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

What is a Synovial Cyst? Can Chiropractic Care Help Radiating Low Back Pain?

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.

Lower Back Pain with Radiating Pain Down Leg into Foot Helped with Chiropractic - Austin TX Chiropractor car crash truck semi accident careA 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.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. We are located in north central Austin, TX.


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MRI Confirmed Lumbar Disc Herniations Helped with Chiropractic: Study Shows

Can Chiropractic Help A Disc Herniation?

A research paper published in the March/April 2014 issue of the scientific periodical, the Journal of Manipulative and Physiological Therapeutics (JMPT), showed that patients with lumbar disc herniations found on MRI were helped by chiropractic.  The authors explain, “The purposes of this study were to evaluate patients with low-back pain (LBP) and leg pain due to magnetic resonance imaging–confirmed disc herniation.”

MRI Confirmed Lumbar Disc Herniations Helped with Chiropractic - Study ShowsIn the opening of the report the authors write, “Approximately 70% of the population will have back pain at some point in time.1 Low-back pain (LBP) with associated leg pain due to a herniated intervertebral disc is one of the most severe and disabling forms of back pain.”

The study looked at patients with either chronic long term back pain or acute lower back pain, and followed their results for up to a year after the onset of chiropractic care. The researchers compared the patients, “…short-, medium-, and long-term outcomes of self-reported global impression of change and pain levels at various time points up to 1 year.”

In this study, 148 patients between the ages of 18 to 65 years with lower back pain and leg pain who were also confirmed to have lumbar disc herniation from an MRI study, were given chiropractic care.  The process, described by the researchers as, “high-velocity, low-amplitude spinal manipulation,” was delivered by doctors of chiropractic in Zürich, Switzerland.

Patients accepted for the study were evaluated at the time frames of 2 weeks, 1 month, 3 months, 6 months and 1 year after the initial chiropractic consultation.  The patients were asked to self-evaluate themselves into one of the following categories which included, “much worse, worse, slightly worse, no change, slightly better, better, and much better.”

The results of the study showed that after only 2 weeks of care, 69.9% considered themselves better or much better. After one month of chiropractic care, 79.6% were better or much better, as were 90.5% of the patients at the three-month evaluation. After that point, with no additional chiropractic care being rendered, the results remained at 88% better or much better with only 2.8% reporting that they were worse to some degree.

The authors said that in all the patients included in this study, “There were no adverse events reported.”  In their conclusion, the authors noted that the results were very good for both those patients who had acute or chronic lower back issues due to disc herniation. “A large percentage of acute and importantly chronic lumbar disc herniation patients treated with chiropractic spinal manipulation reported clinically relevant improvement.”

To see if chiropractic can help you or to have someone you know checked for the presence of vertebral subluxation, call (512) 452-2525 to schedule today.

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