Terry Yochum, DC, DACBR, Rocky Mountain Radiology, et

 

CASE PRESENTATION It’s all in the pictures

​

A 28-YEAR-OLD BANK TELLER presented with a one-year history of lower-back pain radiating down his left lower extremity, associated with numbness and tingling sensation down the left leg in the L4 and L5 dermatomal distribution. The symptoms were interfering with the patient’s work and sleep. Prior to his initial visit with Dr. Mustafa Hammad, he underwent six weeks of physical therapy and was treated with NSAIDs, opioids and Lyrica without any relief. A pre-treatment MRI (figure 1) revealed moderate disc herniation at L4-5 level touching the L4 and L5 nerve roots on the left

​

The patient underwent 20 treatment sessions on the DRX9000® over a six week period. A follow up MRI, one month after the last treatment (figure 2) reflected almost total resolution of the herniated L4-5 disc, with improvement in disc morphology, disc height, and neural canal AP diameter at the L4/5 level. Clinically the patient had total resolution of his symptoms. After a one-year follow-up with the patient, he was still symptom free and a repeat MRI still showed no changes from the previous post-treatment MRI. Mustafa A. Hammad, MD, DO, DABIPP, FIPP, FACP, CPI, FAAN, owner of The NeuroMedical Institute, is board certified in neurology, pain medicine and interventional pain management using the DRX9000.