In today’s age, the use of artificial implants to aid in movement, restrict harmful growth, and protect damaged parts caused by years of neglect or punishing activities. A research study presented in 2007 suggests that by 2030, the demand is estimated for primary total hip arthroplasties to grow by 174% to 572,000. There is also a demand for primary total knee arthroplasties and that procedure is projected to grow by 673% to 3.48 million (7). The significance of these statistics is that these people will still need to have Chiropractic care. The causative aspects that often led these people to having surgical procedures such as hip and knee replacements for example are degenerative in nature yet the cause of the degeneration seldom is researched nor corrected.

Through appropriate evaluative techniques performed in our office, a solution to reduction of postoperative symptoms following surgical implants is now available. Dr. McDougle has become proficient in caring for this special needs patient through many years of experiences. The Chiropractic applications are patient specific and have proven to be very effective over the last 20 years of practice with literally zero negative effects from treatment. Special care to detail makes the difference as each individual has particular nuances of complexities. At present, there are no formalized treatment protocols taught at the College or Post-graduate level for post-surgical Chiropractic applications.

The recommended times for specialized post-surgical Chiropractic care are roughly the same. For safety and healing, 3 months post-operation is typically a safe period to commence Chiropractic care. This office addresses those who have had disc surgical procedures of varying types, total hip replacements, total knee replacements, partial spinal fusion with titanium and bone of the neck-thorax-lumbar-sacral, and full spinal fusions such as with scoliosis.


(1) Acute Muscle Stretching Inhibits Maximal Strength Performance

Joke Kokkonen Physical Education Division , Brigham Young University-Hawaii Campus , USA , Arnold G. Nelson Department of Kinesiology , Louisiana State University , USA & Andrew Cornwell

Pages 411-415 | Accepted 30 Mar 1998, Published online: 08 Feb 2013

(2) Dynamic Gait Assessment for Chiropractors

IN Chiropractic & Wellness, Inc. / Indiana Scoliosis Specialists, McDougle Chiropractic Methods Research Center, Fishers Indiana, USA

Dr. Todd McDougle, Vince Rizzo  Non-Published Released Date Dec. 2015

(3) Chiropractic Care for Children

Lee, Anne CC, Dawn H. Li, and Kathi J. Kemper. “Chiropractic care for children.” Archives of pediatrics & adolescent medicine

154.4 (2000): 401-407.

(4) Dose-responsefor Chiropractic Care of Chronic Low Back Pain

Mitchell Haas, DCa, , , Elyse Groupp, PhDa,Dale F. Kraemer, PhDb a Center for Outcome Studies, Western States Chiropractic College, 2900 NE 132nd Avenue, Portland, OR 97230, USA b Department of Medical Informatics and Clinical Epidemiology, and Department of Public Health and Preventive Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA

Received 26 June 2003, Accepted 23 February 2004, Available online 9 September 2004

(5) Acute Ballistic Muscle Stretching Inhibits Maximal Strength Performance Arnold G. Nelson and Joke Kokkonen Research Quarterly for Exercise and Sport Vol. 72 , Iss. 4,2001

(6) Hox gene; From Wikipedia, the free encyclopedia

(7) Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030 Steven Kurtz, PhD; Kevin Ong, PhD; Edmund Lau, MS; Fionna Mowat, PhD; Michael Halpern, MPH, MD, PhD J Bone Joint Surg Am, 2007 Apr; 89 (4): 780 -785 . https://doi.org/10.2106/JBJS.F.00222

(8) Advanced Peripheral Nerve Surgery and Minimal Invasive Spinal Surgery Volume 97 of the series Acta Neurochirurgica pp 7-12 TOS pathophysiology and clinical features Francesco Maria Crotti , A. Carai, M. Carai, N. Grimoldi, E. Sgaramella, W. Sias, F. Tiberio

(9)  Dunning J ,Mourad F ,Giovannico GMaselli FPerreault T ,Fernández-de-Las-Peñas C   PhD Student, College of Health Care Sciences, Nova Southeastern University, Ft. Lauderdale, FL. Electronic address: jamesdunning@hotmail.com. Journal of Manipulative and Physiological Therapeutics [2015, 38(6):382-394] Type: Evaluation Studies, Journal Article, Comparative Study DOI: 10.1016/j.jmpt.2015.06.008  {Notes Content}

(10) The T4 syndrome. DeFranca GGLevine LJ Journal of Manipulative and Physiological Therapeutics [1995, 18(1):34-37] {Slide Content}

(11) Revision Spine Surgery Management of iatrogenic flat-back syndrome

Gregory C. Wiggins, M.D., Stephen L. Ondra, M.D., and Christopher I. Shaffrey, M.D.

Neurosurgical Focus September 2003 / Vol. 15 / No. 3 / Pages 1-9

(12) Seyfer, Alan E., et al. “Upper extremity neuropathies after cardiac surgery.” The Journal of hand surgery 10.1 (1985): 16-19. Alan E. Seyfer. Author links open the author workspace. M.D.Opens the author workspaceNadja Y. Grammer. Author links open the author workspace. B.S.George P. Bogumill. Author links open the author workspace. Ph.D., M.D.John M. Provost. Author links open the author workspace. M.D.Usha Chandry. Author links open the author workspace. M.D. Plastic Surgery and Orthopaedic Surgery Services, Walter Reed Army Medical Center, Washington, D.C.

(13) Landry, Gregory J., et al. “Long-term functional outcome of neurogenic thoracic outlet syndrome in surgically and conservatively treated patients.” Journal of vascular surgery 33.2 (2001): 312-319.