Objective: Continued spinal pain and disability following spine surgery frequently results in continued or increased use of opioid pain medication. This study proposes to analyze the usage of opioids in patients with continued or recurring pain after spinal surgery treated with Cox Flexion Distraction Decompression Manipulation.
Design: Analysis of data collected during a multi-center prospective cohort study of Failed Back Surgery Syndrome patients seeking care from field Doctors of Chiropractic certified in Cox Flexion Distraction Decompression Manipulation. This study included patients who had undergone spinal surgery and chose to be treated with chiropractic care for symptoms in the same regions where surgery was performed.
Methods: This multi-center prospective cohort study of 59 Failed Back Surgery Syndrome patients treated by 21 chiropractors was designed to document clinical outcomes of manual spinal decompression manipulation interventions. Eleven of the 59 patients indicated they used opioids for their spinal pain and met the inclusion criteria for this study. Results of spinal pain and opioid use questionnaires administered at initial visits and following 3 months of care were collected and analyzed. This study was approved by the Institutional Review Board (IRB000OC18MG72) of Keiser
University.
Results: Eight of the 11 patients reported a reduction or discontinuation of opioid use for pain control related to the region of surgery; no change in opioid use was reported by 3 patients.
Conclusion: The results of this prospective study revealed a patient-reported reduction or discontinuation of opioid use during their initial three-month course of care.
Author keywords: Chiropractic, Manipulation, Failed Back Surgery Syndrome, Post-Surgical Continued Pain, Opioids, Decompression
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