Chiropractors/Lumbar Lordosis

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Expert: - 3/29/2009


Question
My report say:
1. Normal Lumbar Lordosis is lost.

2. Early degenerative changes with osteophyte formation seen in L4-L5 vertebrae.

3. Mild diminution of disc space shadow between L5-S1 vertebrae.

4. Pedicles, spinous processes & para-interarticularis appear normal.

5. Sacoiliac joints reveal no obvious abnormality.

Kindly advice what is all these and treatement I should follow.

Regards
Manoj Kunar

Answer
Hello MANOJ PRAHLADKA,

"Kindly advice what is all these and treatement I should follow."....
I shall try, but I have a very incomplete picture.

"Normal Lumbar Lordosis is lost."- the usual, normal, natural curve of your low back is lost.  This may result in/from muscle spasm, patient position during Xray testing.

"Early degenerative changes with osteophyte formation seen in L4-L5 vertebrae" -- OsteoArthritic degeneration.

"Mild diminution of disc space shadow between L5-S1 vertebrae"- mild narrowing, mild loss of expected size of disc at L4- L5 level.  Could be due to herniated disc, could be due to OsteoArthritic degeneration.

"Pedicles, spinous processes & para-interarticularis appear normal."- these sections/ parts of the vertebrae of the spine appear normal.

"Sacoiliac joints reveal no obvious abnormality"-- the SacroIliac joints-  we have one on the left, one on the right- appear normal.


".....Kindly advice what is all these and treatement I should follow.
....."-  This appears to be an Xray report.  There is no presentation of complaint, age, history.  What treatment would I follow?  From the above (presumed) Xray report, with no chief complaint/ history; I really do not know what to say.

Sounds similar to what I would expect in an Xray report for one of my Staten Island Arthritis patients complaining of low back pain.

Take some Glucosamine, Chondroitin, Calcium/ magnesium/ Vitamin D for nutritional support for the OsteoArthritis.  See a Doctor of Chiropractic for evaluation of the postural changes (loss of normal Lumbar curve), possible adjustment to restore more normal movement and position.

If you wish to give me a little more information, do not hesitate to re-contact me here at AllExperts.com.

Thank You for your question.

Dr. Victor Dolan, DC, DACBSP, DAAPM, CCN
Email newsletter:    http://drvictordolan.chiroweb.com

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Dr. Victor Dolan, DC, DACBSP

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Staten Island Chiropractor Dr. Victor Dolan | 718-981-9755 | www.drvictordolan.net | www.statenislandchiropractor.com | Nutrition, Sciatica, Headache, Neck Pain, Back Pain, Herniated Disc, Workers Compensation, Auto Accident Claims, Vertebral Subluxation Complex, Muscle Spasm

Experience

Palmer College Graduate 1983; Thirty years in practice in my hometown of Staten Island, New York. Expert in Neuro-musculo-skeletal complaints. Utilizing techniques such as Chiropractic via Palmer Package, Diversified, Thompson, SOT, Activator, Manipulation Under Anesthesia and Nutritional Guidance. I am also a Certified Nutritionist.

Organizations
Pi Kappa Chi Alumni Association President; PKX Alumni Brother of the Year; Knights of Columbus Masons; Ancient Order of Hibernians

Publications
American Public Health Association (2003) - Oral Presentation

Education/Credentials
Bachelor of Science (cum laude) Wagner College 1979; Doctorate of Chiropractic (cum laude) Palmer Chiropractic 1983; Licensed Doctor of Chiropractic, New Jersey (38MC00634000) & New York (X3567); Diplomat, National Board of Chiropractic Examiners; Certified Chiropractic Sports Physician - A.C.A./New York Chiropractic College (1986); Diplomat, American Chiropractic Board of Sport Physicians (1996); Diplomat, American Academy of Pain Management (1998); Certified Personal Fitness Trainer; Certified Emergency Medical Technician - New York State and National Registry; Certified Manipulation Under Anesthesia (1998); Certified Clinical Nutritionist - International & American Assoc. of Clinical Nutrition (1999)

Awards and Honors
Prevention Magazine – Award for Chiropractic Excellence 1998; Chief of Chiropractic - Doctors Hospital - New York 1997; SICTV NOVA (Notable, Outstanding Video Achievement Award) - Award for Most Popular Series (1996/1997/1998); Volunteer Heart Resuscition Unit - Commendation for Meritorious Service (1994); SICTV NOVA (Notable, Outstanding Video Achievement Award) - Best Health Series (1994); Staten Island Richmond Lions - Melvin Jones Fellowship Award (1993); Pi Kappa Chi - Alumni Fraternity Brother of the Year (1987/1988); American Public Health Association (2003); American Chiropractic Board of Sport Physicians Symposium Presentation - Adolescent Athletic Injury (2004)

Past/Present Clients
Doctors Hospital of Staten Island - Chief of Chiropractic (1997-2001); Curtis High School Football (1988 to present)- New York City PSAL Football CHAMPION (2007)

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