Index to Chiropractic Literature
Index to Chiropractic Literature
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Saturday, August 16, 2025
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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ID 28351
  Title Non-surgical chiropractic management of a massive lumbar disc extrusion: A case report
URL https://journal.parker.edu/article/129221-non-surgical-chiropractic-management-of-a-massive-lumbar-disc-extrusion-a-case-report
Journal J Contemp Chiropr. 2025 ;8(1):68-74
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: Lumbar disc herniation (LDH) is a prevalent and disabling condition costing health systems hundreds of millions of dollars and vital resources annually. Our paper reports on the non-surgical resorption of a massive LDH following a comprehensive plan of chiropractic care.

Clinical Features: An elderly male presented to a chiropractic clinic with severe low back and leg pain. An MRI was ordered and revealed a massive herniation at L3-4 that measured 10mm AP with 19mm of caudal migration.

Intervention and Outcome: The patient was treated with a comprehensive plan of chiropractic care to include spinal manipulation therapy. Significant patient improvement was noted throughout re-examination intervals. 6-months after the initial visit, a repeat MRI showed a reduction of the massive LDH from 10mm to 4.7mm.

Conclusion: Without the presence of severe neurological deficit or cauda equina syndrome, chiropractic care is not contraindicated and is a safe choice for LDH intervention, even with massively sized herniations.

Author keywords: Chiropractic; Spinal Manipulation; Intervertebral Disc Displacement; Back Pain

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

 
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