Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 5991
  Title Nonoperative management of lumbar spinal stenosis
URL
Journal J Manipulative Physiol Ther. 1993 Jul-Aug;16(6):411-414
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Subject(s)
Peer Review Yes
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Abstract/Notes

OBJECTIVE: To describe the successful treatment of a patient with lumbar spinal stenosis utilizing nonoperative procedures.

CLINICAL FEATURES: A 76-yr-old male with a chief complaint of low back pain and left lower extremity pain demonstrated the following per history and physical examination: 1. A right antalgic shift. 2. Restricted lumbar range of motion with provocation of left lower extremity pain during extension. 3. Generalized lumbar spondylosis as revealed on plain film X rays. 4. MRI confirmed lumbar stenosis. A diagnosis of lumbar spinal stenosis secondary to spondylosis was made.

INTERVENTION AND OUTCOME: Twelve treatments of flexion-distraction manipulation, deep tissue massage, ultrasound, therapeutic exercise, heel lift, and modification of activities of daily living. He was discharged from care asymptomatic in 3 wk. Objective improvement was also noted.

CONCLUSIONS: Conservative treatment designed to increase lumbar flexion, thus increasing lumbar spinal canal volume, has a positive influence on the diminution of neural ischemia and its resultant neural dysfunction. Additional research is needed to elucidate these concepts.

This abstract is reproduced with the permission of the publisher. Article only available in print.


 

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