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Spinal manipulation and mobilization forces delivered treating sciatica: a case report.

Theodore B Siciliano1, Maruti R Gudavalli2, Ralph Kruse2

  • 1Manahawkin Chiropractic Center, Manahawkin, NJ, United States.

Frontiers in Integrative Neuroscience
|July 23, 2024
PubMed
Summary

This case study shows force-based Cox Technic flexion distraction decompression (CTFDD) spinal manipulation can effectively treat low back pain with sciatica. The non-surgical approach, combined with other therapies, improved patient outcomes.

Keywords:
Cox Technic flexion distraction decompression spinal manipulationcase reportforce-based spinal manipulationlow back painsciatica

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Area of Science:

  • Chiropractic Medicine
  • Biomedical Engineering
  • Rehabilitative Medicine

Background:

  • Accurate measurement of forces during spinal manipulation is crucial for understanding biomechanical effects.
  • Low back pain with sciatica significantly impacts daily living and work, often leading to surgical recommendations.

Observation:

  • A patient with sciatica, a sequestered disk fragment, and left lower extremity motor deficit presented with severe pain and functional limitations.
  • Previous non-surgical and surgical consultations yielded minimal improvement.

Findings:

  • Force-based Cox Technic flexion distraction decompression (CTFDD) spinal manipulation, alongside electrical muscle stimulation (EMS), infrared light therapy (ILT), and a home exercise program, resulted in positive clinical outcomes.
  • The treatment effectively addressed the patient's sciatica and motor deficit without surgical intervention.

Implications:

  • Force-based CTFDD spinal manipulation offers a viable non-surgical alternative for discogenic sciatica.
  • Further research into the neurological and biomechanical effects of force-based CTFDD is warranted to optimize treatment for low back pain.