Posted On: June 22, 2017
This is the sixteenth case review from my past practice. I am Dr. David Johnson a chiropractor and physical therapist in Highland Park and Lake Bluff. I am the director of North Shore Spinal and Sports Rehabilitation. I started as a chiropractor in Lake Forest, Il in 1988. I integrated physical therapy into my practice in 1990.
This is a case where a woman in her forties injured her lower back doing straight leg dead lifts with her personal trainer. She came to me with a full-blown sciatic problem. It hurt when she sat or bent forward at the waist. The only thing that gave her relief was standing. She was taking an anti-inflammatory and a muscle relaxant.
Review of systems was normal with no loss of bowel or bladder control or saddle anesthesia.
I worked her up. When I had her flex her spine she got referral down the right lower extremity. Bending her spine back into extension was limited but only caused local lower back pain. Side bending was painful in either direction. Neurological evaluation revealed a positive straight leg raise response on the right. She had slight decrease sensation to pinprick on the outside of her right foot. There was no strength loss. Babinski’s was down going bilaterally.
Given her neurologic involvement I ordered a lumbar MRI. Which revealed an L5/S1 disc herniation.
I started her with extension-orientated therapy with exercises popularized by McKenzie. At first she did press ups combined with interferential electric simulation. As she responded she was progressed into spinal stabilization exercises. I also started to manipulate her spine. In a relatively short period (2 months) she was ready to return to working out.
I started her off with upright aerobic conditioning (stair-master, elliptical etc.) and I had her continue with her press-ups and spinal stabilization exercises. She also continued to get adjusted. After another month she was ready to integrate back into weight training. I sent her back to the trainer but I asked that he avoid straight leg dead lifts.
The personal trainer was furious. He bad mouthed me to the patient and raised a big fuss. The good news is the patient went on with a different personal trainer and continued to flourish.
North Shore, Dr. J and the staff were great. I started out with a pinched cervical nerve which was causing extreme pain and numbness in my arm. Surgery had been ruled out by the neurosurgeon after an MRI. My physical recommended a regimen of physical therapy which I undertook with NorthShore in November. At that time I had consistent pain in the range of 8-9 out of 10. I had trouble sleeping, driving and performing most normal daily activities due to the constant pain. I have now been through two series of physical therapy sessions with North Shore over a couple of months and the pain and numbness are completely gone. Based on my experience I would highly recommend North Shore for physical therapy treatment and the staff is extremely friendly and helpful as a bonus! Jon HeintzelmanJonathan Heintzelman
All aspects of the rehab program were done with professionalism. Intake evaluation, exercise program, massage therapy and exit evaluation were all excellent and yielded excellent results for me. All of the staff are friendly and efficient. Dr. Johnson, Jeannette, Cyprian and Mary are friendly and make an otherwise difficult experience much more tolerable. I have gone to them on two occasions over the last several years for different injuries and, in both instances, my problems were resolved. I highly recommend them.Lee Eddy
I was a patient 6 years ago, with lower back pain and herniation. My PT was excellent and I was back to exercise and resolution of pain and herniation. Recently I have had hip pain and and tingling down my leg. My evaluation with DR Johnson was very thorough and spot on. The PT with Dre was incredible. I am now pain free with a resolution of the tingling as well. I will definitely return for any future problems that may arise!Barbara Bank