Chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae

ObjectiveThe purpose of this study is to report the chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae (LSTV).Clinical FeaturesA patient with previously undiagnosed LSTV presented with moderate low back pain.Interventions and OutcomeManual therapy, soft tissue therapy, and exercise/stretching were included in the initial treatment plan. Following a short course of treatment, the presenting symptoms resolved; however, they returned after 3 symptom-free months. At that time, radiographs were ordered and the LSTV were identified. Following another course of chiropractic care, the patient's symptoms resolved.ConclusionsChiropractic management resulted in resolution of symptoms for this patient with LSTV.