Intermittent low back pain referred from a uterine adenomyosis: a case report
- PMID: 22027211
- PMCID: PMC3110405
- DOI: 10.1016/j.jcm.2010.08.004
Intermittent low back pain referred from a uterine adenomyosis: a case report
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.
Copyright © 2011 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
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