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J Manipulative Physiol Ther. 2006 Jan;29(1):66-71.

Chiropractic and rehabilitative management of a patient with progressive lumbar disk injury, spondylolisthesis, and spondyloptosis.

Author information

1
Rock Island Clinic, Palmer College of Chiropractic, Davenport, Iowa, USA. dr_excoffon@yahoo.com

Abstract

OBJECTIVE:

To describe the chiropractic treatment for a patient with low back pain accompanied by sensory and motor deficits of his left leg and magnetic resonance imaging-documented lumbar spinal cord and nerve root impingement.

CLINICAL FEATURES:

A 57-year-old man experienced low back pain that radiated into his left leg and subsequently produced both sensory and motor deficits of the left thigh and quadriceps followed by a similar weakness and accompanying paresthesia of the lower left leg. Onsets were sudden and occurred during sleep, after prolonged sitting or during long periods of driving. Diagnostic studies revealed a slight impingement at the L5-S1 level due to anterior displacement of the L5 vertebra and a mild protrusion of the L4 disk.

INTERVENTION AND OUTCOMES:

Treatment consisted of chiropractic spinal manipulation, physical therapy modalities, and rehabilitative exercises. Outcome measurements in his case indicated that his rehabilitation was appropriate.

CONCLUSION:

There is an abundance of published reports describing treatment of disk injury, low back pain, and spondylolisthesis with a variety of manipulative methods. However, this appears to be the first case reported in indexed literature of a progressive multilevel lumbar disk injury with concomitant spondylolisthesis and spondyloptosis.

PMID:
16396733
DOI:
10.1016/j.jmpt.2005.11.010
[Indexed for MEDLINE]

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