Showing Case Studies for: Chiropractic

Trans-sacral Approach to Chronic Low Back Pain

Presented by: D. Hart MD

After prior lumbar microdiscectomy procedures (years ago), both at L5-L6, the patient presents with chronic low back pain.

Cervical Degenerative Changes with Segmental Kyphosis

Presented by: M. Weinstein MD

The 44-year-old's cervical radiographs indicate degenerative changes and loss of disc space with segmental kyphosis.

Direct Lateral Interbody Fusion for Degenerative Disc Disease and Degenerative Scoliosis

Presented by: R. Chua MD, FACS

A 63-year-old female presents with low back pain and bilateral leg pain approximately 18-months after a motor vehicle accident. Her back pain is worse that her leg pain. Pain limits her activity.

ALIF with Posterior Lateral Fusion: Aspen™ Spinous Process Fixation for Posterior Instrumentation

Presented by: R. Porter MD

This is a 32-year-old female who presents with a 13-year history of progressive low back pain. She denies any history of injury or activity resulting in low back pain.

MIS Treatment of Spondylolisthesis

Presented by: C. Barry MD

The patient is a 61-year-old male with a 3-year history of progressive severe low back pain and pain in both legs. His back pain is mechanical in nature; 60% back and 40% leg pain. He has a 6-month history of right lower extremity weakness.

Recurrent Spondylolisthesis with Significant Risk of Pseudarthrosis

Presented by: J. Krumerman MD
Pseudarthrosis complicated the patient's postop course. Use of an external bone stimulator (Spinal-Stim®) salvaged the construct.

Less Invasive Spinal Deformity Correction

Presented by: M. Wang MD, FACS
A 72-year-old female presented with progressive symptoms of severe back and right sided leg pain for three years. The pain worsened with standing and ambulating, and improved with sitting and lying down.

Lumbar Spine’s Role in Chronic Hip Pain Case

When evaluating a patient with hip pain, do not overlook the lumbar spine. In this case, the patient had no low back pain, but the spine was the trigger of pain and symptoms.
Presented by: K. Tiltmann DC
When evaluating a patient with hip pain, do not overlook the lumbar spine. This patient had no low back pain, but the spine was the trigger of pain and symptoms.

Adolescent High-Grade Isthmic Spondylolisthesis

Presented by: P. Louie MD, H. An MD
A 14-year-old healthy, high-level gymnast who presented with 1-year history of insidious low back pain, with recent (past few months) onset of pain and tingling down her left leg to the dorsum of the left foot.

Cervical Nonunion and Kyphosis

Presented by: C. Regan MD, J. Kang MD
A 40-year-old ICU nurse practitioner presented for a second opinion about 12 months after C4-C7 laminectomy and fusion with allograft. She reported posterior neck pain radiating down into the shoulders.

Worsening Leg Weakness and a Negative Lumbar MRI

Presented by: T. Piper MD, C. Hemmer DNP, ANP
The patient is a 52-year-old male whose health is generally very good. He has no back pain but presents with acute pain, numbness and tingling sensations in both legs; right is greater than the left. He presents in Dr. Terrence Piper's practice for a second opinion.

Refractory Lumbar Back Pain in a 40-Year-Old Female

Presented by: J. Uribe MD, FAANS, C. Hartman MD, MBA, J. Godzik MD
The patient is a 40-year-old female with refractory back pain for 4 years. She has no relevant past medical history or history of trauma.

Cervical Radiculopathy: Classic Case?

Presented by: R. Fessler MD, PhD
The patient is a 45-year-old male with a 3-month history of neck, shoulder and arm pain.

Recurrent Back Pain in a 15-year-old Female Athlete

Presented by: M. Dekutoski MD
A 15-year-old female athlete presented with recurrent back pain (>18 months). The original onset was in playing basketball, and when she stopped playing, it improved. She re-injured her back in the spring. How would you treat her?

90% Leg Pain vs. 10% Low Back Pain: Refuses Fusion

Presented by: J. Roh MD, MBA, MSc
A 46-year-old female pharmacist presented with a 6-month history of progressively worsening left leg pain and paresthesias. She reports only minor achy low back pain. She describes her pain as 90% left leg pain and 10% low back pain.
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