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. 2011 Mar;10(1):64-9.
doi: 10.1016/j.jcm.2010.08.004.

Intermittent low back pain referred from a uterine adenomyosis: a case report

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Intermittent low back pain referred from a uterine adenomyosis: a case report

Anne M Jensen et al. J Chiropr Med. 2011 Mar.

Abstract

Objective: The purpose of this case study is to describe the clinical course and treatment of a female patient with intermittent low back pain (LBP) that was associated with a uterine adenomyosis.

Clinical features: A 45-year-old woman presented for chiropractic care with intermittent LBP of 4 years' duration. History revealed concurrent dysmenorrhea, menorrhagia, and a uterine leiomyoma (fibroid). Physical and radiological examination findings were unremarkable, and the LBP was not reproducible.

Intervention and outcome: Activator Methods chiropractic adjustments/manipulations were given twice per week for 4 months with moderate results. The frequency and duration of low back and pelvic pains were reduced; however, the severity remained constant. A further gynecological opinion was sought, a transvaginal ultrasound was performed, and the patient's diagnosis was changed from leiomyoma to adenomyosis.

Conclusion: In this case report, a woman presented with a 4-year history of intermittent LBP, which was sometimes associated with menstruation. Despite being diagnosed with uterine adenomyosis, she received some relief from chiropractic care.

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Figures

Fig 1
Fig 1
Case pain pattern.

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