MedX studies and clinical relevance:
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Clinical Effects of Intensive, Specific Exercise on Chronic Low-Back Pain: A controlled Study of 895 Consecutive Patients with One Year Follow-Up
BW Nelson, EJ O'Reilly, M. Miller, et. Al.
Orthopedics 18(10) 971-981; October 1995
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76% of patients had good or excellent results. Patients with either radicular or referred leg pain responded just as well as patients with isolated low back pain.Prior to their evaluation, patients had seen on average three physicians and had failed six different treatment options including, for example, chiropractic, epidural injections, facet injections, ultrasound, traction, medication, and electrical stimulation. Spinal fitness was crucial, regardless of underlying condition. Patients completing the MedX program had dramatically less medical reutilization in the year after discharge than comparable control group patients treated with passive modalities
Can Spinal Surgery be prevented by Aggressive Strengthening exercises? A Prospective Study of Cervical and Lumbar Patients
BW Nelson, MD Carpenter, TE Dreisinger, M. Mitchell, CE Kelly, JA Wegner
Archives of Physical Medicine and Rehabilitation 18(10) 971-981Vol 80: pp 20-25, 1999
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Even patients with severe pain were able to exercise vigorously without danger. At an average of 16 months after completing rehab, 35 out of 38 patients previously recommended for spinal surgery were able to avoid it by undergoing an aggressive exercise program on their neck or low back.
