Abstract

Objective

This report describes the treatment of 3 patients with previous spinal fusion surgery who had subsequently regressed to their previous levels of pain and disability.

Clinical Features

Three patients with chronic intractable pain presented to a private integrative medicine clinic for manipulation under anesthesia (MUA) evaluation. All 3 patients had previously had lumbar spine fusion surgery for intervertebral disk herniation. All surgeries were performed at least 2 years before clinical presentation. Patients had plateaued with other conservative pain management strategies before seeking MUA treatment.

Intervention and Outcomes

The patients were evaluated for MUA. The patients received a serial MUA over 3 consecutive days by trained chiropractic and osteopathic physicians. Outcome assessments used for each patient included a quadruple numerical pain rating scale and functional rating index. Patients completed a course of post-MUA physiotherapy and rehabilitation lasting 8 weeks immediately after the serial MUA. Clinical improvements were observed in all 3 outcome assessments after the MUA, the post-MUA therapy, and were essentially maintained 1 year after conclusion of treatment.

Conclusion

Three patients with failed back surgery were treated conservatively using MUA by trained chiropractic and osteopathic physicians followed by 8 weeks of post-MUA therapy. Pain and disability outcomes all improved immediately following treatment.

Source: Journal of Chiropractic Medicine
Volume 11, Issue 1 , Pages 30-35, March 2012

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Dr. Morningstar
Dr. Morningstar graduated in 2002 from Palmer College in Davenport. He then moved to Grand Blanc, MI and opened his first clinic, the Grand Blanc Spine Center. A year later, he opened his second clinic, the Anchor Bay Spine Center, in New Baltimore, MI. Both of these clinics have now become the Natural Wellness & Pain Relief Centers of Michigan, one of the first multidisciplinary clinics offering comprehensive chiropractic, traditional medicine, pain management, acupuncture, anti-aging medicine, and functional medicine services in Michigan. There he serves as the Director of Chiropractic Services. Dr. Morningstar provides comprehensive chiropractic rehabilitation and functional medicine strategies for complex spine and neurological disorders such as Scoliosis, ADHD, and Fibromyalgia/Chronic Fatigue Syndrome.