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Subject: Disc Herniation / Sciatica
Title: Treatment of Symptomatic Lumbar Disc Herniation Utilizing Activator Methods Chiropractic Technique.
Reference: Polkinghorn BS, Colloca CJ. Treatment of Symptomatic Lumbar Disc Herniation Utilizing Activator Methods Chiropractic Technique. J Manipulative Physiol Ther 1998:21(3): 187-96
Abstract: Objective:To describe a case of symptomatic lumbar disc herniation, successfully treated via chiropractic intervention, utilizing Activator Methods Chiropractic Technique (AMCT).

Clinical Features: A 26 old male suffered from a chronic multi-symptom complex comprised of low back pain, left groin pain, left leg pain, left foot drop and associated muscle weakness with atrophy. Symptoms had persisted for over two years, following an athletic injury. Magnetic resonance imaging (MRI) evaluation revealed a 6 mm. focal central disc protrusion with accompanying deformation of the thecal sac, consistent with the presenting symptomatology. Prior to chiropractic presentation, lumbar spinal surgery was recommended to the patient as the appropriate medical management for optimal outcome.

Intervention & Outcome: The patient elected to pursue chiropractic treatment in an effort to resolve his condition under conservative management. Chiropractic intervention consisted of mechanical force, manually assisted (MFMA) short lever adjusting procedures, rendered via an Activator Adjusting Instrument (AAI) utilizing AMCT. The patient responded favorably to said procedures and his multi-symptom complex resolved within 90 days of treatment. No residuals or recurrences were noted at examination over one year later.

Conclusion: This report suggests that chiropractic treatment of lumbar disc disorders may be effectively implemented, in certain cases, via MFMA adjusting procedures utilizing an AAI and AMCT. We speculate that the use of an AAI, combined with ACMT methodology, may provide definitive benefits over side posture manipulation of the lumbar spine in treatment of resistive disc lesions, due of the lack of torsional stress imposed upon the disc during instrumental spinal adjustment. Further study should be made in this regard, in order to determine the safest, as well as most effective, method to treat lumbar disc lesions in a chiropractic setting.
Key Words: Chiropractic, intervertebral disc, low back pain, sciatica, manipulation, MFMA, Activator Adjusting Instrument.
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