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| Identification Number |
14 |
| Author |
Bergmann TF, Jongeward BV |
| E-Mail address of author |
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| Institution |
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| Title |
Manipulative therapy in lower back pain with leg pain and neurological deficit |
| Fulltext (PDF) |
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| Fulltext |
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| Keywords |
Tomography,X-Ray Computed, Sciatica, Risk Factors, Patient Selection, Neurologic Examination, Middle Age, Lumbar Vertebrae, Therapy, Etiology, Low Back Pain, Radiography, Complications, Intervertebral Disk Displacement, Human, Female, Cryotherapy, Methods, Chiropractic, Case Report |
| Available at |
Methods Department, Northwestern College of Chiropractic, Bloomington, MN 55431, USA |
| Date of Publ. |
July 1998 |
| Country of Publicaton |
United States of America |
| Headings |
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Abstract:
OBJECTIVE: To discuss a case of sciatica associated with lower back pain that originates in a disc. We discuss the use of manipulative therapy as a conservative approach and compare it with other conservative methods and with surgery. CLINICAL FEATURES: The patient suffered from lower back and left leg pain that had increased in severity over a 6-day period. There was decreased sensation in the dorsum of the left foot and toes. Computed tomography demonstrated the presence of a small, contained disc herniation. INTERVENTION AND OUTCOME: The patient was initially treated with ice followed by flexion- distraction therapy. This was used over the course of her first three visits. Once she was in less pain, side posture manipulation was added to her care. Nine treatments were required before she was released from care. CONCLUSION: We need a nonsurgical, conservative approach to treat lower back pain with sciatica as an alternative to and before beginning the more aggressive, and potentially hazardous, surgical treatment. There is some support for the idea that lumbar disc herniation with neurological deficit and radicular pain does not contraindicate the judicious use of manipulation. Although significant questions remain for the evaluation and treatment of lumbar radiculopathy (sciatica) with disc herniations, there is ample evidence to suggest that a course of conservative care, including spinal manipulation, should be completed before surgical consult is considered
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| Publication Status |
Finished |
| Publication Type |
Journal |
| Language |
English |
| Entry Month |
April 2000 |
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