Reduction in Severe, Chronic Mid-Back Pain Following Correction of Sagittal Thoracic Spinal Alignment Using Chiropractic BioPhysics® Spinal Rehabilitation Program Following Prior Failed Treatment: A Case Report with 9-Month Follow-Up
Chronic mid-back pain (MBP) is a challenging condition, particularly when it persists despite conventional treatments. A newly published peer-reviewed case report in Healthcare (MDPI) documents a successful outcome using Chiropractic BioPhysics® (CBP®) spinal rehabilitation, supported by objective radiographic analysis using PostureRay® software.
Study Overview
- Patient: 40-year-old female with over 10 years of severe, chronic mid-back pain
- Prior failed care: Physical therapy, traditional chiropractic manipulation, and trigger-point injections
- Pain severity: 8/10 at baseline
Objective Assessment Using PostureRay®
A key strength of this case report is the reliance on quantitative spinal alignment data obtained via PostureRay® Version 26 (PostureCo®, Trinity, Florida).
PostureRay® was used to:
- Perform AI-assisted radiographic mensuration
- Quantify thoracic kyphosis and sagittal balance
- Establish baseline deformity and objectively track correction over time
Initial findings included:
- Thoracic kyphosis (T3–T10): 66.2° (marked hyperkyphosis)
- Posterior sagittal balance: –16.3 mm
Intervention
The patient underwent a Chiropractic BioPhysics® corrective care program, including:
- Mirror Image® exercises
- Targeted spinal manipulation
- Thoracic traction
Treatment frequency: 37 visits over approximately 3 months.
Clinical and Structural Outcomes
Following CBP® rehabilitation:
- Pain reduced from 8/10 to 2/10, with full return to daily activities
- PostureRay® follow-up imaging demonstrated structural correction:
- Thoracic kyphosis improved to 45.2°
- At 9-month follow-up:
- Pain reported as 0/10
- Structural correction largely maintained (~47.7°)
Why This Matters
This case reinforces several clinically important points:
- Structural spinal correction may be necessary when symptom-based care fails
- Objective radiographic analysis is critical for documenting meaningful change
- PostureRay® provides reproducible, reliable measurements that support evidence-based clinical decision-making
The authors specifically note the importance of PostureRay®’s AI-assisted spine mensuration in accurately tracking sagittal alignment changes over time.
Conclusion
This peer-reviewed case report demonstrates that CBP®-based spinal rehabilitation, guided by objective PostureRay® radiographic analysis, can lead to sustained pain relief and measurable structural improvement in patients with chronic mid-back pain.
For clinicians focused on outcomes, documentation, and evidence-based posture correction, this study highlights the clinical value of integrating PostureRay® software into practice.
Read the Full Article
Healthcare (MDPI), Volume 13, Issue 20, Article 2587
🔗 https://www.mdpi.com/2227-9032/13/20/2587
