Case Report Highlights the Role of PostureRay® in Correcting Chronic Mid-Back Pain

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