Tafler Leonid, Katz Victor, Kolesnikov Vadim, Singh Ranjodh
Primary Care, Touro College of Osteopathic Medicine, New York, USA.
Spine Surgery, New York University (NYU) Langone Hospital Long Island, Brooklyn, USA.
Cureus. 2022 Jul 5;14(7):e26590. doi: 10.7759/cureus.26590. eCollection 2022 Jul.
This case report presents a 63-year-old male patient with chronic left foot drop. The etiology for his condition most likely involved lateral lumbar stenosis and/or sacroiliac joint dysfunction resulting in radiculopathy and subsequent symptoms. The patient was previously recommended a surgical approach for his condition. After an extensive osteopathic examination and application of a high-amplitude low-velocity technique, the patient reported a significant improvement in his pain and resolution of his foot drop. To the best of the author's knowledge, this is the first reported case of the use of osteopathic medicine in the successful treatment and management of left foot drop most likely secondary lumbar stenosis and/or sacroiliac joint dysfunction. The aim of this case report is to discuss the possible mechanisms by which the condition may have been resolved and the role that osteopathic treatment played in it.
本病例报告介绍了一名63岁的男性慢性左足下垂患者。其病情病因最可能涉及腰椎侧方狭窄和/或骶髂关节功能障碍，导致神经根病及后续症状。该患者此前曾被建议采用手术方法治疗其病情。经过全面的整骨检查并应用高振幅低速度技术后，患者报告称其疼痛有显著改善，足下垂症状也得到缓解。据作者所知，这是首例报告使用整骨医学成功治疗和管理最可能继发于腰椎狭窄和/或骶髂关节功能障碍的左足下垂的病例。本病例报告的目的是讨论病情得以解决的可能机制以及整骨治疗在其中所起的作用。
