Treatment of a Case of Subacute Lumbar Compartment Syndrome Using the Graston Technique

To discuss subacute lumbar compartment syndrome and its treatment using a soft tissue mobilization technique. A patient presented with low back pain related to exercise combined with prolonged flexion posture. The symptoms were relieved with rest and lumbar extension. The patient had restrictive lum...

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Bibliographic Details
Published in:Journal of manipulative and physiological therapeutics 2005-03, Vol.28 (3), p.199-204
Main Authors: Hammer, Warren I., Pfefer, Mark T.
Format: Article
Language:English
Subjects:
Acute Disease
Compartment Syndromes - physiopathology
Compartment Syndromes - therapy
Humans
Lumbosacral Region
Male
Manipulation, Chiropractic - instrumentation
Manipulation, Chiropractic - methods
Middle Aged
Palliative Care
Range of Motion, Articular
Spine - physiopathology
Treatment Outcome
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Summary:To discuss subacute lumbar compartment syndrome and its treatment using a soft tissue mobilization technique. A patient presented with low back pain related to exercise combined with prolonged flexion posture. The symptoms were relieved with rest and lumbar extension. The patient had restrictive lumbar fascia in flexion and rotation and no neurological deficits. The restrictive lumbar posterior fascial layers and adjoining restrictive fascia (thoracic, gluteal, hamstring) were treated with a form of instrument-assisted soft tissue mobilization called the Graston technique. Restoration of fascial extensibility and resolution of the complaint occurred after 6 treatment visits. The posterior spinal fascial compartments may be responsible for intermittent lower back pain. Functional clinical tests can be employed to determine whether the involved fascia is abnormally restrictive. Treatment directed at the restrictive fascia using this soft tissue technique may result in improved fascial functional testing and reduction of symptoms.
ISSN:0161-4754
1532-6586
DOI:10.1016/j.jmpt.2005.02.010