Journal of Manipulative and Physiological Therapeutics
Volume 27, Issue 2 , Pages 123-128 , February 2004

Far-Lateral disk herniation: case report, review of the literature, and a description of nonsurgical management

  • Richard E Erhard, DC

      Affiliations

    • Corresponding Author InformationSubmit requests for reprints to: Dr Richard Erhard, University of Pittsburgh, School of Health and Rehabilitation Services, 6035 Forbes Tower, Pittsburgh, PA 15260, USA
    • Assistant Professor, Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pa, USA
    • ,
  • William C Welch, MD, FACS

      Affiliations

    • Associate Professor, Departments of Neurologic and Orthopaedic Surgery, School of Rehabilitative Sciences, University of Pittsburgh Medical Center, Pittsburgh, Pa, USA
    • ,
  • Betty Liu, MD

      Affiliations

    • Assistant Professor, Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, UPMC Health System, Pittsburgh, Pa, USA
    • ,
  • M Vignovic

      Affiliations

    • Physical Therapist, University of Pittsburgh Medical Center, Center for Sports Medicine, Pittsburgh, Pa, USA

Received 11 April 2002 ,Revised 10 June 2002

  • Image Result

    Flowsheet data.

    Flowsheet data.

  • Image Result

    Body Map diagram.

    Body Map diagram.

  • Image Result

    The Doorway Hula (left). Stand in the doorway with your palms placed against the door jams, as shown. Without allowing your arms or shoulders to move, shift your pelvis from one direction to the other

    The Doorway Hula (left). Stand in the doorway with your palms placed against the door jams, as shown. Without allowing your arms or shoulders to move, shift your pelvis from one direction to the other. Your clinician will instruct you as to which direction should be emphasized. The Doorway Hula Bending Backwards (right). After shifting your pelvis in the restricted direction, bend backwards gently from the shifted position. Return to the erect position and attempt to shift the pelvis again in the same direction. When both directions are equal, you have achieved the goal.

  • Image Result
    Axial scans demonstrating far-lateral disk herniation causing compression of nerve root.

    Axial scans demonstrating far-lateral disk herniation causing compression of nerve root.

PII: S0161-4754(03)00229-X

doi: 10.1016/j.jmpt.2003.12.007

Journal of Manipulative and Physiological Therapeutics
Volume 27, Issue 2 , Pages 123-128 , February 2004

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