ArticleJournal of chiropractic medicine2025
Chiropractic Palliative Care for a Veteran With Chronic Low Back Pain and Advancing Testicular Cancer: A Case Report.
Article in Journal of chiropractic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: The purpose of this case report is to describe the management of chronic low back pain in a Veteran with advanced testicular cancer. Clinical Features: A 34-year-old with testicular cancer, status post orchiectomy, was referred to the chiropractor for his chronic thoracolumbar pain at a VA medical center. Intervention and Outcomes: Palliative treatment included lifestyle counseling, exercise, soft-tissue therapy, spinal mobilization, and low-force drop manipulation. A total of 13 visits occurred over 14 months. Pain intensity temporarily reduced from 5/10 to 3/10 for about 2 to 4 weeks following treatments. Despite persistent urging from multiple healthcare providers, the patient delayed follow-up on a concerning pelvic lesion. Metastatic spread to the lumbar spine was identified 14 months after his referral, and 5 months later he experienced a pathologic L3 vertebral fracture. Nine months after this fracture, widespread metastasis combined with a COVID-19 infection led to his death. Conclusions: In this case, chiropractic care was provided as palliative care in the context of testicular cancer. His back pain temporarily improved after chiropractic treatment.
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