Chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae

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Jeffrey M. Muir

J Chiropr Med. Dec 2012; 11(4): 254–259.

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Abstract
Objective

The purpose of this study is to report the chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae (LSTV).

Clinical Features

A patient with previously undiagnosed LSTV presented with moderate low back pain.

Interventions and Outcome

Manual therapy, soft tissue therapy, and exercise/stretching were included in the initial treatment plan. Following a short course of treatment, the presenting symptoms resolved; however, they returned after 3 symptom-free months. At that time, radiographs were ordered and the LSTV were identified. Following another course of chiropractic care, the patient’s symptoms resolved.

Conclusions

Chiropractic management resulted in resolution of symptoms for this patient with LSTV.

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