Conservative management of recurrent lumbar disk herniation with epidural fibrosis: a case report

J Chiropr Med. 2012 Dec;11(4):249-53. doi: 10.1016/j.jcm.2012.10.002.


Objective: A retrospective case report of a 24-year-old man with recurrent lumbar disk herniation and epidural fibrosis is presented. Recurrent lumbar disk herniation and epidural fibrosis are common complications following lumbar diskectomy.

Clinical features: A 24-year-old patient had a history of lumbar diskectomy and new onset of low back pain and radiculopathy. Magnetic resonance imaging revealed recurrent herniation at L5/S1, left nerve root displacement, and epidural fibrosis.

Intervention and outcomes: The patient received a course of chiropractic care including lumbar spinal manipulation and rehabilitation exercises with documented subjective and objective functional and symptomatic improvement.

Conclusion: This case report describes chiropractic management including spinal manipulative therapy and rehabilitation exercises and subsequent objective and subjective functional and symptomatic improvement.

Keywords: Chiropractic manipulation; Disk displacement; Diskectomy; Intervertebral; Low back pain; Recurrent.