Cook Jonathan R
Plymouth, Devon, United Kingdom.
J Chiropr Med. 2021 Jun;20(2):85-89. doi: 10.1016/j.jcm.2021.04.002. Epub 2021 Jun 16.
The purpose of this report is to describe the outcomes of chiropractic care for a patient after surgery for cauda equina syndrome.
Following surgery for cauda equina syndrome caused by a herniated lumbar disc at L5/S1, a 28-year old woman presented for chiropractic care with an 18-month history of lower back pain. She had bilateral L5 and S1 dermatome pain and paraesthesia; saddle anesthesia; bilateral leg weakness in the L4, L5, and S1 myotomes; and urinary incontinence.
The patient received a variety of chiropractic manipulative techniques including cervical and thoracic spine manipulation, instrumented adjustments to the lumbar spine, and drop technique to the sacroiliac joints. Trigger point therapy was performed on the gluteus medius, quadratus lumborum, and piriformis muscles bilaterally. After 12 months, the patient reported a reduction in lower back and radicular leg pain, was able to reduce her use of opioid medications, and experienced improved lower limb function following chiropractic care.
The patient responded favorably to a course of chiropractic care for symptoms remaining after surgery for cauda equina syndrome.
本报告旨在描述马尾综合征患者手术后接受整脊治疗的效果。
一名28岁女性因L5/S1腰椎间盘突出导致马尾综合征，术后前来接受整脊治疗，有18个月的下背痛病史。她存在双侧L5和S1皮节疼痛及感觉异常；鞍区感觉缺失；双侧L4、L5和S1肌节腿部无力；以及尿失禁。
患者接受了多种整脊手法治疗，包括颈椎和胸椎调整、腰椎器械调整以及骶髂关节的定点调整技术。双侧臀中肌、腰方肌和梨状肌均进行了触发点治疗。12个月后，患者报告下背和神经根性腿痛减轻，能够减少阿片类药物的使用，并且在接受整脊治疗后下肢功能有所改善。
对于马尾综合征手术后残留症状，患者对整脊治疗疗程反应良好。
