PMID- 14970818
OWN - NLM
STAT- MEDLINE
DCOM- 20040604
LR  - 20111117
IS  - 0161-4754 (Print)
IS  - 0161-4754 (Linking)
VI  - 27
IP  - 2
DP  - 2004 Feb
TI  - Far-lateral disk herniation: case report, review of the literature, and a 
      description of nonsurgical management.
PG  - e3
AB  - OBJECTIVE: To review the history and examination of a far-lateral lumbar 
      intervertebral disk herniation (FLLIDH), as well as the treatment and outcomes of 
      a nonsurgical approach. CLINICAL FEATURES: A 60-year-old healthy male subject had 
      a 3-week history of right buttock and calf pain. He initially had a left lateral 
      list and asymmetrical pelvic landmarks. Range of motion (ROM) of the lumbar spine 
      revealed full and pain-free lumbar flexion, right-sided pain with lumbar 
      extension and left side bending, and painful and restricted left side bending. 
      Neurologic examination was unremarkable. INTERVENTION AND OUTCOME: The patient 
      was treated with a lumbar epidural and nerve root injection, as well as 
      manipulation. Physical therapy consisted of deweighting treadmill, autotraction, 
      and strengthening exercises. Outcomes were measured by using the Modified 
      Oswestry Questionnaire, as well as a numerical pain rating scale. His initial 
      Oswestry was 73%, pain 9/10 at presentation. Upon discharge, the Oswestry was 0% 
      and pain was rated as 0/10. CONCLUSION: A significant decrease was noted in both 
      the Oswestry Questionnaire, as well as the pain rate. The patient returned to 
      running on alternate days for a minimum of 30 minutes, which was his primary 
      goal. This case demonstrated a positive outcome using a multidisciplinary 
      approach in a patient diagnosed with a FLLIDH. He obtained his goals and his 
      function was fully restored.
FAU - Erhard, Richard E
AU  - Erhard RE
AD  - Department of Physical Therapy, School of Health and Rehabilitation Sciences, 
      University of Pittsburgh, PA 15260, USA.
FAU - Welch, William C
AU  - Welch WC
FAU - Liu, Betty
AU  - Liu B
FAU - Vignovic, M
AU  - Vignovic M
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - J Manipulative Physiol Ther
JT  - Journal of manipulative and physiological therapeutics
JID - 7807107
SB  - IM
MH  - Humans
MH  - Injections, Epidural
MH  - *Intervertebral Disc Displacement/physiopathology/rehabilitation
MH  - Lumbar Vertebrae/*physiopathology
MH  - Male
MH  - *Manipulation, Spinal/methods
MH  - Middle Aged
MH  - Radiculopathy/physiopathology/rehabilitation
MH  - Range of Motion, Articular
MH  - *Spinal Nerve Roots/drug effects
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2004/02/19 05:00
MHDA- 2004/06/05 05:00
CRDT- 2004/02/19 05:00
PHST- 2004/02/19 05:00 [pubmed]
PHST- 2004/06/05 05:00 [medline]
PHST- 2004/02/19 05:00 [entrez]
AID - S016147540300229X [pii]
AID - 10.1016/j.jmpt.2003.12.007 [doi]
PST - ppublish
SO  - J Manipulative Physiol Ther. 2004 Feb;27(2):e3. doi: 10.1016/j.jmpt.2003.12.007.