title: Conservative management of recurrent lumbar disk herniation with epidural fibrosis: a case report.
abstract: OBJECTIVE
  A retrospective case report of a 24-year-old man with recurrent lumbar disk herniation and epidural fibrosis is presented. Recurrent lumbar disk herniation and epidural fibrosis are common complications following lumbar diskectomy.
  
  
  METHODS
  A 24-year-old patient had a history of lumbar diskectomy and new onset of low back pain and radiculopathy. Magnetic resonance imaging revealed recurrent herniation at L5/S1, left nerve root displacement, and epidural fibrosis.
  
  
  RESULTS
  The patient received a course of chiropractic care including lumbar spinal manipulation and rehabilitation exercises with documented subjective and objective functional and symptomatic improvement.
  
  
  CONCLUSIONS
  This case report describes chiropractic management including spinal manipulative therapy and rehabilitation exercises and subsequent objective and subjective functional and symptomatic improvement.
authors.affiliation: Diagnostic Imaging Resident, Department of Radiology, Logan College of Chiropractic, Chesterfield, MO.
authors.forename: Aaron B
authors.initials: AB
authors.lastname: Welk
authors.forename: Destiny N
authors.initials: DN
authors.lastname: Werdehausen
authors.forename: Norman W
authors.initials: NW
authors.lastname: Kettner
keywords: Chiropractic manipulation; Disk displacement; Diskectomy; Intervertebral; Low back pain; Recurrent