A 56 year old Caucasian female presented to my office with moderate chronic lower back pain which began 20 years ago with no known onset of injury. Her ADL’s included difficulty turning bending, sleeping, walking and sitting for prolonged periods of time. Examination revealed shortening of the hamstrings, piriformis and erector spinae muscles bilaterally and restricted ROM in the thoracolumbar region. The pain was rated as an 8/10 on the VAS in the lumbar region. LE DTR’s and dermatomes are WNL. The pain has progressively become worse in the last 2 years and she is tired of the pain. 

Diagnostic Studies: A lumbar MRI w/o contrast was ordered and revealed a disc herniation at T11-T12, T12-L1, L1-L2 and disc bulging at L3-L4 and L4-L5.

Recommended course of treatment: 3 consecutive days of Manipulation Under Anesthesia (MUA) followed by a 6 week intensive physical therapy program.

Conclusion: After receiving 3 consecutive days of MUA performed at an outpatient surgical center, the patient noticed a 65% improvement of her symptoms. She can now resume her ADL’s without difficulty which include household chores and sleep through the night without waking due to pain. Her ROM is full in the thoracolumbar spine. Her pain is rated a 3/10 on the VAS. The patient is excited to resume her normal ADL’s with full function and without a dependency on invasive measures.

 More information on back pain and  Lake Worth Chiropractic.

Physicians Wellness Care, Inc.

6894 Lake Worth Road Suite 104

Lake Worth, FL 33467

(561) 964-9191

www.drmorgen.com

Dr. Sabrina Morgen is a board certified chiropractic physician and has been in private practice for 9 years. She is certified in MUA and pain management and works with a team of board certified physicians who offer the procedure in a JCAHO and AHCA accredited out-patient surgical facility. She welcomes both physician and patient calls at 561-964-9191. The procedure is covered by most insurances.