The Subjective and Objective Improvement Using Chiropractic Biophysics® Protocols

Abstract

The aim of this study is to describe the Chiropractic BioPhysics^® (CBP®) (Chiropractic BioPhysics, Eagle, USA) technique in alleviating the persistent spine pain syndrome (PSPS) and dysfunction in a 50-year-old female who suffered for many years. The purpose of this study is to provide clinicians with a potential treatment option for failed back surgery syndrome (FBSS) and PSPS that doesn't respond to other treatments. The patient did not receive benefits from pharmaceutical and conservative therapies following a low back lifting injury in 2004. After several years of suffering from widespread spinal pain and dysfunction, she received a lumbosacral pedicle screw surgical fixation. The initial surgery was unsuccessful and a follow-up revision and expansion of the fusion failed to alleviate the pain and dysfunction as well. After treatment using CBP, the patient received subjective, objective, and radiographic improvements with long-term stability measured at follow-up. Given that spine pain and low back pain are the number one cause of disability in the world, having economical, repeatable, and measurable techniques to improve even difficult cases is important for astute clinicians treating spine pain.

Keywords: chronic low back pain; failed back surgery syndrome (fbss); pedicle screw fixation; persistent spine pain syndrome; posture correction.

Figure 1. Lateral spinal radiographs

Left: Initial; Middle: Post-treatment; Right: Six-month follow-up. Green lines indicate ideal alignment; red lines highlight the patient’s spinal position.

Figure 2. Lateral lumbar X-rays

Left: Initial; Middle: First post-treatment; Right: Six-month follow-up. Notice surgical hardware from L3-S1. Green lines indicate an ideal curve; red lines highlight the patient’s spinal alignment. Note the reduction of the horizontal distance between the top of the green line and the posterior-superior corner of the T12 vertebral body after treatment.

Figure 3. Initial lateral lumbar radiograph with PostureRay Biomechanical assessment.

Figure 4. Mirror Image traction. The patient is prone to a force used to increase thoracic curvature and induce posterior thoracic translation.