Cranial Treatment and Spinal Manipulation for a Patient With Low Back Pain: A Case Study

ObjectiveThe purpose of this case study is to present chiropractic management of a patient with chronic low back pain by focusing on the craniomandibular system.Clinical FeaturesA 37-year-old man consulted a chiropractor for pain in the lumbosacral area with radiation down the anterolateral side of the upper left leg. The symptoms started after a fall the previous year. Examination showed a post-traumatic chronic L4-L5 facet dysfunction and left sacro-iliac joint dysfunction. Chiropractic spinal manipulation to the lumbar spine and pelvis gave only temporary relief from the pain.Intervention and OutcomeA year later a bone scintigraphy was conducted, in which a lesion was found over the right sphenoid area. Cranial treatment of this area was added to the chiropractic treatment plan. After this treatment, the patient reported that he was pain free and could return to normal activities of daily living.ConclusionThe clinical progress of this case suggests that for some patients, adding craniosacral therapy may be helpful in patients with low back symptoms.