title: An unexpectedly progressed lumbar herniated disk.
abstract: The authors describe a case of a 26-year-old female military veteran who presented with low back pain that she attributed to a recent foot injury. The patient reported a history of lumbar pain while in the military that had been treated successfully with high-velocity, low-amplitude osteopathic manipulative treatment. The patient's current pain was improved with osteopathic manipulative treatment and gait correction. Several weeks after her initial presentation, the patient reported that she had had a herniated disk diagnosed 2 years earlier by means of magnetic resonance imaging. Updated magnetic resonance imaging was performed, the results of which revealed a large herniated disk that had caused severe stenosis. The patient was immediately referred to a neurosurgeon for consultation and subsequently underwent surgical treatment.
authors.affiliation: 516 Wedge Dr, Virginia Beach, VA 23462-4540. jlipton@cox.net.
authors.forename: James A
authors.initials: JA
authors.lastname: Lipton
authors.forename: Geoffrey A
authors.initials: GA
authors.lastname: McLeod
mesh_terms: D000328:Adult; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000175:diagnosis* / Q000534:rehabilitation* / Q000601:surgery; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D026301:Manipulation, Osteopathic; D008889:Military Personnel; D010147:Pain Measurement; D013130:Spinal Stenosis / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome; D014728:Veterans