Disc Herniation
Recurrent low back pain and early disc degeneration in the young. Salminen JJ, Erkintalo MO, Pentti J et al. Spine 1999; 24(3):1316-21.
Out of 1,503 14 year olds 7.8%, reported recurrent low back pain (LBP). The children had MRIs at 15 and 18 years of age and were questioned about their LBP at ages 15, 18 and 22. Those children who showed signs of disc degeneration at age 15 were 16 times more likely to report LBP at age 23.
The study concluded: “Individuals with disc degeneration soon after the phase of rapid physical growth not only have an increased risk of recurrent low back pain but also a long-term risk of recurrent pain up to early adulthood.”
Management of cervical disc herniation with upper cervical chiropractic care: a case study. Eriksen K. Journal of Manipulative and Physiological Therapeutics 1998 21(1):51-56.
A 34-year-old man with severe neck, lower back and radicular pain of 1 year duration had previously received care from multiple medical specialists with little or no results. An MRI of the cervical spine demonstrated a C6-C7 herniated nucleus pulposus. A needle electromyogram examination confirmed the presence of a C6-C7 radiculopathy with radiculopathic changes from C4-C7. X-ray analysis showed that the atlas and axis were misaligned. The patient was adjusted using Grostic procedures by hand. Within one month there were dramatic improvements in all subjective and objective findings At a one year follow-up it was concluded that surgery was not necessary.
Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations Ben Eliyahu, DJ. Journal of Manipulative and Physiological Therapeutics Vol. 19 No. 19 Nov/Dec 1996.
Twenty-seven patients with MRI documented and symptomatic disc herniations of the cervical or lumbar spine were given chiropractic spinal care, flexion distraction, physiotherapy and rehabilitative exercises. Post-care MRIs revealed that 63% of the patients had a reduced or completely resorbed disc herniation. 78% of the patients were able to return to work in their pre-disability occupations.
Reduction of a confirmed C5-C6 disc herniation following specific chiropractic spinal manipulation: a case study. Siciliano MA, Bernard TA, Bentley, NJ. Chiropractic: The Journal of Chiropractic Research and Clinical Investigation Vol. 8 No. 1 April 1992.
This is the case of a 39-year-old male cable technician who complained of right neck and arm pain. He had a football injury 20 years prior and had some similar, temporary pain at that time. He now had an aching, deep pain running from the base of his neck to the right elbow and sometimes running sharply down his arm. Magnetic resonance imaging (MRI), thermography and Kronamaz muscle testing apparatus documented a C5-C6 disc herniation. Under chiropractic care the patient became symptom free and a later MRI revealed a reduction in the herniation.
Low force chiropractic care of two patients with sciatic neuropathy and lumbar disc herniation. Richards GL et al. Am J Chiro Med Mar 1990;3(1):25-32.
Two patients with sciatic neuropathy and confirmed disc herniation received chiropractic care. A follow-up CAT scan in the first patient revealed complete absence of disc herniation. A follow up scan in the second case revealed the continued presence of a silent disc bulge at the L3-4 level and partial decrease in a herniation at the L4-5 level. The bulge appeared to have shifted away from the nerve root. Both patients’ pain levels decreased from severe to minimal as they regained the ability to stand, sit and walk for longer periods without discomfort and lifting also became easier. They were able to return to full time work capacity at three and nine months respectively.
Disc regeneration: reversibility is possible in spinal osteoarthritis. Ressel, OJ. ICA Review March April 1989 pp. 39-61.
Osteoarthritis has been regarded as a product of “wear and tear” of the spine. This paper reveals that chiropractic management of osteoarthritis can lead to its arrest and even reversal.
Reabsorption of a herniated cervical disc following chiropractic treatment utilizing the atlas orthogonal technique: a case report. Robinson, G. Kevin. Abstracts from the 14th annual upper cervical spine conference Nov 22-23, 1997 Life University, Marietta, Ga. Pub. In Chiropractic Research Journal, Vol. 5, No.1, spring 1998.
A 44 year old man with a herniated cervical disc as diagnosed by magnetic resonance imaging (MRI) and adjusted utilizing chiropractic care (atlas orthogonal technique) is discussed. His symptoms included severe neck pain, constant burning, left arm pain and left shoulder pain plus paresthesia in the index finger of the left hand. Patient also had diminished grip strength on left hand, a hyporeflexive biceps and triceps on the left as well as a C6 and C7 sensory deficit on the left. The MRI scan revealed a large left lateral herniated disc at the C6-7 level.
By the fifth week of care, the patient’s symptoms of severe neck, shoulder, and arm pain were completely resolved. The patient’s numbness and grip strength improved consistently during the following six months. Comparative MRI obtained 14 months following the initial exam revealed total resolution of the herniated cervical disc.
Correction of multiple herniated lumbar disc by chiropractic intervention. Sweat R. Journal of Chiropractic Case Reports. Vol. 1 No. 1 Jan 1993.
This is the case of a 39 year old patient presenting with severe pain in his lower back, radiating into the buttocks, the thigh and his left calf and foot. A herniated nucleus pulposus at L-4 L-5 and L-5 S-1 was confirmed by Magnetic Resonance Imaging (MRI) and surgical procedures were recommended. Chiropractic was begun utilizing the Atlas Orthogonal Percussion Instrument on the atlas vertebrae. After 4 weeks of care, he showed a 50% improvement and was not using medications. After six months of care a subsequent MRI radiologist’s report indicated that a herniation was not present.