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	<title>Comments on: New Study Reveals That Back Surgery Fails 74% of the Time</title>
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		<title>By: NJ Back Pain</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-114155</link>
		<dc:creator>NJ Back Pain</dc:creator>
		<pubDate>Wed, 19 Dec 2012 17:21:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-114155</guid>
		<description><![CDATA[Very startling numbers - It&#039;s great to have research and blog posts like this to share with friends, family and patients.]]></description>
		<content:encoded><![CDATA[<p>Very startling numbers &#8211; It&#8217;s great to have research and blog posts like this to share with friends, family and patients.</p>
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		<title>By: Maine Chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-36105</link>
		<dc:creator>Maine Chiropractor</dc:creator>
		<pubDate>Mon, 27 Jun 2011 17:27:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-36105</guid>
		<description><![CDATA[One would think. Anyone who has been in practice for a year knows that these surgeries really hurt many patients.]]></description>
		<content:encoded><![CDATA[<p>One would think. Anyone who has been in practice for a year knows that these surgeries really hurt many patients.</p>
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		<title>By: Frank M. Painter, D.C.</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-35872</link>
		<dc:creator>Frank M. Painter, D.C.</dc:creator>
		<pubDate>Sat, 25 Jun 2011 23:22:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-35872</guid>
		<description><![CDATA[I JUST read a review of this article on another web site, in which an MD sniffed as she stated that this study had no value since it was about &quot;workers&quot;, and &quot;we all know&quot; that they don&#039;t really want to go back to work. Whooo-eee, that&#039;s harsh!

What she conveniently ignored is that BOTH groups in this article are &quot;workers&quot;, and the evidence was:

&lt;BLOCKQUOTE&gt;&lt;B&gt;After two years, just 26 percent of those who had surgery had actually returned to work. That’s compared to 67 percent of patients who didn’t have surgery, even though they had the same exact diagnosis!&lt;/B&gt;&lt;/BLOCKQUOTE&gt;

So... if her &quot;opinion&quot; was actually grounded in fact (rather than expressing self-deceptive bias), wouldn&#039;t the &quot;workers&quot;  that did not get the surgery be just as likely to be sitting at home, watching Oprah?]]></description>
		<content:encoded><![CDATA[<p>I JUST read a review of this article on another web site, in which an MD sniffed as she stated that this study had no value since it was about &#8220;workers&#8221;, and &#8220;we all know&#8221; that they don&#8217;t really want to go back to work. Whooo-eee, that&#8217;s harsh!</p>
<p>What she conveniently ignored is that BOTH groups in this article are &#8220;workers&#8221;, and the evidence was:</p>
<blockquote><p><b>After two years, just 26 percent of those who had surgery had actually returned to work. That’s compared to 67 percent of patients who didn’t have surgery, even though they had the same exact diagnosis!</b></p></blockquote>
<p>So&#8230; if her &#8220;opinion&#8221; was actually grounded in fact (rather than expressing self-deceptive bias), wouldn&#8217;t the &#8220;workers&#8221;  that did not get the surgery be just as likely to be sitting at home, watching Oprah?</p>
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		<title>By: phoenix chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-35296</link>
		<dc:creator>phoenix chiropractor</dc:creator>
		<pubDate>Tue, 21 Jun 2011 04:02:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-35296</guid>
		<description><![CDATA[I&#039;ve rarely heard positive reviews after back surgeries. Medicine has a ways to go before people are going to feel comfortable going under the knife in this regard.

&lt;HR&gt;

&lt;B&gt;RESPONSE from Frank

I&#039;ve heard wonderful commentary from folks shortly after decompression surgery. The problem is that they have to fuse the segment, and that destabilizes the whole spinal region, causing problems above and below the fused segment, or what they call &quot;failed back syndrome&quot;, leading to additional surgeries.  

That makes no more sense than simply giving them morphine. Surgeries appear to NOT be corrective. That&#039;s why I love the McKenzie protocol for disc. It&#039;s simple, elegant and virtually 100% effective for improving disc derangement.&lt;/B&gt;]]></description>
		<content:encoded><![CDATA[<p>I&#8217;ve rarely heard positive reviews after back surgeries. Medicine has a ways to go before people are going to feel comfortable going under the knife in this regard.</p>
<hr />
<p><b>RESPONSE from Frank</p>
<p>I&#8217;ve heard wonderful commentary from folks shortly after decompression surgery. The problem is that they have to fuse the segment, and that destabilizes the whole spinal region, causing problems above and below the fused segment, or what they call &#8220;failed back syndrome&#8221;, leading to additional surgeries.  </p>
<p>That makes no more sense than simply giving them morphine. Surgeries appear to NOT be corrective. That&#8217;s why I love the McKenzie protocol for disc. It&#8217;s simple, elegant and virtually 100% effective for improving disc derangement.</b></p>
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		<title>By: Chiropractor Lynnwood</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-29792</link>
		<dc:creator>Chiropractor Lynnwood</dc:creator>
		<pubDate>Wed, 23 Mar 2011 01:25:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-29792</guid>
		<description><![CDATA[That is an amazing statistic!  I wonder why so many people still see surgery as the &quot;fix&quot; for their problem. For most people, it should only be used after all else has failed.]]></description>
		<content:encoded><![CDATA[<p>That is an amazing statistic!  I wonder why so many people still see surgery as the &#8220;fix&#8221; for their problem. For most people, it should only be used after all else has failed.</p>
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		<title>By: Mark Elliott</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-29370</link>
		<dc:creator>Mark Elliott</dc:creator>
		<pubDate>Mon, 14 Mar 2011 00:25:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-29370</guid>
		<description><![CDATA[I am looking for the 76% failure study and can&#039;t seem to find it. Some assistance would be greatly appreciated. If anyone could point me to a way to get a copy for patients it would be nice.
Thanks. Mark&lt;B&gt;

&lt;HR&gt;

RESPONSE from Frank:

It was 74%, but the intro paragraph mentions that number, and it&#039;s the 1st reference, listed towards the bottom of the page. Invariably all those are hot-linked directly to the article...and Full-Text when I can get to it.

The author states: &quot;&lt;I&gt;Two years after fusion surgery, 26% (n = 188) of fusion cases had RTW (return to work&lt;/I&gt;&quot;, so that means 74% are still not to work after 2 YEARS! That&#039;s the failure the article discusses.&lt;/B&gt;]]></description>
		<content:encoded><![CDATA[<p>I am looking for the 76% failure study and can&#8217;t seem to find it. Some assistance would be greatly appreciated. If anyone could point me to a way to get a copy for patients it would be nice.<br />
Thanks. Mark<b></p>
<hr />
<p>RESPONSE from Frank:</p>
<p>It was 74%, but the intro paragraph mentions that number, and it&#8217;s the 1st reference, listed towards the bottom of the page. Invariably all those are hot-linked directly to the article&#8230;and Full-Text when I can get to it.</p>
<p>The author states: &#8220;<i>Two years after fusion surgery, 26% (n = 188) of fusion cases had RTW (return to work</i>&#8220;, so that means 74% are still not to work after 2 YEARS! That&#8217;s the failure the article discusses.</b></p>
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		<title>By: Maine Chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-23792</link>
		<dc:creator>Maine Chiropractor</dc:creator>
		<pubDate>Thu, 30 Dec 2010 13:45:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-23792</guid>
		<description><![CDATA[There was a news story this morning on doctors who are investing in a company that makes hardware for a particular spinal surgery performing it more often than is necessary. Hmmmm....

&lt;HR&gt;

&lt;B&gt;RESPONSE from Frank

We posted a review titled “&lt;a HREF=&quot;http://www.chiro.org/wordpress/?p=2381&quot; TARGET=&quot;_blank&quot; rel=&quot;nofollow&quot;&gt;&lt;FONT COLOR=&quot;#B22222&quot;&gt;&lt;B&gt;Why Do Spinal Surgery Rates Continue To Rise?&lt;/B&gt;&lt;/FONT&gt;&lt;/A&gt;” last April after the &lt;I&gt;New York Times&lt;/I&gt; published an article that stated:

&lt;FONT COLOR=&quot;#26732A&quot;&gt;&lt;BIG&gt;Those concerns are now heightened by a growing trend among some surgeons to profit in yet another way — by investing in companies that make screws and other hardware they install.&lt;/BIG&gt;&lt;/FONT&gt;

My concern? 

&lt;FONT COLOR=&quot;#26732A&quot;&gt;Now we have to wonder if the orthopedist might be motivated to install 6 of those $1000 screws to your spine just because they are a stockholder of a lucrative medical device manufacturing company.&lt;/FONT&gt; UGH!

&lt;BIG&gt;Everyone rolls their eyes when they hear about the $400 ashtrays in defense contracts...but what about these $1000 screws? God help us!&lt;/BIG&gt;&lt;/B&gt;]]></description>
		<content:encoded><![CDATA[<p>There was a news story this morning on doctors who are investing in a company that makes hardware for a particular spinal surgery performing it more often than is necessary. Hmmmm&#8230;.</p>
<hr />
<p><b>RESPONSE from Frank</p>
<p>We posted a review titled “<a HREF="http://www.chiro.org/wordpress/?p=2381" TARGET="_blank" rel="nofollow"><font COLOR="#B22222"><b>Why Do Spinal Surgery Rates Continue To Rise?</b></font></a>” last April after the <i>New York Times</i> published an article that stated:</p>
<p><font COLOR="#26732A"><big>Those concerns are now heightened by a growing trend among some surgeons to profit in yet another way — by investing in companies that make screws and other hardware they install.</big></font></p>
<p>My concern? </p>
<p><font COLOR="#26732A">Now we have to wonder if the orthopedist might be motivated to install 6 of those $1000 screws to your spine just because they are a stockholder of a lucrative medical device manufacturing company.</font> UGH!</p>
<p><big>Everyone rolls their eyes when they hear about the $400 ashtrays in defense contracts&#8230;but what about these $1000 screws? God help us!</big></b></p>
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		<title>By: Michael Fiske DC -- Vacaville Chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-23774</link>
		<dc:creator>Michael Fiske DC -- Vacaville Chiropractor</dc:creator>
		<pubDate>Thu, 30 Dec 2010 08:59:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-23774</guid>
		<description><![CDATA[I have seen (and I&#039;m sure we all have) so many cases where a patient was in so much chronic pain after a lumbar fusion because he/she had traded the spinal pain for semi-permanent muscle spasm.  The failure rate looked to be about 74% to me -- now it is verified.]]></description>
		<content:encoded><![CDATA[<p>I have seen (and I&#8217;m sure we all have) so many cases where a patient was in so much chronic pain after a lumbar fusion because he/she had traded the spinal pain for semi-permanent muscle spasm.  The failure rate looked to be about 74% to me &#8212; now it is verified.</p>
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		<title>By: Karen McMinn</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-21580</link>
		<dc:creator>Karen McMinn</dc:creator>
		<pubDate>Thu, 16 Dec 2010 09:10:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-21580</guid>
		<description><![CDATA[Thanks for the brilliant information - anyone considering back surgery needs to know]]></description>
		<content:encoded><![CDATA[<p>Thanks for the brilliant information &#8211; anyone considering back surgery needs to know</p>
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		<title>By: seattle chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-18077</link>
		<dc:creator>seattle chiropractor</dc:creator>
		<pubDate>Tue, 23 Nov 2010 01:28:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-18077</guid>
		<description><![CDATA[Frank,

That IS encouraging! Hopefully it is a sign that things are starting to change, and more insurers will encourage chiropractic.]]></description>
		<content:encoded><![CDATA[<p>Frank,</p>
<p>That IS encouraging! Hopefully it is a sign that things are starting to change, and more insurers will encourage chiropractic.</p>
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		<title>By: Frank</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-17754</link>
		<dc:creator>Frank</dc:creator>
		<pubDate>Sun, 21 Nov 2010 22:45:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-17754</guid>
		<description><![CDATA[Thanks Mark.

It&#039;s the classic case of the fox minding the hen house.

&lt;BIG&gt;I called an Insurance Company to get a new patient&#039;s benefits, and the agent droned on that for medical benefits, the deductible was 300 and co-insurance was at 70%

I said &quot;&lt;B&gt;That&#039;s fine, but I&#039;m a Chiropactor&lt;/B&gt;&quot;

The agent brightened right up and said:

&quot;Oh, for chiropractic, deductible is only 200, and the co-insurance pays at 80%!&quot; 

&lt;FONT COLOR=&quot;#0000FF&quot;&gt;&lt;B&gt;Imagine that, experiencing an Insurer preferentially (and financially) steering clients towards chiropractic care!&lt;/B&gt;&lt;/FONT&gt;&lt;/BIG&gt;

And when you look at the recent posts we&#039;ve made, about the superiority and cost-effectiveness of chiropractic, it&#039;s only a matter of time before more Insurers do the same thing. It makes sense (and dollars saved!).]]></description>
		<content:encoded><![CDATA[<p>Thanks Mark.</p>
<p>It&#8217;s the classic case of the fox minding the hen house.</p>
<p><big>I called an Insurance Company to get a new patient&#8217;s benefits, and the agent droned on that for medical benefits, the deductible was 300 and co-insurance was at 70%</p>
<p>I said &#8220;<b>That&#8217;s fine, but I&#8217;m a Chiropactor</b>&#8221;</p>
<p>The agent brightened right up and said:</p>
<p>&#8220;Oh, for chiropractic, deductible is only 200, and the co-insurance pays at 80%!&#8221; </p>
<p><font COLOR="#0000FF"><b>Imagine that, experiencing an Insurer preferentially (and financially) steering clients towards chiropractic care!</b></font></big></p>
<p>And when you look at the recent posts we&#8217;ve made, about the superiority and cost-effectiveness of chiropractic, it&#8217;s only a matter of time before more Insurers do the same thing. It makes sense (and dollars saved!).</p>
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		<title>By: Mark Elliott</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-17747</link>
		<dc:creator>Mark Elliott</dc:creator>
		<pubDate>Sun, 21 Nov 2010 21:30:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-17747</guid>
		<description><![CDATA[I can see Frank&#039;s interpretation as more than likely pretty right on, I and can add that I recently heard a work comp guru speak. This person mentioned that many small to medium sized west coast hospitals make 100K+ per back surgery or (BS)and usually do 50 to 70 per month. If you add the numbers up you might see why the amount of surgeries, regardless of work comp, might not be going down anytime soon-regardless of the studies etc.

It makes sense that good patient education is a good place to start. Perhaps even a mailing campaign to the GP&#039;s in your area educating them with this study and other pro chiropractic studies already mentioned. Probably a good return on investment for the patients, their MD&#039;s and potential referrals to you. 

It appears that this type of information/studies has been around for quite some time. I believe, I remember hearing that the Texas Back Institute did a study in the late 80&#039;s and determined that less than 2% of all back surgeries (BS)were necessary. I have also heard plenty of failed surgery stats over the years, including that only 37% of the hot new laser surgeries are effective. You even have to pay cash for those- insurance does not seem to want to recognize them, last I heard. Kind of like Non-Surgical Spinal Decompression that seems have a much higher success rate with a relatively low comparison cost and little to no complications or recovery time.

Since the 80&#039;s, even after all the compelling negative literature on BS, it seems that the number of back surgeries are up: the number of failed back surgeries are up and back surgery Profits are up. 

Perhaps we can just call it Quantitative Easing III-BS with no accountability necessary?]]></description>
		<content:encoded><![CDATA[<p>I can see Frank&#8217;s interpretation as more than likely pretty right on, I and can add that I recently heard a work comp guru speak. This person mentioned that many small to medium sized west coast hospitals make 100K+ per back surgery or (BS)and usually do 50 to 70 per month. If you add the numbers up you might see why the amount of surgeries, regardless of work comp, might not be going down anytime soon-regardless of the studies etc.</p>
<p>It makes sense that good patient education is a good place to start. Perhaps even a mailing campaign to the GP&#8217;s in your area educating them with this study and other pro chiropractic studies already mentioned. Probably a good return on investment for the patients, their MD&#8217;s and potential referrals to you. </p>
<p>It appears that this type of information/studies has been around for quite some time. I believe, I remember hearing that the Texas Back Institute did a study in the late 80&#8242;s and determined that less than 2% of all back surgeries (BS)were necessary. I have also heard plenty of failed surgery stats over the years, including that only 37% of the hot new laser surgeries are effective. You even have to pay cash for those- insurance does not seem to want to recognize them, last I heard. Kind of like Non-Surgical Spinal Decompression that seems have a much higher success rate with a relatively low comparison cost and little to no complications or recovery time.</p>
<p>Since the 80&#8242;s, even after all the compelling negative literature on BS, it seems that the number of back surgeries are up: the number of failed back surgeries are up and back surgery Profits are up. </p>
<p>Perhaps we can just call it Quantitative Easing III-BS with no accountability necessary?</p>
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		<title>By: Chiropractic Boulder</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-17227</link>
		<dc:creator>Chiropractic Boulder</dc:creator>
		<pubDate>Mon, 15 Nov 2010 05:09:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-17227</guid>
		<description><![CDATA[Wow...I understood that back surgery failed (mechanically) long-term, but this is staggering to see this high rate of failure.  Time to print out that reference and send out a Tweet - thanks for sharing!]]></description>
		<content:encoded><![CDATA[<p>Wow&#8230;I understood that back surgery failed (mechanically) long-term, but this is staggering to see this high rate of failure.  Time to print out that reference and send out a Tweet &#8211; thanks for sharing!</p>
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		<title>By: Denver Chiropractic</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-17156</link>
		<dc:creator>Denver Chiropractic</dc:creator>
		<pubDate>Sun, 14 Nov 2010 06:37:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-17156</guid>
		<description><![CDATA[It&#039;s nice to see that what i have been teaching for the last decade now has rock solid evidence.  Too many of my patients have gone that route.  Now I have more conviction in trying to sway them from going down this path.]]></description>
		<content:encoded><![CDATA[<p>It&#8217;s nice to see that what i have been teaching for the last decade now has rock solid evidence.  Too many of my patients have gone that route.  Now I have more conviction in trying to sway them from going down this path.</p>
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		<title>By: Frank</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16870</link>
		<dc:creator>Frank</dc:creator>
		<pubDate>Tue, 09 Nov 2010 21:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16870</guid>
		<description><![CDATA[Seattle,

One only need review members of the Advisory Boards for any insurance carrier to see that MDs dominate and dictate policy decisions, such as which services are covered (and it&#039;s ALWAYS medicine, surgery) and which aren&#039;t (sometimes it&#039;s chiropractic).

What boggles the mind is how often people end up getting a second, third, or fourth back surgery. My question is, &lt;B&gt;if you need your appendix out, how many times do you need that surgery?  

If surgery ACTUALLY works (or was appropriate), then just one should do it, right??? Evidently, that&#039;s not the case.&lt;/B&gt;

The simple truth is that surgical disruption of discs, or worse yet spinal fusions, cause instability of the spine, that invariably causes the decline of segments immediately above or below where the surgery occurred. As evidence-based approaches start looking at the long-term effects of spinal surgery, it will become even more obvious that surgery is a very bad choice, except for extruded nucleus pulposus (free fragments in the canal or at the nerve roots). That should be considered a &quot;medical emergency&quot; and should be removed immediately.]]></description>
		<content:encoded><![CDATA[<p>Seattle,</p>
<p>One only need review members of the Advisory Boards for any insurance carrier to see that MDs dominate and dictate policy decisions, such as which services are covered (and it&#8217;s ALWAYS medicine, surgery) and which aren&#8217;t (sometimes it&#8217;s chiropractic).</p>
<p>What boggles the mind is how often people end up getting a second, third, or fourth back surgery. My question is, <b>if you need your appendix out, how many times do you need that surgery?  </p>
<p>If surgery ACTUALLY works (or was appropriate), then just one should do it, right??? Evidently, that&#8217;s not the case.</b></p>
<p>The simple truth is that surgical disruption of discs, or worse yet spinal fusions, cause instability of the spine, that invariably causes the decline of segments immediately above or below where the surgery occurred. As evidence-based approaches start looking at the long-term effects of spinal surgery, it will become even more obvious that surgery is a very bad choice, except for extruded nucleus pulposus (free fragments in the canal or at the nerve roots). That should be considered a &#8220;medical emergency&#8221; and should be removed immediately.</p>
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		<title>By: seattle chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16854</link>
		<dc:creator>seattle chiropractor</dc:creator>
		<pubDate>Tue, 09 Nov 2010 20:12:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16854</guid>
		<description><![CDATA[All surgery carries with it a significant degree of patient risk but back surgery fails most of the time.  Not only does the surgery not alleviate the problem of back pain, it often creates even greater problems for the patient. And the insurance companies are still paying for this?]]></description>
		<content:encoded><![CDATA[<p>All surgery carries with it a significant degree of patient risk but back surgery fails most of the time.  Not only does the surgery not alleviate the problem of back pain, it often creates even greater problems for the patient. And the insurance companies are still paying for this?</p>
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		<title>By: Free image hosting</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16687</link>
		<dc:creator>Free image hosting</dc:creator>
		<pubDate>Sun, 07 Nov 2010 21:34:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16687</guid>
		<description><![CDATA[Hi people, superb website, Thank you very much for the information I really appreciate it!!  We have just bookmarked your Blog.]]></description>
		<content:encoded><![CDATA[<p>Hi people, superb website, Thank you very much for the information I really appreciate it!!  We have just bookmarked your Blog.</p>
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		<title>By: Dr. Daniel Gonzalez</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16440</link>
		<dc:creator>Dr. Daniel Gonzalez</dc:creator>
		<pubDate>Tue, 02 Nov 2010 01:06:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16440</guid>
		<description><![CDATA[It&#039;s interesting how there is even a diagnosis that they&#039;ve created for cases such as this (Failed Back Syndrome or Failed Back Surgery Syndrome). Back in 2001, the problem was brought to light by Hubert L. Rosomoff, MD, when he realized that, after two weeks of rehabilitation, his back patients no longer required surgery. 

He went on record stating,  &quot;Following this kind of concept you can eliminate 99 percent of the surgical cases. In fact, the incidence of surgery if one really looks at this appropriately is one in 500.&quot;

He also went on to say that &quot;Backs don&#039;t fail people, Doctors do!&quot;.]]></description>
		<content:encoded><![CDATA[<p>It&#8217;s interesting how there is even a diagnosis that they&#8217;ve created for cases such as this (Failed Back Syndrome or Failed Back Surgery Syndrome). Back in 2001, the problem was brought to light by Hubert L. Rosomoff, MD, when he realized that, after two weeks of rehabilitation, his back patients no longer required surgery. </p>
<p>He went on record stating,  &#8220;Following this kind of concept you can eliminate 99 percent of the surgical cases. In fact, the incidence of surgery if one really looks at this appropriately is one in 500.&#8221;</p>
<p>He also went on to say that &#8220;Backs don&#8217;t fail people, Doctors do!&#8221;.</p>
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		<title>By: New study: 74 percent of back surgeries fail &#124; Real Chiropractic and Wellness of Myrtle Beach</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16310</link>
		<dc:creator>New study: 74 percent of back surgeries fail &#124; Real Chiropractic and Wellness of Myrtle Beach</dc:creator>
		<pubDate>Fri, 29 Oct 2010 15:57:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16310</guid>
		<description><![CDATA[[...] “The study [1] provides clear evidence that for many patients, fusion surgeries designed to alleviate pain from degenerating discs don’t work”, says the study’s lead author Dr. Trang Nguyen, a researcher at the University of Cincinnati College of Medicine. [2] (Read the full article here.) [...]]]></description>
		<content:encoded><![CDATA[<p>[...] “The study [1] provides clear evidence that for many patients, fusion surgeries designed to alleviate pain from degenerating discs don’t work”, says the study’s lead author Dr. Trang Nguyen, a researcher at the University of Cincinnati College of Medicine. [2] (Read the full article here.) [...]</p>
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		<title>By: Tweets that mention ChiroOrg Blog – « New Study Suggests That Back Surgery Fails 74% of the Time</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16266</link>
		<dc:creator>Tweets that mention ChiroOrg Blog – « New Study Suggests That Back Surgery Fails 74% of the Time</dc:creator>
		<pubDate>Fri, 29 Oct 2010 02:33:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16266</guid>
		<description><![CDATA[[...] This post was mentioned on Twitter by Dr. Stephanie Maj, Dr. David H. Mruz, Sally Cutler, Drs. Maj &amp; Miller, Karla Miller and others. Karla Miller said: Researchers reviewed 1,450 patients &amp; after two years, 26 % of those who had surgery had returned to work. Chiro FIRST! http://bit.ly/9vcdet [...]]]></description>
		<content:encoded><![CDATA[<p>[...] This post was mentioned on Twitter by Dr. Stephanie Maj, Dr. David H. Mruz, Sally Cutler, Drs. Maj &amp; Miller, Karla Miller and others. Karla Miller said: Researchers reviewed 1,450 patients &amp; after two years, 26 % of those who had surgery had returned to work. Chiro FIRST! <a href="http://bit.ly/9vcdet" rel="nofollow">http://bit.ly/9vcdet</a> [...]</p>
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		<title>By: Roger Saias</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16201</link>
		<dc:creator>Roger Saias</dc:creator>
		<pubDate>Wed, 27 Oct 2010 15:42:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16201</guid>
		<description><![CDATA[74% is a staggering number.  I recommend exhausting any possible non invasive option first, which always includes chiropractic.  Surgery should only be an option if all else fails to stabilize the spine.  Knowledge is power.  Get the facts first before jumping into a procedure that could potentially cause more harm than good.]]></description>
		<content:encoded><![CDATA[<p>74% is a staggering number.  I recommend exhausting any possible non invasive option first, which always includes chiropractic.  Surgery should only be an option if all else fails to stabilize the spine.  Knowledge is power.  Get the facts first before jumping into a procedure that could potentially cause more harm than good.</p>
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		<title>By: Freehold Chiropractor</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16198</link>
		<dc:creator>Freehold Chiropractor</dc:creator>
		<pubDate>Wed, 27 Oct 2010 14:44:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16198</guid>
		<description><![CDATA[These are the facts people need to know.  Surgery should only be used as a last resort.  By educating the public, chiropractors can help save many people from the misery that many of these surgeries can cause.]]></description>
		<content:encoded><![CDATA[<p>These are the facts people need to know.  Surgery should only be used as a last resort.  By educating the public, chiropractors can help save many people from the misery that many of these surgeries can cause.</p>
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		<title>By: Matthew Loop</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16197</link>
		<dc:creator>Matthew Loop</dc:creator>
		<pubDate>Wed, 27 Oct 2010 14:37:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16197</guid>
		<description><![CDATA[Good post that brings what many in practice see all of the time. I&#039;m fortunate to work with a Neurosurgeon that knows this and refers to chiropractors regularly.]]></description>
		<content:encoded><![CDATA[<p>Good post that brings what many in practice see all of the time. I&#8217;m fortunate to work with a Neurosurgeon that knows this and refers to chiropractors regularly.</p>
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		<title>By: Kevin Venerus</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16169</link>
		<dc:creator>Kevin Venerus</dc:creator>
		<pubDate>Tue, 26 Oct 2010 20:16:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16169</guid>
		<description><![CDATA[Couldn&#039;t agree with Dr. Rich anymore!]]></description>
		<content:encoded><![CDATA[<p>Couldn&#8217;t agree with Dr. Rich anymore!</p>
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		<title>By: karl</title>
		<link>http://www.chiro.org/wordpress/?p=3809&#038;cpage=1#comment-16078</link>
		<dc:creator>karl</dc:creator>
		<pubDate>Sat, 23 Oct 2010 19:27:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.chiro.org/wordpress/?p=3809#comment-16078</guid>
		<description><![CDATA[I&#039;ve seen the good, the bad and the ugly regarding patients that have had lowback surgery. Specifically, fusions, laminectomies and microdiskectomy. I&#039;m personally not going to be black and white when it comes to lowback surgery. I&#039;ve had/see patients that have had good results. When it comes to &quot;failures&quot; there are many variables to consider......one being a person&#039;s perceived/tolerance of pain. Some of the said microdiskectomy patients were in a lot of pain and couldn&#039;t afford the time/employment compensation to be out of work. Therefore diagnosis/evaluation is key when determining the best candidates for lowback surgery. It&#039;s my opinion, proper diagnosis/evaluation of the patient and their respective advanced imaging is an area of concern. Of course there many other variables to consider but that&#039;s difficult. I believe conservative chiroractic care along with rational pain control medication should be a first choice for some of these potential lowback surgery patients.]]></description>
		<content:encoded><![CDATA[<p>I&#8217;ve seen the good, the bad and the ugly regarding patients that have had lowback surgery. Specifically, fusions, laminectomies and microdiskectomy. I&#8217;m personally not going to be black and white when it comes to lowback surgery. I&#8217;ve had/see patients that have had good results. When it comes to &#8220;failures&#8221; there are many variables to consider&#8230;&#8230;one being a person&#8217;s perceived/tolerance of pain. Some of the said microdiskectomy patients were in a lot of pain and couldn&#8217;t afford the time/employment compensation to be out of work. Therefore diagnosis/evaluation is key when determining the best candidates for lowback surgery. It&#8217;s my opinion, proper diagnosis/evaluation of the patient and their respective advanced imaging is an area of concern. Of course there many other variables to consider but that&#8217;s difficult. I believe conservative chiroractic care along with rational pain control medication should be a first choice for some of these potential lowback surgery patients.</p>
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