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Acute Lumbar Schmorl's Node Following Chiropractic Adjustment.

Stephen Albano1, Mary Grace Bacani2, Anthony Alastra1

  • 1Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.

Cureus
|June 24, 2022
PubMed
Summary

Acute Schmorl's nodes, a disc herniation into the vertebral body, can rarely develop after chiropractic manipulation. Conservative management provided significant pain relief in this case.

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Area of Science:

  • Orthopedics
  • Radiology
  • Chiropractic Medicine

Background:

  • Schmorl's nodes are typically incidental findings of intervertebral disc herniation into the vertebral body.
  • They are rarely symptomatic and often discovered incidentally on imaging.
  • The etiology and clinical presentation of acute Schmorl's nodes are not well-established.

Observation:

  • A 41-year-old male presented with acute on chronic low back pain after a chiropractic adjustment.
  • Imaging revealed an acute Schmorl's node involving the L4-5 disc and L4 vertebral body.
  • The patient experienced significant pain relief with conservative treatment.

Findings:

  • Chiropractic manipulation may precipitate the development of acute Schmorl's nodes.
  • Conservative management can be effective in alleviating pain associated with acute Schmorl's nodes.
Keywords:
chiropractorherniated disclow back painpain managementschmorl’s nodespine

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  • This case highlights a rare symptomatic presentation of Schmorl's nodes potentially linked to spinal manipulation.
  • Implications:

    • Clinicians should consider acute Schmorl's nodes in the differential diagnosis of back pain following chiropractic adjustments.
    • Conservative treatment approaches may be successful for managing acute Schmorl's nodes.
    • Further research is warranted to understand the relationship between spinal manipulation and Schmorl's node formation.