Case Study: Treating Lower Back Pain and Sciatica with Torque Release Technique

I. Introduction

Lower back pain and sciatica are common conditions that affect millions of Americans. They often lead to discomfort, limited mobility, and disruptions in daily life. Many individuals seek relief through various treatments, ranging from physical therapy to medication, but not all approaches offer long-term solutions.

This case study highlights the journey of a patient at Advantage Chiropractic in New Berlin, WI, who suffered from chronic lower back pain and sciatica. The patient experienced significant relief through the Torque Release Technique (TRT)—a highly specialized chiropractic adjustment method that promotes spinal alignment and nervous system balance without forceful manual manipulation.

II. Patient Background

Patient: John D., a 47-year-old male
Occupation: Construction worker
Chief Complaint: Persistent lower back pain and radiating sciatic nerve pain down his right leg
Duration of Symptoms: Over six months
Pain Severity (Scale 1-10): 7/10 on average, spiking to 9/10 after physical exertion

John had been dealing with stiffness and discomfort in his lower back for months. Initially, he ignored the symptoms, assuming they were a normal work-related strain. However, his condition worsened, and he began experiencing sharp, shooting pain down his right leg. This pain made it difficult to stand for long periods, bend, or lift heavy objects. The pain was especially severe in the mornings and after long shifts at work.

Previous Treatments Attempted

Before seeking chiropractic care, John tried several treatment options:

• Over-the-counter pain relievers (Ibuprofen, Acetaminophen): Temporary relief but did not address the root cause.

• Physical therapy: Some improvement, but progress stalled after eight weeks.

• Massage therapy: Helped reduce muscle tightness but had no lasting impact on nerve pain.

• Heat and ice therapy: Provided short-term relief but failed to resolve the underlying issue.

John was concerned that his condition would continue to deteriorate, potentially affecting his ability to work. He sought Advantage Chiropractic after hearing positive testimonials from a coworker who experienced similar pain relief through chiropractic adjustments.

III. Examination & Diagnosis

Upon arriving at Advantage Chiropractic, John underwent a comprehensive evaluation by Dr. Evan Norum, a board-certified chiropractor specializing in the Torque Release Technique (TRT).

Initial Consultation & Assessment

• X-ray Imaging: Taken to assess spinal alignment, rule out fractures, and identify areas of subluxation. X-rays revealed misalignment at L4-L5 and L5-S1, contributing to sciatic nerve irritation.

• Postural Analysis: Notable pelvic misalignment and a slight forward-leaning posture indicative of spinal imbalance.

• Range of Motion Tests: Limited lumbar flexibility, especially in forward bending and side twisting.

• Neurological Examination:

  • Positive Straight Leg Raise (SLR) test, confirming sciatic nerve irritation.

  • Reflex testing revealed a slightly diminished Achilles tendon reflex on the right side.

  • Numbness and tingling along the L5-S1 nerve distribution are common with sciatic nerve compression.

• Palpation & Spinal Analysis:

  • Increased muscle tension along the lower back (lumbar paraspinal muscles).

  • Subluxations were detected at L4-L5 and L5-S1, contributing to nerve irritation.

Diagnosis

John was diagnosed with lumbar subluxation, sciatic nerve irritation, and muscle imbalances. His symptoms aligned with sciatica stemming from spinal misalignment and nerve compression.

IV. Treatment Plan

Given John’s condition, Dr. Norum recommended a targeted chiropractic treatment plan utilizing the Torque Release Technique (TRT). This method was chosen because it delivers precise, neurological-based adjustments without excessive force.

Customized Treatment Approach

1. Torque Release Technique (TRT) Adjustments (3x per week for the first four weeks)

   • TRT involves a specialized instrument called the Integrator, which delivers gentle, highly specific adjustments to correct spinal misalignments.

   • Focused adjustments were made at L4, L5, and sacrum to restore proper nerve function.

2. Home Stretching & Mobility Exercises

   • Piriformis stretches and lumbar extension exercises to relieve nerve compression.

   • Core strengthening exercises to stabilize the spine and prevent future flare-ups.

3. Lifestyle Modifications

   • Ergonomic changes at work, including proper lifting techniques and lumbar support.

   • Advised against prolonged sitting and encouraged movement every 30-45 minutes.

V. Patient Progress & Results

John’s progress was tracked over an 8-week treatment period, with regular check-ins to monitor his pain levels and functional improvements.

Week 2:

• Pain levels reduced from 7/10 to 5/10.

• Sciatic pain intensity decreased, with less frequent flare-ups.

• Improved range of motion in bending and twisting.

Week 4:

• Significant improvement in morning stiffness and overall mobility.

• Sciatic nerve pain is now occasional instead of constant.

• Able to work full shifts with minimal discomfort.

Week 8:

• Pain levels down to 2/10, with occasional tightness but no shooting leg pain.

• No longer reliant on pain medication.

• Able to lift and bend without hesitation.

After his treatment plan, John reported feeling 90% better compared to when he first arrived. Dr. Norum recommended ongoing maintenance care once per month to ensure long-term spinal health and prevent future issues.

VI. Patient Testimonial

“Before coming to Advantage Chiropractic, I honestly thought I was going to have to quit my job or live with this pain forever. The sciatic pain was unbearable, and nothing else seemed to work. Dr. Norum and his team completely turned things around for me. After just a few weeks of TRT adjustments, I started feeling better, and now I can work, move, and enjoy life again without constant pain. I can’t recommend them enough!”
— John D., New Berlin, WI

VII. Conclusion

This case study demonstrates the effectiveness of the Torque Release Technique (TRT)  in treating lower back pain and sciatica. Unlike traditional manual adjustments, TRT provides precise, gentle corrections that optimize nervous system function, leading to lasting relief.

For individuals struggling with chronic pain and nerve-related conditions, chiropractic care at Advantage Chiropractic in New Berlin, WI, offers a non-invasive, drug-free solution. If you or someone you know is suffering from lower back pain or sciatica, contact Advantage Chiropractic today to schedule a consultation and take the first step toward recovery.