• Jensen AM
• Bewketu B
• Sanford D

• Activator Method
• Adult
• Dysmenorrhea
• Endometriosis / diagnosis
• Endometriosis / therapy
• Low Back Pain / etiology
• Manipulation, Chiropractic

Objective: The purpose of this case study is to describe the clinical course and treatment of a female patient with intermittent low back pain (LBP) that was associated with a uterine adenomyosis.

Clinical Features: A 45-year-old woman presented for chiropractic care with intermittent LBP of 4 years' duration. History revealed concurrent dysmenorrhea, menorrhagia, and a uterine leiomyoma (fibroid). Physical and radiological examination findings were unremarkable, and the LBP was not reproducible.

Intervention and Outcome: Activator Methods chiropractic adjustments/manipulations were given twice per week for 4 months with moderate results. The frequency and duration of low back and pelvic pains were reduced; however, the severity remained constant. A further gynecological opinion was sought, a transvaginal ultrasound was performed, and the patient's diagnosis was changed from leiomyoma to adenomyosis.

Conclusion: In this case report, a woman presented with a 4-year history of intermittent LBP, which was sometimes associated with menstruation. Despite being diagnosed with uterine adenomyosis, she received some relief from chiropractic care.

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.