There is no doubt that this particular case represented significant IVD extrusion with expected neurological implication. In fact my initial recommendation, considering patient history, imaging and examination findings was also surgical intervention.

The purpose of this and other similar case reports is not necessarily to justify conservative treatment oppose to surgical intervention. However, it is meant to emphasis that even in circumstances in which surgical intervention is considered, other treatment options may be available for selected patients. This is an important consideration for patients who due to variety of medical or other restrictions, surgery should be reserved as the very last option.

In this case report further emphasize is made regarding safe application of the DPPP-SAA treatment protocol………………..


H. Sabbagh, D.C.


Full Text: hsabbagh.net/Articles/Case Report – 25

CR: hsabbagh.net/Case Reports/Case Report – 25

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