I have chosen several key case studies to share with you regarding typical musculoskeletal conditions that we treat in our office. What we have found is that many musculoskeletal conditions are commonly misdiagnosed and therefore treated incorrectly. An accurate diagnosis is the first step in determining an effective treatment for these conditions. Now, not all conditions can be fixed in this manner; however, a accurate diagnosis allows us to properly refer out conditions that require surgery and we can help our patients get to the proper specialist who knows how to treat these very specific conditions.
This patient was admitted to our clinic for chronic low back pain and had recently developed sciatic pain, which is a sharp shooting pain that begins in your low back or pelvis and shoots (or radiates) down the back of your leg. He had recently been told the issue would require surgery to correct. This patients low back pain was being caused by a dramatic shift in pelvis. The left ilium had dropped significantly causing his lumbar spine to be pulled over to the left. The low back pain itself was being caused by the sacroiliac joint referring pain up the lumbar paraspinal musculature. The sciatic pain which appeared later had improperly been diagnosed as a nerve impingement from a lumbar disc. The actual cause of the sciatic pain was an impingement of the sciatic nerve in the gluteal region. This muscle group was responding the alteration in the pelvic alignment. Had the patient undergone surgery it would not have corrected the low back pain or the sciatic impingement. In cases such as these accurate diagnosis is key. Using Spinal Corrective Care we were able to correct not only the pelvic misalignment but also the lumbar misalignment relieving both the low back pain and the sciatic pain. Doing this type of procedure also ensures the symptoms do not return. If this patients pelvic and lumbar structures were allowed to remain where they were then over time wear and tear would have caused a severe degenerative condition in the low back and even the hip joints themselves.
This patient presented with chronic low back pain and bilateral knee pain. This patient had a significant shift in their left pelvic complex that was causing the lumbar spine to be pulled to that side. This was causing severe low back pain on the left side. At the same time this shift was causing a muscle ratio imbalance in the quad muscle group which was pulling on the patients knee cap and causing a tracking disorder in the knee (patellofemoral pain syndrome aka knee pain). The patient didn’t have a low back or a knee problem but a pelvic problem. This patient had been seeing a Chiropractor and a Physical Therapist for several months with no change in the symptoms. No one had bothered to do a full biomechanical analysis on the patient or shoot xrays. Without a proper diagnosis it is impossible to design an effective treatment plan. These issues must be addressed both at the skeletal level as well as the muscular level. This is where Chiropractic and PT fail when they are used separately. In order to create a real change in the patients spine you must address both the skeletal and muscular components in conjunction. By doing both the system can be actually retrained. This not only insures symptom relief but also eliminates the patients high chance of injury and degenerative conditions in the future. You must restore the body’s proper biomechanics.