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Lumbar intervertebral disc herniation: treatment by rotational manipulation
J A Quon1, J D Cassidy, S M O'Connor
1Canadian Memorial Chiropractic College, Toronto, Ontario.
Summary
This case study highlights a patient with lumbar disc herniation who experienced significant improvement with side posture manipulation, despite large herniation findings on CT scans. It shows manipulation can be effective for lumbar disc herniation.
Area of Science:
- Orthopedics
- Neurosurgery
- Physical Medicine and Rehabilitation
Background:
- Lumbar disc herniation is a common condition causing significant pain and disability.
- Treatment options range from conservative management to surgical intervention.
- The correlation between imaging findings and clinical presentation can be variable.
Observation:
- A patient presented with symptoms suggestive of lumbar disc herniation.
- Imaging revealed a large central disc herniation on CT scan.
- The patient underwent a course of side posture manipulation therapy.
Findings:
- Despite the extensive herniation seen on CT, the patient showed considerable clinical improvement within two weeks of manipulation.
- This case illustrates the common disparity between radiological findings and actual patient symptoms.
- Side posture manipulation was an effective treatment modality for this patient's lumbar disc herniation.
Implications:
- The findings suggest that clinical assessment and conservative treatments like manipulation should be strongly considered in managing lumbar disc herniation.
- This case underscores the importance of not solely relying on imaging to dictate treatment plans.
- While rare, potential complications of manipulation should be acknowledged, but its efficacy in select cases is supported.
