Case report: conservative management of recurrent lumbar disk herniation with epidural fibrosis

Welk AB, Werdehausen DN, Kettner NW. Diagnostic Imaging Resident, Department of Radiology, Logan College of Chiropractic, Chesterfield, MO. J Chiropr Med. 2012 Dec;11(4):24953. doi: 10.1016/j.jcm.2012.10.002.

Abstract

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.

PMID: 23843756 [PubMed] PMCID: PMC3706706