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Chronic CES (6 per page) - Lisi AJ Bhardwaj MK J...

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5/13/2011 1 Case Studies Dr. Barbara A. Mansholt Pelvic 612 Lisi AJ, Bhardwaj MK. J Manipulative Physiol Ther 2004;27(9):574-578. Chiropractic high-velocity low- amplitude spinal manipulation in the treatment of a case of postsurgical chronic cauda equina syndrome. Background Acute cauda equina syndrome Surgical emergency Contraindication for adjusting Symptoms include Severe LBP Sciatica Saddle anesthesia Motor weakness Sensory deficits Urinary incontinence History 35-year-old woman Mid-back pain, LBP, buttock pain, saddle anesthesia, bladder and bowel incontinence, 6 month duration Surgery for CES and disc herniation 6 months prior Surgery successful for sciatica PT rehab and medical pain mgmt no imp NRS 5/10, constant Lifting, bending, prolonged sitting exacerbate pain Lying supine decreases pain Sensory deficit constant from midsacral to anal and perineal regions as well as vaginal and inguinal regions
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