can you go to chiropractor after cervical fusion

The patient was diagnosed with mechanical low back pain status post L3-4, L5-S1 fusion and spinal cord stimulator implantation. At some point within the first week or two after surgery, most people transition off opioids to a weaker pain reliever, such as acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs). California Privacy Statement, You may have the levels above and below fusion adjusted. If muscle cramps develop or persist, a muscle relaxer may also be prescribed. Articles Chiropractic BioPhysics [], CBP Seminars, Inc. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Yet 50% of the profession performs gentle techniques that doesn't include manipulation. Ultimately, it depends on the case, and which part of the spine was fused and why. Eur Spine J. al. Use of chiropractic services from 1985 through 1991 in the United States and Canada. Mayo Clinic is a not-for-profit organization. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Not everyone responds to chiropractic adjustments. Mild relief was achieved with lying down and sitting. 2004;27(9):5748. An ice pack often reduces the symptoms of this chiropractic technique more . Chiropractic can help maintain the integrity of the motion of the segments above and below the surgically-altered area. University of Minnesota. Your chiropractor may also recommend other examinations or tests, such as X-rays. Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review. Post-surgical sacroiliac joint syndrome. To schedule an appointment, click here! Facet loading was positive for concordant low back pain to the right, while sacroiliac and hip provocation were unremarkable. Following fusion surgery in 2004, the patient was relatively pain free for approximately 7years, after which his low back pain and left lower extremity pain reoccurred without an inciting event. Mild relief was achieved with NSAIDs, morphine, moist heat, and lying in a lateral decubitus position. Visualized is a series of two radiographs, including an anterioposterior view (a), and a lateral view (b), of a post-surgical lumbar spine with pedicle screw and rod fixation at L4-S1 levels, and spinal cord stimulator lead wires entering the spinal column at L1-2 with a pulse generator over the left iliac crest. What are the Problems After a Spinal Fusion of C-5 & C-6? Watch: Pillows and Positions for Easing Neck Pain Video. American Board of Chiropractic Specialties (ABCS). One potential drawback of increased motion at nearby unfused vertebral levels (above and below the fusion) is that they experience more stress, which may put those discs at risk of degenerating more quickly in the future (adjacent segment disease). Perrucci, R.M., Coulis, C.M. Cite this article. Articular stiffness and pain was noted throughout the lumbar spine with associated hypertonicity and palpable tenderness to the adjacent musculature. Evans DW. Email: [emailprotected], Articles 10 Benefits of Chiropractic BioPhysics Chiropractic BioPhysics (CBP) is a [], Articles Exploring the Impacts of Gaining or Losing Weight on Spinal Alignment [], Articles Are Herniated Discs Really That Serious? did mike boone lone star law retire Menu. He presented to our clinic noting chronic low back pain that was provoked with standing and walking, and relieved with sitting, bending over, lying down, opiates and with using a shopping cart while walking. 1999-2023 Veritas Health, LLC. When performed by licensed chiropractic physicians, chiropractic care can be incredibly beneficial in reducing different types of back, neck, or joint pain. google flights to kingston jamaica. You always amaze me with your blogs. Prior treatment had included acupuncture, physical therapy, and opiate and non-opiate analgesics which the patient found to be temporarily beneficial. Chiropractors can work above and below the fusion to help prevent adjacent segmental arthritis as well as prescribe therapeutic exercise to help with your condition. Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Pain that worsens despite taking medication as prescribed, Numbness, weakness, or reduced bowel/bladder control, Increased redness, pain, or discharge at the incision site, Nausea, dizziness, severe headache, fever, or chills. Low back pain. He received 2 treatments and reported no benefit. 1160 Taylor Street Suite 100 recommend that a post-implant rehabilitation program to address deconditioning will assist patients in building functional capacity, returning to work, and actively participating in domestic and social life [6]. J Manipulative Physiol Ther. A 57year-old male presented with a history of acute-on-chronic low back pain and bilateral lower extremity numbness and tingling status post spinal cord stimulator implantation. Spinal cord stimulation with implanted epidural paddle lead relieves chronic axial low back pain. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Here are three things to know about neck mobility following an ACDF. Spinal cord stimulation in complex regional pain syndrome and refractory neuropathic back and leg pain/failed back surgery syndrome: results of a systematic review and meta-analysis. Appointments 866.588.2264 Appointments & Locations Spinal fusion surgery is often one of the last options a patient chooses after exploring medications, physical therapy, and chiropractic, all to no avail because it can be extremely intense and has a year-long recovery period. There are several types of cervical fusion. 1999-2023 Veritas Health, LLC. found no significant diagnostic study, patient, or technology related predictors of pain relief following SCS [11]. Conversely, Deer et. Manca A, Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, Thomson S, OCallahghan J, Eisenberg E, Milbouw G, Buchser E, Fortini G, Richardson J, Taylor RJ, Goeree R, Schulpher MJ. let go let god tattoo vinny. Get Veritas Health Newsletters delivered to your inbox. Article Chiropractic management of post spinal cord stimulator spine pain: a case report, https://doi.org/10.1186/s12998-017-0136-0, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. al. Stidd DA, Rivero S, Weinand ME. Hip provocation was unremarkable. Chiropractic & Manual Therapies CAS can you go to chiropractor after cervical fusion can you go to chiropractor after cervical fusion. Don't wait to have the examination, as the sooner the problems is detected and treated the better. Yes, you should obviously tell the Chiropractor about these fusions so they are able to treat you appropriately. Fritsch EW, Heisel J, Rupp S. The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Mayo Clinic; 2019. Leboeuf-Yde C, Hennius B, Rudberg E, Leufvenmark P, Thunman M. Side effects of chiropractic treatment: a prospective study. Fortunately, after fully recovering from the procedure, the necks range of motion is not something most patients have to worry about. Many people want to know if there is any truth to this advice Is chiropractic care safe for people with surgical fusion? The patient was treated 4 times over the next 4weeks noting temporary relief of his low back pain and no change in his right lower extremity symptoms. Prior treatment had included the aforementioned surgical procedures, physical therapy, repeat lumbar epidural steroid injections, and opiate and non-opiate analgesics. At the time of presentation to our clinic, his low back pain was constant yet variable in intensity ranging from 3/10-8/10. Please check out our CBP Seminars page to book the next event. The advice and information contained in this article is for educational purposes only, and is not intended to replace or counter a physician's advice or judgment. Chiropractors treat muscles, muscle attachments, and joints. 1997;22:43541. Recommended product links may direct you to Amazon, where a small commission is earned from the purchase. Taking Charge of Your Health & Wellbeing. Also work is done above and below the fusion.not on the fused area. Neuromodulation. Physical Medicine and Rehabilitation Clinics of North America. In: Mayo Clinic Guide to Integrative Medicine. The Mayo Clinic contends that chiropractic manipulation is generally safe when performed by a licensed professional. Find doctors & request online appointments. After being cleared by your surgeon, you can be seen by a chiropractor for further spinal treatment. Articular stiffness and pain was noted in the upper lumbar spine and bilateral sacroiliac joints, and hypertonicity and tenderness to palpation was noted throughout the lumbar paraspinal muscles and gluteal musculature. Taylor RS, Desai MJ, Rigoard P, Taylor RJ. At this time, there is no literature available on manual treatment or physical therapy for persistent pain status post stimulator implantation. Spinal manipulation: What you need to know. If that was the case, for example, a chiropractic physician can provide a lot of relief to upper cervical which can help with headaches and even blood pressure You just avoid adjusting the bones immediately above and below the fusion levels. Chiropractic adjustment is safe when it's performed by someone trained and licensed to deliver chiropractic care. Manage cookies/Do not sell my data we use in the preference centre. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. 2 Comments. can you go to chiropractor after cervical fusion; can you go to chiropractor after cervical fusionsinge capucin a vendre 2021. by . Adverse nerve root tension was noted with right SLR supine but not seated. That includes all areas of the neuromuscular system. He noted several years of low back pain and bilateral lower extremity numbness and tingling that was initially non-responsive to trials of physical therapy, chiropractic, aquatherapy, and lumbar epidural steroid injections. Many spinal fusion patients experience discomfort or pain for a long while after surgery that might be aided by chiropractic manipulations. Over time, the bones graft together to immobilize that section of the spine. Chiropractic manipulation works on the principle that you can treat or resolve several illnesses by adjusting or realigning the bones, including the spine. PubMed Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: a systematic review of effectiveness and complications. For patients with chronic back pain due to spinal fractures or degeneration, its imperative a physician at Southwest Spine and Pain Center be consulted before chiropractic care is sought. 4. 2019- c5/6 ACDF. Here are four reason you should see a chiropractor: Low back pain. al. Click here, Need to login as a patient? Your FindaTopDoc account is completely free. However, these patients should not endure rotational-type treatments. Obviously, manipulation is not indicated after cervical fusion. Dehydration Headache or Chronic Migraine? Kumar K, North RB, Taylor RS, et al. They care for you if you're staying for a few weeks or months in a rehab center. Polkinghorn BS, Colloca CJ. They may also come to your home. Some people may prefer sleeping in a reclined position, such as a recliner chair, for the first few days. At Radiant Life Chiropractic, we use many tools and technologies to understand the specific structure and function of your body. Morningstar MW, Strauchman MN. Are you a CBP chiropractor looking to attend one of our seminars? Spinal cord stimulation (SCS) has been used since 1967 for the treatment of chronic pain [15]. 2013;12:16875. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015, 3 Things to Know About Neck Motion After ACDF. In a 2014 systematic review and meta-regression analysis, Taylor et. Although every patient and procedure is different, its best to wait up to 6 months before seeking alternative treatment modalities, including chiropractic care. The patient was diagnosed with symptomatic lumbar spine stenosis status post spinal cord stimulator implantation. The most important thing you can do, however, is ensure your SWSP physician is aware of your interest in chiropractic care. He reported experiencing no adverse reactions or onset of new symptoms post treatment. The chiropractor uses his or her hands to apply a controlled, sudden force to a joint, pushing it beyond its usual range of motion. 2 In regards to chronic low back pain, approximately 67.5% of patients receive spinal surgery [20, 21]. In patients who continue to experience low back pain after implantation of a spinal cord stimulator, treatment options are limited. It is very possible for you to still treat with a Chiropractor after cervical fusion. National Center for Complementary and Integrative Health. The authors declare they have no competing interests. Quack Watch: Tips on Choosing a Chiropractor. Wu XD, Wang XW, Yuan W, et al. Of the previously mentioned conditions, the current most common indicator for SCS is FBSS [13, 6, 7], which is defined as persistent lumbar and lower extremity pain after lumbar spine surgery [1, 4]. So how will that affect your quality of life? Most people who go to a chiropractor have back or neck pain. can you go to chiropractor after cervical fusion. The majority of complications occur during the first 12months after implant [12], and are usually minor and easily reversible with minor surgery [13]. Cookies policy. Fusion patients could be at greater risk for injury, especially if the graft is not strong enough or if the chiropractor is not familiar with non-rotational methods for spinal manipulation. If you are a WordPress user with administrative privileges on this site, please enter your email address in the box below and click "Send". Chiropractic/rehabilitation management of postsurgical disc herniation: a retrospective case report. Chiropractors have a lot of experience treating back . After a spinal fusion surgery, it can take a minimum of three months for the vertebrae to fuse together and create a fully immobilized graft. Springer Nature. Talk to your healthcare provider before using an at-home cervical traction device. Kumar K, Buchser E, Linderoth B, Meglio M, Van Buyten JP. A thorough exam will be needed and certain types of adjustments you would not be able to have, but yes, I think it would be a great thing for you to treat with a Chiropractor. Avoiding complications from spinal cord stimulation: practical recommendations from an international panel of experts. Chiropractic care may also include exercise and lifestyle counseling. Yes, you can see a chiropractor after a cervical fusion surgery. It is suggested that ongoing follow-up is needed to ensure optimal outcomes; Kumar et. Lumbar spine range of motion was severely limited in flexion and mildly limited in extension with local low back pain in both directions. Zou S, Gao J, Xu B, Lu X, Han Y, Meng H. Anterior cervical discectomy and fusion (ACDF) versus cervical disc arthroplasty (CDA) for two contiguous levels cervical disc degenerative disease: a meta-analysis of randomized controlled trials. 2002. Spinal cord stimulators are considered a relatively safe treatment option [3]. Please always consult your physician before taking any advice learned here or in any other educational medical material. Name and email address are required. Strength was mildly decreased (4/5) globally in the bilateral lower extremities and hypoesthesia to light touch was noted over the right lateral lower extremity and right great toe. We always try to avoid surgery with appropriate treatment. There is some debate as to whether you should have chiropractic manipulation after spinal fusion surgery 1. J Chiropr Res Clin Invest. A study of postspinal surgery cases in chiropractic offices. Whatever sleep position feels the most comfortable is usually OK. Sleeping on the stomach is not advised because it puts the most stress on the cervical spine. Chiropractors treat people who have problems with muscles, muscle attachments (tendons), and joints. Some possible workarounds include turning more at the waist, modifying mirrors, and/or using a vehicle backup camera to avoid turning the neck too far. Evaluation demonstrated a well-nourished, well-groomed male who was cooperative, pleasant, and appeared in no apparent distress. pothead friendly jobs 0 sn phm / 0 . If the patient already underwent fusion, then chiropractic is the best form of post-surgical treatment in most cases. Serious complications associated with chiropractic adjustment are overall rare, but may include: Don't seek chiropractic adjustment if you have: No special preparation is required before a chiropractic adjustment. Neuromodulation. Deer TR, Mekhail N, Provenzano D, et al. Four cases of patients within the VA Connecticut Health Care System presenting between July 2014 and July 2015 reporting low back pain after surgical insertion of spinal cord stimulators are discussed. The question is what is causing the problem with the area and that requires diagnosis. Participate in Health Journeys in over 100 specialty communities. Visit our Doctors Directory to get started. Easy & secure access! If youre considering an anterior cervical discectomy with fusion (ACDF) surgery for neck pain, its common to worry about how much your neck will be able to move after the procedure. 2005;30:15260. Yes, if the doc practices low movement, specific techniques. A radiograph of a post-surgical lumbar spine with implanted spinal cord stimulator can be visualized in Fig. Is Chiropractic Still an Option After Back Surgery or Spinal Fusion? Can I see a chiropractor after having spinal fusion surgery? By getting treatment it will help increase motion and increases nerve and blood flow circulation to your head and arms at the same time decreasing pain due to stiffness! 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If your graft is adequately healed and your physician feels that you are strong enough to endure mild spinal manipulations, you can reach out to your Ideal Spine chiropractor to discuss Chiropractic BioPhysics (CBP) treatment options. DTRs were trace bilaterally and symmetric at the patella and achilles, strength was 5/5 and symmetric throughout the bilateral lower extremities, and sensation to light touch was intact bilaterally and symmetrically. The chiropractic treatment goals for cervical spine complaint management include (but are not limited to) some combination of: Reducing pain Improving motion Restoring function to the head and neck region These goals are usually accomplished by the use of a number of different approaches. Do not take sleep medication without first consulting the surgeon or pharmacist. Understand your health You should definitely let your chiropractor know what level(s) have been fused. Some surgeons may recommend a soft neck collar for the first few days after surgery to stabilize the neck and reduce excess movement, but it is not typically necessary. Strength was 5/5 throughout the lower extremities bilaterally. Adam Tanase, D.C., a St. Louis-area chiropractor, advises that while chiropractors should not use rotational methods, or twist-and-pop, that fusion patients could benefit from other spinal manipulation techniques. Reported rates of complications from spinal cord stimulator implant range between 18% and 43.5% [13, 6, 8, 9, 12, 13]. Our chiropractor and the rest of the team at Radiant Life Chiropractic are committed to providing high quality, affordablechiropractic care to address your unique needs. Google Scholar. 2009;12:37997. Carragee EJ, Han MY, Suen PW, Kim D. Clinical outcomes after lumbar discectomy for sciatica: the effects of fragment type and anular competence. Chiropr Osteopat. Is Fibromyalgia Pain Different From Chronic Pain? Individuals who have had spinal fusion surgery should avoid going to a chiropractor within the first year post-surgery. You can definitely receive chiropractic care following a cervical fusion and can be very helpful in treating the compensation areas due to the fusion. During a typical chiropractic adjustment, your chiropractor places you in specific positions to treat affected areas. 1996;19(1):417. volume25, Articlenumber:5 (2017) The chiropractor might also suggest healthy ways to reduce stress and relieve your headaches, including proper posture and body mechanics. AskMayoExpert. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. When patients ask me for advice on how to know if you have a spinal disc problem, theres a story that comes to mind Waterbeds were something else, werent they? Do you ever find []. The main objective of this study is to describe the potential adverse effects of lumbar spine manipulation in post-surgical patients with spinal cord stimulators; the cases presented were drawn from patients presenting at the VA Connecticut Healthcare System. J Chiropr Med. SCS has been found to significantly reduce pain, increase functional capacity, improve quality of life, reduce analgesic consumption, and allow patients to return to work [2, 6, 810]. I know that when surgeons tell their patients to stay away from chiropractic adjustments after surgery, theyre doing so with the best of intentions. At Radiant Life Chiropractic, we use many tools and technologies to understand the specific structure and function of your body. can you go to chiropractor after cervical fusiongoleta pier fishing rules. Patients with fusion resulting from disc herniation, however, are better candidates. RP performed the literature review and prepared the manuscript. The patients DTRs were 2+ bilaterally and symmetric at the patella and achilles, strength was 5/5 throughout the lower extremities bilaterally and hypoesthesia was noted over the proximal anterior right thigh. 2012;11(1):305. If your symptoms don't begin to improve after several weeks of treatments, chiropractic adjustment might not be the best option for you. Following that period, he reported continued low back pain and right lower extremity dysesthesia and pain which was subsequently treated with spinal cord stimulator implantation in 2010. Especially in cases where patients have previously undergone a neck or back surgery, we utilize low-dose digital x-ray. 15(4):307-11. Articular stiffness and pain was noted in the lower lumbar spine and hypertonicity and tenderness was present in the adjacent lumbar paraspinal musculature. Good job doc! Life threatening complications are very rare [1], and neurological damage is uncommon [13]. 1994;17(2):8892. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. mri resident connect login He also noted improved tolerance to walking and standing (30min vs 10min at the initial consultation). This content does not have an English version. Findatopdoc.com does not provide medical advice, diagnosis or treatment. Consent to publish has been obtained from all persons involved in this study. J Spinal Disord Tech. PubMed Articular stiffness and pain was noted throughout the lumbar spine with associated hypertonicity and palpable tenderness to the adjacent musculature. CAS Google Scholar. Chiropractic care is absolutely safe for most patients who undergo back surgery after they have healed from the procedure. After the first year, you should consult with your surgeon and physical therapist to determine if the graft is strong enough to withstand chiropractic manipulation. 2015; doi:10.1111/ner.12312. Bennett SE, Schenk RJ, Simmons ED. To find a reputable chiropractor, get a referral from your surgeon or physical therapist or consult the American Chiropractic Association. Some studies suggest that spinal manipulation may also be effective for headaches and other spine-related conditions, such as neck pain. While not everyone will be a candidate for care, many fusion patients have safely experienced the benefits of specific chiropractic. The small incision site at the front of the neck is typically 1 to 2 inches long and takes 10 to 14 days to heal. It can take at least three months for the fused bones to graft together. 2005;14(7):6548. Using Game of Thrones to Explain Chiropractic Care, Multiple Sclerosis, Neck Trauma, and the Glymphatic System, The Delicious Recipe I Learned From the Creator of Dilbert, Pain at the base of the skull and lowest part of the neck. See Potential Complications and Risks of Cervical Disc Replacement Surgery, Next Page: The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. Exploring the Impacts of Gaining or Losing Weight on Spinal Alignment, How Chiropractic Supports Your Bodys Natural Healing Process. Ann Intern Med. The effect of multilevel anterior cervical fusion on neck motion. Turner JA, Loeser JD, Deyo RA, Sanders SB. The effect of multilevel anterior cervical fusion on neck motion. Chiropractic management of postoperative spine pain: a report of 3 cases. can you go to chiropractor after cervical fusion. How can I find a qualified chiropractor? This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. The owner of this site is using Wordfence to manage access to their site. Bauer BA. A CT of the lumbar spine demonstrated a T9-10 disc herniation without thecal sac encroachment, and a spinal cord stimulator with lead placement at T11-12. Difference Between Sore And Spasming Back And Shoulder Muscles. Especially in cases where patients have previously undergone a neck or back surgery, we utilize low-dose digital x-ray. Why Do I Always Get Sick During The Holidays, And Can Chiropractic Care Help? Moreover, he denied any adverse effect from treatment or onset of new symptoms post spinal manipulation. Coulis CM, Lisi AJ. Eventually, due to the persistent nature of his complaint, a spinal cord stimulator trial was undertaken to which he responded positively. Cervical traction is a quick, easy treatment for neck pain caused by lots of conditions. can you go to chiropractor after cervical fusion . Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Use of yoga, meditation, and chiropractors among U.S. adults aged 18 and over. 2002. concluded that indicators including the experience of the implanter, etiology of the patients pain, access to early treatment, the existence of comorbidities that might cause failure or electrode lead complications and a well performed psychologic evaluation can help determine the effectiveness of SCS [13]. Accessed Sept. 28, 2020. Despite the above mentioned methods of avoiding poor outcomes, only 50-60% of patients with spinal cord stimulators report 50% pain relief; 4050% continue to experience pain [1]. 2017;16(2):44-45. Pain Management at Home after ACDF. Spine. A series of consecutive cases of low back pain with radiating leg pain treated by chiropractors. Your access to this service has been limited. First, it must be totally healed which takes a period of months. Radiographs of a lumbar spine status post lumbar decompression, fusion, and implantation of spinal cord stimulator. Chiropractic or osteopathic manipulation. Neuromodulation. It can take at least three months for the fused bones to graft together. Carey TS, Evans A, Hadler N, Kalsbeek W, McLaughlin C, Fryer J. Spinal manipulation is proposed to address the mechanical aspect of the pain, and you're getting physical motion into the joint with many chiropractic techniques. Most of these surgical patients have suffered for years with pain after the surgery. I am assuming you mean well after the fusion has healed and stabilized after surgery. Each adjustment involves manipulations of the spine, tissues and muscles. J Manipulative Physiol Ther. Although every patient and procedure is different, it's best to wait up to 6 months before seeking alternative treatment modalities, including chiropractic care. First, the controlled force and manipulation during a chiropractic session could reinjure the spine. Certification and training. After the first year, you should consult with your surgeon and physical therapist to determine if the graft is strong enough to withstand chiropractic manipulation. He was treated 6 times over the next 3months, reporting durable relief of his low back pain; he noted increased tolerance to standing and lying down (30min vs. less than 5min at the initial consultation) and reduction in pain levels to 2-5/10 depending on activity.

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can you go to chiropractor after cervical fusion

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