Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8082
Peer-review started: May 11, 2021
First decision: June 15, 2021
Revised: June 29, 2021
Accepted: July 16, 2021
Article in press: July 16, 2021
Published online: September 26, 2021
Lumbar disc herniation (LDH) has emerged as one of the most common causes of low back pain. The routine treatment approach involves chemonucleolysis therapy, discectomy by percutaneous endoscopy, and percutaneous laser disc decompression. Unfortunately, all of these methods carry inherent risk of causing harm to the patient and, as such, there is an unmet but urgent need for an effective and safe noninvasive treatment for LDH. The purpose of this report is to describe a non-invasive method for re-absorption of LDH.
A 34-year-old woman was admitted with a complaint of waist pain that she reported as having become acutely aggravated over the past 3 d and accompanied by discomfort in the right lower limb. Her self-reported medical history included persistent postpartum low back pain from 7 years prior. Physical exam showed positivity for neck flexion test (Lindner sign) and supine abdomen test; the straight leg-raising test showed right 60(+) and left 80(-). Findings from standard imaging (magnetic resonance) and collective physical examinations indicated a L5/S1 herniated lumbar disc. Treatment consisted of three-dimensional (balanced regulating) spinal manipulation and acupuncture, upon which the LDH resolved by retraction.
Following L5/S1 herniated lumbar disc diagnosis, three-dimensional (balanced regulating) spinal manipulation combined with acupuncture therapy is an effective treatment.
Core Tip: In view of the risks associated with surgical treatment of lumbar disc herniation (LDH), this case report describes the successful treatment of a disc herniation by means of three-dimensional (balanced regulating) spinal manipulation. The steps involved in this technique are as follows: (1) Relaxation and stiffening; (2) three-dimensional spine manipulation; and (3) relaxation. Ultimately, this treatment effectively cured the patient’s LDH and provided a safe noninvasive alternative to the current invasive methods, overcoming their inherent risks.