Successful resolution of signs and symptoms from L4 radiculopathy with spinal manipulation: a case report

Janzen, Andrew; Nykoliation, Jim
June 2003
Journal of the Canadian Chiropractic Association;Jun2003, Vol. 47 Issue 2, p116
Academic Journal
The management of a patient with L4 radiculopathy with side posture spinal manipulative therapy (SMT) is described. Dramatic improvement both subjectively and objectively followed a short course of SMT of the lumbar spine. This case is used to illustrate aspects of the natural history of lumbar discogenic radiculopathy, safety and effectiveness of SMT for disc herniations, diagnostic imaging, and differentiation of referred vs. radicular pain syndromes. Also included is a short summary of the safety and effectiveness of surgery for lumbar disc herniation. We conclude that side posture SMT in this case was safe and may be effective in the treatment of presumed lumbar spine disc herniation with L4 radiculopathy.


Related Articles

  • Kjellberg Lumbar Technique. CROCKER, DANIEL D.; LARSEN, LUKE R.; DUNDAS, LEAH M.; BULL, PETER W. // Chiropractic Journal of Australia;Jun2009, Vol. 39 Issue 2, p54 

    Objective: To review and document the Kjellberg lumbar technique, developed in Australia for the manipulation of the lumbar spine. Methods: In the absence of extensive literature regarding this technique, the information presented in this paper is derived principally from discussion with, and...

  • Increased multiaxial lumbar motion responses during multiple-impulse mechanical force manually assisted spinal manipulation. Keller, Tony S.; Colloca, Christopher J.; Moore, Robert J.; Gunzburg, Robert; Harrison, Deed E. // Chiropractic & Osteopathy;2006, Vol. 14, p6 

    Background: Spinal manipulation has been found to create demonstrable segmental and intersegmental spinal motions thought to be biomechanically related to its mechanisms. In the case of impulsive-type instrument device comparisons, significant differences in the force-time characteristics and...

  • Chiropractic Care of an Adolescent Student Athlete with Lumbar Disc Herniation, Sacroiliac Joint Dysfunction, Spina Bifida Occulta and Knife-Clasp Syndrome. Keene, Kim // Chiropractic Journal of Australia;Mar2011, Vol. 41 Issue 1, p13 

    Objective: Chiropractors frequently treat lumbar disc pathology in practice, but typically in adult patients. This case involves a 16-year-old gridiron football player diagnosed with an L5 disc herniation associated with sacroiliac joint dysfunction, spina bifida occulta and knife-clasp...

  • Use of Chiropractic Services from 1985 through 1991 in the United States and Canada. Hurwitz, Eric L.; Coulter, Ian D.; Adams, Alan H.; Genovese, Barbara J.; Shekelle, Paul G. // American Journal of Public Health;May98, Vol. 88 Issue 5, p771 

    Objectives. The purpose of this paper is to describe the demographic and clinical characteristics of chiropractic patients and to document chiropractic visit rates in 6 sites in the Limited States and Canada. Methods. Random samples of chiropractors from S US sites and 1 Canadian site were...

  • Chiropractic spinal manipulation for back pain. Ernst, E. // British Journal of Sports Medicine;Jun2003, Vol. 37 Issue 3, p195 

    Focuses on the uncertainty of the effectiveness of chiropractic spinal manipulation for back pain. Skills of sports medicine clinicians in joint mobilization and manipulation; Lack of identifiable risk factors.

  • Spinal manipulation: Its safety is uncertain. Ernst, Edzard // CMAJ: Canadian Medical Association Journal;1/8/2002, Vol. 166 Issue 1, p40 

    Comments that the safety of spinal manipulation, which is practiced by chiropracters, osteopaths, physicians, and physiotherapists, needs regular assessment. Manipulation of the upper spine which has been associated with serious adverse events; Idea that the risks of manipulation are being...

  • Spinal manipulation alters electromyographic activity of paraspinal muscles: a descriptive study. Wyatt, Lawrence H. // Journal of the American Chiropractic Association;Nov2005, Vol. 42 Issue 8, p21 

    The article examines the effect of spinal manipulation on electromyographic (EMG) activity in areas of localized tight muscle bundles of the low back. Surface EMG activity is collected from 16 participants in 2 chiropractic offices during the 5 to 10 minutes of the treatment protocol. Electrodes...

  • A descriptive study of a manual therapy intervention within a randomised controlled trial for hamstring and lower limb injury prevention. Hoskins, Wayne; Pollard, Henry // Chiropractic & Osteopathy;2010, Vol. 18, p23 

    Background: There is little literature describing the use of manual therapy performed on athletes. It was our purpose to document the usage of a sports chiropractic manual therapy intervention within a RCT by identifying the type, amount, frequency, location and reason for treatment provided....

  • Upper Cervical Chiropractic Treatment for a Patient Demonstrating a Non-traumatic Bipartite Atlas: A Literature Review and Case Report. HANNAH, JEFFREY S. // Chiropractic Journal of Australia;Jun2009, Vol. 39 Issue 2, p70 

    Objective: The purpose of this case report is to describe a process to diagnose and to adjust a congenital anomaly known as anteroposterior spondyloschisis (aka bipartite atlas). Clinical Features: A 30-year-old female presented with a history of chronic cervicalgia, uncoordinated reflexes, and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics