Online ISSN: 2515-8260

Keywords : Chiropractic


Thoracolumbar disc herniation: a hidden cause of monosymptomatic nocturnal enuresis

Eric Chun-Pu Chu; Patrick Sim

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2834-2840

A 30-year-old male with a 4-year history of chronic back pain complained of recent episodes of sharp mid back pain referred to his right sacroiliac joint and gluteal area, presumably resulting from twisting injury occurred while playing basketball one week prior. Magnetic resonance imaging showed obvious intervertebral disc degeneration and a right paracentra a right paracentra a right paracentraa right paracentra a right paracentra a right paracentraa right paracentraa right paracentra l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation l soft disc herniation compressing the spinal compressing the spinal compressing the spinal compressing the spinal compressing the spinal compressing the spinal compressing the spinal compressing the spinal compressing the spinal compressing the spinal compressing the spinal cord cord at the T12/L1 level at the T12/L1 level at the T12/L1 levelat the T12/L1 levelat the T12/L1 level at the T12/L1 level at the T12/L1 levelat the T12/L1 level. The patient experienced significant pain relief and was able to regain significant mobility of his mid back within two weeks after starting chiropractic care. Moreover, the patient also reported a multi-year history of nocturnal enuresis without daytime symptoms. He unexpectedly found that the symptoms of enuresis spontaneously resolved during the course of treatment. Monosymptomatic nocturnal enuresis under discussion under discussion under discussion under discussion under discussion under discussion under discussion under discussion under discussion was an uncommon consequence of spinal cord compression (conus medullaris syndrome) caused bycaused by caused by caused by caused by thoracolumbar disc herniation

Regression of Lumbar Disc Herniation Following Non-surgical Treatment

Eric Chun-Pu Chu; Divya Midhun Chakkaravarthy; Fa-Sain Lo; Amiya Bhaumik

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 27-29

Symptomatic disc herniation is the most common disc pathology and can result in substantial disability and poor quality of life. Here, we present a male patient who was diagnosed as having lumbar disc herniation at L3/L4 and L4/L5 levels with nerve root entrapment. The patient sought chiropractic treatment for severe back pain which lead to trouble walking. After 7 months of a medical/chiropractic intervention, complete pain relief and recovery of muscle weakness were achieved. At 11-month follow-up, the regression of the herniated discs was documented on MR imaging. This case presentation aims to raise a reappraisal of our knowledge of intervertebral disc herniation in regard to the natural history, the components of herniated material and possible mechanisms behind hernia regression, which holds the key to treating this problem. Through the translation of research evidence into practice, current guidelines recalibrate instructions on the diagnosis and treatment of symptomatic disc herniation.