Patients who generally suffer from chronic neck or back pain have the usual common denominator of deconditioning (weak musculature). These patients would benefit from our tailored rehabilitation program and are generally classified as follows:

• Chronic Nonsurgical Spine Pain
  Spine pain that does not resolve after 8 to 12 weeks of the original injury irrespective of the applied nonsurgical treatment modalities (physical therapy, chiropractic therapy and/or medications). Typical patients have chronic discogenic pain, facet syndrome or chronic sprain/strain.
  
• Surgical Candidate with Chronic Spine Pain
  For example, patients who are being considered for fusion surgery.
  
• Chronic Postsurgical Spine Pain
  Patients who are status post laminectomy, discectomy or fusion whose pain has not completely resolved.
  
• Acute or Subacute Spine Pain
  Patients with spine pain of 4 to 6 weeks duration not responding to traditional treatments.

• Chronic Spine Pain
  Biopsychosocial factors are evaluated and a comprehensive treatment plan is developed. Aggressive strengthening is attained utilizing MedX equipment. The treatment timeline is usually 8 to 12 weeks. Certain patients may require passive treatment to advance.
  
• Acute Spine Pain
  Active and passive modalities will be tailored to the patient's condition.
  
• Workability
  MSR's philisophy acknowledges the importance of keeping patients socially "plugged in" and actively involved in the workplace. Assessment of a patient's workability may indicate the need for periodic activity prescriptions.

• Recovery rate for chronic, nonsurgical spine pain patients is about 70% to 80%.
  
• Surgery is avoided in about 60% to 70% of surgical candidates with chronic spine pain.