Fort Wayne Chiropractic Care of Adjacent Segment Disease After Fusion10/04/2019 “For every action there is an equal and opposite reaction.” A physics rule only? No! It’s a truth for many things in life, including neck and back pain. Adjacent segment disease shows this principle! When back pain is addressed with back surgery, particularly back surgery involving a spinal fusion, the reaction to the action of the fusion is pressure on the spinal segments above and below the surgical segment. These are the adjacent segments. These segments accept the work of the surgical segment which they were not designed to do. These adjacent segments rebel with pain of their own. Cox Chiropractic Medicine Inc soothes these rebellious adjacent segments with gentle, non-surgical, pain-relieving chiropractic treatment. WHAT IS ADJACENT SEGMENT DISEASE? Researchers explain adjacent segment disease (ASD) as a “disappointing long-term outcome for both the patient and clinician.” Cervical and lumbar spine adjacent segment disease is supposedly between 2% and 4% a year according to one study. It influences reoperation rates after spinal fusion. Risks for ASD are many including existing degeneration of adjacent segments, predisposition to degenerative changes, and altered biomechanical forces because of a previous fusion. Non-surgical treatment for adjacent segment disease is the first step as long as progressive neurological deficit is not an issue. (1) HOW DOES BACK SURGERY INFLUENCE ADJACENT SEGMENT DISEASE RISK? Types of surgical approaches affect the chances of fusion along with adjacent segment disease. Total disc replacements (TDR) for neck pain conditions using a ball and socket are created to maintain motion and replicate normal motions of the cervical spine. In a surgery for adjacent segment disease in a patient with a TDR, fusion was seen, but adjacent segment disease was present as well which took the patient back to surgery. (2) Adjacent segment disease after a single level lumbar fusion was a significant cause of post-surgical issues in a new report. It generally indicated the need for reoperation after a thoracolumbar fusion, exposing patients to more post-surgical complications and lengthier recovery periods. (3) Low back pain patients who underwent fusion surgery had an elevated risk of post-surgical work-disability after insurance regulation changes compared with low back pain patients who were treated non-operatively or with decompression alone. (4) In one study, the reoperation for ASD was 25.2% for L4L5 fusion though adjacent segment disease at L5S1 after an L4L5 fusion surgery was low. (5) Another study of 1000 patients who experienced a fusion back surgery reported that 9% experienced adjacent segment disease on average at 4.7 years after the first surgery. Adjacent segment disease was most common in degenerative spondylolisthesis at the cranial fusion segment. Risk for adjacent segment disease was elevated in patients whose fusions were longer. Adjacent segment disease happened more quickly after fusion in elderly patients and in those with degenerative lumbar scoliosis. (6) Chiropractic non-surgical care may meet the plea for non-operative treatment pain after back surgery including back surgery with fusion. HOW DOES CHIROPRACTIC ADDRESS ADJACENT SEGMENT DISEASE? Support via research for Fort Wayne chiropractic care of post-surgical continued back pain multiples. A study of 32 post-surgical back pain patients treated with Cox® Technic showed improvement of 41% to 57%, greater in those who had combined surgeries like fusions. (7) Another study of Cox® Technic treatment stated that 69 post-surgical continued pain (PSCP) patients experienced active chiropractic care in the form of Cox® Technic Flexion Distraction for an average of 11 treatments over in 49 days. Pain relief was 71.6% (SD: 23.2). Two years later, the continued pain relief was 70% while 32 patients needed further care to maintain pain relief. PSCP patients showed pain relief after specific chiropractic distraction spinal manipulation. (8) CONTACT Cox Chiropractic Medicine Inc Listen to Dr. Lee Hazen on The Back Doctors Podcast with Dr. Michael Johnson about his care of a failed back surgical syndrome (aka post-surgical continued pain) patient with the Cox® Technic System of Spinal Pain Management. Schedule your Fort Wayne chiropractic appointment today. Cox Chiropractic Medicine Inc cares for post-surgical continued pain and adjacent segment disease. It’s not necessary to suffer the reaction to the action of back surgery when Fort Wayne chiropractic non-operative care is available at Cox Chiropractic Medicine Inc. « View All Featured Articles"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."