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In this video, Dr. Michael Simmer explains how chiropractic care can be delivered safely and precisely after a cervical spinal fusion, without stressing surgical hardware or accelerating degeneration. Lewis is a patient with a prior C5–C6–C7 cervical fusion. Imaging shows early disc space loss between C4–C5, along with misalignment at C4 — a common pattern known as adjacent segment degeneration, where vertebrae above a fusion are forced to absorb more motion and stress over time. When left untreated, this can lead to: • Increasing neck pain • Arm pain or nerve symptoms • Accelerated disc degeneration • Bone spur formation • Reduced cervical mobility X-rays also show traction bone spurs at C3–C4, caused by hypermobility above the fused segments. Importantly, Lewis still has a healthy disc at C2, which allows for safe, targeted care when done correctly. Rather than adjusting the fused vertebrae, Dr. Simmer demonstrates a highly specific C4 adjustment, performed with meticulous anatomical counting to ensure the fusion is never contacted. 🟪 Prior C5–C7 cervical fusion 🟪 Disc space loss at C4–C5 🟪 C4 misalignment with hypermobility 🟪 Bone spurs at C3–C4 🟪 Risk of worsening neck and arm pain The adjustment shown uses: 🟪 Double vertebral counting from above and below 🟪 Lamina contact at C4 only 🟪 No force into fused segments 🟪 Stabilization of the cervical spine 🟪 Disc-preserving, joint-opening technique This approach allows the joint above the fusion to be decompressed and stabilized, helping slow degeneration and protect remaining healthy discs. Lewis has been under care for several years, and his neck has remained stable — demonstrating that chiropractic care after cervical fusion is not only possible, but beneficial when performed correctly. This case highlights key principles of safe chiropractic care: 🟪 Spinal fusion does not exclude chiropractic treatment 🟪 Adjacent segment disease must be addressed early 🟪 Adjustments must be anatomy-specific and image-guided 🟪 Precision matters more than force 🟪 Disc preservation is the long-term goal At Spine Chiropractic, care is tailored to each patient’s spinal history, imaging, and biomechanics — especially for post-surgical cases and degenerative conditions. 📍 Office Information Spine Chiropractic 7505 NC-73, Suite A Denver, NC 28037, United States 📞 +1 704-951-8238 Free on-site parking • Wheelchair accessible • Digital X-ray on site Evening & Saturday appointments available 🔎 Local Google Searches That May Have Brought You Here chiropractic care after cervical fusion Denver NC neck pain chiropractor Denver NC cervical fusion chiropractor Denver NC post surgical neck pain Denver NC C4 C5 disc degeneration chiropractor Denver NC adjacent segment disease chiropractor Denver NC neck pain after fusion Denver NC bone spur neck chiropractor Denver NC arm pain from neck Denver NC cervical disc degeneration chiropractor Denver NC gentle chiropractor Denver NC senior chiropractor Denver NC neck pain relief Denver NC spine chiropractor Denver NC chiropractor near me Denver NC post surgical chiropractic care Denver NC cervical spine chiropractor Denver NC disc preservation chiropractic Denver NC Spine Chiropractic Denver NC Dr Michael Simmer chiropractor Denver NC