy protocols allow for the controlled distraction of targeted vertebrae to mobilise the joint and to create a negative pressure inside the intervertebral disc. This negative pressure leads to the diffusion of fluid and nutrients into the disc to stimulate its metabolism and promote hydration and healing. The negative pressure can also lead to the retraction of a herniated nucleus pulposus. IDD Therapy treatment further delivers a passive exercise element to release spasmodic behavior and to re-educate supporting soft tissues.
- Inter vertebral Differential Dynamics Therapy – A New Direction for the Initial Treatment of Low Back Pain
A report by Dennis McClure and Bethany Farris, European Musculoskeletal Review 2006.



How IDD therapy is different from traditional Physical-therapy Traction?
Prospective double blind studies performed in the mid 1990s, comparing conventional lumbar traction with the distraction decompression techniques of IDD Therapy® in a series of patients, revealed that the latter was much more beneficial to patients than lumbar traction. The patients studied had been suffering from various lumbar pain syndromes including lumbar radiculopathy, lumbar disk degeneration and herniation, and lumbar facet syndrome.
- Shealy CN and Borgmeyer V. Decompression, Reduction, and Stabilization of the Lumbar Spine: A Cost-Effective Treatment for Lumbosacral Pain. American Journal of Pain Management. 1997. 7:63-65.

The concept of using a distractive force to increase disk height and decrease the amount of herniation has been conceptually attractive to physicians for most of the last century. Unfortunately, attempts with various treatments and devices over the past 100 years have yielded no significant benefit to patients from lumbar traction. The current consensus of most physicians specializing in spine care and back pain organizations, and the conclusion of the U.S. Agency for Health Care Policy and Research (AHCPR) in a 1994 report on treatments for lumbar pain,was that lumbar traction was of no use in the treatment of the lumbar pain syndrome. We now know that lumbar traction does not benefit most patients—furthermore, we now understand why lumbar traction does not work. Not only is lumbar traction ineffective in treating lumbar pain, but it can actually increase intradiscal pressure through a variety of mechanisms. These mechanisms include promoting a reflex co-contraction of lumbar paraspinal muscles. This contraction increases the axial load on the local disk segments and promotes increased intradiscal pressure. This increases the pressure on the annulus and may worsen an existing herniation, and/or raise the pressure enough to cause a new herniation.
- Acute Low Back Pain Problems in Adults: Assessment and Treatment. Quick Reference Gudie for Clinicians.
Clinical Practice Guideline #14. U.S. Agency for Health Care Policy and Research. 1994

Distraction techniques for Lumbar pain: Inter-vertebral decompression—utilizing distraction techniques, widens disk spaces, lowers intradiscal pressure and promotes disk recovery.B y Alan E. Ottenstein, MD, Practical Pain Management (March/April 2003





Why should you consider IDD Therapy?
IDD Therapy done on the Accu-SPINA® machine, is credible. It is the only treatment that was developed by a team of back specialists including neurosurgeons, orthopedists, physiatrists, osteopaths, chiropractors, neurologists, and physical therapists.

IDD Therapy is proven and effective. The procedure has been studied extensively over the past six years and has been clinically validated. Thousands of patients have been successfully treated with IDD Therapy.

IDD Therapy is non-surgical and non-invasive. The complications from surgery can be severe and may result in debilitating conditions.

IDD Therapy is painless and involves no recovery time.

IDD Therapy is convenient. Treatment sessions last only 25 to 30 minutes. And because the procedure is non-invasive, most IDD Therapy patients can carry-on with normal daily activities. Additionally, patients can expect only minimal absence from work.

IDD Therapy is cost-effective. The cost of treatment is minimal compared to the cost of surgery. Several payment options are available and a monthly payment plan can be a much better financial decision than a 10% or 20% insurance co-payment on back surgery.


What is the success rate? / How effective is IDD Therapy?
Reports vary from 86% to 94%.   We have found IDD Therapy done on the Accu-SPINA® machine to be very effective for our patients with back and neck pain.

During the past decade, the Accu-SPINA® has markedly increased successful outcomes for spinal pain, including ruptured discs, as well as locked and degenerative facet pain syndromes. Specific individual spinal segment dynamic mobility has lead to satisfactory pain relief and improved quality of life in up to 94% of patients, many of whom have failedother “conventional” approaches….. Intervertebral Differential Dynamic Therapy, IDD®, appears to be the current optimal recommendation for most lumbar pain syndromes and should be considered before surgical intervention….
- Annual Meeting, Southern Medical Association, November 12, 2005
IDD Therapy in Back Pain Treatment: A Clinical Trial Comparing Key Diseases of Low Back Pain.
Norman Shealy, M.D., Ph.D., FACS, Surb Guram, MD, Josh Gabriel, MD, and Nirman Koladia, MD.



IDD Therapy® (Intervertebral Differential Dynamics) - completely non-invasive, utilizes a sophisticated computer guided patient manipulation device to deliver therapeutic distraction forces to a specifically targeted spinal segment. The mild pumping effect combined with a muscular therapy component, creates pressure differential of the intervertebral discs and facet joints, that is, unloading, due to distraction and positioning. A blinded study published in American Journal of Pain Management (April 1997), performed by Shealy and Borgmeyer* on an early spinal system model which eventually led to the IDD Therapy® standard, the SPINA System™, was reported as giving “good” to “excellent” relief in 86% of patients with ruptured intervertebral discs.

Do the benefits of IDD Therapy last?
In our experience, most patients benefit long-term with IDD therapy done on the Accu-SPINA® machine. The effects may also vary depending on individual patient’s pathology, compliance with the treatment protocols and other co-existing medical conditions. However if and when the pain returns, we do have maintenance protocols to maintain and sustain the positive effects of IDD therapy. Many patients do enroll for a regular maintenance program.

Study results have revealed an improvement…..from the last treatment session to the 1-year duration effect analysis. A direct conclusion that can be drawn from the data is that improvement in pain continues after the treatment sessions are completed.
- Long-Term Effect Analysis of IDD Therapy In Low Back Pain: A retrospective Clinical Pilot Study;
C. Norman Shealy, MD, PhD, Nirman Koladia, MD, Merrill M. Wesemann, MD;
American Journal of pain Management; Vol. 15 No. 3 July 2005



What is the cost of IDD Therapy?
IDD Therapy is cost-effective. The cost of treatment is minimal compared to the cost of surgery. Several payment options are available. Care-Credit is also available.

We have very affordable treatment protocols. Dr. Vettichira strongly believes that health care should not only be accessible, but also affordable. Every patient is unique and Dr. Vettichira will outline a customized treatment protocol for every patient, depending on the individual diagnosis, a detailed physical examination and other diagnostic testing. As the treatments are individually customized, the fee schedule may sometimes vary, depending on the length of treatment and total number of sessions needed. However total cost of treatments will be discussed with you, at your initial visit.


Please call today for an appointment at 252-726-4000.
www.SpinaCORE.com