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Conservative Management of a 31 Year Old Male With Left Sided Low Back and Leg Pain

By Frank M. Painter|November 11, 2012|Chiropractic Care, McKenzie, Rehabilitation, Spinal Manipulation|

Conservative Management of a 31 Year Old Male With Left Sided Low Back and Leg Pain: A Case Report

SOURCE: J Can Chiropr Assoc. 2012 (Sep); 56 (3): 225-232

Emily R. Howell, BPHE(Hons), DC, FCCPOR(C)

Ashbridge’s Health Centre,
1522 Queen St. East,
Toronto, ON M4L 1E3.
dremilyhowell@hotmail.com

OBJECTIVE: This case study reported the conservative management of a patient presenting with left sided low back and leg pain diagnosed as a left sided L5-S1 disc prolapse/herniation.

CLINICAL FEATURES: A 31-year-old male recreational worker presented with left sided low back and leg pain for the previous 3-4 months that was exacerbated by prolonged sitting.

INTERVENTION AND OUTCOME: The plan of management included interferential current, soft tissue trigger point and myofascial therapy, lateral recumbent manual low velocity, low amplitude traction mobilizations and pelvic blocking as necessary. Home care included heat, icing, neural mobilizations, repeated extension exercises, stretching, core muscle strengthening, as well as the avoidance of prolonged sitting and using a low back support in his work chair. The patient responded well after the first visit and his leg and back pain were almost completely resolved by the third visit.

SUMMARY: Conservative chiropractic care appears to reduce pain and improve mobility in this case of a L5-S1 disc herniation. Active rehabilitative treatment strategies are recommended before surgical referral.

Recent Studies Have Also Shown That:

Back Surgery Fails 74% of the Time

From the FULL TEXT Article

Introduction:

Low back pain has been reported as the chief complaint for 23.6% of patients presenting to chiropractic offices. [1] Disc herniations that lead to nerve-root compromise account for less than 15% of chronic low back pain cases. [2] Over 95% of lumbar disc herniations occur at L4–5 or L5-S1 levels, and only 2% of herniations require surgery, 4% have compression fractures, 0.7% have spinal malignant neoplasms, 0.3% have ankylosing spondylitis and 0.1% have spinal infections. [2, 3]

Leg pain is estimated to be found in 25–57% of all low back pain cases and accounts for large costs, disability, chronicity and severity. [4, 5, 6] Many conservative treatments have been shown to be effective in the management of this condition and are favorable to pursue before considering any surgical interventions, such as: modalities, soft tissue therapy, spinal manipulations or mobilizations, pelvic blocking, McKenzie/end-range loading exercises, lumbar stabilization exercises and neural mobilizations, patient education, reassurance, short-term use of acetaminophen, and nonsteroidal antiinflammatory drugs. [2, 3, 7–24] The purpose of this case report is to describe the successful management of a patient with low back and leg pain.

Discussion:

There are more articles like this @ our:

Low Back Pain and Chiropractic Page and the:

Chiropractic and Sciatica Page

(more…)

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Introduction to Chiropractic Physiologic Therapeutics

By Frank M. Painter|November 10, 2012|Chiropractic Care, Diagnosis, Education, Physical Therapy|

Introduction to Chiropractic Physiologic Therapeutics

The Chiro.Org Blog

We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 10 from RC’s best-selling book:

“Basic Chiropractic Procedural Manual”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.

Chapter 10: Introduction to Chiropractic Physiologic Therapeutics

The use of physiotherapy and physical therapy to enhance the effects of the chiropractic adjustment in treatment can be significant in many cases. Superficial heat, diathermy, cold, microwaves, ultrasound, ultraviolet rays, galvanic and sinusoidal currents, traction, hydrotherapy, or therapeutic massage and exercise are among the therapies that may benefit the patient when properly applied. These procedures may help to reduce stiffness in joints, relieve tension, relax muscle spasm, and offer many other physiologic benefits.

Special precautions, however, must be observed when treating patients of advanced age. Special consideration must also be given to indications and contraindications, patient sensitivity, intensity, and duration of treatment.

Special caution must be used with patients that have heart and blood pressure problems, renal failure, diminished sensation or circulation, or an inability to tolerate heat or cold. For example, patients with Raynaud’s disease do not tolerate cold. Patients with other circulatory problems do not tolerate thermotherapy because they have less ability to dissipate the heat. Patients with a distinct loss of sensation will not realize if an area is being overheated or even being burned.

A patient’s tolerance cannot be the only guide to intensities and duration of treatment. Frequent checking, both visually for redness and by palpation to determine over heating, must be done during the treatment period. Reasonable examination, monitoring, and care by the doctor can avoid problems in most instances.

INTRODUCTION

Physiotherapy techniques are frequently used preparatory to the chiropractic adjustment to improve function, relieve spasm, minimize pain, and enhance circulation and drainage. They are often used before primary care to relax the patient and condition tissues, and posttherapy to relive pain and prevent deformities resulting from trauma or disease and to maintain what has been gained in treatment. There are also times when it may be considered primary therapy. Rehabilitation objectives are shown in Table 10.1. (more…)

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Cancer Treatment Centers of America offer integrated treatment approach which includes chiropractic

By John Wiens DC|November 9, 2012|Chiropractic Care|

Sources Foundation for Chiropractic Progress, Cancer Treatment Centers of America

Cancer Treatment Centers of America (CTCA), a national network of hospitals focusing on complex and advanced stage cancer and known for their comprehensive, fully integrated approach to cancer treatment, opened CTCA at Southeastern Regional Medical Center (Southeastern) in Newnan, Georgia with licensed chiropractors offering chiropractic services to all patients. As at CTCA at Southeastern and the other four CTCA hospitals located in Chicago, Philadelphia, Phoenix and Tulsa, chiropractic services are available to all patients as part of the Patient Empowered Care model, where each member of the integrated team comes to the patient – all part of what they call the Mother Standard of care.

Dr. James Rosenberg, National Director of Chiropractic Care at CTCA, encourages patients to make chiropractic care part of their treatment plan.

He says, “Chiropractic care is one of the most commonly practiced and widely accepted therapies utilized today. And at CTCA, it’s a piece of the puzzle. It’s another way in which we’re taking care of the body as a whole.”

“Chiropractic care at CTCA is an important piece to the integrated healthcare approach by providing patients with an evidence-based, low risk approach to care,” shares Dr. Rosenberg, happily interjecting that all CTCA chiropractors currently have a patient waiting list. “A steadfast commitment to excellence continues to fuel the demand for our services.”

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Chiropractors can provide physicals

By John Wiens DC|November 9, 2012|News|

Source Wichita Falls Times Record News

Chiropractors may now provide pre-participation sports physicals to children in the Wichita Falls Independent School District for all secondary grades.

The belated approval came Monday, just a few months after WFISD board members barred chiropractors from giving the same physicals.

Until Monday, WFISD approved only medical exams given by physicians, licensed physician assistants or registered nurse practitioners.

WFISD board members changed the policy in a 6-1 vote. Board member Allyson Flack cast the one dissenting vote.

The policy change became effective immediately, according to Kenny Catney, WFISD athletic director.

The new policy reflects the same rules practiced by the University Interscholastic League.

During the years, chiropractors have had an in-and-out relationship with WFISD, according to board member Reginald Blow. This was the second time in his tenure that he’s voted on letting chiropractors examine students.

In past years, chiropractors were approved to give sports physicals to junior high students only. (more…)

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The Amazing Halloween Costume (2012)

By Frank M. Painter|November 7, 2012|Cartoon Humor|

The Amazing Halloween Costume (2012)

The Chiro.Org Blog

Click here for a larger view

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Senate Investigation Reveals That Millions Were Paid for Positive Spin on Spine Fusion Product

By Frank M. Painter|October 25, 2012|Ethics, News|

Senate Investigation Reveals That Millions Were Paid
for Positive Spin on Spine Fusion Product

The Chiro.Org Blog

SOURCE: MedPage Today ~ October 25, 2012

By John Fauber

Milwaukee Journal Sentinel and MedPage Today

Highly positive studies, published in peer-reviewed medical journals, depicted Medtronic’s spine fusion product as a major breakthrough in back surgery, but those studies were drafted and edited with direct input from Medtronic employees, while the doctors listed as authors were paid millions, according to a U.S. Senate investigation.

The company’s heavy, undisclosed manipulation of information about its bone morphogenetic protein-2 product called Infuse included removing and downplaying concerns about serious complications linked to the product and overstating its benefits.

The Money Trail

Over the course of 15 years, Medtronic paid $210 million to a group of 13 doctors who co-authored the series of now-repudiated papers about the product. The payments also included two corporate entities associated with some of the doctors.

The investigation by Senate Committee on Finance was prompted in part by Journal Sentinel/MedPage Today investigations that showed how the practice of medicine has been corrupted by conflicts of interest involving doctors, drug and device companies and medical journals.

(more…)

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