OMT with bulging discs

Discussion in 'Medical Students - DO' started by 12R34Y, Oct 11, 2000.

  1. 12R34Y

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    a question......if someone has low back pain with occasional pain in the buttock and down the leg (nothing severe and quickly goes away) would manipulation possibly harm this person? thanks for replies
     
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  3. UHS2002

    UHS2002 Senior Member

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    It depends on the etiology of the pain. If the pain was indeed caused by bulging disks, that would be a contraindication to HVLA. Remember that there are other modalities of OMT that can be used in this case, other than HVLA.

    If it was just a nerve impingement caused by muscle spasms for instance, that wouldn't be a contraindication for HVLA.

    Always keep in mind that there are "softer" techniques than HVLA than can be used on most patients.

    Recently I saw a patient who was possibly harmed by a treatment performed by a chiropractor (he "cracked" this patient). This guy either didn't get any x-rays on this patient or didn't know how to read them. We did, and this guy's back was a mess, with a couple of fused vertebrae and tons of OA changes. THIS is the kind of patient I would not do ANY HVLA on. Soft tissue techniques might be helpfull for someone like him, but my personal approach would be muscle relaxants, a steroid shot just to get him over the incredible acute problem he NOW HAS ("thanks quackopractor") and a quick referral to a pain management specialist and an orthopod [​IMG]

    By the way, do you (or did you) work for MAST?
     
  4. 12R34Y

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    I have never worked for MAST. I work for a fire department in Johnson County and on the emergency ambulance service in Johnson county.
     
  5. njdevil

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    You have to diagnose before treatment...in any aspect of medicine.

    Here is a start, check pulses and use a reflex hammer?
     
  6. UHS2002

    UHS2002 Senior Member

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    Nice try, but checking pulses and a reflex hammer will not do anything to r/o bulging disks...
     
  7. kidterrific

    kidterrific Senior Member

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    This may be WAAAAAAY off base, but a friend of mine had a sciatic nerve injury, and that's what she was feeling. Could it be the same thing?

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