Lower Back Pain with Radiating Pain Down Leg into Foot Helped with Chiropractic

Lower Back Pain with Radiating Pain Down Leg into Foot Helped with Chiropractic

The June 2016 issue of the Chiropractic Journal of Australia published a case study documenting the case of an elderly woman who had been suffering with pain in her lower back and leg being helped with chiropractic. This case was unique due to the woman having an MRI confirming the presence of a synovial cyst in her lower spine.

A synovial cyst is an uncommon occurrence where a cyst or soft tissue lesion forms inside the spinal column just outside the spinal cord. It is usually found in the lower back and is associated with lower back pain with radiating pain into a leg. It is commonly seen with some amount of spinal degeneration, and is more common in elderly patients. When discovered, the most common form of medical care is surgery.

In this case, a retired 76-year-old woman was suffering for the previous 6 months from pain in her buttocks down her right thigh, down her leg into her right foot. She also reported abnormal sensations in her right leg. With ten being the worst, the woman reported that pain as an eight. Standing and walking made her worse while sitting afforded some minimal relief.

A physical examination was performed which included reflexes and observation. An MRI was performed prior to chiropractic care and showed the presence of a synovial cyst along with a mild amount of spinal degeneration in the lower spine.

Initial chiropractic care was begun on the woman followed by supportive care. The study reports that after only a short course of care, the patient reported a complete resolution of her symptoms.

During a six-month follow-up, it was noted that the patient was still symptom free. At this point, a second MRI was performed to check the status of the cyst. The MRI showed that, although the patient was free from the pain, the cyst did not seem to have changed.

The authors noted that this case puts to question whether or not a synovial cyst is the cause of the pain. They stated, “This case report shows that although symptomatic resolution occurred following conservative care, the synovial cyst may not have resolved. This leaves open the question concerning the mechanism of symptom generation in these cases.” They noted the uniqueness of this case and the findings by adding, “This is the first reported case of MR imaging appearances of a lumbar facet synovial cyst pre- and post- successful conservative management resulting in symptomatic resolution.”

Please contact Dr. Jeff Swanson at 512-335-0641 or online at www.cedarparkchiro.com with any questions.

Disc Herniation with Extruded Fragment Helped With Chiropractic Care

The Annals of Vertebral Subluxation Research published a study on November 19, 2015, documenting the case of a patient suffering from left-sided low back pain that radiated down the left leg being helped by chiropractic.

The authors of the study report that lower back pain (LBP) is one of the most common health issues in society. It is estimated that between 6.3% and 15.4% of the general population suffers from low back pain for the first time each year. The National Board of Chiropractic Examiners’ Practice Analysis of Chiropractic 2015 reports that LBP is the most common condition seen in a chiropractor’s office accounting for 23.6% of new patients.

In this case, a 43-year-old man went to the chiropractor complaining of severe pain in his lower back that radiated down his left leg to his ankle and foot. The man had received an MRI and was diagnosed with a left L4-L5 focal disc protrusion with an extruded fragment. The man rated the pain on a 1 to 10 scale (10 worst) as being between 8 and 10. The pain was worse upon sitting and lying down.

The medical care the man received consisted of prescription drugs including 200 mg. of Advil, 5 mg-325 mg of Percocet , 5 mg. of Valium, and Tramadol. The drugs only provided minor help for short periods of time. Due to the lack of progress, a friend told the man to see a chiropractor.

Upon entering the chiropractor’s office, a history and examination were performed. It was noticed that the patient had an antalgic lean due to the pain. He also had muscle spasms and swelling in the lower back area. Motion of his lower back was reduced and painful.

Based on the results of the chiropractic examination and the severity of his condition, chiropractic care was initiated daily for the first week followed by three times per week for the next three weeks, after which a reassessment was performed.

At the time of the reassessment, the patient had improved to the point where he was able to work 12-hour days feeling slightly stiff and was able to sleep through the night without pain. He also reported that he was able to sit and lay down without any pain. His slight remaining pain at the one month point of care was rated as only a 2 out of 10, and his muscle strength and movement were greatly improved.

In their conclusion the authors wrote, “This case report described the successful chiropractic care of a patient with a chief complaint of low back pain associated disc protrusion at the L5-S1 functional spinal unit.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-335-0641 to schedule a consultation with Dr. Swanson.