Alternatives to Spinal Surgery

Are you experiencing any of the following symptoms?

  • Back pain
  • Shoulder pain
  • Neck pain

Surgery is an option back pain suffers consider when looking to relieve their symptoms. Research has shown that a trial of conservative, non- invasive therapy, using Cox® Technic can provide patients with similar outcomes and, depending on your condition, may be an alternative to surgery.

How do Chiropractors offer an alternative to spinal surgery?

Cox® Certified practitioners at Malvern Chiropractic Clinic and Melbourne Spine Clinic use conservative, non-invasive Cox® Technic Flexion-Distraction to treat complex spinal conditions.

Spinal manipulation is safe and recommended for acute low back pain and surgery in the long term shows only slightly better results than conservative care(1).

Low back and leg pain: 69% surgical vs 61% non-surgical(2)
Spinal stenosis: 53% surgical vs 50% non-surgical(3)

Cox® Technic, was developed in the USA and is one of the 3 most studied adjustive procedures in chiropractic. Research undertaken by the American Pain Society and the American College of Physicians recommend spinal manipulation as a reasonable option for the primary care of low back pain; and prior to surgery for patients with lumbar disc herniation and spinal stenosis

Some of the documented clinical outcomes follow:

Patients (on disability for an average of 60.5 weeks) treated 2-3 times a week for 3 weeks with Flexion-Distraction for relief of a disc herniation (confirmed with MRI) report 79% improvement in pain and 73% improvement in disability. (4)
91% of all low back pain patients reported relief in less than 90 days of care. Maximum improvement was attained in an average of 29 days and 12 treatments. (5)
Flexion-Distraction is published to be the only manipulation for discogenic low back pain. (6)

(1)Simotas AC: Non operative treatment for lumbar spinal stenosis: clinical and outcome results and a 3 year survivorship analysis. Spine 2000;25(2)
(2)Atlas S, Keller RB, Wu YA, Deyo RA, Singer DE: Long Term Outcomes Of Surgical And Non Surgical Management Of Sciatica Secondary To Lumbar Disc Herniation: 10 Year Results From The Maine Lumbar Spine Study. Spine 2005; 30(8)
(3)Atlas SJ, Keller RB, Su YA, Deyo RA, Singer DE.Long Term Outcomes Of Surgical And Non-surgical Management Of Lumbar Spinal Stenosis: 8 To 10 Year Results From The Maine Lumbar Spine Study. Spine 2005; 30(8)
(4)Murphy, DR; Hurwitz, EL; Gregory, AA; Clary, R. A non-surgical approach to the management of lumbar spinal stenosis: A prospective observational cohort study. BMC MUSCULOSKELETAL DISORDERS 2006; 7:NIL_1-NIL_8
(5)Cox et al: Topics in Clinical Chiropractic 1996; 3(3):45-54, 79-81
(6)Mootz R, Waldorf T: Chiropractic care parameters for common industrial low back conditions. Chiropractic Technique 1995; 5(3):119-125

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