脊 骨 神 經 科Chiropractic

脊 骨 健 康 護 理 專 家

The Experts in Spinal Health Care.

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic (www.coxtechnic.com)

• Conservative non-surgical treatment for FBSS

Failed Back Surgery Syndrome(FBSS)

• Common problem…– One out of a hundred

back surgeries offer long-lasting relief

• Menke M: Principles in Integrative Medicine, J of Manipulative and Physiological Therpeutics 26(4)

Failed Back Surgery Syndrome(FBSS)

• Lets compare conservative treatment to surgery…– 10 years after DISC

HERNIATION WITH SCIATICA

• 60% surgically treated report improvement

• 61% conservatively treated report improvement

Failed Back Surgery Syndrome(FBSS)

• Lets compare conservative treatment to surgery…– 8-10 years after

STENOSIS• 53% surgically treated

report improvement

• 50% conservatively treated report improvement

Failed Back Surgery Syndrome(FBSS)

• Costs (USA)– Neck surgery

• $60,000-$112,000

– Back surgery• $83,000-$169,000

– Avoiding one surgery a month saves a hospital $2,000,000 a year

Failed Back Surgery Syndrome(FBSS)

• Chiropractic care offers…– Lower healthcare costs

– Best healthcare benefit

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic– For FBSS of both the

back and the neck

– Cox® Technic offers gentle and safe treatment to relieve pain

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic– Outcomes

• Patient after a failed laminectomy slept well for the first time after Cox® Technic

– Moran, Case 62, www.coxtechnic.com/casereports.asp

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic– Goals

• 50% relief of pain and prior activities

• A good goal, especially if a further surgery is not possible or not wanted by the patient

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic– Compression and pain

before treatment• On this cadaver

specimen we see the compression of the two vertebra and the small opening of the nerve root

• Pain and dysfunction

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic– After a surgery

WITHOUT FUSION

– Cox® Technic can begin after 6-12 weeks

– Careful tolerance testing

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic– After a surgery WITH

FUSION

– Cox® Technic can begin after 12-16 weeks and is directed above and below the fusion

– Careful tolerance testing

Failed Back Surgery Syndrome(FBSS)

• Cox® Technic– Offers

• Pain relief

• Control, not cure

• Return to normal activities

• Better quality of life

Cox Technic Founder Dr. James Cox with Dr. Matty Wong and Dr. Jeff Shurr