02/24/2026
Conclusion
“This multicenter case series of 61 patients with FBSS treated with CTFDD manipulation has shown statistically significant patient-reported pain relief and improvements in physical function. PROMIS-29 v1.0 scores showed reductions in physical function limitations, anxiety, depression, fatigue, pain interference, average pain, spine pain, leg and arm pain, along with improvements in sleep disturbance and social roles. Additionally, NDI scores decreased at both 3 and 12 months of care, although there was an increase from 3 to 12 months.”
Failed Back Surgery Syndrome (FBSS) Patients Undergoing Flexion Distraction Chiropractic Treatment
Patients with FBSS who received specialized chiropractic flexion distraction spinal manipulation in this study experienced relief of pain and disability.
https://www.sciencedirect.com/science/article/pii/S1556370725000070