Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22717
  Title Spontaneous resolution of symptoms associated with a facet synovial cyst in an adult female - a case report [case report]
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3581007/
Journal J Can Chiropr Assoc. 2013 Mar;57(1):Online access only p 87-92
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Background: Facet cysts are implicated in neural compression in the lumbar spine. Surgery is the definitive treatment for symptomatic facet cysts since the failure rate for conservative treatment is quite high; however, the role of physical/manual medicine practitioners in the management of symptomatic facet cysts has not been well explored. This case report will add to the body of evidence of spontaneous resolution of symptoms associated with facet cysts in the chiropractic literature. 

Case: A 58 year old female presented with acute low back and right leg pain which she attributed to a series of exercise classes that involved frequent foot stomping. Physical examination did not elicit any objective evidence of radiculopathy but MRI and CT scans revealed a facet cyst impinging on the right L5 nerve root. Injections and surgery were recommended; however, the patient’s radicular symptoms completely resolved after three months without surgical intervention. 

Summary: There is currently a paucity of data in the literature regarding the chiropractor’s role in the management of symptomatic facet cysts. The case presented here has added to this literature and possible areas for future research have been explored.


Contexte : Les kystes synoviaux lombaires sont impliqués dans la compression nerveuse au niveau du rachis lombaire. La chirurgie est le traitement définitif pour les kystes synoviaux lombaires symptomatiques puisque le taux d’échec du traitement conservateur est assez élevé, mais le rôle des médecins et des chiropraticiens dans la gestion de ces kystes n’a pas été suffisamment exploré. Cette étude de cas va enrichir l’ensemble de la preuve de la résolution spontanée des symptômes associés à des kystes synoviaux lombaires dans la documentation de la chiropratique. 

Cas : Une femme de 58 ans souffrant d’une douleur aiguë au niveau lombaire et à la jambe droite attribue cette douleur à une série de cours de conditionnement physique qui comportaient des trépignements fréquents. L’examen physique n’a révélé aucune preuve objective de radiculopathie, mais l’IRM et la tomodensitométrie ont révélé un kyste synovial lombaire qui pressait la racine nerveuse L5 droite. On a recommandé des injections et la chirurgie, mais les symptômes radiculaires du patient ont complètement disparu après trois mois, sans intervention chirurgicale. 

Résumé : Actuellement, il y a un manque de données dans la documentation concernant le rôle du chiropraticien dans la gestion des kystes synoviaux lombaires symptomatiques. Le cas présenté ici a enrichi ce corpus et a permis d’explorer des domaines possibles de recherches futures.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.


 

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