Treatment of Low Back Pain By Cranial Adjustment
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This case study examines the treatment of a patient's low back pain through cranial adjustment. The patient, a 39-year-old male policeman, had a history of lower back pain from injuries that was exacerbated by a knee injury. Upon examination, muscle weakness and cranial distortions were found. The patient received cranial adjustment using techniques developed by Richard Van Rumpt to correct anterior and posterior sphenoid and cranial patterns. Shortly after treatment, the patient reported complete resolution of his lower back and knee pain, sustained the next day. The case study concludes further research is needed but cranial adjustment showed an immediate response for the patient's previously unremitting low back pain.
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Treatment of Low Back Pain By Cranial Adjustment
- 1. Treatment of Low Back Pain by Cranial Adjustment Dr. William J. Boro Chiropractic Center of Annapolis Annapolis, MD | (410) 266-5054 www.nosnappingnocracking.com
- 4. Lower back pain is a commonly occurring reason for patients to present themselves for chiropractic care This case report is to examine the clinical connection between lower back pain and dysrelationships of the cranium
- 5. Case History • • • • • • A 39 year old male policeman 5’9”, weighing 275 pounds Injury, 3-4 years previously, to his lower back PT had resolved the problem July 2011 knee injury created recurrence of LBP After March 2012 knee surgery, LBP became constant and unresponsive to rest or physical therapy • April 2012 he presented to this clinic for examination and treatment
- 6. Assessment • • • • • • • • Knee pain 4/10 LBP on flexion 5/10 Low right hip Low right shoulder Left ear low Positive Trendelenburg test on the right Left arm fossa test positive in upper fossa Pressure to L5 spinous was positive to pain on the left
- 7. Muscle Testing Pre Treatment Muscle Pre-Treatment Transverse Abdominals +4 bilaterally Psoas Major +4 bilaterally Adductor Brevis +4 bilaterally Gluteus Maximus +4 bilaterally Multifidus +4 bilaterally Iliocostalus Lumborum +4 bilaterally Sternocleidomastoid +4 bilaterally Splenius Capitus +4 bilaterally Gluteus Medius +5 bilaterally
- 8. Muscle Testing Post Treatment Muscle Pre-Treatment Post-Treatment Transverse Abdominals +4 bilaterally +4 bilaterally Psoas Major +4 bilaterally +5 bilaterally Adductor Brevis +4 bilaterally +5 bilaterally Gluteus Maximus +4 bilaterally +5 bilaterally Multifidus +4 bilaterally +5 bilaterally Iliocostalus Lumborum +4 bilaterally +5 bilaterally Sternocleidomastoid +4 bilaterally +5 bilaterally Splenius Capitus +4 bilaterally +5 bilaterally Gluteus Medius +5 bilaterally +5 bilaterally
- 9. Results • Shortly post-treatment the patient stated that he “felt great and all the pain in his knee and his lower back had resolved.” • Next day: marked reduction of LBP that was sustained and it was the first time in a month that he could walk without a limp and not concurrently experience LBP. • On reevaluation posture presentation revealed a right hip low, shoulders level, and left ear low. Trendelenberg was negative bilaterally, arm fossa test was negative bilaterally, however the left sided pain at L5 spinous process on pressure shifted superiorward to pain on pressure at lumbar 4 spinous process, also on the left.
- 10. Discussion The methods and chiropractic techniques used in this case study were those developed by Richard Van Rumpt, DC
- 11. Van Rumpt Leg Check Before After
- 12. Descartian System of 3-Dimensional Analysis • Van Rumpt’s cranial mechanics are strictly spatial • 3 patterns, anterior, posterior and mixed • 4th pattern is anything
- 13. Each Bone in the Head Should be Tested • • • • • • Anterior Posterior Superior Inferior Medial Lateral
- 14. Anterior Subluxation Pattern Test Sphenoid First
- 17. Posterior Subluxation Pattern Test Sphenoid First
- 19. Correcting Full Posterior Pattern
- 21. Parietal and Occipital Analysis • Parietals can go: • Medial/lateral • Anterior/posterior • Occipitals can go: • Medial/lateral • Inferior/superior
- 23. Conclusion • Little research demonstrating cranial dysfunction and low back pain is found in the literature • Unger noticed a change in cranial distortion patterns from modification of pelvis via blocks • Chinappi and Getzoff observed that position of head and lumbar region are intricately linked • Beck and Blum found a cranial adjustment improved vision in a patient with visual dysfunction and LBP • Fink discussed functional relationship between craniomandibular system, C-spine and SI joint
- 24. Conclusion • Considering the immediate response to treatment and the prior unremitting nature of the condition in this case study, further research is indicated.
Editor's Notes
- Van Rumpt’s protocol was fairly direct. He had discovered a neurological reflex that was elicited when the feet of a patient are moved very specifically around an axis of rotation of the subtalar joint 30. When one foot is fully everted and the other foot is everted only half way, a whole body reflex is elicited which triggers contraction of muscles all along the half-everted side of the body creating a relative short leg to occur. That shortening can be as little as an 1/8 of an inch or more than a full inch. Once the doctor has established this “leg shortening reflex”, he/she can use it as a feedback tool, in conjunction with a body tissue challenge, to identify the presence of nerve interference almost anywhere in the body.