Abstract
Background and Purpose: Patients with lumbar stenosis and radiating pain are frequently treated using various forms of manual therapy. This case report study describes a single patient case and the treatment of lumbar stenosis and radiating pain using manual therapy techniques. Case Description: A 53-year-old female presented to outpatient care with 10/10 left lumbar pain and radiating pain present to posterior lateral mid-calf. The patient was in a motor vehicle accident three weeks ago. Symptoms were provoked during right rotation and left lateral flexion of the lumbar spine as well as during prolonged sitting or walking. A multi-modal manual therapy based treatment approach was utilized which included: lumbar spine rotation (Grade II, III) mobilizations, soft tissue mobilization, and therapeutic exercise for lumbar pelvic stabilizer muscle strengthening and neuromuscular control. Outcome: After 12 visits over 5 weeks of treatment, the patient displayed significantly improved strength, range of motion, level of disability, centralization of pain, and reduction of pain. Discussion: While the results described in this case report cannot be generalized, it does depict a successful outcome of a patient with lumbar stenosis and radiating pain using manual therapy techniques and therapeutic exercise.