Correlative Neurological Diagnosis Background This case represents a 37 years of white female, who presented by bilateral upper extremity pain extending from the cervical spine to C5-6 dermatomal pattern of six months duration. In addition she reported recent episodic tingling and bilateral paresthesia which was exacerbated following receiving more than 20 sessions of physiotherapy treatment including, needling, manual traction, in…
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…
Sub-acute Exacerbation of Moderate-Severe Right S1 Radiculopathy – Right Paracentral L5-S1 Herniation Causing Lateral Recess Compromise – Complicated by L5 Structural Retrolisthesis, Modic Type II Changes of the Corresponding Segment (Pre-Treatment and Post-Treatment Clinical Case Report – 30) Abstract Lumbar lateral recess neural compromise are challenging cases to treat conservatively. Particularly when complicated by structural retrolisthesis and degenerative changes as…
Right Subacute Moderate S1 Radiculitis due to L5-S1 Central Protrusion, Complicated by Bilateral L4 Pars Defect (Clinical Case Review) (CR – 34) Abstract MRI studies were initially produced in the 1970s, and the first live man subject was imaged in 1977. Since that period, significant changes in both image quality and clinical performance have been achieved. Today, an MRI study…
C4-5 Posterior Compartment Instability – Complicating C5-6 Sub-articular Discopathy – Left Neuroforaminal Compromise; Acute Moderate Left C5 Radiculitis (Clinical Case Review) (CR – 33) Abstract The Chiropractic profession has always distinguished itself by its unique approach to bio-mechanical disorders of the spinal column, emphasizing inter-segmental dysfunction (ISD) and its neuro-musculoskeletal implications. However; it should be pointed out that intersegmental hypo-mobility,…
Sub-ligamentous L5-S1 Extrusion with Left Sub-articular Space Compromise; Moderate Left S1 Radiculitis (CR – 20) Abstract There is no doubt that conservative treatment of bio-mechanical disorders should be considered as the first line of treatment option, if the clinical presentation allows. It should be emphasized that the presence of IVD structural pathology is not necessary a progressive condition. It can…
L4-5 Posterior Central Left Outer Annular Herniation – Acute Moderate L4-5 Radiculitis – Complicated by L4-5 Posterior Compartment Instability (Case Report – 32) Abstract It is well agreed that the initial treatment for spinal bio-mechanical dysfunctions, including stable discopathies with limited neurological presentations should be conservative at first. Keeping in mind that close follow-up and regular re-evaluations are mandatory in…
Left L5-S1 Subarticular Herniation with Corresponding Lateral Recess Compromise – Moderate to Severe Subacute Left S1 Radiculipathy – Complicated by Degenerative Changes of Apophyseal Articulations [DPPP-SAA Treatment Protocol (Pre-Treatment and Post-Treatment Case Report – 25)] Abstract Lumbar disc herniations with subarticular involvement, particularly if it compromise the lateral recess, represents a clinical challenge. Choosing the proper treatment protocol in itself requires…
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