Objective: The purpose of this study is to report the management of a patient with insidious onset of low back pain and bilateral iliofemoral pain. There was no history of trauma reported or evidence of trauma upon examination.
Clinical Features: A 26-year-old male presented to the clinic with low back pain, bilateral iliofemoral pain, bilateral thigh weakness and pain, bilateral groin pain, and urinary incontinence.
Intervention and Outcome: The patient was treated with two separate trials of chiropractic care resulting in 20 visits over the course of 12 weeks. The chiropractic care consisted of Sacro-Occipital Technique (SOT) treatment applied to the pelvic region, but traditional spinal manipulation was also utilized during one visit. In addition to chiropractic care, the patient also participated in exercise rehabilitation for a total of 7 visits and 4 sessions of kinesiology taping to the lumbar spine.
Conclusion: This study demonstrates a favorable response to SOT of the pelvis as an alternative to traditional techniques of spinal manipulation more commonly seen in chiropractic care. It also reveals the importance of coupling spinal care with exercise rehabilitation.
Author affiliation: Private Practice, Grand Rapids, MI
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