Sexual Function

Sexual impotence in men having low-back syndrome. LeBan MM, Burk Rd, Johnson EW. Archives Phys. Med. & Rehab., Nov. 1966 pp. 715-723.

Of 43 men having back injuries from industrial accidents, 63% were found to be sexually impotent.

Testalgia caused by dysfunction at the thoraco-lumbar junction. Jamelick R, Penickova V, Vyborny K. J of Manual Medicine, 1992; 6:189. Ten men aged 30-55 had long term unilateral testalgia (pain in scrotum or testicle). A complete urological examination failed to determine the cause of the pain. They had no back pain or urinary tract disease. After a single manipulation or repeated manipulation, the testalgia completely disappeared.

Bowel and bladder dysfunction secondary to lumbar dysfunctional syndrome. Falk JW Chiropractic Technique, 1990;2:45-48.

A 37 year-old man hurt himself on the job and started experiencing low back pain and pain in the left testicle and had difficulty urinating. After chiropractic adjustments the lower back pain and the testicular and urinary pains disappeared.

The mechanically induced pelvic pain and organic dysfunction syndrome: an often overlooked cause of bladder, bowel, gynecological, and sexual dysfunction. Browning JF. Journal of the Neuromusculoskeletal System,1996; 4:52-667

The mechanically induced pelvic pain and organic dysfunction (PPOD) syndrome is thought to be caused by subluxations of the lumbar spine affecting lower sacral nerves.

Sufferers with PPOD can have low back pain, bladder, bowel, gynecologic and/or sexual dysfunction.

This is the case of a 29-year old woman with bilateral pelvic and low back pain, inguinal pain, urinary stress incontinence, loss of genital sensitivity, loss of libido and vaginal discharge. A gynecological exam failed to reveal any pathology.

Sacral nerve root involvement, secondary to a L5/S1 disc herniation was found. Under chiropractic care the patient initially experienced symptoms of pain and paraesthesia of the genitalia which disappeared quickly and within one week her bladder dysfunction had resolved and the other symptoms were less severe. After 4 weeks, her other symptoms had completely resolved.

The recognition of mechanically induced pelvic pain and organic dysfunction in the low back pain patient. Browning JE. Journal of Manipulative and Physiological Therapeutics, 1991,12(5).

Pelvic organic problems that have been shown to respond to manipulative treatment include impairment of bladder, bowel and sexual function.

Distractive manipulation protocols in treating the mechanically induced pelvic pain and organic dysfunction patient. Browning JE Chiropractic Technique. 1995; 7:1-11.

Pelvic pain and organic dysfunction (PPOD) often responds well to chiropractic care. These conditions include symptoms of bladder, bowel, gynecologic, and sexual dysfunction secondary to impairment of lower sacral nerve root function as a result of a mechanical disorder of the low back.

This article discusses treatment protocols outlining the application of distractive decompressive manipulation of the lumbar spine in the management of the mechanically induced pelvic pain and organic dysfunction syndrome.

Copyright 2004 Koren Publications, Inc. & Tedd Koren, D.C.

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