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A Case Study on the Osteopathic Approach to Chronic Low Back Pain and Radiculopathy

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2007/03, Pages: 76, type of study: case report

Free full text   (https://www.osteopathic-research.com/s/orw/item/2987)

Keywords:

low back pain [413]
radiculopathy [10]
osteopathic manipulative treatment [2973]
OMT [2951]
case report [514]
WSO [433]

Abstract:

A case study must not lead to the conclusion that the results are representative for other similar cases but I think it can give important information about the effects of a treatment and the factors influencing it. It was important to me to keep the design of the treatment process as realistic as possible in order to capture the influencing factors on to the patient and the osteopathic management of the problem. This gave an interesting view on the effect of the patient’s compliance, time management and coping with her problem within a therapy-process. The results show a significant worsening of the symptoms in times of mental stress and physical overload and a lack of compliance in the sense of forgetting to fill in the pain diary and postponing appointments in periods of stress, which points out the importance of the patient’s compliance for the success of the treatment. Overall the results of this case study show a positive trend of improvement concerning the patient’s pain syndrome. From an osteopathic point of view positive changes in the patient’s tissue quality (especially in the foot and ankle), vitality and balance after two treatments can be stated, which leads to the conclusion that an osteopathic treatment in this case is indicated. The final interview with the patient gave me the impression that she did develop more understanding for the nature of her problem and her body’s reaction on physical and mental overload which is inevitable for the accomplishment of her chronic pain syndrome. Concerning the method, I have to say that the SF-36®, which I chose for the fact that the average appointment interval in my daily practise is 4 to 6 weeks, was not representative in this case study because it is designed for the use of a 4 weeks interval and might therefore not me sensitive enough for physical and mental changes within a shorter period of time. Therefore, although it only contains 10 questions, the more valuable life quality score was the ODI. I think it the best impression of all affecters and the state of health in the patient’s life gave the pain diary and especially the VAS. For a more objective presentation of the progress it might have been interesting to take pictures of the standing position and especially the swelling and colouring of the left foot and ankle of the patient. Concluding, I think that this case study objectifies my daily experience in practising osteopathy and dealing with patients with chronic back pain syndromes. In this case, according to the results of the study, the chances for a successful osteopathic treatment seem good and although this is not transferable to other cases, I was able to draw interesting information about the osteopathic treatment process out of this study.


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