Paper Title
AN APPROACH OF MCKENZIE EXERCISE WITH A LATERAL SHIFT ON LUMBAR RADICULOPATHY : A CASE STUDY
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Registration ID: IJNRD_304361
Published ID: IJNRD2503151
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Keywords
Lumbar radiculopathy, lateral shift, McKenzie Method, directional preference, mechanical diagnosis and therapy (MDT), disc herniation, low back pain, centralization phenomenon.
Abstract
Background: Lumbar radiculopathy is a common condition caused by nerve root compression, often leading to low back pain, radiating leg pain, sensory disturbances, and motor weakness. In some cases, it is accompanied by a lateral shift deformity, where the trunk deviates to one side as a protective mechanism against further nerve compression. The McKenzie Method (Mechanical Diagnosis and Therapy – MDT) is a widely used, evidence-based approach for assessing and treating spinal disorders, particularly in patients exhibiting directional preference. However, its effectiveness in managing lumbar radiculopathy with an associated lateral shift requires further clinical validation. Methodology: Case Study on a 55-year-old female office worker presented with a three-week history of severe low back pain radiating to the left leg, accompanied by a visible lateral shift of the trunk to the right. The patient exhibited sensory deficits in the L5 dermatome, weakness in left ankle dorsiflexion (4/5), and a positive Straight Leg Raise (SLR) test at 40°, indicating L4-L5 disc herniation with left-sided nerve root compression confirmed by MRI. Initial McKenzie-based assessment identified a directional preference for extension. Treatment was initiated using manual and self-correction of the lateral shift, repeated extension exercises, and postural education. Outcome & Follow-Up:Within one week, the patient demonstrated 80% correction of the lateral shift, a significant reduction in NPRS pain scores (8/10 to 3/10), and an improved SLR test (from 40° to 60° of hip flexion). By week four, the patient achieved full correction of the lateral shift, complete resolution of radicular symptoms, and full functional recovery. The Oswestry Disability Index (ODI) improved from 48% (severe disability) to 10% (minimal disability), and the patient returned to work without restrictions or reliance on medication. Conclusion: This case highlights the effectiveness of the McKenzie Approach in rapidly correcting a lumbar lateral shift, alleviating radicular symptoms, and restoring function. Early intervention with directional preference-based exercises and patient education played a crucial role in symptom resolution and long-term recovery. The findings support the clinical relevance of MDT in managing lumbar radiculopathy with lateral shift, emphasizing the need for further research through larger-scale studies to confirm its long-term benefits.
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How To Cite (APA)
RAVI SURLA & Dr.Somsankar Mukherjee (March-2025). AN APPROACH OF MCKENZIE EXERCISE WITH A LATERAL SHIFT ON LUMBAR RADICULOPATHY : A CASE STUDY. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 10(3), b414-b430. https://ijnrd.org/papers/IJNRD2503151.pdf
Issue
Volume 10 Issue 3, March-2025
Pages : b414-b430
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Paper Reg. ID: IJNRD_304361
Published Paper Id: IJNRD2503151
Research Area: Health Science All
Author Type: Indian Author
Country: Lower Subansiri District, Arunachal Pradesh, India
Published Paper PDF: https://ijnrd.org/papers/IJNRD2503151.pdf
Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2503151
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