Conservative management of recurrent lumbar disk herniation with epidural fibrosis: a case report.

J Chiropr Med

Diagnostic Imaging Resident, Department of Radiology, Logan College of Chiropractic, Chesterfield, MO.

Published: December 2012

Objective: A retrospective case report of a 24-year-old man with recurrent lumbar disk herniation and epidural fibrosis is presented. Recurrent lumbar disk herniation and epidural fibrosis are common complications following lumbar diskectomy.

Clinical Features: A 24-year-old patient had a history of lumbar diskectomy and new onset of low back pain and radiculopathy. Magnetic resonance imaging revealed recurrent herniation at L5/S1, left nerve root displacement, and epidural fibrosis.

Intervention And Outcomes: The patient received a course of chiropractic care including lumbar spinal manipulation and rehabilitation exercises with documented subjective and objective functional and symptomatic improvement.

Conclusion: This case report describes chiropractic management including spinal manipulative therapy and rehabilitation exercises and subsequent objective and subjective functional and symptomatic improvement.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706706PMC
http://dx.doi.org/10.1016/j.jcm.2012.10.002DOI Listing

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