Chiropractic Care After Spinal Fusion: Addressing Misconceptions and Neurological Benefits

The podcast directly challenges the widespread misconception that chiropractic care is contraindicated or unsafe following spinal fusion surgery. The central argument posits that, contrary to popular belief, chiropractic adjustments become even more vital for individuals with fused spines. The speaker emphasizes that the fundamental purpose of an adjustment in this context is not to mechanically manipulate a fused bone, but rather to stimulate neural pathways and proprioceptors, thereby transmitting essential sensory signals to the brain.

A crucial distinction is drawn between traditional "osseous full-force adjustments," which typically involve twisting and popping, and gentler, instrument-based techniques such as those utilizing an Arthrostim or Activator. The speaker clarifies that while direct motion in a fused joint is not the objective, these low-force methods can effectively activate receptors located in surrounding muscles, joints, and tendons. This activation maintains neurological communication, underscoring the core principle that chiropractic care is fundamentally "about the brain," rather than solely "about the bone."

For patients who have undergone spinal fusion, the podcast strongly advocates for the continuation or initiation of chiropractic care. However, it provides a critical recommendation: patients must diligently seek out practitioners who are highly skilled and knowledgeable in performing low-force instrument adjustments. This ensures that the care provided is appropriate, safe, and specifically tailored to the unique physiological state of a post-surgical spine, thereby preventing the use of techniques that could be counterproductive or potentially harmful.

This discussion carries broader implications for patient education and fosters a more nuanced interdisciplinary understanding within the healthcare community. It highlights a significant gap in common knowledge regarding the scope and methodology of chiropractic, particularly concerning complex post-surgical conditions. By demystifying the nature of chiropractic adjustments and emphasizing their neurological rather than purely mechanical effects, the podcast promotes a more informed and evidence-based approach to spinal health management, potentially expanding therapeutic options for patients living with spinal fusions.

"most people say that as soon as you've had spine surgery then you can never adjust it again"

"the opposite is true once you've had that spine fused"

"it's more important than ever that you adjust that spine"

"you don't have to twist and pop someone to make an adjustment"

"if you use instruments if you use an arthrostim or an activator then you can still adjust"

"you can activate those signal pathways even if there is no motion in the joint itself"

"there's a huge misunderstanding about what an adjustment is and when it's appropriate to do an adjustment"

"it's not about the bone it's about the brain"

"when you've had a fusion it's more important than ever to get adjusted"

"make sure that the person knows how to do a low force instrument adjustment and that they know what they're talking about"