Subject: Case Reports – Acute Torticollis

Title: Low Force Chiropractic Care Of Two Patients With Sciatic Neuropathy And Lumbar Disk Herniation

Reference: Richards GL, Thompson JS, Osterbauer PJ, Fuhr AW. Low force chiropractic care of two patients with sciatic neuropathy and lumbar disc herniation. Amer J Chiropr Med 1990; 3(1): 25-32

Abstract:
Two patients with sciatic neuropathy and confirmed disc herniation were treated with a low force treatment regimen consisting 0£ the Activator instrument adjusting, pelvic blocking, high voltage galvanic current and exercises. CT scans with multiplanar data imaging (MPDI) and clinical observation were used to monitor the cases both in diagnosis and as treatment progressed. The results of the follow up CT scans in the first case included complete absence of disc herniation. The second case follow up scan 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. The patients gained the ability to stand, sit and walk for longer periods without discomfort; lifting tasks also became easier. The patients were able to return to full work capacity at three and nine months respectively. This case study is unique to the literature since it documents the use of a treatment regimen which included low force adjustments. While no conclusions may be made concerning efficacy of anyone type of treatment, the favorable patient outcomes are somewhat encouraging.

Key words: Chiropractic, manipulation, activator technique, lumbar disc herniation, sciatica, CY scan