case_images: PMC10829057_01
case_images: Timeline of care
case_images: cureus-0016-00000051445-i01.jpg
case_images: PMC10829057_01_cureus-0016-00000051445-i01.jpg
case_images: FIG1
case_images: A 30-year-old male construction worker with a known history of stage IV liver cancer presented to a chiropractor with a one-month history of constant right leg pain and numbness (Figure 1).
case_images: Sagittal view of magnetic resonance image (MRI) of lumbar spine. A) MRI showing disc desiccation with decreased disc height noted at L5/S1 level (yellow arrow). A posterior annular tear can be observed at the L5/S1 disc. Disc desiccation with decreased disc height at L5/S1 level. A posterior annular tear is observed at the L5/S1 disc. B) Posterior disc bulging at L5/S1 level with impingement onto right S1 descending nerve root (yellow arrow). .
case_images: cureus-0016-00000051445-i02.jpg
case_images: PMC10829057_01_cureus-0016-00000051445-i02.jpg
case_images: FIG2
case_images: The findings revealed disc desiccation with decreased disc height at the L5/S1 level, posterior disc bulging at the L5/S1 level (Figure 2A) with impingement of the left S1 (Figure 2B) descending nerve root, and posterior annular tear at the L5/S1 disc.
case_images: Axial view of magnetic resonance image (MRI) of lumbar spine. Multiple liver lesions measuring up to 3.56 cm are seen, indicative of liver metastases.
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case_images: PMC10829057_01_cureus-0016-00000051445-i03.jpg
case_images: FIG3
case_images: As expected, multiple liver lesions measuring up to 3.56 cm are seen, indicative of liver metastases (Figure 3).
case_images: Instrument-Assisted Soft Tissue Mobilization (IASTM) technique. IASTM involves specialized tools to detect and treat fascial restrictions, reducing muscle tightness and inflammation around the lumbar area..
case_images: cureus-0016-00000051445-i04.jpg
case_images: PMC10829057_01_cureus-0016-00000051445-i04.jpg
case_images: FIG4
case_images: In addition, instrument-assisted soft tissue mobilization (IASTM) was performed, which involves specialized tools to detect and treat fascial restrictions, thereby reducing muscle tightness and inflammation around the lumbar area (Figure 4).