Chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae.

OBJECTIVE: The purpose of this study is to report the chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae (LSTV). CLINICAL FEATURES: A patient with previously undiagnosed LSTV presented with moderate low back pain. INTERVENTIONS AND OUTCOME: Manual therapy, soft tissue therapy, and exercise/stretching were included in the initial treatment plan. Following a short course of treatment, the presenting symptoms resolved; however, they returned after 3 symptom-free months. At that time, radiographs were ordered and the LSTV were identified. Following another course of chiropractic care, the patient's symptoms resolved.
CONCLUSIONS: Chiropractic management resulted in resolution of symptoms for this patient with LSTV.