Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 24780
  Title Efficacy of chiropractic adjustments versus self-manipulation of the lumbar spine in a 17-year-old male with chronic low back pain: A case study [case report]
URL https://vertebralsubluxation.sharepoint.com/Pages/2013_1175_selfmanipulation.aspx
Journal Ann Vert Sublux Res. 2015 Spring;2015(2):Online access only p 43-47
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: To describe a patient who received chiropractic adjustments after habitually self-manipulating his lumbar spine, and to compare the efficacy of the two treatments in the available literature.

Clinical Features: A 17-year-old male patient sought care for chronic low back pain. One year prior, he suffered a weight-lifting injury which was when he began self-manipulating. The pain worsened throughout the year, up until pursuing chiropractic care.

Interventions and Outcomes: Initial history and examination revealed global hypermobility of the lumbar spine but with areas of segmental hypomobility. Pain medications and injections proved ineffective. Specific chiropractic care 3 times weekly for 3 months provided relief of low back pain.

Conclusions: This case suggests that specific high-velocity low-amplitude chiropractic adjustments are safer and more effective at treating low back pain than self-manipulating, and that non-specific self-manipulation can exacerbate current problems in patients.

Author keywords: Chiropractic, adjustment, self-manipulation, spinal instability, cavitation, hypermobility, audible pop, ligament laxity, ligament strain, subluxation

This abstract is reproduced with the permission of the publisher; full text by subscription. Link to PDF version
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