Sub-acute Moderate Left S1 Radiculopathy – Left Sub-articular L5-S1 Herniation Compromising the Left S1 Nerve Root [DPPP-SAA Treatment Protocol (Pre-Treatment and Post-Treatment Case Report – 31)]
Abstract
Keynote: Can selective IVD structural pathologies respond more effectively to the closed reduction protocol as opposed to other forms of conservative care and / or surgical intervention ?
This clinical case report involves a L5-S1 sub-articular herniation causing an exacerbated S1 radiculopathy.
This patient had received several weeks of conservative care, resulting in lower back pain improvement.
The point of interest is the application of automated decompression treatment at the later stage, which in fact further aggravated the radicular symptoms, leading to surgical consultation.
This patient later responded to the closed reduction protocol, resulting in full recovery both neurologically as well as functionally.
This case has further emphasized the importance of an accurate bio-mechanical diagnosis correlated with neurological and advanced imaging impressions which should be performed in the earlier stage of acute radiculopathies.
This is in direct contrast to the recommendations made by some health care policymakers, perhaps aimed at lowering health care costs. However, they should be reminded that preventing chronic spinal disability takes precedent.
Furthermore, pre-treatment and post-treatment advanced imaging comparative studies, provide insight into the relationship between IVD structural pathology and clinical presentation improvements which precedes.
Emphasizing the actual IVD structural changes observed in a relatively short period of time, the effectiveness of the closed reduction protocol demands further collaborative clinical studies.
