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Anthony Nogosek, DC & Joel Alcantara, DC, PhDc 

Journal of Pediatric, Maternal & Family Health, Chiropractic ~ October 4, 2021 ~ Volume 2021 ~ Pages 65-71



Objective: To describe the chiropractic care of a pediatric patient presenting with low back pain (LBP), May-Thurner Syndrome and Superior Mesenteric Artery Syndrome. 

Clinical Features:  A 13-year-old male presented with a chief complaint of LBP of two months duration. The patient rated his complaint as 8/10 (i.e., 0=no pain; 10=maximum pain) and aggravated with movements in the lumbar spine such as bending and twisting, body movements in general, and lifting. Computer tomography scan revealed a Superior Mesenteric Artery Syndrome, May-Thurner Syndrome and decreased height of the L4 disc with mild bulging but absent spinal stenosis. Chiropractic evaluation revealed subluxations at C1, T3, T6, L3 and the sacrum. 

Intervention and Outcome: Self-care with heat, essential oils and ibuprofen were unsuccessful. Subluxations at C1, T3, T6, L3 and the sacrum were addressed with spinal adjustments using a combination of Thompson, Diversified and Gonstead Techniques. By his 10th and 11th visits, the patient experienced relief of pain symptoms with only mild intermittent low back tightness with activity. No adverse events were experienced by the patient as a result of the care he received.

Conclusion: This case report highlights the benefits of spinal adjustments in children with LBP without adverse events despite comorbidities of Superior Mesenteric Artery Syndrome and May-Thurner Syndrome.

Keywords:  Chiropractic, adjustment, subluxation, May-Thurner Syndrome, low back pain, superior mesenteric artery syndrome

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