Hypoesthesia was noted along the right lateral leg and foot. Joint stiffness and painful symptoms were noted in the lower lumbar spine, with hypertonicity and tenderness palpable in the paraspinal muscles. The patient presented with an antalgic and altered gait, and could not rise up from sitting position. She was restricted by her ability to maintain lifestyle, and unable to commute to work by herself. During that time physiotherapy, acupuncture, traditional Chinese therapy and alternative medicines were also tried to no avail. Baclofen (a muscle relaxant) and tramadol (a pain reliever) were prescribed, which did not help. The patient had returned to her former surgeon but refused further surgery. She denied saddle anesthesia, bowel or urinary changes. Relief was achieved with getting up to stretch or with lying down. It was provoked with prolonged sitting, bending and straining. Her pain, being rated as 8/10 on the pain scale, travelled down the right buttock and right calf. The patient had posterior decompression (L4/5 and L5/S1) for disc herniation 10 years earlier. CASE REPORTS CASE: 1Ī 44-year-old wheelchair-dependent woman had been troubled by aching in right low back for 4 months, after bending over to pick up a stack of papers. Patients with PLS often live with continued pain and disability 1, which can cause frustration and despair. Causes of PLS appear to be multifactorial and effective strategies have not been well-implemented. Post-laminectomy syndrome (PLS) is a nonspecific term describing chronic pain syndromes after back surgery. KEYWORDS: Chiropractic Post-laminectomy syndrome Posterior.
These cases are notable because the precise cause of this condition remains unclear and, currently, effective strategies for patients with this painful syndrome have not been established. Nerves can get damaged or inflamed due to various (preexisting, intra- or postoperative) conditions, resulting in continued low back pain. PLS is a condition characterized by persistent back pain or leg pain after spine surgeries. Herein, the author presents two cases where chiropractic techniques appear to have been successful in alleviating postlaminectomy syndrome (PLS). She has underwent clinical traineeships in the fields of general and thoracic surgery, gynecology and obstetrics, urology, internal medicine, including cardiology, nephrology and family medicine, emergency care and forensic medicine.International Journal of Medical and Health SciencesĬhiropractic Care of Postlaminectomy Syndrome: A Report of 2 Cases Eric Chun-Pu Chu 1 *ġ Department of Chiropractic, New York Medical Group, Hong Kong, China. She has worked for the European Students Conference, one of the biggest student organized biomedical conferences promoting the international scientific exchange between students, clinicians and researchers from different fields and cultural backgrounds worldwide, where she was responsible for the organization of the scientific program dealing with the challenges of increasing antimicrobial resistance.Īnother major area of her scientific interest includes clinical-diagnostic and molecular cancer pathology and led her to her work on a Germany-wide database for the collection and analysis of epidemiological and carcinoma-associated data of patients with familial breast- and ovarial cancer. She completed her university studies with the second part of the state examination in April 2019 and a good scientific practice course with a retrospective study regarding endovascular aortic repair of abdominal aortic aneurysms.
Helene Schrader is a last year medical student at the department of Urology at Charité – Universitätsmedizin Berlin, where she focuses on novel treatment options in the therapy of bone metastases by castration resistant prostate cancer.
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