Advanced search


Search results        Search results      Copy URL to E-Mail


Osteopathic Management of Bertolotti Syndrome

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 17-18. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

Bertolotti syndrome [1]
case report [710]
low back pain [500]
male [784]
OMT [3752]
osteopathic manipulative treatment [3772]

Abstract:

Introduction/Background: Bertolotti Syndrome (BS) is characterized as low back pain due to a lumbosacral transitional vertebrae (LSTV). Osteopathic management of BS includes treatment with oral anti-inflammatories, physical therapy, corticosteroid injections, and Osteopathic Manipulative treatment (OMT). If a patient fails conservative management, spinal surgery is the final intervention. This case demonstrates the effectiveness of OMT in the conservative treatment of BS to alleviate pain and potentially prevent/delay spinal surgery. Case: A 25-year-old male presented for the evaluation of chronic low back pain (up to 6/10) that was disrupting his quality of life. The patient had generalized stiffness, an S-shaped scoliotic curve with leg length inequality (LLI). His diagnosed somatic dysfunctions (SD) included a thoracolumbar curve convex right, deep right sacral sulcus, posterior left inferior lateral angle, and restricted sacral motion. Lumbar spine x-rays were ordered, showing a partial lumbarization of S1 on the right. Following an articular model, four OMT procedures were performed and well tolerated. Direct techniques (primarily high velocity low amplitude and muscle energy) were utilized for diagnosed SD. The goal was to alleviate the SD burden on adjacent vertebrae and slow degenerative changes. Results: After the final session, the patients’ pain was reduced to 2/10 while reporting decreased pain with physical labor at work. His osteopathic findings improved, including improved range of motion/tenderness along the S-curve, and resolution of LLI and seated flexion test. Discussion: This case demonstrates efficacy of OMT in pain reduction and improving functionality in a patient living with BS, increasing participation in their physical job and active lifestyle. Future research could investigate long-term effects of OMT in patients with BS and determine if OMT can delay or prevent spinal surgery in these patients.


Search results      Copy URL to E-Mail

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_fkutwrasbjegxmqcdnyh



Supported by

OSTLIB recommends