Case Report-25 [Post-Treatment MRI Study (Plate 4/6)]

Fortunately, following third session of treatment patient did report significant reduction in left leg pain, and perhaps more importantly, the anesthesia on the bottom of left foot was considerably less. As the result, treatment was extended another three sessions, following which patient was re-evaluated, with satisfactory results.

Subsequently, this patient was treated for total of 13 sessions during two weeks with significant reduction in radicular pain, and almost 90% reduction of left foot anesthesia, with no compromise of motor strength.

Case Report-25 [Post-Treatment MRI Study (Plate 5/6)]

Furthermore the left leg SLR which prior to initiation of treatment was positive at 20 deg, was documented at 65 deg following first seven session of treatment, and only a mild LBP at 73 degrees after session 13.

This patient was scheduled for a follow up exam three weeks following the last session of treatment, at which time he remained pain free, except for a mild gluteal pain while changing position from siting to standing, which lasted only a few seconds. All the neurological findings including SLR, muscle strength, and dermatome examinations were unremarkable. Patient did report a mild difference in touch sensation of the left leg compare to the right (plantar surface of left foot), which was occasional, and he felt it was improving with time.

Case Report-25 [Post-Treatment MRI Study (Plate 6/6)]

Nevertheless, patient was placed on restrictions, including lifting, for 3 weeks, and a follow up MRI was ordered to be completed during that period of time. However; due to travel requirements, the follow up MRI was delayed for extended 6 weeks. As the result the follow up MRI study seen here (plates 3/4, and 4/4),was obtained 12 weeks following the initial pre treatment study (Plates 1/4, and 2/4).

The follow up study, in accordance with the examination, and patient clinical presentation, indicated significant reduction in the left L5-S1 lateral recess compromise and the extruded disc material, and it is perhaps a clear indication of a reversed IVD structural pathology.