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Chronic low back pain with previous disc lesion: Presentation
Clinical Chiropractic (2008) 11, 120—121
intl.elsevierhealth.com/journals/clch
CASE CHALLENGE
Chronic low back pain with previous disc lesion: Presentation Amelie Haran, Arnaud Lardon, Michelle Wessely * Department of Radiology, IFEC (Institut Franco-Europeen de Chiropratique), 24 Boulevard Paul Vaillant Couturier, 94200 Ivry Sur Seine, France Received 13 October 2008; accepted 19 October 2008
Figure 1 MR imaging of this 58 year old patient with chronic low back pain and loss of ankle control, who brought these images to the chiropractor that had been recently performed.
* Corresponding author. Tel.: +33 1 4515 8918; fax: +33 1 4515 8911. E-mail address: [email protected] (M. Wessely). 1479-2354/$32.00 # 2008 The College of Chiropractors. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.clch.2008.10.004
Chronic low back pain with previous disc lesion: Presentation
Clinical presentation A 58-year-old female patient presented to a chiropractor with chronic low back pain. She brought to the consultation diagnostic imaging of her spine (Fig. 1a and b), which had been ordered by her general medical practitioner owing to the patient’s complaint of a sensation of ‘‘losing control of her ankle’’ on occasion. Her history included an episode of acute low back and leg pain in 1989, attributed to a left paramedian L5-S1 disc lesion for which she was treated by the same chiropractor. Since then, she had suffered with episodic low back pain which
121
always responded very quickly to chiropractic treatment. The patient’s father suffered from multicystic kidney disease. Since 1990, she had taken levothyrox for hypothyroidism. Physical, orthopedic and neurological examination demonstrated no abnormality. What are your imaging findings? What is your differential diagnoses? How will you manage the patient, based on the imaging findings, clinical history and physical examination?
Available online at www.sciencedirect.com
intl.elsevierhealth.com/journals/clch
CASE CHALLENGE
Chronic low back pain with previous disc lesion: Presentation Amelie Haran, Arnaud Lardon, Michelle Wessely * Department of Radiology, IFEC (Institut Franco-Europeen de Chiropratique), 24 Boulevard Paul Vaillant Couturier, 94200 Ivry Sur Seine, France Received 13 October 2008; accepted 19 October 2008
Figure 1 MR imaging of this 58 year old patient with chronic low back pain and loss of ankle control, who brought these images to the chiropractor that had been recently performed.
* Corresponding author. Tel.: +33 1 4515 8918; fax: +33 1 4515 8911. E-mail address: [email protected] (M. Wessely). 1479-2354/$32.00 # 2008 The College of Chiropractors. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.clch.2008.10.004
Chronic low back pain with previous disc lesion: Presentation
Clinical presentation A 58-year-old female patient presented to a chiropractor with chronic low back pain. She brought to the consultation diagnostic imaging of her spine (Fig. 1a and b), which had been ordered by her general medical practitioner owing to the patient’s complaint of a sensation of ‘‘losing control of her ankle’’ on occasion. Her history included an episode of acute low back and leg pain in 1989, attributed to a left paramedian L5-S1 disc lesion for which she was treated by the same chiropractor. Since then, she had suffered with episodic low back pain which
121
always responded very quickly to chiropractic treatment. The patient’s father suffered from multicystic kidney disease. Since 1990, she had taken levothyrox for hypothyroidism. Physical, orthopedic and neurological examination demonstrated no abnormality. What are your imaging findings? What is your differential diagnoses? How will you manage the patient, based on the imaging findings, clinical history and physical examination?
Available online at www.sciencedirect.com