Clinical management of a Veteran with chronic scan-negative cauda equina syndrome: a case report.

Sachien R Hewawasam, Christopher B Roecker, Samuel M Schut

Abstract read

In one paragraph

Article in The Journal of the Canadian Chiropractic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sachien R HewawasamWhite City VA Medical Center, University of Western States, White City, Oregon, USA.

Christopher B RoeckerVA Puget Sound Health Care System, University of Western States, Everett, Washington, USA.

Samuel M SchutDepartment of Wellness and Preventive Medicine, Center for Wellness Research and Training, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland Clinic, Cleveland, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To describe the clinical presentation, diagnostic considerations, and safety-first course of chiropractic care for an adult male with chronic scan-negative cauda equina syndrome. Clinical features: A 41-year-old male U.S. Veteran sought chiropractic care for progressively intensifying chronic low back pain and bilateral lower extremity pain along with progressive bladder dysfunction, groin hypoesthesia, and sexual dysfunction. The history and examination findings raised concern for cauda equina syndrome, but a same-day MRI and neurosurgery consult failed to yield surgical indications. Intervention and outcomes: Chiropractic care involved 8 visits over 10 weeks. Care focused on neurological monitoring and patient education along with soft-tissue therapy, flexion-distraction, and spinal manipulation. The patient reported improvements in pain, function, and neurological features following this course of care, and no adverse events occurred. Summary: This case emphasizes timely recognition of features associated with cauda equina syndrome and illustrates a cautious, multimodal approach to chiropractic co-management for an individual with scan-negative cauda equina syndrome.

Indexed as

cauda equina syndromechiropracticlow backmanual therapiespainVeterans healthveterans health services

Identifiers

PMID42813130

PMCPMC13623046

What Socratic holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.