Please read on...

Are you experiencing chronic neck and back pain even after seeking treatment or adjustments? I know your frustration...

Are experiencing any of these conditions:

Fibrosis adhesions, the stubborn buildups of scar tissue in and around the spinal joints (kinisiopathology) also known as "ligamontous creep". 

Or

  • Have an unfragmented herniated disc and other segments of chronic disc problems, and are unable to tolerate the moderate discomforts of traditional physical therapy, chiropractic adjustments and are not responding to pain meds?
  • Do their bodies involuntarily resist standard care or manipulation, does acute myofascial pain syndrome keep coming back?
  • Haven't responded satisfactorily to several months of chiropractic spinal adjustments, pain management therapy for neck pain or low-back pain.
  • Back surgery that failed to relive their pain, or they're recovering from another type of surgery and are experiencing spinal pain or FBSS?

A "curative" treatment is possibleDJD_segmental_dysfunc.jpg

Please see the lists of references to this possible approach that is curative...

Rare cases of back pain associated with severe nerve degeneration (for example, cases involving bowel or bladder dysfunction) may require immediate surgery. Cases involving fracture or major trauma may also justify immediate medical surgical intervention.

However, in most cases, there is no need to rush spinal surgery.

"Only 0.25 percent of individuals with back problems require surgery," said spinal expert Dr. J. Kraemer at the annual meeting of International Society for the Study of the Lumbar Spine in Seattle,WA. (0.25 percent is only 1 in 400)

Despite Popular Opinion...

In some cases, surgery is recommended to correct spinal degeneration, such as osteoarthritis. However, the link between back pain and the occurrence of these abnormalities is weak (N Eng J Med 1994;331:6073). Signs of degeneration can be found, via x-ray, in virtually anyone over the age of 40. And, according to medical experts, intervertebral disc herniation or lesions are not necessarily a reason for surgery (Spine 1998; 21:245). Specifically:

More than 90 percent of patients with disc herniation improve with conservative non-surgical care.

Only 2 to 4 percent of patients with disc herniations meet medical criteria for surgical intervention.

Magnetic Resonance Imaging (MRI) will reveal a disc herniation in approximately 20 percent of pain-free people under the age of 60, indicating that a person with back pain may have an unrelated, asymptomatic disc lesion.

Over time, most patients with disc herniations recover with or without surgery. Five-year outcomes are similar when surgical and non-surgical approaches are compared.

Picture_140.jpg(FBSS) Failed Back-Surgery Syndrome

For those who choose surgery, it's often not the solution they've been searching for. Up to 40 percent of patients experience a condition termed failed back-surgery syndrome (FBSS), which is characterized by unremitting pain and functional impairment. In rare cases, patients' symptoms actually increase following surgery. According to one report, 17 percent (Spine 1988; 13:1418-22) of individuals who undergo back surgery require a second operation.

Why you should consider this non invasive care for your spinal case?

Here are a few research articles

Research Articles:

1. Low Back Pain Of Mechanical Origin: Randomized Comparison Of Chiropractic And Hospital Outpatient Treatment, 1990, BMJ. Conclusions: "For patients with low back pain in whom manipulation is not contraindicated chiropractic almost certainly confers worthwhile, long term benefit in comparison with hospital outpatient management. The benefit is seen mainly in those with chronic or severe pain. Introducing chiropractic into NHS practice should be considered."

2.       Randomized Comparison Of Chiropractic And Hospital Outpatient Management For Low Back Pain: Results From An Extended Follow-up, 1995, BMJ. Conclusions: "At three years the results confirm the findings of an earlier report that when chiropractic or hospital therapists treat patients with low back pain as they would in day to day practice those treated by chiropractic derive more benefit and long term satisfaction than those treated by hospitals."

3.       Outcome Of Low Back Pain In General Practice: A Prospective Study, 1998, BMJ. Conclusions: "The results are consistent with the interpretation that 90% of patients with low back pain in primary care will have stopped consulting with symptoms within three months. However, most will still be experiencing low back pain and related disability one year after consultation."

4.       Effects Of Unilateral Spinal Adjustments On Goinometrically-Assessed Cervical Lateral-Bending End-Range Asymmetry In Otherwise Asymptomatic Subjects, 1989, JMPT. This study confirms that an appropriate spinal adjustment can predictably normalize abnormal cervical spine motions.

5.       An Evaluation Of Medical And Chiropractic Provider Utilization And Costs: Treating Injured Workers In North Carolina, 2004, JMPT. Conclusions: "These data, with the acknowledged limitations of an insurance database, indicated lower treatment costs, less workdays lost, lower compensation payments, and lower utilization of management, the use of chiropractic services in North Carolinaappear very low."

6.       Efficacy Of Spinal Manipulation And Mobilization For Low Back Pain And Neck Pain: A Systematic Review And Best Evidence Synthesis, 2003, The Spine Journal. Results: "There is limited to moderate evidence that SMT is better than physical therapy and home back exercise in both the long and short term.

7.       Long-Term Follow-up Of A Randomized Clinical Trial Assessing The Efficacy Of Medication, Acupuncture, And Spinal Manipulation For Chronic Mechanical Spinal Pain Syndromes, 2005, JMPT. Conclusions: "In patients with chronic spinal pain syndromes, spinal manipulation, if not contraindicated, may be the only treatment modality of the assessed regimens that provides broad and significant long-term benefit."

8.       Efficacy Of Preventive Spinal Manipulation For Chronic Low-Back Pain And Related Disabilities: A Preliminary Study, 2004 JMPT. Conclusions: "Intensive spinal manipulation is effective for the treatment of chronic low back pain. This experiment suggests that maintenance spinal manipulations after intensive manipulative care may be beneficial to patients to maintain subjective post intensive treatment disability levels. Further studies, however, are needed to confirm the finding in a larger group of patients with chronic low-back pain."

9.       Chiropractic Effects On Athletic Ability, 1991, JCR. Athletic ability was increased with chiropractic care as compared to a control group.

10.     Objective Physiologic Changes And Associated Health Benefits Of Chiropractic Adjustments In Asymptomatic Subjects: A Review Of The Literature, 2004 JVSR. Conclusions: "The data reviewed lend support to the contention that chiropractic adjustments, often for the purpose of correcting vertebral subluxation, confer measurable health benefits to people regardless of the presence of absence of symptoms...  

Additional References

 1) Manipulation Under Anesthesia: A Report Of Four Cases, JMPT, 9.2005 Four patients that had not improved adequately to numerous months of in-office chiropractic management improved substantially after MUA/FRP procedures. This study also reports a 70% success rate found during a Quality Assurance review of the surgery center where MUA cases are performed. 70% of patients interviewed after MUA procedures reported that they were very satisfied with the improvement that they obtained from the procedure. This recent MUA study confirms the findings of other researchers that reported similar results.

2) Frank Kohlbeck, DC and Scott Haldeman, DC, MD, PhD, published a literature review of MUA (49 published articles) in THE SPINE JOURNAL in (2002) Medication Assisted Spinal Manipulation and concluded the following:

    

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