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Lumbar Extension Traction Alleviates Symptoms and Facilitates Healing of Disc Herniation/sequestration in 6-weeks, Following Failed Treatment from Three Previous Chiropractors: a CBP Case Report with an 8 year Follow-up

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Journal J Phys Ther Sci
Date 2017 Dec 5
PMID 29200655
Citations 6
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Abstract

[Purpose] To present the outcome of a patient, having sciatica and MRI-verified disc herniation/sequestration who underwent Chiropractic BioPhysics (CBP) protocol designed to improve the lumbar lordosis. [Subject and Methods] A 56-year-old male suffered from chronic low back pain and recent sciatica due to lumbar disc herniation despite being under continuous care from three previous chiropractors. Radiographic analysis revealed a lumbar hypolordosis and MRI confirmed disc herniation and sequestration at L4-L5. Generalized decreased lumbar range of motion and multiple positive orthopedic and neurologic tests were present. [Results] After 26 treatments of CBP lumbar extension traction over 9-weeks a total reduction of the disc herniation and sequestration occurred with concomitant improvement in neurologic symptoms. Continuing maintenance treatments, an 8 year follow-up shows no relapse of condition and patient remained in good health. [Conclusion] A patient with lumbar disc herniation/sequestration was successfully treated with CBP technique procedures including lumbar extension traction that achieved a significant healing of herniation and significant reduction in symptoms not obtained following traditional chiropractic procedures alone. The quick reduction in lumbar disc herniation would appear to be related to a segmental disc unloading force produced during extension traction procedures for increasing the lumbar curvature.

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References
1.
Vroomen P, Wilmink J, de K . Prognostic value of MRI findings in sciatica. Neuroradiology. 2002; 44(1):59-63. DOI: 10.1007/s002340100650. View

2.
Harrison D, Cailliet R, Harrison D, Janik T, Holland B . A new 3-point bending traction method for restoring cervical lordosis and cervical manipulation: a nonrandomized clinical controlled trial. Arch Phys Med Rehabil. 2002; 83(4):447-53. DOI: 10.1053/apmr.2002.30916. View

3.
Malik K, Cohen S, Walega D, Benzon H . Diagnostic criteria and treatment of discogenic pain: a systematic review of recent clinical literature. Spine J. 2013; 13(11):1675-89. DOI: 10.1016/j.spinee.2013.06.063. View

4.
Diab A, Moustafa I . Lumbar lordosis rehabilitation for pain and lumbar segmental motion in chronic mechanical low back pain: a randomized trial. J Manipulative Physiol Ther. 2012; 35(4):246-53. DOI: 10.1016/j.jmpt.2012.04.021. View

5.
Cox J, Hazen L, Mungovan M . Distraction manipulation reduction of an L5-S1 disk herniation. J Manipulative Physiol Ther. 1993; 16(5):342-6. View