{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:36:20Z","timestamp":1790710580822,"version":"4.1.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"Supplement_2","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100018494","name":"Florida High-Tech Corridor","doi-asserted-by":"crossref","award":["FHT 23-01"],"award-info":[{"award-number":["FHT 23-01"]}],"id":[{"id":"10.13039\/100018494","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Board of Chiropractic Examiners"},{"name":"Florida Department of State Center for Neuromusculoskeletal Research"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Low back pain (LBP) is a leading cause of disability and health care costs worldwide. Despite its prevalence, many patients fail to respond to surgical interventions and often face opioid dependency. Nonsurgical spinal decompression (NSSD) is a conservative treatment that may alleviate LBP by decompressing intervertebral discs, but it remains underutilized as a result of limited evidence and lack of insurance coverage.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This retrospective chart review aimed to evaluate the effectiveness of NSSD and LBP outcomes, including pain intensity, neurological function, and activities of daily living (ADLs) from community clinics nationwide. A total of 267 patient records from 7 clinics were analyzed. Patients underwent \u226520 NSSD sessions for over 6 to 8 weeks, with a median of 2 treatments per week. Demographics, subjective pain scores, clinical examination (reflex, myotome, and dermatome tests), and ADLs were collected. Statistical analyses included McNemar\u2019s, matched pairs t-tests, and subgroup analyses using a Kruskal-Wallis test of duration of current LBP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The cohort demonstrated significant improvements in all measured outcomes. Pain scores were decreased by an average of 4.4 points (from 6.9 to 2.5; P\u2009&amp;lt;\u2009.001), with 90.5% of patients reporting pain reduction. Reflexes, myotomes, and dermatomes showed improvements of 60.9%, 74.8%, and 77.6%, respectively. ADLs improved significantly, with odds ratios ranging from 4.0 to 40.7 (P\u2009&amp;lt;\u2009.001). Subgroup analyses revealed consistent benefits across different chronicity levels of LBP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These findings suggest NSSD is an effective conservative treatment for a diverse population with LBP, addressing pain, neurological deficits, and functional impairments. NSSD may offer a cost-effective alternative to surgical interventions and pharmacological treatments, reducing the risks of opioid dependency and surgical complications. Future studies should include randomized controlled trials and long-term follow-ups to further validate these results. This study emphasizes NSSD as a first-line therapy for LBP, warranting broader adoption and coverage to improve patient outcomes and reduce health care costs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usaf116","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T08:47:38Z","timestamp":1742719658000},"page":"134-140","source":"Crossref","is-referenced-by-count":2,"title":["Retrospective Chart Review of Nonsurgical Spinal Decompression as a Therapeutic Modality for Low Back Pain"],"prefix":"10.1093","volume":"190","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6932-0836","authenticated-orcid":false,"given":"Shannon","family":"Schueren","sequence":"first","affiliation":[{"name":"Department of Neurosurgery & Brain Repair, University of South Florida , Tampa, FL 33606,","place":["United States"]},{"name":"Center for Neuromusculoskeletal Research, University of South Florida , Tampa, FL 33620,","place":["United 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