The purpose of this case study is to describe the clinical course and treatment of a female patient with intermittent low back pain (LBP) that was associated with a uterine adenomyosis.

Clinical Features:

A 45-year-old woman presented for chiropractic care with intermittent LBP of 4 years’ duration. History revealed concurrent dysmenorrhea, menorrhagia, and a uterine leiomyoma (fibroid). Physical and radiological examination findings were unremarkable, and the LBP was not reproducible.

Intervention and Outcome:

Activator Methods chiropractic adjustments/manipulations were given twice per week for 4 months with moderate results. The frequency and duration of low back and pelvic pains were reduced; however, the severity remained constant. A further gynecological opinion was sought, a transvaginal ultrasound was performed, and the patient’s diagnosis was changed from leiomyoma to adenomyosis.


In this case report, a woman presented with a 4-year history of intermittent LBP, which was sometimes associated with menstruation. Despite being diagnosed with uterine adenomyosis, she received some relief from chiropractic care.

J Chiropr Med. 2011 Mar; 10(1): 64–69. [PMC3110405]

Reference: Anne M. Jensen MSc, DC; Brutawit Bewketu BS; Douglas Sanford MSS, DC, CCSP. Parker Research Institute, Parker College of Chiropractic, Dallas, TX, USA.

Full PMC Text