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J Chiropr Med. 2012 Mar;11(1):7-15. doi: 10.1016/j.jcm.2011.08.007.

Chiropractic management of a patient with lumbar spine pain due to synovial cyst: a case report.

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Clinician and Chief of Radiology, Chiropractic Medicine, Inc, Fort Wayne, IN 46845.



The purpose of this study is to report the findings resulting from chiropractic care using flexion distraction spinal manipulation for a patient with low back and radicular pain due to spinal stenosis caused by a synovial cyst.


A 75-year-old man presented with low back pain radiating to the right anterior thigh and down the left posterior leg of 3 years' duration. Physical and imaging examinations showed a synovial cyst-induced spinal stenosis at the right L3-L4 level and bilateral L4-L5 spinal stenosis.


Flexion distraction spinal manipulation and physiological therapeutics were applied at the levels of stenosis. After 4 visits, the patient noted total absence of the right and left lower extremity pain and no adverse reaction to treatment. After 3 months of treatment and 16 visits, his low back and buttock pain were minimal; and he had no leg pain.


Lumbar synovial cyst and stenosis-generated low back and radicular pain was 80% relieved in a 75-year-old man following Cox flexion distraction spinal manipulation.


Chiropractic; Low back pain; Manipulation; Nerve root compression; Sciatica; Spinal stenosis; Synovial cysts

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