The case study, authored by Dr. Kyle Longo, Dr. Jason W. Haas, Dr. Paul A. Oakley, and Dr. Deed E. Harrison, documents the recovery of a 40-year-old woman who had suffered for over a decade from debilitating thoracic pain that limited her ability to perform daily activities and martial arts training. Previous treatments—including physical therapy, standard chiropractic manipulation, and trigger-point injections—provided only temporary relief.

Using CBP® Mirror Image® exercises, spinal traction, and postural corrective protocols over a three-month period, the patient experienced:

• Pain reduction from 8/10 to 2/10 post-care and 0/10 at nine-month follow-up
• Thoracic kyphosis correction from 66.2° to 45.2°, maintained at 47.7° after nine months
• Complete restoration of daily function and athletic activity

Advanced AI-assisted mensuration software (PostureRay®, PostureCo, Inc.) confirmed radiographic changes, underscoring the reliability and reproducibility of objective spine measurements in conservative care settings.

“This study highlights that structural spinal correction—not just symptom management—can yield lasting, measurable improvements in chronic pain and disability,” said Dr. Deed Harrison, CEO of Chiropractic BioPhysics® and President of CBP Non-Profit, Inc. “It’s another example of how targeted, biomechanics-based rehabilitation can change lives—even in cases where traditional approaches have failed.”

Clinical Significance

This case highlights that structural spinal correction—rather than symptomatic care—can achieve durable, long-term outcomes even in patients with chronic pain and radiographically evident deformities.

Key takeaways for clinicians:

• CBP® methods demonstrated objective, measurable sagittal alignment correction and clinically meaningful pain reduction (MCID achieved).
• Radiographic mensuration was performed using AI-assisted PostureRay® software, confirming high reliability in quantifying spinal changes.
• The report reinforces that non-surgical, biomechanics-based interventions can be effective in cases unresponsive to conventional therapy.

Study Citation

Longo, K., Haas, J.W., Oakley, P.A., & Harrison, D.E. (2025). Reduction in Severe, Chronic Mid-Back Pain Following Correction of Sagittal Thoracic Spinal Alignment Using Chiropractic BioPhysics® Spinal Rehabilitation Program Following Prior Failed Treatment: A Case Report with 9-Month Follow-Up. Healthcare, 13(20), 2587.

https://doi.org/10.3390/healthcare13202587

About Chiropractic BioPhysics® (CBP®)

Chiropractic BioPhysics® (CBP®) is an evidence-based chiropractic approach focused on the structural rehabilitation of the spine and posture to restore optimal alignment and neurological function. CBP Non-Profit, Inc. is a not-for-profit spine research foundation dedicated to advancing scientific understanding and education in spinal biomechanics and corrective rehabilitation.