A 20-year follow-up is rare in any kind of musculoskeletal care. Most clinical stories end after a few visits, a few months, or a single flare-up. That is what makes William J. Boro, DC’s case report, Chiropractic treatment of a patient with chronic low-back pain followed over 20-years, worth discussing.

That is where the 31-year longitudinal case study associated with Charles Blum, DC, becomes interesting. A long-term case report cannot prove that chiropractic preventive care stops genetic risk. It can, though, raise a useful clinical question: Can regular spine-focused care help a person with inherited risk maintain better function over time?