Resolution of cervical radiculopathy in a woman after chiropractic manipulation.

J Chiropr Med

Clinical Director, Whalen Chiropractic, Santee, CA 92071.

Published: March 2008

AI Article Synopsis

  • A case study highlights a 40-year-old woman with a 2-level cervical disk herniation and radicular symptoms treated conservatively through chiropractic care.
  • The patient experienced neck pain and finger paresthesia, but diagnostic tests showed normal nerve function, while MRI revealed significant disk protrusion causing spinal canal narrowing.
  • After receiving high-velocity, low-amplitude chiropractic manipulations along with other conservative treatments, her symptoms fully resolved within 90 days, and she remained symptom-free for a year without any adverse effects.

Article Abstract

Objective: To describe a case regarding a woman with 2-level cervical disk herniation with radicular symptoms conservatively treated with chiropractic care including high-velocity, low-amplitude (HVLA) manipulation with complete resolution of her symptoms.

Clinical Features: A 40-year-old woman developed right finger paresthesia and neck pain. Results of electrodiagnostics were normal, but clinical examination revealed subtle findings of cervical radiculopathy. A subsequent magnetic resonance imaging revealed a large right posterolateral disk protrusion and spur impinging on the right hemicord with moderate to severe central canal and right neuroforaminal stenosis at C5-6 and C6-7. She was treated with HVLA manipulation to the cervical spine, as well as soft tissue techniques, traction, nonsteroidal anti-inflammatory drugs, and exercise.

Intervention And Outcome: Her clinical findings and symptoms resolved within 90 days of initiating care and did not return in 1 year. There were no untoward effects, including transient ones.

Conclusion: This case describes the clinical presentation and course of a patient with multilevel large herniated disks and associated radiculopathy who was treated with HVLA manipulation and other conservative approaches and appeared to have good outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647101PMC
http://dx.doi.org/10.1016/j.jcme.2007.10.002DOI Listing

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