Manual therapy treatment of lumbar radiculopathy: A single case report
South African Journal of Physiotherapy
| Field | Value | |
| Title | Manual therapy treatment of lumbar radiculopathy: A single case report | |
| Creator | Riley, J.A. | |
| Description | Patients with lumbar radiculopathy are often managed with manual therapy. The aim of this single case study was to describe the outcome of manual therapy treatment of a patient with lumbar radiculopathy. A 47-year-old female presented with acute, severe left buttock and postero-lateral thigh pain. Symptom provocation occurred during lumbar flexion, coughing, sneezing, driving and prolonged sitting. her left straight leg raise neurodynamic test was limited and reproduced her pain, as did trigger points in the left lumbar and gluteal muscles. clinical neuro-conduction testing revealed weakness of the big and other toe extensors, as well as eversion and plantar flexion of the left ankle, and a diminished left ankle reflex. This indicated possible involvement of both the l5 and S1 nerve roots. A manual therapy treatment approach including lumbar rotation mobilisations (Maitland approach), massage, trigger point pressure release and Transversus Abdominus muscle activation was used. The patient was symptom free, had full pain-free range of all lumbar movements, a full pain-free left straight leg raise neurodynamic test and normal neurological conduction six weeks after onset, following seven manual therapy treatments. Although the results of this case report cannot be generalised, it describes the successful outcome of a patient with severe radicular pain and neurological deficits, whose signs and symptoms had completely resolved following manual therapy treatment. | |
| Publisher | AOSIS | |
| Date | 2011-01-06 | |
| Identifier | 10.4102/sajp.v67i3.54 | |
| Source | South African Journal of Physiotherapy; Vol 67, No 3 (2011); 41-45 2410-8219 0379-6175 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.co.za/index.php/sajp/article/view/54/52
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