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Conservative management of recurrent lumbar disk herniation with epidural fibrosis: a case report
Aaron B Welk1, Destiny N Werdehausen, Norman W Kettner
1Diagnostic Imaging Resident, Department of Radiology, Logan College of Chiropractic, Chesterfield, MO.
Objective:
A retrospective case report of a 24-year-old man with recurrent lumbar disk herniation and epidural fibrosis is presented. Recurrent lumbar disk herniation and epidural fibrosis are common complications following lumbar diskectomy.
Clinical Features:
A 24-year-old patient had a history of lumbar diskectomy and new onset of low back pain and radiculopathy. Magnetic resonance imaging revealed recurrent herniation at L5/S1, left nerve root displacement, and epidural fibrosis.
Intervention And Outcomes:
The patient received a course of chiropractic care including lumbar spinal manipulation and rehabilitation exercises with documented subjective and objective functional and symptomatic improvement.
Conclusion:
This case report describes chiropractic management including spinal manipulative therapy and rehabilitation exercises and subsequent objective and subjective functional and symptomatic improvement.
