Avoiding Potential Back Surgery and Cost Saving Implications

Avoiding Potential Back Surgery and Cost Saving Implications

Published by Wichita Chiropractor Dr. Tracy A. Norris, DC, CCEP, Cert. MDT on Dec 5th 2019

Several research studies have shown the potential of Mechanical Diagnosis and Therapy (MDT) for pre-surgical screening and intervention to reduce surgery rates in the spine. This could have significant cost-saving implications in today's healthcare for lower back cases. In the first study, four years after implementation of McKenzie based spine clinics in a Danish county, lumbar disc surgery rates were reduced by 50% compared with previous years. In the second study, transforaminal epidural injections followed by MDT demonstrated the potential to be an effective strategy in preventing surgical interventions for patients with lumbar disc herniation.

Wichita Chiropractor Dr. Tracy Alan Norris is a Certified Mechanical Diagnosis and Therapy Clinician trained to perform pre-surgical spine screenings and provide intervention to help reduce low back surgery rates. 

Primary care physicians (Medical Doctors, Orthopedists, Neurologists, Neurosurgeons and Internists) can refer patients for mechanical evaluation to determine whether there is a mechanical musculoskeletal problem that  conservative care might help prior to advancing towards a surgical intervention.


Rasmussen C, et al. Rates of Lumbar Disc Surgery Before and After Implementation of Multidisciplinary Nonsurgical Spine Clinics. Spine 30; 21:2469-73. 2005

Van Helvoirt H, et al. Transforaminal Epidural Steroid Injections Followed by MDT to Prevent Surgery for Lumbar Disc Herniation. Pain Med.15(7):1100-8. 2014

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