Elenburg, J.L.Foley, B.S.Roberts, K.Bayliss, A.J.2018-03-132018-03-132016-05Elenburg, J. L., Foley, B. S., Roberts, K., & Bayliss, A. J. (2016). Utilization of mechanical diagnosis and therapy (MDT) for the treatment of lumbar pain in the presence of known lumbar transverse process fractures: a case study. The Journal of Manual & Manipulative Therapy, 24(2), 74–79. http://doi.org/10.1179/2042618614Y.0000000101https://hdl.handle.net/1805/15489BACKGROUND: Spinal fractures are typically considered a contraindication to mechanical diagnosis and therapy (MDT). OBJECTIVE AND IMPORTANCE: The purpose of this case study is to illustrate how MDT was used safely and effectively to treat lumbar pain in a patient with multiple lumbar transverse process fractures. CLINICAL PRESENTATION: The subject was a 24-year-old female with left L2-5 transverse process fractures, sustained 10 weeks prior in a pedestrian versus motor vehicle accident. INTERVENTION AND TECHNIQUE: After collaboration with her physiatrist, an MDT examination revealed a presentation consistent with the lumbar derangement syndrome. CONCLUSION: After three visits, utilizing patient generated forces with the extension principle of treatment, her pain, Oswestry disability index (ODI) score, and function all improved.en-USPublisher PolicyMechanical diagnosis and therapyMcKenzie methodLow back painDerangementDirectional preferenceFractureRed flagsClassificationArticle