Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique

Area of Science:

• Chiropractic Medicine
• Neurology
• Orthopedics

Background:

• Lumbar disc herniation can cause chronic pain and neurological deficits.
• Surgical intervention is often recommended for severe cases.
• Conservative management options are being explored for lumbar disc disorders.

Observation:

• A 26-year-old male presented with a 2-year history of low back pain, groin pain, leg pain, and foot drop following an athletic injury.
• MRI revealed a 6mm central disc protrusion causing thecal sac deformation.
• The patient had been recommended lumbar spinal surgery.

Findings:

• The patient opted for chiropractic treatment utilizing the Activator Adjusting Instrument (AAI).
• Intervention involved mechanical-force, manually assisted short-lever adjustments.
• Complete resolution of symptoms and neurological deficits occurred within 90 days.
• No recurrence was observed at the 1-year follow-up.

Implications:

• Chiropractic treatment with an Activator Adjusting Instrument may be an effective conservative option for lumbar disc herniation.
• This technique may offer advantages over traditional manipulation by reducing torsional stress on the disc.
• Further research is warranted to establish optimal chiropractic protocols for lumbar disc lesions.