at the West Valley Medical Center

1. Cost Savings Potential for Workers’ Compensation at the West Valley Medical Center                   5363 Balboa Blvd., Suite 430                   Encino, CA 91316 818-789-3244  www.818NewBack.com 

2. OVER Low Back Surgery (LBS) WITH Non-Surgical Spinal Decompression (NSSD)

3. 01 02 03 04 05 06 Surgical Costs Cost and Savings Comparisons Graph Showing Savings Pre and Post Treatment MRI’s Advanced Technologies Our Office and Staff Non-Surgical Spinal Decompression (NSSD)

4. 01 Estimated Costs for Workers’ Compensation Spinal Surgeries

5. Average $50,000 per surgery 10 surgeries = $500,000 Estimated Costs for a Workers’ Compensation Low Back Surgery* * Does not include costs of complications to surgery or repeated surgeries and higher residual disability rating due to surgical intervention.

6. 02 Estimated Costs/Savings for Non-Surgical Spinal Decompression per 10 cases

7. Estimated Costs for Non-Surgical Spinal Decompression (NSSD) Valley Spinal Decompression Center 10 Surgical cases reviewed (@ $150/case) for NSSD and accepted = $1,500 • 2 weeks (8 visits) @ $225/visit = $1,800/case • 10 trials = $18,000 • Ten trial cases = $19,500

8. Assuming 30% of Patients Respond and Continue Treatment with NSSD There would be: • 18 additional visits = $4,050 per person • 3 patients @ $4,050 = $12,150 • + initial trial $5,850 • = $18,000 for total NSSD solution for 3 cases.

9. Total Savings for 30% Success with NSSD • Surgery then required for remaining 7 patients = $350,000 • +$18,000 from the successful NSSD cases • +$13,650 for failed trials • =$381,650 Total costs for all ten patients. • Saves $118,350 • 23.7% of costs saved.

10. Assuming 70% of Cases Progress to the Full NSSD Treatment Program*: • 7 cases progress to full treatment program. • 7 Full programs of care: $42,000 • 3 Failed trials $5,850 • 3 Surgeries for failed trials: $150,000 • Total cost of care for ten patients: $197,850 • Savings = $302,150 • 60% of costs saved * Typical of results to be expected in actual practice.

11. 03 Graph Showing Savings

12. Savings Assured in Every Scenario for NSSD Over Low Back Surgery (10 cases) 14% savings 23.7% savings 42% savings 60% savings

13. 04 Pre and Post MRI’s NSSD Treatment

14. Pre and post MRI of a patient treated atValley Spinal Decompression Center 52 year old male patient who was an electrical engineer with 7/10 low back and left calf pain. He had physical therapy treatments and medications with no success. His Pre‐MRI indicated a 5mm x 13mm x 8mm (ap x tr x cc) L4/5 disc extrusion with displacement and impingement of the L5 nerve root; moderate facet degeneration and ligamentum flavum redundancy. At the end of care (5 weeks later) the patient’s pain level at its highest was a 1/10 about 10% of the time. See the circled area’s BEFORE and AFTER.

15. Pre and post MRI’s of a patient treated atValley Spinal Decompression Center These are MRI’s of a patient who was treated on the Non Surgical Spinal Decompression Table. The left Image was taken BEFORE treatment began and the right image was taken AFTER Non Surgical Spinal Decompression. Dennis F. began his care with Dr. Shanahoff D.C., with pain at a level of 8 –10 on a 1–10 scale. Besides severe low back pain Dennis F. had pain and numbness radiating down his leg to his right foot. Symptoms were developing in his left leg and foot. Large doses of Vicodin did nothing to stop the pain. REMARKABLE RESULTS ON THE LEFT. After 8 weeks of treatment with NSSD, Dennis’s pain level was reduced to a 2 out of 10 without any pain medication. His post MRI shows the remarkable improvement in what had been a severe disc extrusion. PRE May 18, 2007 POST September 29, 2007 See the circled area’s BEFORE and AFTER.

16. 05 Advanced Technologies

17. DRX-9000 The DRX9000™ is a non-surgical spinal decompression technology; a non-invasive procedure that was developed for the treatment of lower back pain caused by disc herniation and degenerative disc disease. The process is effective in relieving low back pain by enlarging intradiscal space, improving disc hydration, reducing herniation, strengthening outer ligaments to help move herniated areas back into place, and reversing high intradiscal pressures through application of negative pressure.

18. Spine Force SpineForce is the only machine in the world to strengthen the 180 intrinsic core spinal muscles. • Rehabilitation after non-surgical disc repair program • Evaluates core spinal muscle strength and balance • Treats Low Back Pain • Post-surgical low back rehabilitation • Sports injury rehabilitation • Anti-aging strengthening and conditioning • Balance and coordination improvement • Improves scoliosis due to muscle imbalance • Aids in preventing future back injury.

19. 06 Our Office and Staff at the West Valley Medical Center                   5363 Balboa Blvd., Suite 430                   Encino, CA 91316 818-789-3244  www.818NewBack.com 

20. Our Attractive, Professional Office at the West Valley Medical Center                   5363 Balboa Blvd., Suite 430                   Encino, CA 91316

21. Our Friendly, Caring Staff at the West Valley Medical Center                   5363 Balboa Blvd., Suite 430                   Encino, CA 91316

22. Conveniently Located At The West Valley Medical Center Near the 405 and 101 Freeways at the West Valley Medical Center                   5363 Balboa Blvd., Suite 430                   Encino, CA 91316

23. Your Applicants Will Thank You! at the West Valley Medical Center                   5363 Balboa Blvd., Suite 430                   Encino, CA 91316