Date of Award


Document Type


First Advisor

Thomas Mohl


Lumbar derangement, sciatica, lumbar radiculopathy, disc bulge, disc herniation, low back pain.


Background and Purpose.

This case describes the 5 week outpatient Physical Therapy management of a 65 year old male with a lumbar radiculopathy and a relevant lateral shift. The patient presented with decreased lumbar range of motion, left sided paresthesia, an antalgic gait and severe pain.

Purpose. The purpose of this article is to describe the interventions used for this patient and the results of the interventions.

Description. The interventions for this patient included McKenzie techniques as well as some manual techniques.

Outcomes. Following the PT intervention, the patient achieved almost full active range of motion, good to normal strength, decreased pain, and a normal gait pattern.

Discussion. The treatment of this patient was based primarily on Robin McKenzie's approach to treatment of the spine as well as treating the patient's presenting symptoms, including decreased range of motion and pain. Treatment was altered and/or progressed based on the patient's response.