{"id":4027,"date":"2012-12-01T18:06:19","date_gmt":"2012-12-02T01:06:19","guid":{"rendered":"https:\/\/www.activator.com\/?p=4027"},"modified":"2023-06-28T13:58:47","modified_gmt":"2023-06-28T20:58:47","slug":"chiropractic-management-of-a-veteran-with-lower-back-pain-associated-with-diffuse-idiopathic-skeletal-hypertrophy-and-degenerative-disk-disease","status":"publish","type":"post","link":"https:\/\/activator.com\/chiropractic-management-of-a-veteran-with-lower-back-pain-associated-with-diffuse-idiopathic-skeletal-hypertrophy-and-degenerative-disk-disease\/","title":{"rendered":"Chiropractic management of a veteran with lower back pain associated with diffuse idiopathic skeletal hypertrophy and degenerative disk disease"},"content":{"rendered":"\t\t
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OBJECTIVE:<\/h4>\n

The purpose of this article is to report the response of chiropractic care of a geriatric veteran with degenerative disk disease and diffuse idiopathic skeletal hyperostosis.<\/p>\n

CLINICAL FEATURES:<\/h4>\n

A 74-year-old man presented with low back pain (LBP) and loss of feeling in his lower extremities for 3 months. The LBP was of insidious onset with a 10\/10 pain rating on the numeric pain scale (NPS) and history of degenerative disk disease and diffuse idiopathic skeletal hypertrophy. Oswestry questionnaire was 44% and health status questionnaire was 52%, which were below average for his age. The patient presented with antalgia and severe difficulty with ambulation and thus used a walker.<\/p>\n

INTERVENTION AND OUTCOME:<\/h4>\n

Chiropractic care included Activator Methods protocol. Two weeks into treatment, he reported no back pain; and after 4 treatments, he was able to walk with a cane instead of a walker. The NPS decreased from a 10\/10 to a 0\/10, and his Revised Oswestry score decreased from 44\/100 to 13.3\/100. His Health Status Questionnaire score increased 25 points to 77\/100, bringing him from below average for his age to above average for his age. Follow-up with the patient at approximately 1 year and 9 months showed an Oswestry score of 10\/100 and a Health Status Questionnaire score of 67\/100, still above average for his age.<\/p>\n

CONCLUSION:<\/h4>\n

The findings in this case study showed that Activator-assisted spinal manipulative therapy had positive subjective and objective results for LBP and ambulation in a geriatric veteran with degenerative disk disease and diffuse idiopathic skeletal hyperostosis.<\/p>\n

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J Chiropr Med.<\/a> 2012 Dec;11(4):293-9. [PMID:23843763<\/a>]<\/p>\n

Author information: Roberts JA, Wolfe TM. Chiropractor, Private Practice, HealthQuest Chiropractic, Farmington, ME.<\/p>\n

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