10/09/10

A 60-years-old male with low back pain and right hip pain.


【Clinical features】
A 60-years-old male has been suffering from increasing pain in his lower back and right hip for a year. When he was asked about past injuries, he explained how, about 30 years ago, he had several injuries on his low back and sprained his joint on playing football. At first, the pain in his low back and right hip was spontaneously improved, but since last year the pain came back again and gradually getting worse.

【Clinical findings】
・X-rays showed mild degenerative changes in his L5/S1 segment.
・The range of motion in his low back and right hip were slightly restricted.
・Tightness and sensitivity of piriformis, gluteus minimus, and multifidus muscles. 

【Treatment and outcome】
Treatment plan consisted of chiropractic manipulation and sof tissue technics to his low back spine. Within 3 visits, he experienced increasing improvement. She had a total of 6 visits (1 months), after which her symptoms were 90% recovered. The patient was advised to have chiropractic care once per 2 months in order to maintain his painless condition.

【Conclusion】
This case study suggest that chiropractic care can relieve chronic low back and hip pain  caused by previous repetitive injuries. Spinal dysfunction and a tightness of the hip stabilization muscles appeared to be the cause of patient's symptoms and previous injuries often has negative impact on normal neuromuscloskeletal function.  Management including chiropractic manipulation and soft tissue technics were effective in this case.



Posted at 10,09,10
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