A patient with a backache with radiation into lower extremity, he was treated for a long time at the outpatient health centre in his home country. X-ray was taken and local injections were applied, but it did not have an effect on the manipulation. Specialists for CZMT performed entry examination and excluded red flags, including laboratory tests (+ tumour markers), X-ray of the spine. After spine NMR, disc L5/S1 hernia was diagnosed. The conservative treatment with caudal epidural block resulted in 90% relief. Subsequent 7 day intensive rehabilitation on bed with the physiotherapist, who further instructs the patient and prepares individual exercise plan. The patient leaves the Czech Republic without pain and in a totally satisfactory condition.
- Entry examination with neurologist/algesiologist
- Basic laboratory tests, tumour markers
- MRI of lumbar spine
- Caudal epidural block with sonografic guidance
- Subsequent 7 day intensive rehabilitation with physiotherapist at the hotel on rehabilitation bed