Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 25514
  Title Neural mobilization in a 54-year-old woman with postoperative spinal adhesive arachnoiditis [case report]
Journal J Chiropr Med. 2018 Dec;17(4):283-288
Peer Review Yes
Publication Type Case Report

Objective: This case report describes the clinical features, complications, imaging characteristics, and management of postoperative spinal adhesive arachnoiditis.

Clinical Features: A 54-year-old woman presented with right posterior thigh and leg pain after a lumbar spine fusion surgery to correct a degenerative spondylolisthesis of L3/4. Her pain was sharp and shooting and worsened with knee extension. A lumbar computed tomography myelogram demonstrated clumping and adhesion of the nerve rootlets in the cauda equina at the surgical fusion levels. Findings were consistent with spinal arachnoiditis.

Intervention and Outcome: The patient was treated with 2 sets of neural mobilization of the sciatic nerve with 15 repetitions each. Treatment was provided 2× per week for 3 weeks. The patient used the neural mobilization exercises at home and performed to tolerance. The patient’s Oswestry Questionnaire was reduced significantly by 19% with decreased pain intensity of 2 points on the verbal analogue scale.

Conclusion: Neural mobilization was used successfully in the management of a patient with postoperative spinal arachnoiditis.

Author keywords: Arachnoiditis; Failed Back Surgery Syndrome; Magnetic Resonance Imaging; Myelography; Chiropractic

Author affiliations: SMC, NWK: Radiology Department, Logan University, Chesterfield, Missouri; EDJ: Chiropractic Health Centers, Logan University, Chesterfield, Missouri

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record


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