Cox J M, Hazen L J, Mungovan M
J Manipulative Physiol Ther. 1993 Jun;16(5):342-6.
A computed tomography (CT)-confirmed L5-S1 disk protrusion is reported to be reduced following chiropractic adjustment, as seen on repeat CT scanning. Correlation of the CT reports with the patient's symptoms before and after manipulation is reported.
A 38-yr-old female was treated for low back pain and right lower extremity first sacral dermatome sciatica. CT confirmed disk herniations at both the L4-L5 and L5-S1 levels were found. Motor weakness of the right gluteus maximus muscle was found and extremely tight hamstring muscles accompanying positive straight leg signs were elicited. A clinical and imaging diagnosis of an L5-S1 disk herniation was made.
Distraction type chiropractic manipulation, electrical stimulation, exercises, nutrition advice and low back wellness class were administered with complete relief of sciatic pain and nearly complete relief of low back pain.
Chiropractic distraction manipulation is an effective treatment of lumbar disk herniation, if the chiropractor is observant during its administration for patient tolerance to manipulation under distraction and any signs of neurological deficit demanding other types of care.
据报告，经计算机断层扫描（CT）确诊的L5 - S1椎间盘突出症在整脊调整后有所减轻，重复CT扫描可见此情况。报告了CT报告与患者推拿前后症状的相关性。
一名38岁女性因下背部疼痛和右下肢第一骶神经皮节坐骨神经痛接受治疗。CT证实L4 - L5和L5 - S1水平均存在椎间盘突出。发现右侧臀大肌无力，且引出了伴有阳性直腿征的极度紧张的腘绳肌。做出了L5 - S1椎间盘突出症的临床和影像学诊断。
采用牵引式整脊推拿、电刺激、锻炼、营养建议和下背部健康课程，坐骨神经痛完全缓解，下背部疼痛几乎完全缓解。
如果整脊治疗师在进行牵引式整脊推拿时密切观察患者对牵引下推拿的耐受性以及任何需要其他类型护理的神经功能缺损迹象，那么牵引式整脊推拿是治疗腰椎间盘突出症的有效方法。
