Weiner Michael T, Oakley Paul A, Dennis Alyssa K, Shapiro David A, Harrison Deed E
Private Practice, USA.
Private Practice: Newmarket, ON, L3Y 8Y8, Canada.
J Phys Ther Sci. 2018 Nov;30(11):1364-1369. doi: 10.1589/jpts.30.1364. Epub 2018 Nov 6.
[Purpose] To present the case of the dramatic relief of low back pain, leg pain and disability in an older female with osteoarthritis, lumbar spinal stenosis and hypolordosis of the cervical and lumbar spine. [Participant and Methods] A 66-year-old female presented with chronic low back pain, right leg pain, numbness and weakness. Despite being recommended for surgery, the patient sought alternative treatment. The patient was treated with Chiropractic BioPhysics rehabilitation of the spine with the objective to increase the lumbar and cervical lordoses. Cervical and lumbar extension exercises and traction were performed as well as spinal manipulation. Treatment was performed approximately three times per week for 6.5 months. [Results] Re-assessment after treatment demonstrated significant reduction of low back pain, leg pain and other health improvements. X-rays showed structural improvements in the cervical and lumbar spine despite advanced osteoarthritis. [Conclusion] Lumbar and cervical hypolordosis subluxation may be increased in those with spinal deformity caused symptoms, despite the presence of osteoarthritis and degenerative stenosis of the spine. Spinal x-rays as used in the assessment and monitoring of patients being treated with contemporary spinal rehabilitation methods are not harmful and should be used for routine screening purposes.
[目的] 介绍一名患有骨关节炎、腰椎管狭窄以及颈椎和腰椎前凸减少的老年女性,其下背痛、腿痛和残疾症状得到显著缓解的病例。[参与者与方法] 一名66岁女性,患有慢性下背痛、右腿疼痛、麻木和无力。尽管被建议进行手术,但患者寻求其他治疗方法。对该患者采用脊椎矫正生物物理学方法进行脊柱康复治疗,目的是增加腰椎和颈椎的前凸。进行了颈椎和腰椎伸展运动、牵引以及脊柱推拿。治疗频率约为每周三次,持续6.5个月。[结果] 治疗后重新评估显示,下背痛、腿痛明显减轻,其他健康状况也有所改善。X线片显示,尽管存在严重的骨关节炎,但颈椎和腰椎结构有所改善。[结论] 对于因脊柱畸形导致症状的患者,尽管存在骨关节炎和脊柱退行性狭窄,腰椎和颈椎前凸半脱位可能会增加。在评估和监测采用当代脊柱康复方法治疗的患者时,使用脊柱X线片并无危害,应将其用于常规筛查目的。