Total Resorption of a Chronic L4-L5 Disc Extrusion After Application of the Atlasprofilax Method: A Case Report

Abstract

Patient: Male, 42-year-old Final Diagnosis: The disc extrusion at L4–L5 was totally resorbed and improvement in the L3–L4 and L4–L5 disc bulges Symptoms: Bilateral trapezius pain • right brachialgia • constant chronic lumbalgia • right sciatica • gait claudication • paresthesia and dysesthesias in the lower limbs with associated pain and numbness in the calves Medication: — Clinical Procedure: AtlasProfilax Specialty: Rehabilitation Objective: Unusual clinical course Background: The intervertebral disc extrusion resorption has been described in the literature by various authors. It occurs in up to 75% of patients with symptomatic extruded lumbar discs. The Atlasprofilax method favors osteo-musculo-articular rehabilitation processes, mainly impacting on 2 levels: the first is the bone anatomy of the atlanto-occipital joint, and the second is the fasciae located in the cervical region. Case Report: A 42-year-old male patient diagnosed by MRI with dehydration of L2–L3 to L5–S1 intervertebral discs, disc bulging at L2–L3 and L3–L4, and disc extrusion at L4–L5, received a one-time neuromuscular treatment, called the Atlasprofilax method, to the suboccipital region. In a repeat MRI 6 months later, the disc extrusion at L4–L5 was totally resorbed and improvement in the L3–L4 and L4–L5 disc bulges was seen. The patient’s symptoms prior to the Atlasprofilax treatment included bilateral trapezius pain, right brachialgia, constant chronic low back pain, right sciatica, gait claudication, and paresthesia and dysesthesias in the lower limbs with associated pain and numbness in the calves. These symptoms were ameliorated after the treatment. The sciatica disappeared 1 week after the treatment and did not recur. In a follow-up 5 years later, the remaining symptoms had improved even further. Conclusions: We propose that alterations of the cervical musculature and deep fascia could predispose to the development of lumbar disc abnormalities. We therefore also propose that improvements in this patient, both in symptoms and in imaging findings, are due to a reduction of the asymmetric distribution of forces and elastic loading as a result of the Atlasprofilax treatment.