NUCCA Chiropractic and the Spine & the Effects of Back SurgeryHow the NUCCA Chiropractic Method Can Help YouSpinal surgery is extremely common in contemporary America and results are certainly not uniformly good. Medical Approach to Back Pain & Back SurgeryAlthough most published articles about Failed Back Surgery Syndrome (FBSS) describe an 80% good/excellent result rate, personal experience by most physicians in the field suggests that the true proportion of good to excellent results is closer to 50%. Poor results occur in up to 10% of patients and these account for the FBSS. Patients with FBSS frequently have additional back surgeries and the probability of success decreases with each additional surgery. There are numerous causes for the Failed Back Surgery Syndrome (FBSS) and all of the most common causes do not involve medical malpractice. Proper patient selection is crucial and even the "right back surgery" performed on the "wrong person" has very little chance of success. There are psychogenic factors present in all patients with back pain and these factors are not treated with surgery. Epidural fibrosis, or scarring of the nerve roots in the spine, is another common cause of FBSS and this involves no technical errors on the part of the surgeon. It is simply an unfortunate response of the body to the trauma of back surgery. Other identifiable causes of the FBSS include inadequate decompression which results in untreated lateral recess and foraminal stenosis. Although this is likely an error in judgment or execution on the part of the surgeon it does not meet common legal tests to be a true "breach in the applicable standard of care". The subsequent development of segmental instability at an operated level may necessitate the need for a spinal fusion and more back surgery, but once again this problem occurs in the absence of any breach in the standard of care. Obviously persistent leg or back pain without a clear-cut cause cannot be attributed to surgical error. The vast majority of patients who suffer the pain of Failed Back Surgery patients do not involve any type of medical malpractice. The NUCCA and AlternaHealth Solutions Approach to Failed Back SurgeryAnyone that has a medical issue such as chronic back pain, either continual for an extended period of time or one that comes and goes but is progressively getting worse, is in some sort of chronic degenerative cycle. Any resolution for chronic back pain and Failed Back Surgery requires an approach that number 1, incorporates a complete health empowerment approach and number 2, requires time to heal. This is the only successful solution to reversing the degenerative cycle and providing chronic pain relief for Failed Back Surgery Syndrome. NUCCA corrective care sets the foundation of health by reducing stress on the body and empowering the nervous system, which is the life force of the body. Our success plan is a realistic approach toward reversing long-term illness that the medical model only medicates. Our approach starts with correction, stability, symmetry, and strength, all the while adding new healthy habits that reverse the weakened body to the state of strength it once possessed. This approach is a long term, but effective approach to chronic back pain. It requires time and diligence. Back Pain, Surgery & ChiropracticProblems with Adjacent Spinal Segmental Degeneration After Lumbar FusionPosted April 16th, 2008 by Matt in Spine Lumbar More and more older adults with chronic lumbar (back) pain are having spinal fusion to treat the problem. As a result, surgeons face new problems to deal with. For example, once a moving spinal segment is fused, the load on the other (adjacent) spinal segments increases. The result may be adjacent segment degeneration (ASD). The results of this study on Failed Back Surgery Syndrome confirms what other studies have shown. Stress and shear forces increase on adjacent spinal segments after spinal fusion. The level above the spinal fusion is subjected to the most changes.(1) More study is needed regarding the long-term efficacy of spinal fusion to treat discogenic (back) pain. A study published in the May 2005 issue of the British Medical Journal concluded that people who are candidates for spinal fusion may obtain benefits similar to those of the back surgery from an intensive rehabilitation program. A 2007 systematic review of several studies, including the 2005 British Medical Journal study, stated it wasn't possible to reach a definitive conclusion about whether back fusion surgery might be effective in treating discogenic (back) pain. (2) The review did state that the nature of nonsurgical treatment of back pain "may be critical" in determining whether it's a better approach than fusion. May 13, 2008 Research: Call 404.459.6603 for your appointment with our Atlanta Chiropractors today! |